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Healthcare · head to head

Epic MyChart vs TheraNest

E

Epic MyChart

Healthcare

Patient portal for accessing health records and communicating with providers

From
On request
Rated
-
Full reviewWebsite
TheraNest logo

TheraNest

Healthcare

Mental health EHR and practice management priced per therapist

From
$29/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Epic MyChart myChart is not a direct-to-consumer product; Epic markets it as a tool that healthcare organizations license and configure to engage their own patients, so access depends entirely on a patient's provider having deployed Epic.; TheraNest the Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • They diverge on capability: Epic MyChart covers View Medical Records, TheraNest covers Progress notes and treatment plans.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Epic MyChart and TheraNest actually diverge.

Attributes where Epic MyChart and TheraNest differ
AttributeEpic MyChartTheraNest
Starting priceOn request$29/month
Pricing modelquotePer user per month
PlatformsWeb, MobileWeb, iOS, Android
Founded1979Unknown

Identical on both: 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 Epic MyChart

  • View Medical Records
  • Secure Messaging
  • Appointment Scheduling
  • Prescription Management
  • Bill Pay
  • Medical History
  • Epic EHR
  • Lab Systems

Only in TheraNest

  • Progress notes and treatment plans
  • Insurance claims
  • Client portal
  • Telehealth
  • Group and family sessions
  • Payroll and staff reporting

What people use each for

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

Epic MyChart

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

TheraNest

  • A solo therapist who needs a HIPAA aligned note and scheduling system and does not bill insurance, where the 29 USD entry tier is genuinely sufficientnot Epic MyChart
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot Epic MyChart
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot Epic MyChart
  • A behavioural health organisation that bills a steady volume of insurance claims each month and can size the Advanced allowance against its actual claim countnot Epic MyChart

Where each one falls short

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

Epic MyChart

  • MyChart is not a direct-to-consumer product; Epic markets it as a tool that healthcare organizations license and configure to engage their own patients, so access depends entirely on a patient's provider having deployed Epic.

TheraNest

  • The Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • Telehealth is only in the Premier plan, so a practice that wants video sessions pays 89 USD per therapist per month even if it needs nothing else from that tier.
  • An annual AMA CPT licence fee is billed separately each December on top of subscription cost, which surprises practices that budgeted only the monthly figure.
  • Additional administrative users are chargeable, so a practice with front desk and billing staff who never see clients still pays 19 to 29 USD per head for people who generate no revenue.
  • The product sits inside a consolidated portfolio that has already renamed the parent company from Therapy Brands to Ensora Health, and product investment in a portfolio is directed by the owner rather than by this product line, so roadmap commitments are worth less than they would be from a single product vendor.

Pricing, plan by plan

Epic MyChart

On request

No published plan breakdown. See the Epic MyChart review.

TheraNest

$29/month
  • Essentials$29/month
    • Per therapist
    • Scheduling and client portal
    • HIPAA aligned notes and documentation
  • Advanced$59/month
    • Per therapist
    • 30 insurance claims per month included
    • Custom forms
  • Premier$89/month
    • Per therapist
    • Unlimited insurance claims
    • Billing automation

Which should you pick?

Choose Epic MyChart if

  • You need view medical records.
  • You work on Web, Mobile.
  • You also want secure messaging.
Epic MyChart review

Choose TheraNest if

  • You need progress notes and treatment plans.
  • You work on Web, iOS, Android.
  • You also want insurance claims.
TheraNest review

Questions people ask

Is Epic MyChart or TheraNest better?
Neither clearly leads. Epic MyChart starts at On request and TheraNest at $29/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Epic MyChart or TheraNest?
Epic MyChart starts at On request and TheraNest at $29/month.
Does Epic MyChart or TheraNest run on more platforms?
Epic MyChart runs on Web, Mobile. TheraNest runs on Web, iOS, Android.
What is Epic MyChart best used for?
Epic MyChart is most often used for patient care, medical records, practice management, telehealth. Of those, patient care and medical records are not what TheraNest is typically brought in for.
What can Epic MyChart do that TheraNest cannot?
Epic MyChart covers View Medical Records, Secure Messaging, Appointment Scheduling, Prescription Management. TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, Telehealth.

Answered from the vendors’ own pages

TheraNest: Is TheraNest still sold under that name?

Yes. The company rebranded from Therapy Brands to Ensora Health and the product is now marketed as TheraNest by Ensora Health, but you still buy TheraNest.

TheraNest: Can I bill insurance on the cheapest plan?

No. Essentials includes no claims. Advanced includes 30 claims a month and Premier is unlimited.

TheraNest: Are there hidden costs?

Two. Additional admin users are charged per head, and an AMA CPT licence fee is billed annually in December per therapist.

TheraNest: Does it support group practices?

Yes, with per clinician reporting and payroll figures, though every clinician and every admin is a paid seat.

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