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Healthcare · head to head

Epic Systems vs TherapyNotes

Epic Systems logo

Epic Systems

Healthcare

Leading electronic health records system for healthcare organizations

From
On request
Rated
-
Full reviewWebsite
TherapyNotes logo

TherapyNotes

Healthcare

EHR and practice management for therapists

From
$39/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Epic Systems no free version or trial; enterprise pricing only with custom negotiation required; TherapyNotes no API access, preventing integration with external systems
  • They diverge on capability: Epic Systems covers Revenue Cycle Management, TherapyNotes covers Scheduling.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

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

Attributes where Epic Systems and TherapyNotes differ
AttributeEpic SystemsTherapyNotes
Starting priceOn request$39/month
Pricing modelquotesubscription
PlatformsWeb, Desktop, MobileWeb
Founded19792010

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

  • Revenue Cycle Management
  • Clinical Decision Support
  • Population Health
  • Lab Systems
  • Imaging Systems
  • Pharmacy Systems
  • HITRUST
  • On-premise deployment

Only in TherapyNotes

  • Scheduling
  • Billing
  • Telehealth
  • Outcome Tracking
  • Clearinghouses
  • Insurance

Both cover

  • Electronic Health Records
  • Patient Portal
  • HIPAA
  • SOC2
  • Cloud deployment
  • Web support
  • Mobile support

What people use each for

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

Epic Systems

  • Patient Care
  • Medical Records
  • Practice Management
  • Telehealth

TherapyNotes

  • Patient Care
  • Medical Records
  • Practice Management
  • Telehealth

Both are used for patient care, medical records, practice management, telehealth, on those jobs the choice comes down to price and fit rather than capability.

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

TherapyNotes

  • No API access, preventing integration with external systems
  • Outdated interface compared to AI-driven competitors
  • No native mobile app for iOS or Android
  • No bulk actions to update multiple sessions at once

Pricing, plan by plan

Epic Systems

On request

No published plan breakdown. See the Epic Systems review.

TherapyNotes

$39/month
  • Solo$39/month
    • Full EHR
    • Scheduling
    • Patient portal

Which should you pick?

Choose Epic Systems if

  • You need revenue cycle management.
  • You work on Web, Desktop, Mobile.
  • You also want clinical decision support.
Epic Systems review

Choose TherapyNotes if

  • You need scheduling.
  • You also want billing.
TherapyNotes review

Questions people ask

Is Epic Systems or TherapyNotes better?
Neither clearly leads. Epic Systems starts at On request and TherapyNotes at $39/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Epic Systems or TherapyNotes?
Epic Systems starts at On request and TherapyNotes at $39/month.
Does Epic Systems or TherapyNotes run on more platforms?
Epic Systems runs on Web, Desktop, Mobile. TherapyNotes runs on Web.
What is Epic Systems best used for?
Epic Systems is most often used for patient care, medical records, practice management, telehealth.
What can Epic Systems do that TherapyNotes cannot?
Epic Systems covers Revenue Cycle Management, Clinical Decision Support, Population Health, Lab Systems. TherapyNotes covers Scheduling, Billing, Telehealth, Outcome Tracking. Both handle Electronic Health Records, Patient Portal, HIPAA, SOC2.

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
TherapyNotes: Does TherapyNotes integrate with other applications?

TherapyNotes has zero API availability and cannot connect to external systems including marketing platforms, CRMs, or data dashboards. Unlike competitors, it lacks integration capabilities.

Source
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
TherapyNotes: What are TherapyNotes pricing plans?

TherapyNotes charges $69/month for a solo practitioner plan and $79/month for the first clinician in a group with $50/month per additional clinician. A 30-day free trial is included with every plan.

Source
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
TherapyNotes: Does TherapyNotes include telehealth?

Yes. TherapyNotes includes Basic Telehealth at no extra cost on every plan, with standard-definition video for up to 2 participants. Premium Telehealth with full HD, screen sharing, and closed captions costs $15 per clinician per month.

Source
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
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