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Healthcare · head to head

eClinicalWorks Prime vs Practice Fusion

eClinicalWorks Prime logo

eClinicalWorks Prime

Healthcare

AI-powered cloud EHR for modern healthcare practices

From
$180/month
Rated
-
Full reviewWebsite
Practice Fusion logo

Practice Fusion

Healthcare

Free cloud-based EHR for medical practices

From
Free
Rated
-
Full reviewWebsite

The short version

  • Only Practice Fusion 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; Practice Fusion cloud-based architecture requires constant internet connectivity
  • They diverge on capability: eClinicalWorks Prime covers AI-Assisted Documentation, Practice Fusion covers e-Prescribing.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which eClinicalWorks Prime and Practice Fusion actually diverge.

Attributes where eClinicalWorks Prime and Practice Fusion differ
AttributeeClinicalWorks PrimePractice Fusion
Starting price$180/monthFree
Free tierNoYes
PlatformsWeb, Mobile, ApiWeb, iOS, Android
Founded19992005

Identical on both: pricing model (subscription), 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 Practice Fusion

  • e-Prescribing
  • Lab Orders
  • Scheduling
  • Imaging Centers
  • ONC Certified

Both cover

  • Electronic Health Records
  • Patient Portal
  • Labs
  • Pharmacies
  • HIPAA
  • 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 Practice Fusion

Practice Fusion

  • Small to medium medical practicesnot eClinicalWorks Prime
  • Primary care clinicsnot eClinicalWorks Prime
  • Independent clinicians needing electronic chartingnot eClinicalWorks Prime
  • Practice management and billing workflowsnot 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

Practice Fusion

  • Cloud-based architecture requires constant internet connectivity
  • Requires annual commitment for pricing

Pricing, plan by plan

eClinicalWorks Prime

$180/month

No published plan breakdown. See the eClinicalWorks Prime review.

Practice Fusion

Free
  • Standard$199/month
    • Provider license with e-prescribing and chart signing
    • 3 signing staff licenses included
    • Unlimited non-signing staff licenses

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 Practice Fusion if

  • You need e-prescribing.
  • You want to start without paying.
  • You work on Web, iOS, Android.
  • You also want lab orders.
Practice Fusion review

Questions people ask

Is eClinicalWorks Prime or Practice Fusion better?
Neither clearly leads. eClinicalWorks Prime starts at $180/month and Practice Fusion at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks Prime or Practice Fusion?
Practice Fusion has a free tier; the other does not. Paid plans start at $180/month for eClinicalWorks Prime and Free for Practice Fusion.
Does eClinicalWorks Prime or Practice Fusion run on more platforms?
eClinicalWorks Prime runs on Web, Mobile, Api. Practice Fusion runs on Web, iOS, Android.
Can I use Practice Fusion for free?
Yes. Practice Fusion 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 Practice Fusion is typically brought in for.
What can eClinicalWorks Prime do that Practice Fusion cannot?
eClinicalWorks Prime covers AI-Assisted Documentation, Practice Management, Revenue Cycle, Voice Recognition. Practice Fusion covers e-Prescribing, Lab Orders, Scheduling, Imaging Centers. 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
Practice Fusion: How much does Practice Fusion cost?

Practice Fusion starts at $199 per month per provider with an annual commitment required. The pricing includes 3 signing staff licenses and unlimited non-signing staff licenses.

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
Practice Fusion: Does Practice Fusion offer a free trial?

Yes, Practice Fusion offers a complimentary 2-week trial with no commitment, no upfront costs, and no credit card required.

Source
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