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Healthcare · head to head

Epic Systems vs MDLive

Epic Systems logo

Epic Systems

Healthcare

Leading electronic health records system for healthcare organizations

From
On request
Rated
-
Full reviewWebsite
MDLive logo

MDLive

Healthcare

On-demand telehealth and virtual doctor visits

From
Free
Rated
-
Full reviewWebsite

The short version

  • Only MDLive has a free tier, so it costs nothing to try first.
  • Each has a real cost: Epic Systems no free version or trial; enterprise pricing only with custom negotiation required; MDLive wide price ranges ($0-89, $0-179, $0-299) indicate insurance-dependent costs with minimal baseline transparency
  • They diverge on capability: Epic Systems covers Electronic Health Records, MDLive covers Video Consultations.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which Epic Systems and MDLive actually diverge.

Attributes where Epic Systems and MDLive differ
AttributeEpic SystemsMDLive
Starting priceOn requestFree
Pricing modelquoteusage-based
Free tierNoYes
PlatformsWeb, Desktop, MobileWeb, Mobile
Founded19792002

Identical on both: 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 Epic Systems

  • Electronic Health Records
  • Revenue Cycle Management
  • Patient Portal
  • Clinical Decision Support
  • Population Health
  • Lab Systems
  • Imaging Systems
  • Pharmacy Systems

Only in MDLive

  • Video Consultations
  • Mental Health Services
  • Psychiatry
  • Prescription Services
  • Urgent Care
  • Insurance
  • EHR Systems

Both cover

  • HIPAA
  • Cloud deployment
  • Web support
  • Mobile support

What people use each for

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

Epic Systems

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

MDLive

  • Telemedicine urgent care visitsnot Epic Systems
  • Mental health counseling and psychiatrynot Epic Systems
  • Dermatology consultationsnot Epic Systems
  • Primary care wellness screeningsnot Epic Systems

Where each one falls short

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

Epic Systems

  • No free version or trial; enterprise pricing only with custom negotiation required
  • Lengthy implementation timeline: 12-24 months for single hospitals, 3-5 years for multi-system rollouts
  • Customization and workflow adaptation requires extensive consulting services
  • Very high licensing costs ranging from 100,000 to 30 million USD depending on organization size

MDLive

  • Wide price ranges ($0-89, $0-179, $0-299) indicate insurance-dependent costs with minimal baseline transparency
  • Cancellation fees up to $50 for mental health appointments apply within 24 hours
  • Pricing varies substantially based on insurance coverage with no guaranteed maximum out-of-pocket

Pricing, plan by plan

Epic Systems

On request

No published plan breakdown. See the Epic Systems review.

MDLive

Free
  • Urgent Care$null/visit
    • $0-89 per visit with insurance
    • Immediate care access
  • Primary CareFree
    • $0 wellness screenings for eligible insurance plans
    • Upfront pricing shown before appointment
  • Mental Health Talk Therapy$null/visit
    • $0-179 initial appointments
    • $140 follow-up sessions before insurance
  • Mental Health Psychiatry$null/visit
    • $0-299 initial appointments
    • $159 follow-up sessions before insurance

Which should you pick?

Choose Epic Systems if

  • You need electronic health records.
  • You work on Web, Desktop, Mobile.
  • You also want revenue cycle management.
Epic Systems review

Choose MDLive if

  • You need video consultations.
  • You want to start without paying.
  • You work on Web, Mobile.
  • You also want mental health services.
MDLive review

Questions people ask

Is Epic Systems or MDLive better?
Neither clearly leads. Epic Systems starts at On request and MDLive at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Epic Systems or MDLive?
MDLive has a free tier; the other does not. Paid plans start at On request for Epic Systems and Free for MDLive.
Does Epic Systems or MDLive run on more platforms?
Epic Systems runs on Web, Desktop, Mobile. MDLive runs on Web, Mobile.
Can I use MDLive for free?
Yes. MDLive has a free tier, so you can try it without paying. Epic Systems starts at On request.
What is Epic Systems best used for?
Epic Systems is most often used for patient care, medical records, practice management, telehealth. Of those, patient care and medical records are not what MDLive is typically brought in for.
What can Epic Systems do that MDLive cannot?
Epic Systems covers Electronic Health Records, Revenue Cycle Management, Patient Portal, Clinical Decision Support. MDLive covers Video Consultations, Mental Health Services, Psychiatry, Prescription Services. Both handle HIPAA, Cloud deployment, Web support, Mobile support.

Answered from the vendors’ own pages

Epic Systems: What is Epic's market position?

Epic holds 36 percent of the U.S. EHR market and manages over 280 million patient records across 1,200+ healthcare organizations. Among hospitals with over 300 beds, Epic has 52 percent market share, and 71 percent market share in major academic medical centers as of 2026.

Source
MDLive: What is the cost of an urgent care visit through MD Live?

Urgent care visits cost $0-89 per visit depending on insurance coverage. Pricing is shown upfront before confirming appointment. Most major credit and debit cards accepted for uninsured patients.

Source
Epic Systems: Is there a free trial or demo available?

Epic does not offer a free version or trial. The software is enterprise-only with custom pricing negotiated directly with organizations. Typical implementation timelines for single hospitals range from 12 to 24 months, and multi-hospital systems can take 3 to 5 years for phased rollouts.

Source
MDLive: What cancellation fees apply if I need to reschedule?

Wellness visits incur $25 cancellation fee if cancelled within 24 hours. Routine care $25 if cancelled within 2 hours. Mental health $50 if cancelled within 24 hours. Medicaid and Medicare members exempt from fees.

Source
Epic Systems: How does Epic integrate with third-party systems?

Epic provides multiple integration pathways: FHIR R4 APIs, HL7 v2 messaging, CCDA document exchange, and proprietary APIs through Epic Showroom (formerly App Orchard). Over 1,000 certified apps are available in the marketplace, enabling real-time data synchronization and interoperability.

Source
MDLive: Are follow-up mental health sessions cheaper than initial appointments?

Talk therapy follow-ups are $140 before insurance (versus $0-179 for initial). Psychiatry follow-ups are $159 before insurance (versus $0-299 for initial). Insurance copays may apply on top of these base rates.

Source
Epic Systems: What is included in Epic's unified platform?

Epic provides a truly unified system spanning inpatient, outpatient, emergency department, surgical, pharmacy, laboratory, radiology, billing, and population health on a single database. It includes appointment scheduling, medical billing, clinical decision support, patient portal (MyChart), telehealth capabilities, and analytics.

Source
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