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Healthcare · head to head

Kareo vs Onward Vet

Kareo logo

Kareo

Healthcare

Cloud-based EHR and billing for small practices

From
$99/month
Rated
-
Full reviewWebsite
Onward Vet logo

Onward Vet

Veterinary

Small-vendor cloud practice management sold on flat subscription with unlimited users

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; Onward Vet the vendor is small, so support depth, release pace and the ability to absorb a serious outage are all limited compared with IDEXX, Covetrus or the larger cloud vendors.
  • They diverge on capability: Kareo covers Electronic Health Records, Onward Vet covers Flat practice subscription.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Kareo and Onward Vet actually diverge.

Attributes where Kareo and Onward Vet differ
AttributeKareoOnward Vet
Starting price$99/monthOn request
Pricing modelsubscriptionquote
PlatformsWeb, MobileWeb, iOS, Android
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

  • Electronic Health Records
  • Scheduling
  • Patient Portal
  • Medical Billing
  • Payment Processing
  • Labs
  • Pharmacies
  • Clearinghouses

Only in Onward Vet

  • Flat practice subscription
  • Cloud hosted
  • Medical records and SOAP
  • Estimates and treatment plans
  • Client communication
  • Laboratory integration

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

Onward Vet

  • A clinic with a large rota of part-time technicians and receptionists where per-seat pricing is disproportionatenot Kareo
  • A single-site practice leaving an ageing on-premise system that no longer wants to maintain a servernot Kareo
  • A new practice that needs a working record system quickly without a long configuration projectnot Kareo
  • A cost-sensitive clinic that wants cloud practice management without paying for integration breadth it will not usenot 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

Onward Vet

  • The vendor is small, so support depth, release pace and the ability to absorb a serious outage are all limited compared with IDEXX, Covetrus or the larger cloud vendors.
  • The integration catalogue is short, so specialist imaging, communication or wellness plan tools that connect to ezyVet or Provet Cloud may need manual handling here.
  • Reporting is basic, so a practice that wants production analysis by veterinary surgeon, detailed inventory valuation or multi-site consolidation will be exporting data to a spreadsheet.
  • There is no on-premise option, so a clinic with an unreliable internet connection has no fallback when the link goes down and the appointment book becomes unreachable.
  • Concentration risk is real with a supplier of this size: acquisition, a change of direction or a funding problem would put your record system into other hands, so test the data export before committing.

Pricing, plan by plan

Kareo

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

Onward Vet

On request
  • Onward Vet$undefined/year
    • Quoted as a flat monthly practice subscription
    • Unlimited user accounts
    • Cloud hosting, backup and updates included

Which should you pick?

Choose Kareo if

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

Choose Onward Vet if

  • You need flat practice subscription.
  • You work on Web, iOS, Android.
  • You also want cloud hosted.
Onward Vet review

Questions people ask

Is Kareo or Onward Vet better?
Neither clearly leads. Kareo starts at $99/month and Onward Vet at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Kareo or Onward Vet?
Kareo starts at $99/month and Onward Vet at On request.
Does Kareo or Onward Vet run on more platforms?
Kareo runs on Web, Mobile. Onward Vet 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 Onward Vet is typically brought in for.
What can Kareo do that Onward Vet cannot?
Kareo covers Electronic Health Records, Scheduling, Patient Portal, Medical Billing. Onward Vet covers Flat practice subscription, Cloud hosted, Medical records and SOAP, Estimates and treatment plans.

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
Onward Vet: How is it priced?

As a flat practice subscription with unlimited users, quoted rather than published, which is why it suits clinics with many part-time staff.

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
Onward Vet: Is it suitable for a multi-site group?

Not really. It is built for single-site independent clinics; consolidated reporting and cross-site inventory are not its strength.

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
Onward Vet: What happens if the internet goes down?

You lose access to the appointment book and records. There is no on-premise fallback, so a secondary connection is a sensible precaution.

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
Onward Vet: Can I get my data out?

Ask for a full export during evaluation and check what format it comes in. With a small vendor this is a question to answer before you sign, not afterwards.

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