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Epic Systems vs Updox

Epic Systems logo

Epic Systems

Software

Leading electronic health records system for healthcare organizations

From
On request
Rated
-
Full reviewWebsite
U

Updox

Software

Healthcare communications platform for eFax, telehealth and patient reminders

From
On request
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; Updox standard plan caps at 1,000 fax pages and 75 telehealth sessions, requiring Enterprise for 10,000 pages and 500 sessions, as of August 2026

Where they differ

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

Attributes where Epic Systems and Updox differ
AttributeEpic SystemsUpdox
PlatformsWeb, Desktop, MobileWeb
Founded1979Unknown

Identical on both: starting price (On request), pricing model (quote), free tier (No), user rating (Not yet rated), category (Unknown).

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 Updox

Nothing recorded that Epic Systems does not also cover.

What people use each for

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

Epic Systems

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

Updox

No use cases recorded yet. See the Updox review.

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

Updox

  • Standard plan caps at 1,000 fax pages and 75 telehealth sessions, requiring Enterprise for 10,000 pages and 500 sessions, as of August 2026
  • Pricing page names Standard and Enterprise tiers and their usage limits but publishes no dollar figures, requiring a scheduled demo for a quote, as of August 2026

Pricing, plan by plan

Epic Systems

On request

No published plan breakdown. See the Epic Systems review.

Updox

On request

No published plan breakdown. See the Updox review.

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.
Epic Systems review

Choose Updox if

Nothing in the data separates Updox from Epic Systems on the points above - pick on price and on how each one feels to use.

Updox review

Questions people ask

Is Epic Systems or Updox better?
Neither clearly leads. Epic Systems starts at On request and Updox at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Epic Systems or Updox?
Epic Systems starts at On request and Updox at On request.
Does Epic Systems or Updox run on more platforms?
Epic Systems runs on Web, Desktop, Mobile. Updox runs on Web.
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 Updox is typically brought in for.
What can Epic Systems do that Updox cannot?
Epic Systems covers Electronic Health Records, Revenue Cycle Management, Patient Portal, Clinical Decision Support.

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
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
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
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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Related pages

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