Answers /
How much does an EHR cost for a small practice?
Most cloud-based EHRs for small practices cost $100–$700 per provider per month in 2026, with typical practices paying $200–$700 depending on features. Setup fees range from $2,000–$5,000 and are sometimes waived. Watch for percentage-of-collections models and multi-year contracts, which can cost far more than the sticker price suggests.
Last updated: July 2026
What pricing models do EHR vendors use?
Three models dominate. Per-provider subscription: a flat monthly fee per clinician, the most predictable. Percentage of collections: the vendor takes a cut of practice revenue — commonly reported in the 4–8% range for suites like athenahealth — which means your bill grows as you grow. Freemium/encounter-based: low entry pricing with paid add-ons, where reviewers frequently report surprise fees.
Beyond the subscription, budget for data migration, training time, and integration costs — and read contract terms carefully. Multi-year agreements with auto-renewal clauses are common among legacy vendors.
What hidden costs should practices watch for?
The biggest cost is rarely on the invoice: clinician time. Primary-care physicians spend 36.2 minutes in the EHR per 30-minute visit (JAMA Network Open, 2024) — for every 8 hours of visits, that’s 5.3 additional hours in the software (Annals of Family Medicine, 2024). A cheap EHR that costs your providers an extra hour a day is the most expensive tool in the building.
Also common: fees for e-prescribing setup, text reminders, additional staff logins, interfaces to labs, and small customizations. Ask every vendor for the all-in cost at your specific provider and staff count.
How does EverBetter approach pricing?
EverBetter publishes its pricing: $250 per month for a solo clinician, $500 per month for up to 3 clinicians, with an $899 one-time white-glove migration fee — and no percentage-of-collections model or multi-year lock-in. Because EverBetter replaces four systems (EHR, patient portal, telemedicine, and billing platform), compare it against your whole stack, not a single line item. See plans and sign up, or request a demo first.