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Healthcare · head to head

eClinicalWorks Prime vs NextGen Enterprise EHR

eClinicalWorks Prime logo

eClinicalWorks Prime

Healthcare

AI-powered cloud EHR for modern healthcare practices

From
$180/month
Rated
-
Full reviewWebsite
NextGen Enterprise EHR logo

NextGen Enterprise EHR

Healthcare

Enterprise-grade EHR and RCM for large healthcare organizations

From
On request
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; NextGen Enterprise EHR no pricing published on website
  • They diverge on capability: eClinicalWorks Prime covers AI-Assisted Documentation, NextGen Enterprise EHR covers Clinical Documentation.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which eClinicalWorks Prime and NextGen Enterprise EHR actually diverge.

Attributes where eClinicalWorks Prime and NextGen Enterprise EHR differ
AttributeeClinicalWorks PrimeNextGen Enterprise EHR
Starting price$180/monthOn request
Pricing modelsubscriptionquote
PlatformsWeb, Mobile, ApiWeb, Desktop
Founded19991997

Identical on both: 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
  • Patient Portal
  • Voice Recognition
  • Telehealth
  • Imaging
  • SOC2

Only in NextGen Enterprise EHR

  • Clinical Documentation
  • Revenue Cycle Management
  • Patient Management
  • Analytics
  • Interoperability
  • Reporting
  • On-premise deployment
  • Desktop support

Both cover

  • Electronic Health Records
  • HL7
  • FHIR
  • Labs
  • Pharmacies
  • HIPAA
  • HITRUST
  • Cloud deployment
  • Web 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 NextGen Enterprise EHR

NextGen Enterprise EHR

  • Patient Carenot eClinicalWorks Prime
  • Medical Recordsnot eClinicalWorks Prime
  • Practice Managementnot eClinicalWorks Prime
  • Telehealthnot 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

NextGen Enterprise EHR

  • No pricing published on website

Pricing, plan by plan

eClinicalWorks Prime

$180/month

No published plan breakdown. See the eClinicalWorks Prime review.

NextGen Enterprise EHR

On request

No published plan breakdown. See the NextGen Enterprise EHR review.

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 NextGen Enterprise EHR if

  • You need clinical documentation.
  • You work on Web, Desktop.
  • You also want revenue cycle management.
NextGen Enterprise EHR review

Questions people ask

Is eClinicalWorks Prime or NextGen Enterprise EHR better?
Neither clearly leads. eClinicalWorks Prime starts at $180/month and NextGen Enterprise EHR at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks Prime or NextGen Enterprise EHR?
eClinicalWorks Prime starts at $180/month and NextGen Enterprise EHR at On request.
Does eClinicalWorks Prime or NextGen Enterprise EHR run on more platforms?
eClinicalWorks Prime runs on Web, Mobile, Api. NextGen Enterprise EHR runs on Web, Desktop.
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 NextGen Enterprise EHR is typically brought in for.
What can eClinicalWorks Prime do that NextGen Enterprise EHR cannot?
eClinicalWorks Prime covers AI-Assisted Documentation, Practice Management, Revenue Cycle, Patient Portal. NextGen Enterprise EHR covers Clinical Documentation, Revenue Cycle Management, Patient Management, Analytics. Both handle Electronic Health Records, HL7, FHIR, Labs.

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
NextGen Enterprise EHR: What is NextGen Enterprise EHR pricing?

NextGen Healthcare does not publish pricing for its Enterprise solutions on their website. The company uses a consultative sales model where pricing is determined after understanding specific practice requirements and needed features.

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
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