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Healthcare · head to head

Practice Fusion vs Sectra

Practice Fusion logo

Practice Fusion

Healthcare

Free cloud-based EHR for medical practices

From
Free
Rated
-
Full reviewWebsite
Sectra logo

Sectra

Healthcare

Enterprise imaging and PACS from a Swedish vendor that also sells the pathology and cardiology modules on one platform

From
On request
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: Practice Fusion cloud-based architecture requires constant internet connectivity; Sectra sectra does not make scanners, so it cannot cross-subsidise software against modality hardware the way an integrated manufacturer can, and it often loses on headline price in a bundled tender.
  • They diverge on capability: Practice Fusion covers Electronic Health Records, Sectra covers Sectra IDS7.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Practice Fusion and Sectra actually diverge.

Attributes where Practice Fusion and Sectra differ
AttributePractice FusionSectra
Starting priceFreeOn request
Pricing modelsubscriptionquote
Free tierYesNo
PlatformsWeb, iOS, AndroidWindows, Web, Cloud, On-premise
Founded2005Unknown

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 Practice Fusion

  • Electronic Health Records
  • e-Prescribing
  • Lab Orders
  • Patient Portal
  • Scheduling
  • Labs
  • Pharmacies
  • Imaging Centers

Only in Sectra

  • Sectra IDS7
  • Digital pathology module
  • Sectra VNA
  • Sectra UniView
  • Image Exchange Portal
  • Sectra Amplifier
  • Breast imaging workflow
  • Sectra One Cloud

What people use each for

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

Practice Fusion

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

Sectra

  • A hospital group digitising histopathology that does not want a second image archive and a second integration project alongside radiologynot Practice Fusion
  • A regional health service replacing several departmental PACS with one archive and one clinician viewernot Practice Fusion
  • An imaging provider moving off a capital refresh cycle to a cloud subscription with predictable annual costnot Practice Fusion
  • A trust that needs to send and receive studies with neighbouring organisations routinely, where the Image Exchange Portal is already the regional normnot Practice Fusion

Where each one falls short

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

Practice Fusion

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

Sectra

  • Sectra does not make scanners, so it cannot cross-subsidise software against modality hardware the way an integrated manufacturer can, and it often loses on headline price in a bundled tender.
  • Diagnostic AI is not built in house; Amplifier orchestrates third party algorithms, so the algorithms themselves need separate licences, separate clinical validation and separate information governance sign off.
  • Sectra One Cloud is priced against a committed annual study volume, and organisations whose imaging activity grows faster than forecast meet overage charges partway through the term.
  • The pathology module assumes you have already solved slide scanning and laboratory workflow, which is the larger and more expensive part of digitising histopathology and is not in Sectra scope.
  • Depth of Epic and Oracle Health integration varies by region and by which modules you buy, so a reference site in Sweden is a weak predictor of what integration will cost a United States buyer.

Pricing, plan by plan

Practice Fusion

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

Sectra

On request
  • Sectra Enterprise Imaging$undefined/year
    • Perpetual licence plus annual maintenance, or Sectra One Cloud subscription
    • Priced on committed annual study volume and modules selected
    • Pathology, cardiology and ophthalmology licensed as separate modules

Which should you pick?

Choose Practice Fusion if

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

Choose Sectra if

  • You need sectra ids7.
  • You work on Windows, Web, Cloud, On-premise.
  • You also want digital pathology module.
Sectra review

Questions people ask

Is Practice Fusion or Sectra better?
Neither clearly leads. Practice Fusion starts at Free and Sectra at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Practice Fusion or Sectra?
Practice Fusion has a free tier; the other does not. Paid plans start at Free for Practice Fusion and On request for Sectra.
Does Practice Fusion or Sectra run on more platforms?
Practice Fusion runs on Web, iOS, Android. Sectra runs on Windows, Web, Cloud, On-premise.
Can I use Practice Fusion for free?
Yes. Practice Fusion has a free tier, so you can try it without paying. Sectra starts at On request.
What is Practice Fusion best used for?
Practice Fusion is most often used for small to medium medical practices, primary care clinics, independent clinicians needing electronic charting, practice management and billing workflows. Of those, small to medium medical practices and primary care clinics are not what Sectra is typically brought in for.
What can Practice Fusion do that Sectra cannot?
Practice Fusion covers Electronic Health Records, e-Prescribing, Lab Orders, Patient Portal. Sectra covers Sectra IDS7, Digital pathology module, Sectra VNA, Sectra UniView.

Answered from the vendors’ own pages

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
Sectra: Does Sectra include diagnostic AI?

No. Sectra Amplifier is a marketplace and orchestration layer for third party algorithms, each licensed and validated separately.

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
Sectra: Is pathology really on the same platform as radiology?

Yes, the pathology module uses the same archive and workflow engine, which is the main reason buyers digitising histopathology shortlist Sectra.

Sectra: How is Sectra One Cloud priced?

On committed annual study volume plus the modules selected, as a subscription rather than a capital purchase. The vendor does not publish rates.

Sectra: Is Sectra CE marked and FDA cleared?

The diagnostic viewing software carries CE marking under the medical device regulation and FDA 510(k) clearance for diagnostic interpretation, but the exact cleared indications differ per module and per market, so confirm for pathology specifically.

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