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Marketing · head to head

Freshpaint vs Matomo

Freshpaint logo

Freshpaint

Marketing

Privacy layer that lets healthcare organisations run marketing analytics without sending PHI

From
On request
Rated
-
Full reviewWebsite
Matomo logo

Matomo

Marketing

Privacy-focused web analytics

From
Free
Rated
-
Full reviewWebsite

The short version

  • Only Matomo has a free tier, so it costs nothing to try first.
  • Each has a real cost: Freshpaint filtering necessarily degrades what advertising platforms receive, so campaign optimisation and lookalike modelling perform worse than an unfiltered pixel would, and the marketing team must accept measurably weaker targeting as the price of compliance.; Matomo the self hosted Community Edition is free but excludes A/B testing, heatmaps, session recording, cohorts, crash analytics and multi channel attribution, all of which are paid plugins
  • They diverge on capability: Freshpaint covers PHI detection and redaction, Matomo covers Web analytics.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Freshpaint and Matomo actually diverge.

Attributes where Freshpaint and Matomo differ
AttributeFreshpaintMatomo
Starting priceOn requestFree
Pricing modelquotefreemium
Free tierNoYes
PlatformsWebWeb, On-premise
FoundedUnknown2007

Identical on both: user rating (Not yet rated), category (Marketing).

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 Freshpaint

  • PHI detection and redaction
  • Business associate agreement
  • Event verification
  • Pixel replacement
  • Consent governance
  • Advertising destinations
  • Analytics and session tools
  • Audience activation

Only in Matomo

  • Web analytics
  • Real-time reports
  • Custom dimensions
  • Goal tracking
  • E-commerce tracking
  • Google Search Console
  • Privacy-focused
  • Cloud deployment

What people use each for

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

Freshpaint

  • A health system told by legal to remove its Meta and Google pixels that still needs to report cost per acquisition on service line campaignsnot Matomo
  • A provider running paid search for elective procedures that must send conversion signals without disclosing which condition page a visitor viewednot Matomo
  • A compliance officer who needs a field level record of exactly what patient related data leaves the website, for a privacy committeenot Matomo
  • A multi-site provider group standardising tracking governance across marketing agencies that would otherwise each add their own tagsnot Matomo

Matomo

  • Privacy focused web analytics as an alternative to Google Analyticsnot Freshpaint
  • Self hosting analytics so visitor data stays on owned infrastructurenot Freshpaint

Where each one falls short

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

Freshpaint

  • Filtering necessarily degrades what advertising platforms receive, so campaign optimisation and lookalike modelling perform worse than an unfiltered pixel would, and the marketing team must accept measurably weaker targeting as the price of compliance.
  • Pricing is not published on the vendor site despite three named tiers, and third party reports of entry around 599 US dollars a month cover only the lowest tier, with audiences and advertising activation sitting above it.
  • It addresses web and marketing tracking rather than the whole protected health information estate, so it solves one exposure while patient data in the CRM, call centre and email tooling remains a separate problem.
  • The commercial case rests on a specific regulatory interpretation of online tracking technologies, and litigation and future guidance could narrow or widen it, which makes the size of the problem it solves less stable than a compliance purchase usually is.
  • It is built for healthcare and priced accordingly, so an organisation wanting a general customer data platform pays for a regulatory specialism it does not need and gets narrower general purpose functionality than Segment or RudderStack.

Matomo

  • The self hosted Community Edition is free but excludes A/B testing, heatmaps, session recording, cohorts, crash analytics and multi channel attribution, all of which are paid plugins
  • Premium plugin bundles for self hosted installs run from 275 EUR a month for 4 users to 3,400 EUR for 50
  • Cloud pricing is banded by monthly hits, and anything above 10 million requires contacting sales
  • Self hosting places all operation and upgrades on the operator while still needing paid plugins for the advanced features

Pricing, plan by plan

Freshpaint

On request
  • Comply$undefined/month
    • Governance and consent foundation
    • PHI detection and redaction
    • Web analytics, funnels and surveys
  • Perform$undefined/month
    • Everything in Comply
    • Audiences and demand side platform activation
    • Attribution, journeys and recommendations
  • Scale$undefined/month
    • Everything in Perform
    • Ad performance reporting
    • Full AI feature access

Matomo

Free
  • Self-hostedFree
    • Open-source
    • Full analytics
    • Privacy-focused

Which should you pick?

