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Healthcare · head to head

eClinicalWorks vs Paige

eClinicalWorks logo

eClinicalWorks

Healthcare

Comprehensive EHR and practice management platform

From
On request
Rated
-
Paige logo

Paige

Healthcare

Digital pathology AI holding the first FDA De Novo authorisation for a pathology algorithm, now part of Tempus

From
On request
Rated
-

The short version

  • Each has a real cost: eClinicalWorks pricing details not disclosed on website; requires sales consultation or demo; Paige the FDA authorisation is confined to prostate core needle biopsies, on compatible scanners, viewed through FullFocus, as an adjunct only; every other tissue type and every grading claim is outside that authorisation in the United States.
  • They diverge on capability: eClinicalWorks covers Electronic Health Records, Paige covers Paige Prostate Detect.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which eClinicalWorks and Paige actually diverge.

Attributes where eClinicalWorks and Paige differ
AttributeeClinicalWorksPaige
Pricing modelUnknownquote
PlatformsWeb, Cloud-basedWeb, Cloud, On-premise
Founded1999Unknown

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

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

Only in Paige

  • Paige Prostate Detect
  • Paige Prostate Grade and Quantify
  • Perineural invasion detection
  • Breast and lymph node applications
  • FullFocus viewer
  • Foundation models
  • OmniScreen
  • Paige Alba

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

Paige

  • A reference laboratory processing high volumes of prostate core needle biopsies where a second read on every case is not staffablenot eClinicalWorks
  • A pathology department already digitised that wants a documented safety net against missed small foci of cancernot eClinicalWorks
  • A hospital laboratory struggling to recruit uropathology subspecialists and needing consistency across generalist reportingnot eClinicalWorks
  • A pharmaceutical company needing consistent biomarker scoring across trial sites rather than site-by-site pathologist variabilitynot 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

Paige

  • The FDA authorisation is confined to prostate core needle biopsies, on compatible scanners, viewed through FullFocus, as an adjunct only; every other tissue type and every grading claim is outside that authorisation in the United States.
  • The algorithm is worthless without a digital pathology programme already running, and slide scanning, storage and workflow typically cost far more than the software licence.
  • Tempus acquired Paige in 2025, so the roadmap now competes for attention inside a genomics-led business, and the pathology-only buyer is no longer the primary customer.
  • Scanner compatibility is a hard constraint rather than a preference, and a laboratory with an unsupported scanner fleet cannot use the authorised indication at all.
  • Pricing is per case or per slide and unpublished, so a laboratory cannot model cost per reported case without entering a sales process.

Pricing, plan by plan

eClinicalWorks

On request

No published plan breakdown. See the eClinicalWorks review.

Paige

On request
  • Paige clinical applications$undefined/year
    • Priced per case or per slide analysed under annual agreement
    • Prostate, breast and other applications licensed separately
    • Requires compatible whole slide scanner and the FullFocus viewer for the authorised indication

Which should you pick?

Choose eClinicalWorks if

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

Choose Paige if

  • You need paige prostate detect.
  • You work on Web, Cloud, On-premise.
  • You also want paige prostate grade and quantify.

Questions people ask

Is eClinicalWorks or Paige better?
Neither clearly leads. eClinicalWorks starts at On request and Paige at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks or Paige?
eClinicalWorks starts at On request and Paige at On request.
Does eClinicalWorks or Paige run on more platforms?
eClinicalWorks runs on Web, Cloud-based. Paige runs on Web, Cloud, On-premise.
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 Paige is typically brought in for.
What can eClinicalWorks do that Paige cannot?
eClinicalWorks covers Electronic Health Records, Practice Management, Revenue Cycle, Patient Portal. Paige covers Paige Prostate Detect, Paige Prostate Grade and Quantify, Perineural invasion detection, Breast and lymph node applications.

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
Paige: What exactly is FDA authorised?

Paige Prostate Detect, as an adjunct for identifying areas of interest on digitised prostate core needle biopsy slides, viewed through the Paige FullFocus viewer on a compatible scanner. Nothing else in the portfolio holds that authorisation in the United States.

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
Paige: Is the European position broader?

Yes. The Paige Prostate suite including grading and quantification received IVDR certification in 2025, which covers more than the United States authorisation.

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
Paige: What did the pivotal study measure?

Pathologist cancer detection on individual slide images improved, with reported reductions in false negative and false positive readings. It measured pathologist performance with the tool, not standalone algorithm accuracy.

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

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

Source
Paige: Who owns Paige now?

Tempus AI acquired Paige in 2025. Products remain branded Paige.

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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