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Healthcare · head to head

eClinicalWorks vs Epic Systems

eClinicalWorks logo

eClinicalWorks

Healthcare

Comprehensive EHR and practice management platform

From
On request
Rated
-
Full reviewWebsite
Epic Systems logo

Epic Systems

Healthcare

Leading electronic health records system for healthcare organizations

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: eClinicalWorks pricing details not disclosed on website; requires sales consultation or demo; Epic Systems no free version or trial; enterprise pricing only with custom negotiation required
  • They diverge on capability: eClinicalWorks covers Practice Management, Epic Systems covers Revenue Cycle Management.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which eClinicalWorks and Epic Systems actually diverge.

Attributes where eClinicalWorks and Epic Systems differ
AttributeeClinicalWorksEpic Systems
Pricing modelUnknownquote
PlatformsWeb, Cloud-basedWeb, Desktop, Mobile
Founded19991979

Identical on both: starting price (On request), 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

  • Practice Management
  • Revenue Cycle
  • ePrescribing
  • Telehealth
  • HL7
  • FHIR
  • Labs
  • Pharmacies

Only in Epic Systems

  • Revenue Cycle Management
  • Clinical Decision Support
  • Population Health
  • Lab Systems
  • Imaging Systems
  • Pharmacy Systems
  • On-premise deployment
  • Desktop support

Both cover

  • Electronic Health Records
  • Patient Portal
  • HIPAA
  • HITRUST
  • SOC2
  • Cloud deployment
  • Web support
  • Mobile support

What people use each for

The jobs each tool is most often brought in to do.

eClinicalWorks

  • EHR and practice management for multi-specialty medical practicesnot Epic Systems
  • Patient engagement through telehealth (healow) and secure messagingnot Epic Systems
  • Revenue cycle management with 98%+ first-pass acceptance ratenot Epic Systems
  • AI-powered clinical documentation with Sunoh.ai medical scribenot Epic Systems

Epic Systems

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

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

eClinicalWorks

  • Pricing details not disclosed on website; requires sales consultation or demo
  • No published technical system requirements specified
  • Cloud-based solution requires reliable internet connectivity for clinics

Epic Systems

  • No free version or trial; enterprise pricing only with custom negotiation required
  • Lengthy implementation timeline: 12-24 months for single hospitals, 3-5 years for multi-system rollouts
  • Customization and workflow adaptation requires extensive consulting services
  • Very high licensing costs ranging from 100,000 to 30 million USD depending on organization size

Pricing, plan by plan

eClinicalWorks

On request

No published plan breakdown. See the eClinicalWorks review.

Epic Systems

On request

No published plan breakdown. See the Epic Systems review.

Which should you pick?

Choose eClinicalWorks if

  • You need practice management.
  • You work on Web, Cloud-based.
  • You also want revenue cycle.
eClinicalWorks review

Choose Epic Systems if

  • You need revenue cycle management.
  • You work on Web, Desktop, Mobile.
  • You also want clinical decision support.
Epic Systems review

Questions people ask

Is eClinicalWorks or Epic Systems better?
Neither clearly leads. eClinicalWorks starts at On request and Epic Systems at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks or Epic Systems?
eClinicalWorks starts at On request and Epic Systems at On request.
Does eClinicalWorks or Epic Systems run on more platforms?
eClinicalWorks runs on Web, Cloud-based. Epic Systems runs on Web, Desktop, Mobile.
What is eClinicalWorks best used for?
eClinicalWorks is most often used for ehr and practice management for multi-specialty medical practices, patient engagement through telehealth (healow) and secure messaging, revenue cycle management with 98%+ first-pass acceptance rate, ai-powered clinical documentation with sunoh.ai medical scribe. Of those, ehr and practice management for multi-specialty medical practices and patient engagement through telehealth (healow) and secure messaging are not what Epic Systems is typically brought in for.
What can eClinicalWorks do that Epic Systems cannot?
eClinicalWorks covers Practice Management, Revenue Cycle, ePrescribing, Telehealth. Epic Systems covers Revenue Cycle Management, Clinical Decision Support, Population Health, Lab Systems. Both handle Electronic Health Records, Patient Portal, HIPAA, HITRUST.

Answered from the vendors’ own pages

eClinicalWorks: What does eClinicalWorks EHR cost per provider?

eClinicalWorks EHR costs $449/month per provider with no startup costs. This includes the electronic medical record system, mobile access, patient portal, messaging, document management, prescribing, reporting, and 24/7 support with cloud hosting.

Source
Epic Systems: What is Epic's market position?

Epic holds 36 percent of the U.S. EHR market and manages over 280 million patient records across 1,200+ healthcare organizations. Among hospitals with over 300 beds, Epic has 52 percent market share, and 71 percent market share in major academic medical centers as of 2026.

Source
eClinicalWorks: What is the cost of eClinicalWorks with Practice Management?

eClinicalWorks EHR with Practice Management costs $599/month per provider with no startup costs. This adds practice management functionality and billing implementation services.

Source
Epic Systems: Is there a free trial or demo available?

Epic does not offer a free version or trial. The software is enterprise-only with custom pricing negotiated directly with organizations. Typical implementation timelines for single hospitals range from 12 to 24 months, and multi-hospital systems can take 3 to 5 years for phased rollouts.

Source
eClinicalWorks: What is eClinicalWorks' Revenue Cycle Management pricing?

eClinicalWorks RCM as a Service costs 2.9% of practice collections with no startup costs. It covers claim processing, denial management, appeals, and accounts receivable visibility.

Source
Epic Systems: How does Epic integrate with third-party systems?

Epic provides multiple integration pathways: FHIR R4 APIs, HL7 v2 messaging, CCDA document exchange, and proprietary APIs through Epic Showroom (formerly App Orchard). Over 1,000 certified apps are available in the marketplace, enabling real-time data synchronization and interoperability.

Source
eClinicalWorks: Is there a cost for data migration to eClinicalWorks?

No, eClinicalWorks offers free data migration for practices switching from other EHR systems.

Source
Epic Systems: What is included in Epic's unified platform?

Epic provides a truly unified system spanning inpatient, outpatient, emergency department, surgical, pharmacy, laboratory, radiology, billing, and population health on a single database. It includes appointment scheduling, medical billing, clinical decision support, patient portal (MyChart), telehealth capabilities, and analytics.

Source
eClinicalWorks: Are training costs included with eClinicalWorks?

Initial training is included for practices with 1-9 providers. Additional fees apply for larger practices.

Source
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