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Healthcare · head to head

eClinicalWorks vs Practice Fusion

eClinicalWorks logo

eClinicalWorks

Healthcare

Comprehensive EHR and practice management platform

From
On request
Rated
-
Practice Fusion logo

Practice Fusion

Healthcare

Free cloud-based EHR for medical practices

From
Free
Rated
-

The short version

  • Only Practice Fusion has a free tier, so it costs nothing to try first.
  • Each has a real cost: eClinicalWorks pricing details not disclosed on website; requires sales consultation or demo; Practice Fusion cloud-based architecture requires constant internet connectivity
  • They diverge on capability: eClinicalWorks covers Practice Management, Practice Fusion covers e-Prescribing.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which eClinicalWorks and Practice Fusion actually diverge.

Attributes where eClinicalWorks and Practice Fusion differ
AttributeeClinicalWorksPractice Fusion
Starting priceOn requestFree
Pricing modelUnknownsubscription
Free tierNoYes
PlatformsWeb, Cloud-basedWeb, iOS, Android
Founded19992005

Identical on both: 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
  • HITRUST
  • SOC2

Only in Practice Fusion

  • e-Prescribing
  • Lab Orders
  • Scheduling
  • Imaging Centers
  • ONC Certified

Both cover

  • Electronic Health Records
  • Patient Portal
  • Labs
  • Pharmacies
  • HIPAA
  • Cloud deployment
  • Web 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 Practice Fusion
  • Patient engagement through telehealth (healow) and secure messagingnot Practice Fusion
  • Revenue cycle management with 98%+ first-pass acceptance ratenot Practice Fusion
  • AI-powered clinical documentation with Sunoh.ai medical scribenot Practice Fusion

Practice Fusion

  • Small to medium medical practicesnot eClinicalWorks
  • Primary care clinicsnot eClinicalWorks
  • Independent clinicians needing electronic chartingnot eClinicalWorks
  • Practice management and billing workflowsnot 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

Practice Fusion

  • Cloud-based architecture requires constant internet connectivity
  • Requires annual commitment for pricing

Pricing, plan by plan

eClinicalWorks

On request

No published plan breakdown. See the eClinicalWorks review.

Practice Fusion

Free
  • Standard$199/month
    • Provider license with e-prescribing and chart signing
    • 3 signing staff licenses included
    • Unlimited non-signing staff licenses

Which should you pick?

Choose eClinicalWorks if

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

Choose Practice Fusion if

  • You need e-prescribing.
  • You want to start without paying.
  • You work on Web, iOS, Android.
  • You also want lab orders.

Questions people ask

Is eClinicalWorks or Practice Fusion better?
Neither clearly leads. eClinicalWorks starts at On request and Practice Fusion at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks or Practice Fusion?
Practice Fusion has a free tier; the other does not. Paid plans start at On request for eClinicalWorks and Free for Practice Fusion.
Does eClinicalWorks or Practice Fusion run on more platforms?
eClinicalWorks runs on Web, Cloud-based. Practice Fusion runs on Web, iOS, Android.
Can I use Practice Fusion for free?
Yes. Practice Fusion has a free tier, so you can try it without paying. eClinicalWorks starts at On request.
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 Practice Fusion is typically brought in for.
What can eClinicalWorks do that Practice Fusion cannot?
eClinicalWorks covers Practice Management, Revenue Cycle, ePrescribing, Telehealth. Practice Fusion covers e-Prescribing, Lab Orders, Scheduling, Imaging Centers. Both handle Electronic Health Records, Patient Portal, Labs, Pharmacies.

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
Practice Fusion: How much does Practice Fusion cost?

Practice Fusion starts at $199 per month per provider with an annual commitment required. The pricing includes 3 signing staff licenses and unlimited non-signing staff licenses.

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
Practice Fusion: Does Practice Fusion offer a free trial?

Yes, Practice Fusion offers a complimentary 2-week trial with no commitment, no upfront costs, and no credit card required.

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

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

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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