Healthcare · head to head
MDLive vs TherapyNotes

TherapyNotes
Healthcare
EHR and practice management for therapists
- From
- $39/month
- Rated
- -
The short version
- Only MDLive has a free tier, so it costs nothing to try first.
- Each has a real cost: MDLive wide price ranges ($0-89, $0-179, $0-299) indicate insurance-dependent costs with minimal baseline transparency; TherapyNotes no API access, preventing integration with external systems
- They diverge on capability: MDLive covers Video Consultations, TherapyNotes covers Electronic Health Records.
- Prices and features above were last checked on 30 August 2026.
Where they differ
Only the attributes on which MDLive and TherapyNotes actually diverge.
| Attribute | MDLive | TherapyNotes |
|---|---|---|
| Starting price | Free | $39/month |
| Pricing model | usage-based | subscription |
| Free tier | Yes | No |
| Platforms | Web, Mobile | Web |
| Founded | 2002 | 2010 |
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 MDLive
- Video Consultations
- Mental Health Services
- Psychiatry
- Prescription Services
- Urgent Care
- EHR Systems
Only in TherapyNotes
- Electronic Health Records
- Scheduling
- Billing
- Patient Portal
- Telehealth
- Outcome Tracking
- Clearinghouses
- SOC2
Both cover
- Insurance
- HIPAA
- Cloud deployment
- Web support
- Mobile support
What people use each for
The jobs each tool is most often brought in to do.
MDLive
- Telemedicine urgent care visitsnot TherapyNotes
- Mental health counseling and psychiatrynot TherapyNotes
- Dermatology consultationsnot TherapyNotes
- Primary care wellness screeningsnot TherapyNotes
TherapyNotes
- Patient Carenot MDLive
- Medical Recordsnot MDLive
- Practice Managementnot MDLive
- Telehealthnot MDLive
Where each one falls short
Documented limitations, not opinions. Every one is a constraint you would hit in normal use.
MDLive
- Wide price ranges ($0-89, $0-179, $0-299) indicate insurance-dependent costs with minimal baseline transparency
- Cancellation fees up to $50 for mental health appointments apply within 24 hours
- Pricing varies substantially based on insurance coverage with no guaranteed maximum out-of-pocket
TherapyNotes
- No API access, preventing integration with external systems
- Outdated interface compared to AI-driven competitors
- No native mobile app for iOS or Android
- No bulk actions to update multiple sessions at once
Pricing, plan by plan
MDLive
Free- Urgent Care$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
TherapyNotes
$39/month- Solo$39/month
- Full EHR
- Scheduling
- Patient portal
Which should you pick?
Choose MDLive if
- You need video consultations.
- You want to start without paying.
- You work on Web, Mobile.
- You also want mental health services.
Choose TherapyNotes if
- You need electronic health records.
- You also want scheduling.
Questions people ask
- Is MDLive or TherapyNotes better?
- Neither clearly leads. MDLive starts at Free and TherapyNotes at $39/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
- Which is cheaper, MDLive or TherapyNotes?
- MDLive has a free tier; the other does not. Paid plans start at Free for MDLive and $39/month for TherapyNotes.
- Does MDLive or TherapyNotes run on more platforms?
- MDLive runs on Web, Mobile. TherapyNotes runs on Web.
- Can I use MDLive for free?
- Yes. MDLive has a free tier, so you can try it without paying. TherapyNotes starts at $39/month.
- What is MDLive best used for?
- MDLive is most often used for telemedicine urgent care visits, mental health counseling and psychiatry, dermatology consultations, primary care wellness screenings. Of those, telemedicine urgent care visits and mental health counseling and psychiatry are not what TherapyNotes is typically brought in for.
- What can MDLive do that TherapyNotes cannot?
- MDLive covers Video Consultations, Mental Health Services, Psychiatry, Prescription Services. TherapyNotes covers Electronic Health Records, Scheduling, Billing, Patient Portal. Both handle Insurance, HIPAA, Cloud deployment, Web support.
Answered from the vendors’ own pages
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.
SourceTherapyNotes: Does TherapyNotes integrate with other applications?
TherapyNotes has zero API availability and cannot connect to external systems including marketing platforms, CRMs, or data dashboards. Unlike competitors, it lacks integration capabilities.
SourceMDLive: 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.
SourceTherapyNotes: What are TherapyNotes pricing plans?
TherapyNotes charges $69/month for a solo practitioner plan and $79/month for the first clinician in a group with $50/month per additional clinician. A 30-day free trial is included with every plan.
SourceMDLive: 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.
SourceTherapyNotes: Does TherapyNotes include telehealth?
Yes. TherapyNotes includes Basic Telehealth at no extra cost on every plan, with standard-definition video for up to 2 participants. Premium Telehealth with full HD, screen sharing, and closed captions costs $15 per clinician per month.
SourceRelated pages
More on TherapyNotes
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