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Healthcare · head to head

eClinicalWorks Prime vs Kareo

eClinicalWorks Prime logo

eClinicalWorks Prime

Healthcare

AI-powered cloud EHR for modern healthcare practices

From
$180/month
Rated
-
Full reviewWebsite
Kareo logo

Kareo

Healthcare

Cloud-based EHR and billing for small practices

From
$99/month
Rated
-
Full reviewWebsite

The short version

  • 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; Kareo kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product
  • They diverge on capability: eClinicalWorks Prime covers AI-Assisted Documentation, Kareo covers Scheduling.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which eClinicalWorks Prime and Kareo actually diverge.

Attributes where eClinicalWorks Prime and Kareo differ
AttributeeClinicalWorks PrimeKareo
Starting price$180/month$99/month
PlatformsWeb, Mobile, ApiWeb, Mobile
Founded19992010

Identical on both: pricing model (subscription), free tier (No), 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

  • AI-Assisted Documentation
  • Practice Management
  • Revenue Cycle
  • Voice Recognition
  • Telehealth
  • HL7
  • FHIR
  • Imaging

Only in Kareo

  • Scheduling
  • Medical Billing
  • Payment Processing
  • Clearinghouses

Both cover

  • Electronic Health Records
  • Patient Portal
  • Labs
  • Pharmacies
  • HIPAA
  • SOC2
  • Cloud deployment
  • Web support
  • Mobile support

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 Kareo

Kareo

  • Practice management, scheduling and billing for independent medical practicesnot eClinicalWorks Prime
  • Electronic health records and e-prescribing for small clinicsnot eClinicalWorks Prime
  • Insurance claim submission and patient payment collectionnot 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

Kareo

  • Kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product
  • Tebra publishes no rate: pricing varies with provider count, features and implementation requirements and is quoted during a demo
  • Billing counts clinical providers such as MDs, DOs, NPs and PAs, so adding a prescriber raises the bill even though non clinical staff are free
  • Electronic prescribing of controlled substances setup costs about $75 per provider as a one time fee
  • PDMP integration costs $500 one time per facility plus about $50 per user per year

Pricing, plan by plan

eClinicalWorks Prime

$180/month

No published plan breakdown. See the eClinicalWorks Prime review.

Kareo

$99/month
  • Starter$99/month
    • EHR
    • Scheduling
    • Patient Portal
  • Professional$199/month
    • Everything in Starter
    • Billing
    • Reporting

Which should you pick?

Choose eClinicalWorks Prime if

  • You need ai-assisted documentation.
  • You work on Web, Mobile, Api.
  • You also want practice management.
eClinicalWorks Prime review

Choose Kareo if

  • You need scheduling.
  • You work on Web, Mobile.
  • You also want medical billing.
Kareo review

Questions people ask

Is eClinicalWorks Prime or Kareo better?
Neither clearly leads. eClinicalWorks Prime starts at $180/month and Kareo at $99/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks Prime or Kareo?
eClinicalWorks Prime starts at $180/month and Kareo at $99/month.
Does eClinicalWorks Prime or Kareo run on more platforms?
eClinicalWorks Prime runs on Web, Mobile, Api. Kareo runs on Web, Mobile.
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 Kareo is typically brought in for.
What can eClinicalWorks Prime do that Kareo cannot?
eClinicalWorks Prime covers AI-Assisted Documentation, Practice Management, Revenue Cycle, Voice Recognition. Kareo covers Scheduling, Medical Billing, Payment Processing, Clearinghouses. Both handle Electronic Health Records, Patient Portal, Labs, Pharmacies.

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
Kareo: Does Kareo publish its pricing?

No. Kareo (now rebranded as Tebra) uses custom per-practice pricing that varies based on the number of providers, features needed, and implementation requirements. Pricing is determined during a demo with the sales team.

Source
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
Kareo: Are there discounts for adding multiple modules?

Yes. Tebra states that many practices qualify for bundled pricing or volume incentives when adopting multiple modules like EHR, billing, and patient experience tools together.

Source
Kareo: What are the additional costs for controlled substance prescribing?

For providers who prescribe controlled substances, EPCS setup costs approximately $75 per provider as a one-time fee, and PDMP integration costs $500 one-time per facility plus around $50 per user per year.

Source
Kareo: Does Kareo offer a free trial?

Kareo's website does not mention a free trial option. Access to pricing and trial arrangements requires contacting the sales team to request a demo.

Source
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