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Healthcare · head to head

Kareo Clinical vs Lighthouse 360

Kareo Clinical logo

Kareo Clinical

Healthcare

Specialized EHR and practice management for independent and small practices

From
$89/month
Rated
-
Full reviewWebsite
Lighthouse 360 logo

Lighthouse 360

Dental

Cloud Dental Practice Management Platform

From
$399/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Kareo Clinical kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product; Lighthouse 360 sold as part of the Henry Schein One line rather than standalone, and lighthouse360.com no longer resolves
  • They diverge on capability: Kareo Clinical covers Electronic Health Records, Lighthouse 360 covers Cloud scheduling.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which Kareo Clinical and Lighthouse 360 actually diverge.

Attributes where Kareo Clinical and Lighthouse 360 differ
AttributeKareo ClinicalLighthouse 360
Starting price$89/month$399/month
PlatformsWeb, MobileWeb, Ios, Android
CategoryHealthcareDental
Founded20102009

Identical on both: pricing model (subscription), free tier (No), user rating (Not yet rated).

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 Kareo Clinical

  • Electronic Health Records
  • Scheduling
  • Patient Portal
  • Medical Billing
  • ePrescribing
  • Analytics
  • Labs
  • Pharmacies

Only in Lighthouse 360

  • Cloud scheduling
  • Digital charting
  • Treatment planning
  • Billing system
  • Patient portal
  • Imaging integration
  • Insurance processing
  • Analytics dashboard

Both cover

  • Cloud deployment
  • Web support

What people use each for

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

Kareo Clinical

  • Practice management, scheduling and billing for independent medical practicesnot Lighthouse 360
  • Electronic health records and e-prescribing for small clinicsnot Lighthouse 360
  • Insurance claim submission and patient payment collectionnot Lighthouse 360

Lighthouse 360

  • Automated appointment reminders by text, email and phonenot Kareo Clinical
  • Reducing no-shows in dental practicesnot Kareo Clinical
  • Recall management for overdue patientsnot Kareo Clinical
  • Pre-visit forms collected before the appointmentnot Kareo Clinical
  • Review requests after a visitnot Kareo Clinical

Where each one falls short

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

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

Lighthouse 360

  • Sold as part of the Henry Schein One line rather than standalone, and lighthouse360.com no longer resolves
  • Pricing is not published and requires a demo
  • Offered in the United States, Canada and the UK only

Pricing, plan by plan

Kareo Clinical

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

Lighthouse 360

$399/month
  • Core$399/month
    • Scheduling
    • Charting
    • Billing
  • Complete$599/month
    • All core features
    • Imaging integration
    • Insurance management

Which should you pick?

Choose Kareo Clinical if

  • You need electronic health records.
  • You work on Web, Mobile.
  • You also want scheduling.
Kareo Clinical review

Choose Lighthouse 360 if

  • You need cloud scheduling.
  • You work on Web, Ios, Android.
  • You also want digital charting.
Lighthouse 360 review

Questions people ask

Is Kareo Clinical or Lighthouse 360 better?
Neither clearly leads. Kareo Clinical starts at $89/month and Lighthouse 360 at $399/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Kareo Clinical or Lighthouse 360?
Kareo Clinical starts at $89/month and Lighthouse 360 at $399/month.
Does Kareo Clinical or Lighthouse 360 run on more platforms?
Kareo Clinical runs on Web, Mobile. Lighthouse 360 runs on Web, Ios, Android.
What is Kareo Clinical best used for?
Kareo Clinical is most often used for practice management, scheduling and billing for independent medical practices, electronic health records and e-prescribing for small clinics, insurance claim submission and patient payment collection. Of those, practice management, scheduling and billing for independent medical practices and electronic health records and e-prescribing for small clinics are not what Lighthouse 360 is typically brought in for.
What can Kareo Clinical do that Lighthouse 360 cannot?
Kareo Clinical covers Electronic Health Records, Scheduling, Patient Portal, Medical Billing. Lighthouse 360 covers Cloud scheduling, Digital charting, Treatment planning, Billing system. Both handle Cloud deployment, Web support.

Answered from the vendors’ own pages

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
Lighthouse 360: How much does Lighthouse 360 cost?

Lighthouse 360 pricing is not published on the vendor website. Customers must request a demo or contact the sales team directly to receive a quote.

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
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
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