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Healthcare · head to head

eClinicalWorks Prime vs SimplePractice

eClinicalWorks Prime logo

eClinicalWorks Prime

Healthcare

AI-powered cloud EHR for modern healthcare practices

From
$180/month
Rated
-
Full reviewWebsite
SimplePractice logo

SimplePractice

Healthcare

Practice management and EHR for mental health and therapy

From
$49/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; SimplePractice no API or webhook support for integrations, preventing connections to Zapier or custom automation tools
  • They diverge on capability: eClinicalWorks Prime covers Electronic Health Records, SimplePractice covers Scheduling.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

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

Attributes where eClinicalWorks Prime and SimplePractice differ
AttributeeClinicalWorks PrimeSimplePractice
Starting price$180/month$49/month
Pricing modelsubscriptionUnknown
PlatformsWeb, Mobile, ApiWeb, iOS, Android
Founded19992011

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

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

Only in SimplePractice

  • Scheduling
  • Client Portal
  • Notes
  • Billing
  • Documents
  • Stripe
  • PayPal
  • Electronic clearinghouses

Both cover

  • Telehealth
  • 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 SimplePractice

SimplePractice

  • 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

SimplePractice

  • No API or webhook support for integrations, preventing connections to Zapier or custom automation tools
  • Lacks AI clinical documentation in base plan, requiring manual note typing which takes 15-30 minutes per session
  • Reporting and customization features are limited compared to competitors, with weak insurance workflow support
  • Hidden costs beyond base pricing, with real cost often 3x higher after add-ons and annual increases
  • Telehealth component reported as unstable and frequently unreliable by some users

Pricing, plan by plan

eClinicalWorks Prime

$180/month

No published plan breakdown. See the eClinicalWorks Prime review.

SimplePractice

$49/month
  • Starter$49/month
    • Scheduling
    • Documentation
    • Client portal
  • Essential$79/month
    • Billing and payments
    • Insurance claim filing
    • Telehealth
  • Plus$99/month
    • Website builder
    • Advanced reporting
    • ePrescribe integration

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 SimplePractice if

  • You need scheduling.
  • You work on Web, iOS, Android.
  • You also want client portal.
SimplePractice review

Questions people ask

Is eClinicalWorks Prime or SimplePractice better?
Neither clearly leads. eClinicalWorks Prime starts at $180/month and SimplePractice at $49/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks Prime or SimplePractice?
eClinicalWorks Prime starts at $180/month and SimplePractice at $49/month.
Does eClinicalWorks Prime or SimplePractice run on more platforms?
eClinicalWorks Prime runs on Web, Mobile, Api. SimplePractice 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 SimplePractice is typically brought in for.
What can eClinicalWorks Prime do that SimplePractice cannot?
eClinicalWorks Prime covers Electronic Health Records, AI-Assisted Documentation, Practice Management, Revenue Cycle. SimplePractice covers Scheduling, Client Portal, Notes, Billing. Both handle Telehealth, HIPAA, SOC2, Cloud deployment.

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
SimplePractice: What does SimplePractice pricing include?

SimplePractice tiers start at $49 (Starter), $79 (Essential), and $99 (Plus) per clinician per month. Add-ons cost extra, including AI Note Taker at $35/month and ePrescribe at $49/month plus $89 setup.

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
SimplePractice: Does SimplePractice include telehealth?

Yes, all SimplePractice tiers include HIPAA-compliant integrated telehealth, allowing therapists to conduct secure video sessions directly from the platform.

Source
SimplePractice: Is AI documentation included in SimplePractice?

No, AI clinical notes are not included in base pricing. SimplePractice offers an optional AI Note Taker add-on for $35/month that provides basic transcription, though it lacks advanced note generation features of competitors.

Source
SimplePractice: Does SimplePractice support international or non-US workflows?

No, SimplePractice is designed for US practices only and does not support non-US workflows, insurance structures, or currencies, limiting its use for international practitioners.

Source
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