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NextGen Healthcare vs Practice Fusion

NextGen Healthcare logo

NextGen Healthcare

Healthcare

Integrated EHR and practice management solutions

From
$150/month
Rated
-
Full reviewWebsite
Practice Fusion logo

Practice Fusion

Healthcare

Free cloud-based EHR for medical practices

From
Free
Rated
-
Full reviewWebsite

The short version

  • Only Practice Fusion has a free tier, so it costs nothing to try first.
  • Each has a real cost: NextGen Healthcare no pricing published on website; Practice Fusion cloud-based architecture requires constant internet connectivity
  • They diverge on capability: NextGen Healthcare covers Practice Management, Practice Fusion covers e-Prescribing.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which NextGen Healthcare and Practice Fusion actually diverge.

Attributes where NextGen Healthcare and Practice Fusion differ
AttributeNextGen HealthcarePractice Fusion
Starting price$150/monthFree
Free tierNoYes
Founded19972005

Identical on both: pricing model (subscription), platforms (Web, iOS, Android), 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

  • Practice Management
  • Revenue Cycle Management
  • Telehealth
  • Analytics
  • Clearinghouses
  • HITRUST
  • On-premise deployment
  • Desktop support

Only in Practice Fusion

  • e-Prescribing
  • Lab Orders
  • Patient Portal
  • Scheduling
  • Imaging Centers
  • ONC Certified

Both cover

  • Electronic Health Records
  • Labs
  • Pharmacies
  • HIPAA
  • Cloud deployment
  • Web support

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 Practice Fusion
  • AI-assisted clinical documentation to reduce after-hours charting timenot Practice Fusion

Practice Fusion

  • Small to medium medical practicesnot NextGen Healthcare
  • Primary care clinicsnot NextGen Healthcare
  • Independent clinicians needing electronic chartingnot NextGen Healthcare
  • Practice management and billing workflowsnot 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

Practice Fusion

  • Cloud-based architecture requires constant internet connectivity
  • Requires annual commitment for pricing

Pricing, plan by plan

NextGen Healthcare

$150/month

No published plan breakdown. See the NextGen Healthcare review.

Practice Fusion

Free
  • Standard$199/month
    • Provider license with e-prescribing and chart signing
    • 3 signing staff licenses included
    • Unlimited non-signing staff licenses

Which should you pick?

Choose NextGen Healthcare if

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

Choose Practice Fusion if

  • You need e-prescribing.
  • You want to start without paying.
  • You work on Web, iOS, Android.
  • You also want lab orders.
Practice Fusion review

Questions people ask

Is NextGen Healthcare or Practice Fusion better?
Neither clearly leads. NextGen Healthcare starts at $150/month and Practice Fusion at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, NextGen Healthcare or Practice Fusion?
Practice Fusion has a free tier; the other does not. Paid plans start at $150/month for NextGen Healthcare and Free for Practice Fusion.
Does NextGen Healthcare or Practice Fusion run on more platforms?
Both run on Web, iOS, Android, so platform support will not decide this one for you.
Can I use Practice Fusion for free?
Yes. Practice Fusion 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 Practice Fusion is typically brought in for.
What can NextGen Healthcare do that Practice Fusion cannot?
NextGen Healthcare covers Practice Management, Revenue Cycle Management, Telehealth, Analytics. Practice Fusion covers e-Prescribing, Lab Orders, Patient Portal, Scheduling. Both handle Electronic Health Records, Labs, Pharmacies, HIPAA.

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
Practice Fusion: How much does Practice Fusion cost?

Practice Fusion starts at $199 per month per provider with an annual commitment required. The pricing includes 3 signing staff licenses and unlimited non-signing staff licenses.

Source
Practice Fusion: Does Practice Fusion offer a free trial?

Yes, Practice Fusion offers a complimentary 2-week trial with no commitment, no upfront costs, and no credit card required.

Source
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