Software · head to head
TherapyNotes vs Athenahealth
The short version
- Each has a real cost: TherapyNotes no API access, preventing integration with external systems; Athenahealth high implementation costs ranging up to $50,000+ for enterprise deployments
- They diverge on capability: TherapyNotes covers Scheduling, Athenahealth covers Medical Billing.
Where they differ
Only the attributes on which TherapyNotes and Athenahealth actually diverge.
| Attribute | TherapyNotes | Athenahealth |
|---|---|---|
| Starting price | $39/month | $140/month |
| Pricing model | subscription | Unknown |
| Platforms | Web | Web, iOS, Android |
| Founded | 2010 | 1997 |
Identical on both: free tier (No), user rating (Not yet rated), category (Unknown).
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 TherapyNotes
- Scheduling
- Billing
- Patient Portal
- Outcome Tracking
- Insurance
Only in Athenahealth
- Medical Billing
- Patient Engagement
- Analytics
- Labs
- Pharmacies
- Health Information Exchanges
- HITRUST
Both cover
- Electronic Health Records
- Telehealth
- Clearinghouses
- HIPAA
- SOC2
- Cloud deployment
- Web support
- Mobile support
What people use each for
The jobs each tool is most often brought in to do.
TherapyNotes
- Patient Care
- Medical Records
- Practice Management
- Telehealth
Athenahealth
- Patient Care
- Medical Records
- Practice Management
- Telehealth
Both are used for patient care, medical records, practice management, telehealth, on those jobs the choice comes down to price and fit rather than capability.
Where each one falls short
Documented limitations, not opinions. Every one is a constraint you would hit in normal use.
TherapyNotes
- No API access, preventing integration with external systems
- Outdated interface compared to AI-driven competitors
- No native mobile app for iOS or Android
- No bulk actions to update multiple sessions at once
Athenahealth
- High implementation costs ranging up to $50,000+ for enterprise deployments
- Pricing tiers not transparently listed, requiring custom quotes
Pricing, plan by plan
TherapyNotes
$39/month- Solo$39/month
- Full EHR
- Scheduling
- Patient portal
Athenahealth
$140/monthNo published plan breakdown. See the Athenahealth review.
Which should you pick?
Choose Athenahealth if
- You need medical billing.
- You work on Web, iOS, Android.
- You also want patient engagement.
Questions people ask
- Is TherapyNotes or Athenahealth better?
- Neither clearly leads. TherapyNotes starts at $39/month and Athenahealth at $140/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
- Which is cheaper, TherapyNotes or Athenahealth?
- TherapyNotes starts at $39/month and Athenahealth at $140/month.
- Does TherapyNotes or Athenahealth run on more platforms?
- TherapyNotes runs on Web. Athenahealth runs on Web, iOS, Android.
- What is TherapyNotes best used for?
- TherapyNotes is most often used for patient care, medical records, practice management, telehealth.
- What can TherapyNotes do that Athenahealth cannot?
- TherapyNotes covers Scheduling, Billing, Patient Portal, Outcome Tracking. Athenahealth covers Medical Billing, Patient Engagement, Analytics, Labs. Both handle Electronic Health Records, Telehealth, Clearinghouses, HIPAA.
Answered from the vendors’ own pages
TherapyNotes: Does TherapyNotes integrate with other applications?
TherapyNotes has zero API availability and cannot connect to external systems including marketing platforms, CRMs, or data dashboards. Unlike competitors, it lacks integration capabilities.
SourceAthenahealth: What platforms does Athenahealth serve?
Athenahealth's athenaOne serves small to medium-sized physician practices and hospitals with integrated clinical, financial, and operational workflows.
SourceTherapyNotes: What are TherapyNotes pricing plans?
TherapyNotes charges $69/month for a solo practitioner plan and $79/month for the first clinician in a group with $50/month per additional clinician. A 30-day free trial is included with every plan.
SourceAthenahealth: What is the pricing model for athenaOne?
Athenahealth uses customized pricing with percent-based or encounter-based models. Starting price reported at $140/month with implementation costs ranging from $5,000-$20,000 for small businesses.
SourceTherapyNotes: Does TherapyNotes include telehealth?
Yes. TherapyNotes includes Basic Telehealth at no extra cost on every plan, with standard-definition video for up to 2 participants. Premium Telehealth with full HD, screen sharing, and closed captions costs $15 per clinician per month.
SourceAthenahealth: Does Athenahealth include revenue cycle management?
Yes, athenaOne includes network-driven claims scrubbing with 95%+ first-pass rates, denial management, and A/R optimization.
SourceAthenahealth: What patient engagement features does Athenahealth offer?
Athenahealth provides athenaCommunicator for patient portals, automated appointment reminders, online scheduling, telehealth integration, digital intake, and broadcast messaging.
SourceAthenahealth: How many pre-built integrations does Athenahealth have?
Athenahealth's marketplace includes over 250 pre-integrated third-party apps, allowing practices to extend functionality without custom development.
Source

