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Healthcare · head to head

NextGen Healthcare vs Shepherd

NextGen Healthcare logo

NextGen Healthcare

Healthcare

Integrated EHR and practice management solutions

From
$150/month
Rated
-
Full reviewWebsite
Shepherd logo

Shepherd

Veterinary

Cloud veterinary practice management built by a practising vet

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: NextGen Healthcare no pricing published on website; Shepherd quote-only pricing with no published rates
  • They diverge on capability: NextGen Healthcare covers Electronic Health Records, Shepherd covers Consultation-first records.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

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

Attributes where NextGen Healthcare and Shepherd differ
AttributeNextGen HealthcareShepherd
Starting price$150/monthOn request
Pricing modelsubscriptionquote
PlatformsWeb, iOS, AndroidWeb, Cloud
CategoryHealthcareVeterinary
Founded1997Unknown

Identical on both: free tier (No), user rating (Not yet rated).

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 Shepherd

  • Consultation-first records
  • Charges from treatment
  • Inventory
  • Cloud-based

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

Shepherd

  • Practices losing revenue to treatment delivered but never billednot NextGen Healthcare
  • Clinics replacing on-premise legacy systemsnot NextGen Healthcare
  • Independent practices wanting something designed around clinical work rather than administrationnot 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

Shepherd

  • Quote-only pricing with no published rates
  • A smaller vendor than the established systems, with a correspondingly shorter track record
  • Cloud-only, so consultations depend on clinic connectivity

Pricing, plan by plan

NextGen Healthcare

$150/month

No published plan breakdown. See the NextGen Healthcare review.

Shepherd

On request

No published plan breakdown. See the Shepherd review.

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 Shepherd if

  • You need consultation-first records.
  • You work on Web, Cloud.
  • You also want charges from treatment.
Shepherd review

Questions people ask

Is NextGen Healthcare or Shepherd better?
Neither clearly leads. NextGen Healthcare starts at $150/month and Shepherd at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, NextGen Healthcare or Shepherd?
NextGen Healthcare starts at $150/month and Shepherd at On request.
Does NextGen Healthcare or Shepherd run on more platforms?
NextGen Healthcare runs on Web, iOS, Android. Shepherd runs on Web, Cloud.
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 Shepherd is typically brought in for.
What can NextGen Healthcare do that Shepherd cannot?
NextGen Healthcare covers Electronic Health Records, Practice Management, Revenue Cycle Management, Telehealth. Shepherd covers Consultation-first records, Charges from treatment, Inventory, Cloud-based.

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
Shepherd: What does Shepherd cost?

Pricing is quoted per practice and not published.

Shepherd: What makes it different from other veterinary systems?

It was designed by a practising vet around the consultation workflow, so charges accrue from recorded treatment rather than being entered as a separate billing step.

Shepherd: Is it cloud-only?

Yes, which removes server maintenance and makes connectivity a dependency.

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