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Healthcare · head to head

eClinicalWorks vs IDEXX Cornerstone

eClinicalWorks logo

eClinicalWorks

Healthcare

Comprehensive EHR and practice management platform

From
On request
Rated
-
Full reviewWebsite
IDEXX Cornerstone logo

IDEXX Cornerstone

Veterinary

On-premise veterinary practice management software tied to the IDEXX diagnostics ecosystem

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; IDEXX Cornerstone the system runs on a server in the building, so the practice pays for hardware, backups and an IT provider, costs that never appear in a comparison against browser based competitors.
  • They diverge on capability: eClinicalWorks covers Electronic Health Records, IDEXX Cornerstone covers Medical records.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which eClinicalWorks and IDEXX Cornerstone actually diverge.

Attributes where eClinicalWorks and IDEXX Cornerstone differ
AttributeeClinicalWorksIDEXX Cornerstone
Pricing modelUnknownquote
PlatformsWeb, Cloud-basedWindows
CategoryHealthcareVeterinary
Founded1999Unknown

Identical on both: starting price (On request), free tier (No), user rating (Not yet rated).

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

  • Electronic Health Records
  • Practice Management
  • Revenue Cycle
  • Patient Portal
  • ePrescribing
  • Telehealth
  • HL7
  • FHIR

Only in IDEXX Cornerstone

  • Medical records
  • Diagnostics integration
  • Estimates and invoicing
  • Inventory control
  • Boarding and grooming
  • Wellness plans

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 IDEXX Cornerstone
  • Patient engagement through telehealth (healow) and secure messagingnot IDEXX Cornerstone
  • Revenue cycle management with 98%+ first-pass acceptance ratenot IDEXX Cornerstone
  • AI-powered clinical documentation with Sunoh.ai medical scribenot IDEXX Cornerstone

IDEXX Cornerstone

  • A multi-doctor general practice already running IDEXX in-house analysers that wants results in the record automaticallynot eClinicalWorks
  • A clinic with unreliable internet where an on-site server keeps the practice working during an outagenot eClinicalWorks
  • A practice that boards and grooms as well as treating, and wants those bookings on the same invoicenot eClinicalWorks
  • A group needing consolidated reporting across a small number of owned locationsnot 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

IDEXX Cornerstone

  • The system runs on a server in the building, so the practice pays for hardware, backups and an IT provider, costs that never appear in a comparison against browser based competitors.
  • It is Windows only with no meaningful mobile access, which rules it out for house call and ambulatory work and leaves staff tied to workstations.
  • The interface is dense and dated, so training a new receptionist or technician takes materially longer than on newer systems.
  • Commercial gravity runs towards IDEXX diagnostics, and a practice that later moves its laboratory work to a competitor loses the automation that justified the software.
  • IDEXX is directing new customers towards its cloud products, so investment in Cornerstone is maintenance oriented and buyers should assume a migration conversation within the life of the purchase.

Pricing, plan by plan

eClinicalWorks

On request

No published plan breakdown. See the eClinicalWorks review.

IDEXX Cornerstone

On request
  • Cornerstone$undefined/year
    • Licence priced by number of workstations and modules
    • Annual support and maintenance charged separately
    • Server hardware and IT support are the responsibility of the practice

Which should you pick?

Choose eClinicalWorks if

  • You need electronic health records.
  • You work on Web, Cloud-based.
  • You also want practice management.
eClinicalWorks review

Choose IDEXX Cornerstone if

  • You need medical records.
  • You work on Windows.
  • You also want diagnostics integration.
IDEXX Cornerstone review

Questions people ask

Is eClinicalWorks or IDEXX Cornerstone better?
Neither clearly leads. eClinicalWorks starts at On request and IDEXX Cornerstone at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks or IDEXX Cornerstone?
eClinicalWorks starts at On request and IDEXX Cornerstone at On request.
Does eClinicalWorks or IDEXX Cornerstone run on more platforms?
eClinicalWorks runs on Web, Cloud-based. IDEXX Cornerstone runs on Windows.
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 IDEXX Cornerstone is typically brought in for.
What can eClinicalWorks do that IDEXX Cornerstone cannot?
eClinicalWorks covers Electronic Health Records, Practice Management, Revenue Cycle, Patient Portal. IDEXX Cornerstone covers Medical records, Diagnostics integration, Estimates and invoicing, Inventory control.

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
IDEXX Cornerstone: Is Cornerstone cloud based?

No. It is installed on a server at the practice. IDEXX sells separate browser based products for clinics that want cloud.

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
IDEXX Cornerstone: Does it work with laboratories other than IDEXX?

Results can be handled, but the automatic requisition and result return that make Cornerstone worth its price are built around IDEXX.

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
IDEXX Cornerstone: What is the real total cost?

The licence and annual support are only part of it. Add the server, backup, workstation refreshes and an IT contract before comparing with cloud systems.

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

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

Source
IDEXX Cornerstone: Can it be accessed from home?

Only through remote desktop or similar, set up and secured by the practice IT provider.

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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