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Healthcare · head to head

Epic Systems vs Nookal

Epic Systems logo

Epic Systems

Healthcare

Leading electronic health records system for healthcare organizations

From
On request
Rated
-
Nookal logo

Nookal

Healthcare

Australian allied health practice management priced per practitioner with usage charges on top

From
49/month
Rated
-

The short version

  • Each has a real cost: Epic Systems no free version or trial; enterprise pricing only with custom negotiation required; Nookal the features most multi-practitioner clinics need, including advanced reporting, custom forms and automated recalls, are held back to the Professional tier, so the AUD 49 entry price is not a realistic budget for anything beyond a solo practice.
  • They diverge on capability: Epic Systems covers Electronic Health Records, Nookal covers Per practitioner pricing.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

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

Attributes where Epic Systems and Nookal differ
AttributeEpic SystemsNookal
Starting priceOn request49/month
Pricing modelquotePer user per month
PlatformsWeb, Desktop, 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 Systems

  • Electronic Health Records
  • Revenue Cycle Management
  • Patient Portal
  • Clinical Decision Support
  • Population Health
  • Lab Systems
  • Imaging Systems
  • Pharmacy Systems

Only in Nookal

  • Per practitioner pricing
  • Clinical notes
  • Online booking
  • Automated recalls
  • KPI dashboards
  • Claiming
  • Patient portal
  • AI and voice

What people use each for

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

Epic Systems

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

Nookal

  • A three to ten practitioner physiotherapy clinic in Australia that wants Medicare claiming and published pricing rather than a quote processnot Epic Systems
  • A New Zealand practice that needs ACC claim submission integrated with its clinical notes and billingnot Epic Systems
  • A chiropractic group opening a second location that wants shared patient records and one reporting view across sitesnot Epic Systems
  • A UK or Irish allied health clinic that wants an Australian-style clinical workflow with GBP or EUR billingnot Epic Systems

Where each one falls short

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

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

Nookal

  • The features most multi-practitioner clinics need, including advanced reporting, custom forms and automated recalls, are held back to the Professional tier, so the AUD 49 entry price is not a realistic budget for anything beyond a solo practice.
  • Add-ons stack quickly: AI and voice at about USD 25 per active licence, the patient portal from USD 10 per location and secure messaging from USD 1.50 per user can push a seat close to double its list price.
  • Pricing is not a simple currency conversion, with the USD Essentials tier at 65 and Professional at 89 against AUD 49 and 59, so overseas clinics pay a meaningful premium for the same software.
  • Messaging and claiming are metered per SMS and per claim, so a clinic that leans on reminders to control no-shows finds a variable line item that grows with appointment volume and is easy to underestimate at purchase.
  • Single sign-on is quoted rather than listed and sits with the Enterprise tier, which puts basic identity governance out of reach for mid-sized groups that would otherwise stay on Professional.

Pricing, plan by plan

Epic Systems

On request

No published plan breakdown. See the Epic Systems review.

Nookal

49/month
  • Essentials$49/month
    • Per practitioner per month
    • Appointments, patient records and invoicing
    • Online booking
  • Professional$59/month
    • Per practitioner per month
    • Advanced reporting and KPI dashboards
    • Custom forms
  • Enterprise$undefined/month
    • Quoted pricing
    • Multi-account management
    • Dedicated support

Which should you pick?

Choose Epic Systems if

  • You need electronic health records.
  • You work on Web, Desktop, Mobile.
  • You also want revenue cycle management.

Choose Nookal if

  • You need per practitioner pricing.
  • You work on Web, iOS, Android.
  • You also want clinical notes.

Questions people ask

Is Epic Systems or Nookal better?
Neither clearly leads. Epic Systems starts at On request and Nookal at 49/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Epic Systems or Nookal?
Epic Systems starts at On request and Nookal at 49/month.
Does Epic Systems or Nookal run on more platforms?
Epic Systems runs on Web, Desktop, Mobile. Nookal runs on Web, iOS, Android.
What is Epic Systems best used for?
Epic Systems is most often used for patient care, medical records, practice management, telehealth. Of those, patient care and medical records are not what Nookal is typically brought in for.
What can Epic Systems do that Nookal cannot?
Epic Systems covers Electronic Health Records, Revenue Cycle Management, Patient Portal, Clinical Decision Support. Nookal covers Per practitioner pricing, Clinical notes, Online booking, Automated recalls.

Answered from the vendors’ own pages

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
Nookal: How much does Nookal cost per practitioner?

Essentials is AUD 49 per practitioner per month and Professional is AUD 59, with published equivalents of GBP 29 and 39, EUR 65 and 89, and USD 65 and 89. Enterprise is quoted.

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
Nookal: What is not included in the subscription?

SMS from about 7 cents per message, Medicare claims from about 10 cents, ACC claims at about 12 cents, the patient portal, secure messaging, AI and voice, and single sign-on are all charged separately.

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
Nookal: Is there a contract?

No lock-in contract, and the free trial does not require a credit card.

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
Nookal: Which countries does the claiming work in?

Medicare claiming is Australian and ACC claiming is New Zealand. Elsewhere the software works but you invoice and reconcile manually.

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