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Healthcare · head to head

TheraNest vs Vetspire

TheraNest logo

TheraNest

Healthcare

Mental health EHR and practice management priced per therapist

From
$29/month
Rated
-
Full reviewWebsite
Vetspire logo

Vetspire

Veterinary

Veterinary practice management with clinical decision support

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: 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.; Vetspire quote-only pricing with no published rates
  • They diverge on capability: TheraNest covers Progress notes and treatment plans, Vetspire covers Structured clinical records.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which TheraNest and Vetspire actually diverge.

Attributes where TheraNest and Vetspire differ
AttributeTheraNestVetspire
Starting price$29/monthOn request
Pricing modelPer user per monthquote
PlatformsWeb, iOS, AndroidWeb, Cloud, iOS
CategoryHealthcareVeterinary

Identical on both: free tier (No), user rating (Not yet rated).

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 TheraNest

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

Only in Vetspire

  • Structured clinical records
  • Decision support
  • Integrated invoicing
  • Inventory
  • Scheduling
  • Analytics

What people use each for

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

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 Vetspire
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot Vetspire
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot Vetspire
  • 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 Vetspire

Vetspire

  • Multi-site veterinary groups needing consistent clinical protocolsnot TheraNest
  • Practices wanting queryable clinical data rather than free-text historynot TheraNest
  • Groups measuring clinician-level performance and outcomesnot TheraNest

Where each one falls short

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

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.

Vetspire

  • Quote-only pricing with no published rates
  • A newer entrant, so its track record is shorter than established systems
  • Structured records take more effort to enter than free text, and clinician adoption is the main implementation risk
  • Strongest in the US market, with less coverage elsewhere

Pricing, plan by plan

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

Vetspire

On request

No published plan breakdown. See the Vetspire review.

Which should you pick?

Choose TheraNest if

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

Choose Vetspire if

  • You need structured clinical records.
  • You work on Web, Cloud, iOS.
  • You also want decision support.
Vetspire review

Questions people ask

Is TheraNest or Vetspire better?
Neither clearly leads. TheraNest starts at $29/month and Vetspire at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, TheraNest or Vetspire?
TheraNest starts at $29/month and Vetspire at On request.
Does TheraNest or Vetspire run on more platforms?
TheraNest runs on Web, iOS, Android. Vetspire runs on Web, Cloud, iOS.
What is TheraNest best used for?
TheraNest is most often used for 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 sufficient, a group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layer, a practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signatures, a behavioural health organisation that bills a steady volume of insurance claims each month and can size the advanced allowance against its actual claim count. Of those, 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 sufficient and a group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layer are not what Vetspire is typically brought in for.
What can TheraNest do that Vetspire cannot?
TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, Telehealth. Vetspire covers Structured clinical records, Decision support, Integrated invoicing, Inventory.

Answered from the vendors’ own pages

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.

Vetspire: What does Vetspire cost?

Pricing is quoted per practice and is not published.

TheraNest: Can I bill insurance on the cheapest plan?

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

Vetspire: Why structured clinical records?

Free-text notes cannot be queried or checked against protocols. Structured fields make history searchable and let the system prompt during consultations.

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.

Vetspire: Vetspire or ezyVet?

ezyVet is the more established system with broader administrative depth. Vetspire competes on the clinical side, particularly structured records and decision support.

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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