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Healthcare · head to head

Practice Fusion vs TheraNest

Practice Fusion logo

Practice Fusion

Healthcare

Free cloud-based EHR for medical practices

From
Free
Rated
-
Full reviewWebsite
TheraNest logo

TheraNest

Healthcare

Mental health EHR and practice management priced per therapist

From
$29/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; TheraNest the Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • They diverge on capability: Practice Fusion covers Electronic Health Records, TheraNest covers Progress notes and treatment plans.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

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

Attributes where Practice Fusion and TheraNest differ
AttributePractice FusionTheraNest
Starting priceFree$29/month
Pricing modelsubscriptionPer user per month
Free tierYesNo
Founded2005Unknown

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
  • Scheduling
  • Labs
  • Pharmacies
  • Imaging Centers

Only in TheraNest

  • Progress notes and treatment plans
  • Insurance claims
  • Client portal
  • Telehealth
  • Group and family sessions
  • Payroll and staff reporting

What people use each for

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

Practice Fusion

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

TheraNest

  • A solo therapist who needs a HIPAA aligned note and scheduling system and does not bill insurance, where the 29 USD entry tier is genuinely sufficientnot Practice Fusion
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot Practice Fusion
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot Practice Fusion
  • A behavioural health organisation that bills a steady volume of insurance claims each month and can size the Advanced allowance against its actual claim countnot 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

TheraNest

  • The Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • Telehealth is only in the Premier plan, so a practice that wants video sessions pays 89 USD per therapist per month even if it needs nothing else from that tier.
  • An annual AMA CPT licence fee is billed separately each December on top of subscription cost, which surprises practices that budgeted only the monthly figure.
  • Additional administrative users are chargeable, so a practice with front desk and billing staff who never see clients still pays 19 to 29 USD per head for people who generate no revenue.
  • The product sits inside a consolidated portfolio that has already renamed the parent company from Therapy Brands to Ensora Health, and product investment in a portfolio is directed by the owner rather than by this product line, so roadmap commitments are worth less than they would be from a single product vendor.

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

TheraNest

$29/month
  • Essentials$29/month
    • Per therapist
    • Scheduling and client portal
    • HIPAA aligned notes and documentation
  • Advanced$59/month
    • Per therapist
    • 30 insurance claims per month included
    • Custom forms
  • Premier$89/month
    • Per therapist
    • Unlimited insurance claims
    • Billing automation

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 TheraNest if

  • You need progress notes and treatment plans.
  • You work on Web, iOS, Android.
  • You also want insurance claims.
TheraNest review

Questions people ask

Is Practice Fusion or TheraNest better?
Neither clearly leads. Practice Fusion starts at Free and TheraNest at $29/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Practice Fusion or TheraNest?
Practice Fusion has a free tier; the other does not. Paid plans start at Free for Practice Fusion and $29/month for TheraNest.
Does Practice Fusion or TheraNest 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. TheraNest starts at $29/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 TheraNest is typically brought in for.
What can Practice Fusion do that TheraNest cannot?
Practice Fusion covers Electronic Health Records, e-Prescribing, Lab Orders, Patient Portal. TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, Telehealth.

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
TheraNest: Is TheraNest still sold under that name?

Yes. The company rebranded from Therapy Brands to Ensora Health and the product is now marketed as TheraNest by Ensora Health, but you still buy TheraNest.

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
TheraNest: Can I bill insurance on the cheapest plan?

No. Essentials includes no claims. Advanced includes 30 claims a month and Premier is unlimited.

TheraNest: Are there hidden costs?

Two. Additional admin users are charged per head, and an AMA CPT licence fee is billed annually in December per therapist.

TheraNest: Does it support group practices?

Yes, with per clinician reporting and payroll figures, though every clinician and every admin is a paid seat.

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