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Healthcare · head to head

Epic Systems vs Kareo Clinical

Epic Systems logo

Epic Systems

Healthcare

Leading electronic health records system for healthcare organizations

From
On request
Rated
-
Full reviewWebsite
Kareo Clinical logo

Kareo Clinical

Healthcare

Specialized EHR and practice management for independent and small practices

From
$89/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; Kareo Clinical kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product
  • They diverge on capability: Epic Systems covers Revenue Cycle Management, Kareo Clinical covers Scheduling.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which Epic Systems and Kareo Clinical actually diverge.

Attributes where Epic Systems and Kareo Clinical differ
AttributeEpic SystemsKareo Clinical
Starting priceOn request$89/month
Pricing modelquotesubscription
PlatformsWeb, Desktop, MobileWeb, Mobile
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 Kareo Clinical

  • Scheduling
  • Medical Billing
  • ePrescribing
  • Analytics
  • Labs
  • Pharmacies
  • Clearinghouses

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 Carenot Kareo Clinical
  • Medical Recordsnot Kareo Clinical
  • Practice Managementnot Kareo Clinical
  • Telehealthnot Kareo Clinical

Kareo Clinical

  • Practice management, scheduling and billing for independent medical practicesnot Epic Systems
  • Electronic health records and e-prescribing for small clinicsnot Epic Systems
  • Insurance claim submission and patient payment collectionnot 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

Kareo Clinical

  • Kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product
  • Tebra publishes no rate: pricing varies with provider count, features and implementation requirements and is quoted during a demo
  • Billing counts clinical providers such as MDs, DOs, NPs and PAs, so adding a prescriber raises the bill even though non clinical staff are free
  • Electronic prescribing of controlled substances setup costs about $75 per provider as a one time fee
  • PDMP integration costs $500 one time per facility plus about $50 per user per year

Pricing, plan by plan

Epic Systems

On request

No published plan breakdown. See the Epic Systems review.

Kareo Clinical

$89/month
  • Clinical Starter$89/month
    • EHR
    • Scheduling
    • Patient Portal
  • Clinical Plus$189/month
    • Everything in Starter
    • Billing
    • Analytics

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 Kareo Clinical if

  • You need scheduling.
  • You work on Web, Mobile.
  • You also want medical billing.
Kareo Clinical review

Questions people ask

Is Epic Systems or Kareo Clinical better?
Neither clearly leads. Epic Systems starts at On request and Kareo Clinical at $89/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Epic Systems or Kareo Clinical?
Epic Systems starts at On request and Kareo Clinical at $89/month.
Does Epic Systems or Kareo Clinical run on more platforms?
Epic Systems runs on Web, Desktop, Mobile. Kareo Clinical runs on Web, Mobile.
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 Kareo Clinical is typically brought in for.
What can Epic Systems do that Kareo Clinical cannot?
Epic Systems covers Revenue Cycle Management, Clinical Decision Support, Population Health, Lab Systems. Kareo Clinical covers Scheduling, Medical Billing, ePrescribing, Analytics. 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
Kareo Clinical: How much does Kareo Clinical (now Tebra) cost?

Kareo Clinical pricing is not published publicly. Pricing is based on the number of clinical providers in your practice, not seat licenses. Setup includes optional EPCS at $75/provider and PDMP Integration at $500 one-time per facility plus $50/user/year.

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
Kareo Clinical: Does Tebra charge for front desk staff and medical assistants?

No. Tebra provides unlimited non-clinical staff access at no extra cost. Front desk staff, medical assistants, billers, and office admins can all access scheduling, charting, and claims modules without increasing billing.

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
Kareo Clinical: Are there reduced rates for low-volume practices on Tebra?

Yes. Practices with providers billing under 100 claims monthly receive lower-tier pricing for those low-volume providers.

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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