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Healthcare · head to head

Kareo vs NextGen Healthcare

Kareo logo

Kareo

Healthcare

Cloud-based EHR and billing for small practices

From
$99/month
Rated
-
Full reviewWebsite
NextGen Healthcare logo

NextGen Healthcare

Healthcare

Integrated EHR and practice management solutions

From
$150/month
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 Healthcare no pricing published on website
  • They diverge on capability: Kareo covers Scheduling, NextGen Healthcare covers Practice Management.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which Kareo and NextGen Healthcare actually diverge.

Attributes where Kareo and NextGen Healthcare differ
AttributeKareoNextGen Healthcare
Starting price$99/month$150/month
PlatformsWeb, MobileWeb, iOS, Android
Founded20101997

Identical on both: pricing model (subscription), 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
  • SOC2
  • Mobile support

Only in NextGen Healthcare

  • Practice Management
  • Revenue Cycle Management
  • Telehealth
  • Analytics
  • HITRUST
  • On-premise deployment
  • Desktop support

Both cover

  • Electronic Health Records
  • Labs
  • Pharmacies
  • Clearinghouses
  • 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 Healthcare
  • Electronic health records and e-prescribing for small clinicsnot NextGen Healthcare
  • Insurance claim submission and patient payment collectionnot NextGen Healthcare

NextGen Healthcare

  • Cloud-based EHR and practice management for ambulatory and specialty practicesnot Kareo
  • AI-assisted clinical documentation to reduce after-hours charting timenot 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 Healthcare

  • 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 Healthcare

$150/month

No published plan breakdown. See the NextGen Healthcare 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 Healthcare if

  • You need practice management.
  • You work on Web, iOS, Android.
  • You also want revenue cycle management.
NextGen Healthcare review

Questions people ask

Is Kareo or NextGen Healthcare better?
Neither clearly leads. Kareo starts at $99/month and NextGen Healthcare at $150/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Kareo or NextGen Healthcare?
Kareo starts at $99/month and NextGen Healthcare at $150/month.
Does Kareo or NextGen Healthcare run on more platforms?
Kareo runs on Web, Mobile. NextGen Healthcare runs on Web, iOS, Android.
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 Healthcare is typically brought in for.
What can Kareo do that NextGen Healthcare cannot?
Kareo covers Scheduling, Patient Portal, Medical Billing, Payment Processing. NextGen Healthcare covers Practice Management, Revenue Cycle Management, Telehealth, Analytics. Both handle Electronic Health Records, Labs, Pharmacies, Clearinghouses.

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 Healthcare: How much does NextGen Healthcare cost?

NextGen Healthcare does not publish pricing on its website. The company directs customers to schedule a meeting, request a demo, or chat with sales to receive custom pricing.

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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