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Healthcare · head to head

Epic Systems vs NextGen Healthcare

Epic Systems logo

Epic Systems

Healthcare

Leading electronic health records system for healthcare organizations

From
On request
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: Epic Systems no free version or trial; enterprise pricing only with custom negotiation required; NextGen Healthcare no pricing published on website
  • They diverge on capability: Epic Systems covers Patient Portal, NextGen Healthcare covers Practice Management.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which Epic Systems and NextGen Healthcare actually diverge.

Attributes where Epic Systems and NextGen Healthcare differ
AttributeEpic SystemsNextGen Healthcare
Starting priceOn request$150/month
Pricing modelquotesubscription
PlatformsWeb, Desktop, MobileWeb, iOS, Android
Founded19791997

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 Epic Systems

  • Patient Portal
  • Clinical Decision Support
  • Population Health
  • Lab Systems
  • Imaging Systems
  • Pharmacy Systems
  • SOC2
  • Mobile support

Only in NextGen Healthcare

  • Practice Management
  • Telehealth
  • Analytics
  • Labs
  • Pharmacies
  • Clearinghouses

Both cover

  • Electronic Health Records
  • Revenue Cycle Management
  • HIPAA
  • HITRUST
  • On-premise deployment
  • Cloud deployment
  • Web support
  • Desktop support

What people use each for

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

Epic Systems

  • Patient Carenot NextGen Healthcare
  • Medical Recordsnot NextGen Healthcare
  • Practice Managementnot NextGen Healthcare
  • Telehealthnot NextGen Healthcare

NextGen Healthcare

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

NextGen Healthcare

  • No pricing published on website

Pricing, plan by plan

Epic Systems

On request

No published plan breakdown. See the Epic Systems review.

NextGen Healthcare

$150/month

No published plan breakdown. See the NextGen Healthcare review.

Which should you pick?

Choose Epic Systems if

  • You need patient portal.
  • You work on Web, Desktop, Mobile.
  • You also want clinical decision support.
Epic Systems review

Choose NextGen Healthcare if

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

Questions people ask

Is Epic Systems or NextGen Healthcare better?
Neither clearly leads. Epic Systems starts at On request and NextGen Healthcare at $150/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Epic Systems or NextGen Healthcare?
Epic Systems starts at On request and NextGen Healthcare at $150/month.
Does Epic Systems or NextGen Healthcare run on more platforms?
Epic Systems runs on Web, Desktop, Mobile. NextGen Healthcare runs on Web, iOS, Android.
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 NextGen Healthcare is typically brought in for.
What can Epic Systems do that NextGen Healthcare cannot?
Epic Systems covers Patient Portal, Clinical Decision Support, Population Health, Lab Systems. NextGen Healthcare covers Practice Management, Telehealth, Analytics, Labs. Both handle Electronic Health Records, Revenue Cycle Management, HIPAA, HITRUST.

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
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
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
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
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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