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Healthcare · head to head

NextGen Healthcare vs OpenMRS

NextGen Healthcare logo

NextGen Healthcare

Healthcare

Integrated EHR and practice management solutions

From
$150/month
Rated
-
Full reviewWebsite
OpenMRS logo

OpenMRS

Healthcare

Open source electronic medical record platform for low-resource settings, with no vendor and paid implementers instead

From
Free
Rated
-
Full reviewWebsite

The short version

  • Only OpenMRS has a free tier, so it costs nothing to try first.
  • Each has a real cost: NextGen Healthcare no pricing published on website; OpenMRS there is no vendor and no support contract from OpenMRS itself, so a procurement that requires a named supplier with a service level must instead contract an implementer, and the quality of that implementer determines the outcome more than the software does
  • They diverge on capability: NextGen Healthcare covers Electronic Health Records, OpenMRS covers Concept dictionary.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which NextGen Healthcare and OpenMRS actually diverge.

Attributes where NextGen Healthcare and OpenMRS differ
AttributeNextGen HealthcareOpenMRS
Starting price$150/monthFree
Pricing modelsubscriptionOpen source, no licence fee
Free tierNoYes
PlatformsWeb, iOS, AndroidLinux, Web, Windows
Founded1997Unknown

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 NextGen Healthcare

  • Electronic Health Records
  • Practice Management
  • Revenue Cycle Management
  • Telehealth
  • Analytics
  • Labs
  • Pharmacies
  • Clearinghouses

Only in OpenMRS

  • Concept dictionary
  • Modular architecture
  • Modern front end
  • FHIR support
  • Offline tolerance
  • Patient matching and registration
  • Distributions

What people use each for

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

NextGen Healthcare

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

OpenMRS

  • A ministry of health standardising HIV treatment records across hundreds of facilities where per-patient licensing would be unaffordablenot NextGen Healthcare
  • A hospital network in a country where no commercial vendor supports the local language, clinical forms or reporting requirementsnot NextGen Healthcare
  • An NGO running a tuberculosis programme that must report into DHIS2 and needs the clinical record beneath it to be modifiablenot NextGen Healthcare
  • A health system that wants to own its clinical data model outright rather than depend on a vendor to extend itnot NextGen Healthcare

Where each one falls short

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

NextGen Healthcare

  • No pricing published on website

OpenMRS

  • There is no vendor and no support contract from OpenMRS itself, so a procurement that requires a named supplier with a service level must instead contract an implementer, and the quality of that implementer determines the outcome more than the software does
  • It is a framework rather than a ready product, so a deployment requires clinical content, form design, concept dictionary work and integration before a single patient is registered, and that work is months of skilled effort
  • Funding comes largely from donor programmes, which makes the pace of core development dependent on grant cycles rather than on a commercial roadmap, and priorities can shift when a funder does
  • Distribution choice, core OpenMRS against Bahmni against Ozone, locks in a different set of components and a different implementer pool, and migrating between distributions later is close to a fresh implementation
  • The people cost never goes away: a national deployment needs permanent internal informatics capacity or a permanent support contract, and organisations that budget only the zero licence fee run out of money at the point the system becomes clinically critical

Pricing, plan by plan

NextGen Healthcare

$150/month

No published plan breakdown. See the NextGen Healthcare review.

OpenMRS

Free
  • OpenMRSFree
    • Openly licensed, no licence fee and no seat limits
    • Community support through forums and the OpenMRS Talk platform
    • No support contract available from OpenMRS itself

Which should you pick?

Choose NextGen Healthcare if

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

Choose OpenMRS if

  • You need concept dictionary.
  • You want to start without paying.
  • You work on Linux, Web, Windows.
  • You also want modular architecture.
OpenMRS review

Questions people ask

Is NextGen Healthcare or OpenMRS better?
Neither clearly leads. NextGen Healthcare starts at $150/month and OpenMRS at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, NextGen Healthcare or OpenMRS?
OpenMRS has a free tier; the other does not. Paid plans start at $150/month for NextGen Healthcare and Free for OpenMRS.
Does NextGen Healthcare or OpenMRS run on more platforms?
NextGen Healthcare runs on Web, iOS, Android. OpenMRS runs on Linux, Web, Windows.
Can I use OpenMRS for free?
Yes. OpenMRS has a free tier, so you can try it without paying. NextGen Healthcare starts at $150/month.
What is NextGen Healthcare best used for?
NextGen Healthcare is most often used for cloud-based ehr and practice management for ambulatory and specialty practices, ai-assisted clinical documentation to reduce after-hours charting time. Of those, cloud-based ehr and practice management for ambulatory and specialty practices and ai-assisted clinical documentation to reduce after-hours charting time are not what OpenMRS is typically brought in for.
What can NextGen Healthcare do that OpenMRS cannot?
NextGen Healthcare covers Electronic Health Records, Practice Management, Revenue Cycle Management, Telehealth. OpenMRS covers Concept dictionary, Modular architecture, Modern front end, FHIR support.

Answered from the vendors’ own pages

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
OpenMRS: Who supports OpenMRS if it breaks?

Not OpenMRS itself. Support is bought from implementers such as Mekom Solutions, which offers long-term production service level agreements for OpenMRS, Bahmni and Ozone deployments, or from regional partners.

OpenMRS: Is it really free?

The software has no licence fee. Hosting, configuration, clinical content, integration and support are the real cost, and they are ongoing.

OpenMRS: What is the difference between OpenMRS, Bahmni and Ozone?

OpenMRS is the core platform. Bahmni and Ozone are distributions that package it with billing, laboratory and inventory components. Choosing a distribution constrains your implementer options.

OpenMRS: Does it support FHIR?

Yes. FHIR support is the standard route for integrating laboratory, pharmacy and national reporting systems.

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