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Healthcare & Medical · head to head

SimplePractice vs Updox

S

SimplePractice

Healthcare & Medical

Practice management and EHR for mental health and therapy

From
$49/month
Rated
-
Full reviewWebsite
U

Updox

Healthcare & Medical

Healthcare communications platform for eFax, telehealth and patient reminders

From
On request
Rated
-
Full reviewWebsite

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 standard plan caps at 1,000 fax pages and 75 telehealth sessions, requiring Enterprise for 10,000 pages and 500 sessions, as of 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 & Medical).

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

No use cases recorded yet. See the Updox review.

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

  • Standard plan caps at 1,000 fax pages and 75 telehealth sessions, requiring Enterprise for 10,000 pages and 500 sessions, as of August 2026
  • Pricing page names Standard and Enterprise tiers and their usage limits but publishes no dollar figures, requiring a scheduled demo for a quote, as of August 2026

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.
SimplePractice review

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.

Updox review

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
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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