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Healthcare · head to head

Kareo vs NextGen Enterprise EHR

Kareo logo

Kareo

Healthcare

Cloud-based EHR and billing for small practices

From
$99/month
Rated
-
Full reviewWebsite
NextGen Enterprise EHR logo

NextGen Enterprise EHR

Healthcare

Enterprise-grade EHR and RCM for large healthcare organizations

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Kareo kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product; NextGen Enterprise EHR no pricing published on website
  • They diverge on capability: Kareo covers Scheduling, NextGen Enterprise EHR covers Clinical Documentation.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which Kareo and NextGen Enterprise EHR actually diverge.

Attributes where Kareo and NextGen Enterprise EHR differ
AttributeKareoNextGen Enterprise EHR
Starting price$99/monthOn request
Pricing modelsubscriptionquote
PlatformsWeb, MobileWeb, Desktop
Founded20101997

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

  • Scheduling
  • Patient Portal
  • Medical Billing
  • Payment Processing
  • Clearinghouses
  • SOC2
  • Mobile support

Only in NextGen Enterprise EHR

  • Clinical Documentation
  • Revenue Cycle Management
  • Patient Management
  • Analytics
  • Interoperability
  • Reporting
  • HL7
  • FHIR

Both cover

  • Electronic Health Records
  • Labs
  • Pharmacies
  • HIPAA
  • Cloud deployment
  • Web support

What people use each for

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

Kareo

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

NextGen Enterprise EHR

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

Where each one falls short

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

Kareo

  • 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

NextGen Enterprise EHR

  • No pricing published on website

Pricing, plan by plan

Kareo

$99/month
  • Starter$99/month
    • EHR
    • Scheduling
    • Patient Portal
  • Professional$199/month
    • Everything in Starter
    • Billing
    • Reporting

NextGen Enterprise EHR

On request

No published plan breakdown. See the NextGen Enterprise EHR review.

Which should you pick?

Choose Kareo if

  • You need scheduling.
  • You work on Web, Mobile.
  • You also want patient portal.
Kareo review

Choose NextGen Enterprise EHR if

  • You need clinical documentation.
  • You work on Web, Desktop.
  • You also want revenue cycle management.
NextGen Enterprise EHR review

Questions people ask

Is Kareo or NextGen Enterprise EHR better?
Neither clearly leads. Kareo starts at $99/month and NextGen Enterprise EHR at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Kareo or NextGen Enterprise EHR?
Kareo starts at $99/month and NextGen Enterprise EHR at On request.
Does Kareo or NextGen Enterprise EHR run on more platforms?
Kareo runs on Web, Mobile. NextGen Enterprise EHR runs on Web, Desktop.
What is Kareo best used for?
Kareo 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 NextGen Enterprise EHR is typically brought in for.
What can Kareo do that NextGen Enterprise EHR cannot?
Kareo covers Scheduling, Patient Portal, Medical Billing, Payment Processing. NextGen Enterprise EHR covers Clinical Documentation, Revenue Cycle Management, Patient Management, Analytics. Both handle Electronic Health Records, Labs, Pharmacies, HIPAA.

Answered from the vendors’ own pages

Kareo: Does Kareo publish its pricing?

No. Kareo (now rebranded as Tebra) uses custom per-practice pricing that varies based on the number of providers, features needed, and implementation requirements. Pricing is determined during a demo with the sales team.

Source
NextGen Enterprise EHR: What is NextGen Enterprise EHR pricing?

NextGen Healthcare does not publish pricing for its Enterprise solutions on their website. The company uses a consultative sales model where pricing is determined after understanding specific practice requirements and needed features.

Source
Kareo: Are there discounts for adding multiple modules?

Yes. Tebra states that many practices qualify for bundled pricing or volume incentives when adopting multiple modules like EHR, billing, and patient experience tools together.

Source
Kareo: What are the additional costs for controlled substance prescribing?

For providers who prescribe controlled substances, EPCS setup costs approximately $75 per provider as a one-time fee, and PDMP integration costs $500 one-time per facility plus around $50 per user per year.

Source
Kareo: Does Kareo offer a free trial?

Kareo's website does not mention a free trial option. Access to pricing and trial arrangements requires contacting the sales team to request a demo.

Source
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