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Healthcare · head to head

eClinicalWorks Prime vs TherapyNotes

eClinicalWorks Prime logo

eClinicalWorks Prime

Healthcare

AI-powered cloud EHR for modern healthcare practices

From
$180/month
Rated
-
Full reviewWebsite
TherapyNotes logo

TherapyNotes

Healthcare

EHR and practice management for therapists

From
$39/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; TherapyNotes no API access, preventing integration with external systems
  • They diverge on capability: eClinicalWorks Prime covers AI-Assisted Documentation, TherapyNotes covers Scheduling.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

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

Attributes where eClinicalWorks Prime and TherapyNotes differ
AttributeeClinicalWorks PrimeTherapyNotes
Starting price$180/month$39/month
PlatformsWeb, Mobile, ApiWeb
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
  • HL7
  • FHIR
  • Labs
  • Pharmacies

Only in TherapyNotes

  • Scheduling
  • Billing
  • Outcome Tracking
  • Clearinghouses
  • Insurance

Both cover

  • Electronic Health Records
  • Patient Portal
  • 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 TherapyNotes

TherapyNotes

  • 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

TherapyNotes

  • No API access, preventing integration with external systems
  • Outdated interface compared to AI-driven competitors
  • No native mobile app for iOS or Android
  • No bulk actions to update multiple sessions at once

Pricing, plan by plan

eClinicalWorks Prime

$180/month

No published plan breakdown. See the eClinicalWorks Prime review.

TherapyNotes

$39/month
  • Solo$39/month
    • Full EHR
    • Scheduling
    • Patient portal

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 TherapyNotes if

  • You need scheduling.
  • You also want billing.
TherapyNotes review

Questions people ask

Is eClinicalWorks Prime or TherapyNotes better?
Neither clearly leads. eClinicalWorks Prime starts at $180/month and TherapyNotes at $39/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks Prime or TherapyNotes?
eClinicalWorks Prime starts at $180/month and TherapyNotes at $39/month.
Does eClinicalWorks Prime or TherapyNotes run on more platforms?
eClinicalWorks Prime runs on Web, Mobile, Api. TherapyNotes runs on Web.
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 TherapyNotes is typically brought in for.
What can eClinicalWorks Prime do that TherapyNotes cannot?
eClinicalWorks Prime covers AI-Assisted Documentation, Practice Management, Revenue Cycle, Voice Recognition. TherapyNotes covers Scheduling, Billing, Outcome Tracking, Clearinghouses. Both handle Electronic Health Records, Patient Portal, Telehealth, HIPAA.

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
TherapyNotes: Does TherapyNotes integrate with other applications?

TherapyNotes has zero API availability and cannot connect to external systems including marketing platforms, CRMs, or data dashboards. Unlike competitors, it lacks integration capabilities.

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
TherapyNotes: What are TherapyNotes pricing plans?

TherapyNotes charges $69/month for a solo practitioner plan and $79/month for the first clinician in a group with $50/month per additional clinician. A 30-day free trial is included with every plan.

Source
TherapyNotes: Does TherapyNotes include telehealth?

Yes. TherapyNotes includes Basic Telehealth at no extra cost on every plan, with standard-definition video for up to 2 participants. Premium Telehealth with full HD, screen sharing, and closed captions costs $15 per clinician per month.

Source
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