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Healthcare · head to head

Practice Fusion vs SimplePractice

Practice Fusion logo

Practice Fusion

Healthcare

Free cloud-based EHR for medical practices

From
Free
Rated
-
Full reviewWebsite
SimplePractice logo

SimplePractice

Healthcare

Practice management and EHR for mental health and therapy

From
$49/month
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; SimplePractice no API or webhook support for integrations, preventing connections to Zapier or custom automation tools
  • They diverge on capability: Practice Fusion covers Electronic Health Records, SimplePractice covers Client Portal.

Where they differ

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

Attributes where Practice Fusion and SimplePractice differ
AttributePractice FusionSimplePractice
Starting priceFree$49/month
Pricing modelsubscriptionUnknown
Free tierYesNo
Founded20052011

Identical on both: 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 Practice Fusion

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

Only in SimplePractice

  • Client Portal
  • Notes
  • Billing
  • Telehealth
  • Documents
  • Stripe
  • PayPal
  • Electronic clearinghouses

Both cover

  • Scheduling
  • HIPAA
  • Cloud deployment
  • Web support

What people use each for

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

Practice Fusion

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

SimplePractice

  • Patient Carenot Practice Fusion
  • Medical Recordsnot Practice Fusion
  • Practice Managementnot Practice Fusion
  • Telehealthnot 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

SimplePractice

  • No API or webhook support for integrations, preventing connections to Zapier or custom automation tools
  • Lacks AI clinical documentation in base plan, requiring manual note typing which takes 15-30 minutes per session
  • Reporting and customization features are limited compared to competitors, with weak insurance workflow support
  • Hidden costs beyond base pricing, with real cost often 3x higher after add-ons and annual increases
  • Telehealth component reported as unstable and frequently unreliable by some users

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

SimplePractice

$49/month
  • Starter$49/month
    • Scheduling
    • Documentation
    • Client portal
  • Essential$79/month
    • Billing and payments
    • Insurance claim filing
    • Telehealth
  • Plus$99/month
    • Website builder
    • Advanced reporting
    • ePrescribe integration

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 SimplePractice if

  • You need client portal.
  • You work on Web, iOS, Android.
  • You also want notes.
SimplePractice review

Questions people ask

Is Practice Fusion or SimplePractice better?
Neither clearly leads. Practice Fusion starts at Free and SimplePractice at $49/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Practice Fusion or SimplePractice?
Practice Fusion has a free tier; the other does not. Paid plans start at Free for Practice Fusion and $49/month for SimplePractice.
Does Practice Fusion or SimplePractice 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. SimplePractice starts at $49/month.
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 SimplePractice is typically brought in for.
What can Practice Fusion do that SimplePractice cannot?
Practice Fusion covers Electronic Health Records, e-Prescribing, Lab Orders, Patient Portal. SimplePractice covers Client Portal, Notes, Billing, Telehealth. Both handle Scheduling, HIPAA, Cloud deployment, Web support.

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
SimplePractice: What does SimplePractice pricing include?

SimplePractice tiers start at $49 (Starter), $79 (Essential), and $99 (Plus) per clinician per month. Add-ons cost extra, including AI Note Taker at $35/month and ePrescribe at $49/month plus $89 setup.

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
SimplePractice: Does SimplePractice include telehealth?

Yes, all SimplePractice tiers include HIPAA-compliant integrated telehealth, allowing therapists to conduct secure video sessions directly from the platform.

Source
SimplePractice: Is AI documentation included in SimplePractice?

No, AI clinical notes are not included in base pricing. SimplePractice offers an optional AI Note Taker add-on for $35/month that provides basic transcription, though it lacks advanced note generation features of competitors.

Source
SimplePractice: Does SimplePractice support international or non-US workflows?

No, SimplePractice is designed for US practices only and does not support non-US workflows, insurance structures, or currencies, limiting its use for international practitioners.

Source
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