Choose Freshpaint if

  • You need phi detection and redaction.
  • You also want business associate agreement.
Freshpaint review

Choose Matomo if

  • You need web analytics.
  • You want to start without paying.
  • You work on Web, On-premise.
  • You also want real-time reports.
Matomo review

Questions people ask

Is Freshpaint or Matomo better?
Neither clearly leads. Freshpaint starts at On request and Matomo at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Freshpaint or Matomo?
Matomo has a free tier; the other does not. Paid plans start at On request for Freshpaint and Free for Matomo.
Does Freshpaint or Matomo run on more platforms?
Freshpaint runs on Web. Matomo runs on Web, On-premise.
Can I use Matomo for free?
Yes. Matomo has a free tier, so you can try it without paying. Freshpaint starts at On request.
What is Freshpaint best used for?
Freshpaint is most often used for a health system told by legal to remove its meta and google pixels that still needs to report cost per acquisition on service line campaigns, a provider running paid search for elective procedures that must send conversion signals without disclosing which condition page a visitor viewed, a compliance officer who needs a field level record of exactly what patient related data leaves the website, for a privacy committee, a multi-site provider group standardising tracking governance across marketing agencies that would otherwise each add their own tags. Of those, a health system told by legal to remove its meta and google pixels that still needs to report cost per acquisition on service line campaigns and a provider running paid search for elective procedures that must send conversion signals without disclosing which condition page a visitor viewed are not what Matomo is typically brought in for.
What can Freshpaint do that Matomo cannot?
Freshpaint covers PHI detection and redaction, Business associate agreement, Event verification, Pixel replacement. Matomo covers Web analytics, Real-time reports, Custom dimensions, Goal tracking.

Answered from the vendors’ own pages

Freshpaint: Why can a hospital not just use Google Analytics?

US Department of Health and Human Services guidance treats IP addresses and health related page URLs as protected health information in this context, and advertising and analytics platforms will not sign a business associate agreement, so the disclosure is unlawful without an intermediary that filters.

Matomo: How much does Matomo cost?

Matomo Cloud starts at EUR 29 per month for the Starter plan, which covers 50,000 hits per month. Matomo On-Premise has a free Community edition, with paid bundles from EUR 275 per month for up to 5M hits and 4 users.

Source
Freshpaint: Does Freshpaint sign a BAA?

Yes, and it holds SOC 2 Type II. That is the central reason it exists, because the destination platforms will not.

Matomo: Is Matomo free?

The On-Premise Community edition is free forever with unlimited users and hits, supported through the forum only. Matomo Cloud is a paid service, though a free trial with access to all core features is offered.

Source
Freshpaint: What does it cost?

Freshpaint does not publish prices. Three tiers, Comply, Perform and Scale, are all sales led, and third party sources report entry around 599 US dollars a month for the lowest.

Matomo: What is the difference between Matomo Cloud and On-Premise?

Cloud plans include hosting, maintenance, automatic updates and daily backups, priced by monthly hits from EUR 29. On-Premise is self-hosted, free in its Community edition, with paid bundles adding support and higher user counts.

Source
Freshpaint: Will my ad performance suffer?

Somewhat. Stripping identifiers reduces what platforms can optimise against. The trade is weaker targeting in exchange for measurement that a compliance committee will approve.

Matomo: How many hits do the Matomo On-Premise bundles cover?

The Team bundle covers up to 5M hits per month and 4 users at EUR 275 per month. Business covers up to 30M hits and 20 users at EUR 1,450. Enterprise covers up to 100M hits and 50 users at EUR 3,400.

Source
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