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Healthcare · head to head

Kareo Clinical vs Updox

Kareo Clinical logo

Kareo Clinical

Healthcare

Specialized EHR and practice management for independent and small practices

From
$89/month
Rated
-
Full reviewWebsite
Updox logo

Updox

Healthcare

Healthcare communications platform for eFax, telehealth and patient reminders

From
On request
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; Updox no specific dollar amounts listed on pricing page
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which Kareo Clinical and Updox actually diverge.

Attributes where Kareo Clinical and Updox differ
AttributeKareo ClinicalUpdox
Starting price$89/monthOn request
Pricing modelsubscriptionquote
PlatformsWeb, MobileWeb
Founded2010Unknown

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 Kareo Clinical

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

Only in Updox

Nothing recorded that Kareo Clinical does not also cover.

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 Updox
  • Electronic health records and e-prescribing for small clinicsnot Updox
  • Insurance claim submission and patient payment collectionnot Updox

Updox

  • Healthcare communication and patient engagementnot Kareo Clinical
  • Medical practice fax, telehealth, and SMS messagingnot Kareo Clinical
  • Charge capture and medical billing workflowsnot Kareo Clinical
  • Multi-location healthcare systemsnot 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

Updox

  • No specific dollar amounts listed on pricing page
  • Actual costs require contacting sales team or scheduling a demo
  • Standard and Enterprise tier limits shown but no pricing transparency

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

Updox

On request

No published plan breakdown. See the Updox review.

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 Updox if

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

Updox review

Questions people ask

Is Kareo Clinical or Updox better?
Neither clearly leads. Kareo Clinical starts at $89/month and Updox at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Kareo Clinical or Updox?
Kareo Clinical starts at $89/month and Updox at On request.
Does Kareo Clinical or Updox run on more platforms?
Kareo Clinical runs on Web, Mobile. Updox runs on Web.
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 Updox is typically brought in for.
What can Kareo Clinical do that Updox cannot?
Kareo Clinical covers Electronic Health Records, Scheduling, Patient Portal, Medical Billing.

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
Updox: How much does Updox cost?

Updox pricing is not published on the pricing page. The vendor offers customizable packages and directs inquiries to schedule a demo or contact the sales team for personalized pricing based on practice size and tool requirements.

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
Updox: What is Updox's pricing model?

Updox uses a usage-based pricing model with customizable packages. Costs are tailored based on the tools selected (fax pages, telehealth sessions, patient reminders, text messages, broadcast messages) and can scale with practice benchmark data.

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
Updox: What limits are included in Updox's Standard tier?

Updox Standard tier includes up to 1,000 fax pages, 75 telehealth sessions, reminders for 500 appointments, 500 text messages, and 500 broadcast messages monthly, with higher limits available in Enterprise tier.

Source
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