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Healthcare · head to head

SimplePractice vs Updox

SimplePractice logo

SimplePractice

Healthcare

Practice management and EHR for mental health and therapy

From
$49/month
Rated
-
Updox logo

Updox

Healthcare

Healthcare communications platform for eFax, telehealth and patient reminders

From
On request
Rated
-

The short version

  • Each has a real cost: SimplePractice no API or webhook support for integrations, preventing connections to Zapier or custom automation tools; Updox no specific dollar amounts listed on pricing page
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which SimplePractice and Updox actually diverge.

Attributes where SimplePractice and Updox differ
AttributeSimplePracticeUpdox
Starting price$49/monthOn request
Pricing modelUnknownquote
PlatformsWeb, iOS, AndroidWeb
Founded2011Unknown

Identical on both: free tier (No), 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 SimplePractice

  • Scheduling
  • Client Portal
  • Notes
  • Billing
  • Telehealth
  • Documents
  • Stripe
  • PayPal

Only in Updox

Nothing recorded that SimplePractice does not also cover.

What people use each for

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

SimplePractice

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

Updox

  • Healthcare communication and patient engagementnot SimplePractice
  • Medical practice fax, telehealth, and SMS messagingnot SimplePractice
  • Charge capture and medical billing workflowsnot SimplePractice
  • Multi-location healthcare systemsnot SimplePractice

Where each one falls short

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

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

Updox

  • No specific dollar amounts listed on pricing page
  • Actual costs require contacting sales team or scheduling a demo
  • Standard and Enterprise tier limits shown but no pricing transparency

Pricing, plan by plan

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

Updox

On request

No published plan breakdown. See the Updox review.

Which should you pick?

Choose SimplePractice if

  • You need scheduling.
  • You work on Web, iOS, Android.
  • You also want client portal.

Choose Updox if

Nothing in the data separates Updox from SimplePractice on the points above - pick on price and on how each one feels to use.

Questions people ask

Is SimplePractice or Updox better?
Neither clearly leads. SimplePractice starts at $49/month and Updox at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, SimplePractice or Updox?
SimplePractice starts at $49/month and Updox at On request.
Does SimplePractice or Updox run on more platforms?
SimplePractice runs on Web, iOS, Android. Updox runs on Web.
What is SimplePractice best used for?
SimplePractice is most often used for patient care, medical records, practice management, telehealth. Of those, patient care and medical records are not what Updox is typically brought in for.
What can SimplePractice do that Updox cannot?
SimplePractice covers Scheduling, Client Portal, Notes, Billing.

Answered from the vendors’ own pages

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
Updox: How much does Updox cost?

Updox pricing is not published on the pricing page. The vendor offers customizable packages and directs inquiries to schedule a demo or contact the sales team for personalized pricing based on practice size and tool requirements.

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
Updox: What is Updox's pricing model?

Updox uses a usage-based pricing model with customizable packages. Costs are tailored based on the tools selected (fax pages, telehealth sessions, patient reminders, text messages, broadcast messages) and can scale with practice benchmark data.

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
Updox: What limits are included in Updox's Standard tier?

Updox Standard tier includes up to 1,000 fax pages, 75 telehealth sessions, reminders for 500 appointments, 500 text messages, and 500 broadcast messages monthly, with higher limits available in Enterprise tier.

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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