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Healthcare · head to head

eClinicalWorks Prime vs GNU Health

eClinicalWorks Prime logo

eClinicalWorks Prime

Healthcare

AI-powered cloud EHR for modern healthcare practices

From
$180/month
Rated
-
Full reviewWebsite
GNU Health logo

GNU Health

Healthcare

Free hospital and health information system from a small NGO, built on the Tryton framework

From
Free
Rated
-
Full reviewWebsite

The short version

  • Only GNU Health has a free tier, so it costs nothing to try first.
  • Each has a real cost: eClinicalWorks Prime eHR Only is $449/month per provider and EHR with Practice Management is $599/month per provider, priced per provider rather than a flat practice fee; GNU Health development depends on GNU Solidario, a very small nonprofit funded by donations and training, so release cadence and long-term continuity are tied to a handful of people rather than to an engineering organisation.
  • They diverge on capability: eClinicalWorks Prime covers Electronic Health Records, GNU Health covers Electronic medical record.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which eClinicalWorks Prime and GNU Health actually diverge.

Attributes where eClinicalWorks Prime and GNU Health differ
AttributeeClinicalWorks PrimeGNU Health
Starting price$180/monthFree
Pricing modelsubscriptionOpen source, no licence fee
Free tierNoYes
PlatformsWeb, Mobile, ApiLinux, Web, Self-hosted
Founded1999Unknown

Identical on both: user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in eClinicalWorks Prime

  • Electronic Health Records
  • AI-Assisted Documentation
  • Practice Management
  • Revenue Cycle
  • Patient Portal
  • Voice Recognition
  • Telehealth
  • HL7

Only in GNU Health

  • Electronic medical record
  • Hospital management
  • Laboratory information system
  • Social medicine modules
  • Tryton business modules
  • Health federation
  • ICD and standards support
  • Modular installation

What people use each for

The jobs each tool is most often brought in to do.

eClinicalWorks Prime

  • Small to mid-size practices (1-9 providers) wanting per-provider EHR pricing with included trainingnot GNU Health

GNU Health

  • A public hospital in a low-resource setting that cannot fund commercial EMR licensing and has in-house Linux capabilitynot eClinicalWorks Prime
  • A ministry building a national health network where source code inspection and data sovereignty are policy requirementsnot eClinicalWorks Prime
  • A university teaching health informatics that needs a complete, inspectable system rather than a vendor demonstrationnot eClinicalWorks Prime
  • A community health programme that needs socioeconomic determinants recorded alongside clinical datanot eClinicalWorks Prime

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

eClinicalWorks Prime

  • EHR Only is $449/month per provider and EHR with Practice Management is $599/month per provider, priced per provider rather than a flat practice fee
  • The RCM as a Service option charges 2.9% of practice collections rather than a fixed fee
  • Practices with more than 9 providers are charged additional implementation fees beyond the included training

GNU Health

  • Development depends on GNU Solidario, a very small nonprofit funded by donations and training, so release cadence and long-term continuity are tied to a handful of people rather than to an engineering organisation.
  • It is built on Tryton, a framework few health IT staff know, so hiring or contracting people who can extend and maintain it is materially harder than for a mainstream stack.
  • Installation, upgrades and database administration assume Linux and Python competence, which puts the real cost on staffing rather than on licensing and defeats hospitals that lack that team.
  • The interface is functional rather than designed, and clinician acceptance is a genuine deployment risk compared with commercial systems that have invested heavily in usability.
  • Certification, regulatory conformance and interoperability testing that some jurisdictions demand of clinical systems are not provided by a vendor, so the adopting institution has to carry that work and that liability itself.

Pricing, plan by plan

eClinicalWorks Prime

$180/month

No published plan breakdown. See the eClinicalWorks Prime review.

GNU Health

Free
  • GNU HealthFree
    • GNU GPL licence
    • All modules included
    • No patient, bed or user limits
  • Support and training$undefined/year
    • Paid support and implementation from GNU Solidario
    • Training courses and certification
    • Quoted per institution

Which should you pick?

Choose eClinicalWorks Prime if

  • You need electronic health records.
  • You work on Web, Mobile, Api.
  • You also want ai-assisted documentation.
eClinicalWorks Prime review

Choose GNU Health if

  • You need electronic medical record.
  • You want to start without paying.
  • You work on Linux, Web, Self-hosted.
  • You also want hospital management.
GNU Health review

Questions people ask

Is eClinicalWorks Prime or GNU Health better?
Neither clearly leads. eClinicalWorks Prime starts at $180/month and GNU Health at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks Prime or GNU Health?
GNU Health has a free tier; the other does not. Paid plans start at $180/month for eClinicalWorks Prime and Free for GNU Health.
Does eClinicalWorks Prime or GNU Health run on more platforms?
eClinicalWorks Prime runs on Web, Mobile, Api. GNU Health runs on Linux, Web, Self-hosted.
Can I use GNU Health for free?
Yes. GNU Health has a free tier, so you can try it without paying. eClinicalWorks Prime starts at $180/month.
What is eClinicalWorks Prime best used for?
eClinicalWorks Prime is most often used for small to mid-size practices (1-9 providers) wanting per-provider ehr pricing with included training. Of those, small to mid-size practices (1-9 providers) wanting per-provider ehr pricing with included training is not what GNU Health is typically brought in for.
What can eClinicalWorks Prime do that GNU Health cannot?
eClinicalWorks Prime covers Electronic Health Records, AI-Assisted Documentation, Practice Management, Revenue Cycle. GNU Health covers Electronic medical record, Hospital management, Laboratory information system, Social medicine modules.

Answered from the vendors’ own pages

eClinicalWorks Prime: How much does eClinicalWorks Prime cost?

eClinicalWorks does not publish pricing for its Prime RCM (Revenue Cycle Management) service. The vendor positions it as 'Better RCM service at a lower price than your current provider' but requires interested organizations to schedule a demo or contact sales at 508-836-2700 for custom pricing based on organizational size and specific requirements.

Source
GNU Health: Who develops GNU Health?

GNU Solidario, a Spanish nonprofit NGO, as an official GNU package under the GPL.

eClinicalWorks Prime: How can you get eClinicalWorks Prime pricing?

Contact eClinicalWorks directly at 508-836-2700 to speak with their sales team or schedule a demo to discuss pricing tailored to your organization.

Source
GNU Health: Is there commercial support?

Yes, in a limited form, from GNU Solidario itself and a small number of implementers. It is not a vendor support organisation.

GNU Health: What is it built on?

Tryton, a Python business application framework, which is where its accounting, stock and HR modules come from.

GNU Health: Is it suitable for a large hospital?

It is deployed in hospitals, but the deciding factor is whether you have internal Linux, Python and Tryton capability rather than the size of the institution.

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