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Healthcare · head to head

eClinicalWorks Prime vs NextGen Healthcare

eClinicalWorks Prime logo

eClinicalWorks Prime

Healthcare

AI-powered cloud EHR for modern healthcare practices

From
$180/month
Rated
-
Full reviewWebsite
NextGen Healthcare logo

NextGen Healthcare

Healthcare

Integrated EHR and practice management solutions

From
$150/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; NextGen Healthcare no pricing published on website
  • They diverge on capability: eClinicalWorks Prime covers AI-Assisted Documentation, NextGen Healthcare covers Revenue Cycle Management.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

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

Attributes where eClinicalWorks Prime and NextGen Healthcare differ
AttributeeClinicalWorks PrimeNextGen Healthcare
Starting price$180/month$150/month
PlatformsWeb, Mobile, ApiWeb, iOS, Android
Founded19991997

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
  • Revenue Cycle
  • Patient Portal
  • Voice Recognition
  • HL7
  • FHIR
  • Imaging
  • SOC2

Only in NextGen Healthcare

  • Revenue Cycle Management
  • Analytics
  • Clearinghouses
  • On-premise deployment
  • Desktop support

Both cover

  • Electronic Health Records
  • Practice Management
  • Telehealth
  • 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 Healthcare

NextGen Healthcare

  • Cloud-based EHR and practice management for ambulatory and specialty practicesnot eClinicalWorks Prime
  • AI-assisted clinical documentation to reduce after-hours charting timenot 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 Healthcare

  • No pricing published on website

Pricing, plan by plan

eClinicalWorks Prime

$180/month

No published plan breakdown. See the eClinicalWorks Prime review.

NextGen Healthcare

$150/month

No published plan breakdown. See the NextGen Healthcare review.

Which should you pick?

Choose eClinicalWorks Prime if

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

Choose NextGen Healthcare if

  • You need revenue cycle management.
  • You work on Web, iOS, Android.
  • You also want analytics.
NextGen Healthcare review

Questions people ask

Is eClinicalWorks Prime or NextGen Healthcare better?
Neither clearly leads. eClinicalWorks Prime starts at $180/month and NextGen Healthcare at $150/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks Prime or NextGen Healthcare?
eClinicalWorks Prime starts at $180/month and NextGen Healthcare at $150/month.
Does eClinicalWorks Prime or NextGen Healthcare run on more platforms?
eClinicalWorks Prime runs on Web, Mobile, Api. NextGen Healthcare runs on Web, iOS, Android.
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 Healthcare is typically brought in for.
What can eClinicalWorks Prime do that NextGen Healthcare cannot?
eClinicalWorks Prime covers AI-Assisted Documentation, Revenue Cycle, Patient Portal, Voice Recognition. NextGen Healthcare covers Revenue Cycle Management, Analytics, Clearinghouses, On-premise deployment. Both handle Electronic Health Records, Practice Management, Telehealth, 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 Healthcare: How much does NextGen Healthcare cost?

NextGen Healthcare does not publish pricing on its website. The company directs customers to schedule a meeting, request a demo, or chat with sales to receive custom pricing.

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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