Healthcare · head to head
Kareo Clinical vs Practice Fusion
Kareo Clinical
Healthcare
Specialized EHR and practice management for independent and small practices
- From
- $89/month
- Rated
- -
The short version
- Only Practice Fusion has a free tier, so it costs nothing to try first.
- 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; Practice Fusion cloud-based architecture requires constant internet connectivity
- They diverge on capability: Kareo Clinical covers Medical Billing, Practice Fusion covers e-Prescribing.
- Prices and features above were last checked on 30 August 2026.
Where they differ
Only the attributes on which Kareo Clinical and Practice Fusion actually diverge.
| Attribute | Kareo Clinical | Practice Fusion |
|---|---|---|
| Starting price | $89/month | Free |
| Free tier | No | Yes |
| Platforms | Web, Mobile | Web, iOS, Android |
| Founded | 2010 | 2005 |
Identical on both: pricing model (subscription), 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 Kareo Clinical
- Medical Billing
- ePrescribing
- Analytics
- Clearinghouses
- SOC2
- Mobile support
Only in Practice Fusion
- e-Prescribing
- Lab Orders
- Imaging Centers
- ONC Certified
Both cover
- Electronic Health Records
- Scheduling
- Patient Portal
- Labs
- Pharmacies
- HIPAA
- 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 Practice Fusion
- Electronic health records and e-prescribing for small clinicsnot Practice Fusion
- Insurance claim submission and patient payment collectionnot Practice Fusion
Practice Fusion
- Small to medium medical practicesnot Kareo Clinical
- Primary care clinicsnot Kareo Clinical
- Independent clinicians needing electronic chartingnot Kareo Clinical
- Practice management and billing workflowsnot 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
Practice Fusion
- Cloud-based architecture requires constant internet connectivity
- Requires annual commitment for pricing
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
Practice Fusion
Free- Standard$199/month
- Provider license with e-prescribing and chart signing
- 3 signing staff licenses included
- Unlimited non-signing staff licenses
Which should you pick?
Choose Kareo Clinical if
- You need medical billing.
- You work on Web, Mobile.
- You also want eprescribing.
Choose Practice Fusion if
- You need e-prescribing.
- You want to start without paying.
- You work on Web, iOS, Android.
- You also want lab orders.
Questions people ask
- Is Kareo Clinical or Practice Fusion better?
- Neither clearly leads. Kareo Clinical starts at $89/month and Practice Fusion at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
- Which is cheaper, Kareo Clinical or Practice Fusion?
- Practice Fusion has a free tier; the other does not. Paid plans start at $89/month for Kareo Clinical and Free for Practice Fusion.
- Does Kareo Clinical or Practice Fusion run on more platforms?
- Kareo Clinical runs on Web, Mobile. Practice Fusion runs on Web, iOS, Android.
- Can I use Practice Fusion for free?
- Yes. Practice Fusion has a free tier, so you can try it without paying. Kareo Clinical starts at $89/month.
- 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 Practice Fusion is typically brought in for.
- What can Kareo Clinical do that Practice Fusion cannot?
- Kareo Clinical covers Medical Billing, ePrescribing, Analytics, Clearinghouses. Practice Fusion covers e-Prescribing, Lab Orders, Imaging Centers, ONC Certified. Both handle Electronic Health Records, Scheduling, Patient Portal, Labs.
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.
SourcePractice Fusion: How much does Practice Fusion cost?
Practice Fusion starts at $199 per month per provider with an annual commitment required. The pricing includes 3 signing staff licenses and unlimited non-signing staff licenses.
SourceKareo 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.
SourcePractice Fusion: Does Practice Fusion offer a free trial?
Yes, Practice Fusion offers a complimentary 2-week trial with no commitment, no upfront costs, and no credit card required.
SourceKareo 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.
SourceRelated pages
More on Kareo Clinical
More on Practice Fusion
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