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Healthcare · head to head

Kareo Clinical vs Vetspire

Kareo Clinical logo

Kareo Clinical

Healthcare

Specialized EHR and practice management for independent and small practices

From
$89/month
Rated
-
Full reviewWebsite
Vetspire logo

Vetspire

Veterinary

Veterinary practice management with clinical decision support

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; Vetspire quote-only pricing with no published rates
  • They diverge on capability: Kareo Clinical covers Electronic Health Records, Vetspire covers Structured clinical records.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

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

Attributes where Kareo Clinical and Vetspire differ
AttributeKareo ClinicalVetspire
Starting price$89/monthOn request
Pricing modelsubscriptionquote
PlatformsWeb, MobileWeb, Cloud, iOS
CategoryHealthcareVeterinary
Founded2010Unknown

Identical on both: 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
  • Patient Portal
  • Medical Billing
  • ePrescribing
  • Labs
  • Pharmacies
  • Clearinghouses
  • HIPAA

Only in Vetspire

  • Structured clinical records
  • Decision support
  • Integrated invoicing
  • Inventory

Both cover

  • Scheduling
  • Analytics

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

Vetspire

  • Multi-site veterinary groups needing consistent clinical protocolsnot Kareo Clinical
  • Practices wanting queryable clinical data rather than free-text historynot Kareo Clinical
  • Groups measuring clinician-level performance and outcomesnot 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

Vetspire

  • Quote-only pricing with no published rates
  • A newer entrant, so its track record is shorter than established systems
  • Structured records take more effort to enter than free text, and clinician adoption is the main implementation risk
  • Strongest in the US market, with less coverage elsewhere

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

Vetspire

On request

No published plan breakdown. See the Vetspire review.

Which should you pick?

Choose Kareo Clinical if

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

Choose Vetspire if

  • You need structured clinical records.
  • You work on Web, Cloud, iOS.
  • You also want decision support.
Vetspire review

Questions people ask

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

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
Vetspire: What does Vetspire cost?

Pricing is quoted per practice and is not published.

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
Vetspire: Why structured clinical records?

Free-text notes cannot be queried or checked against protocols. Structured fields make history searchable and let the system prompt during consultations.

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
Vetspire: Vetspire or ezyVet?

ezyVet is the more established system with broader administrative depth. Vetspire competes on the clinical side, particularly structured records and decision support.

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