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Healthcare · head to head

Kareo vs Zanda Health

Kareo logo

Kareo

Healthcare

Cloud-based EHR and billing for small practices

From
$99/month
Rated
-
Full reviewWebsite
Zanda Health logo

Zanda Health

Healthcare

Practice management and clinical notes for allied health clinics, formerly Power Diary

From
$19/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; Zanda Health the 2024 rename from Power Diary means most third party reviews, integration guides and community answers still sit under the old name, so buyers researching Zanda Health find a thin trail and may wrongly conclude it is a new and unproven product.
  • They diverge on capability: Kareo covers Electronic Health Records, Zanda Health covers Unlimited admin users.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Kareo and Zanda Health actually diverge.

Attributes where Kareo and Zanda Health differ
AttributeKareoZanda Health
Starting price$99/month$19/month
Pricing modelsubscriptionPer user per month
PlatformsWeb, MobileWeb, iOS, Android
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

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

Only in Zanda Health

  • Unlimited admin users
  • Australian funder billing
  • Clinical note templates
  • Two way SMS
  • Telehealth Pro
  • Practitioner rostering
  • Client portal
  • BizzyAI Scribe

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

Zanda Health

  • A five physiotherapist clinic in Melbourne that bulk bills Medicare and wants claiming inside the diary rather than a separate portalnot Kareo
  • A psychology group practice with more reception staff than clinicians, where per seat pricing elsewhere would double the billnot Kareo
  • A UK osteopathy practice moving off paper diaries that needs online booking and card payment without an implementation projectnot Kareo
  • A multi site podiatry business that needs room and equipment allocation alongside practitioner availabilitynot 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

Zanda Health

  • The 2024 rename from Power Diary means most third party reviews, integration guides and community answers still sit under the old name, so buyers researching Zanda Health find a thin trail and may wrongly conclude it is a new and unproven product.
  • North American billing is not properly served: there is no claims clearinghouse and superbill handling is basic, so a United States practice will need a separate revenue cycle tool and will pay for two systems.
  • Pricing is quoted in United States dollars while the company, support hours and product depth are Australian, so buyers outside those two time zones get support with an overnight lag on urgent clinical scheduling problems.
  • SMS is billed per message beyond the plan allowance and a dedicated number is required in the United States and Canada, so a busy clinic sending reminders and follow ups accumulates a variable monthly cost that is not visible in the headline plan price.
  • Reporting is adequate for a single clinic but weak for a group: cross site financial consolidation and practitioner productivity comparison generally end up exported to a spreadsheet, which becomes a monthly manual job as soon as you pass a handful of locations.

Pricing, plan by plan

Kareo

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

Zanda Health

$19/month
  • Starter$19/month
    • One practitioner
    • One administrative user
    • 1,000 appointments per year
  • Growth$49/month
    • Base fee plus 19 USD per additional practitioner per month
    • Unlimited free administrative users
    • Unlimited appointments
  • Telehealth Pro add-on$9/month
    • Per practitioner
    • Unlimited video consultations
    • Recording and waiting room

Which should you pick?

Choose Kareo if

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

Choose Zanda Health if

  • You need unlimited admin users.
  • You work on Web, iOS, Android.
  • You also want australian funder billing.
Zanda Health review

Questions people ask

Is Kareo or Zanda Health better?
Neither clearly leads. Kareo starts at $99/month and Zanda Health at $19/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Kareo or Zanda Health?
Kareo starts at $99/month and Zanda Health at $19/month.
Does Kareo or Zanda Health run on more platforms?
Kareo runs on Web, Mobile. Zanda Health 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 Zanda Health is typically brought in for.
What can Kareo do that Zanda Health cannot?
Kareo covers Electronic Health Records, Scheduling, Patient Portal, Medical Billing. Zanda Health covers Unlimited admin users, Australian funder billing, Clinical note templates, Two way SMS.

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
Zanda Health: Is Zanda Health the same as Power Diary?

Yes. Power Diary rebranded to Zanda Health in 2024. Same company, same product line, same data.

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
Zanda Health: Do receptionists count as paid users?

No. On the Growth plan administrative users are unlimited and free. Only practitioners are charged.

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
Zanda Health: Does it handle Medicare bulk billing?

Yes, Medicare Online, DVA and bulk billing claims are submitted from within the platform for Australian practices.

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
Zanda Health: Is it suitable for a United States practice?

Only partly. Charting, scheduling and telehealth work, but there is no claims clearinghouse, so US insurance billing needs a separate system.

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