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eClinicalWorks Pricing 2026

Plans, hidden costs, and cheaper alternatives compared

Is eClinicalWorks worth the price?

75/10

eClinicalWorks' pricing, at $449/mo for EHR Only and $599/mo for EHR with Practice Management per provider, is competitive for a comprehensive cloud-based EHR system.

The RCM as a Service at 2.9% of collections is also standard. This pricing structure is best for small to medium-sized practices looking for an all-in-one solution with strong support.

Pricing Plans

EHR Only

$449/mo per provider

  • Electronic Medical Record (EMR)
  • eClinicalMobile®
  • eClinicalWorks P2P™
  • Patient Portal
  • eClinicalMessenger®
  • Document Management
  • Referral Management
  • Meaningful use Dashboards
  • eBO View (reporting)
  • Registry Reporting
  • ePrescribing and Formulary Checking
  • 24x7 Support
  • Maintenance
  • Cloud Hosting
  • Disaster Recovery
  • Unlimited Free Webinars/Videos

EHR with Practice Management

$599/mo per provider

  • Electronic Medical Record (EMR)
  • Practice Management (PM)
  • eClinicalMobile®
  • eClinicalWorks P2P™
  • Patient Portal
  • eClinicalMessenger®
  • Document Management
  • Referral Management
  • Meaningful use Dashboards
  • eBO View (reporting)
  • Registry Reporting
  • ePrescribing and Formulary Checking
  • 24x7 Support
  • Maintenance
  • Cloud Hosting
  • Disaster Recovery
  • Billing Implementation Services
  • Unlimited Free Webinars/Videos

RCM as a Service

$2.9

  • Claim creation and processing
  • Denial and rejection management
  • Appeals at all levels
  • Preventative claim edits
  • Clear visibility into your A/R
  • Billing rules
  • eClinicalMessenger®
  • Document Management
  • Referral Management
  • eBO View (reporting)
  • Registry Reporting
  • 24x7 Support
  • Maintenance
  • Private Cloud (Hosting)
  • Disaster Recovery
  • Billing Implementation Services
  • Unlimited Free Webinars/Videos

Hidden Costs & Gotchas

Potential extra costs for advanced integrations

RCM percentage can vary with collection efficiency

No free trial to test features

Which Plan Do You Need?

Practices needing integrated EHR/PM

Providers seeking robust support

Practices focused on patient engagement

How eClinicalWorks Compares to Competitors

Compared to Athenahealth, which can range from 2.75-5% of collections for RCM and often has higher per-provider EHR fees, eClinicalWorks offers a more transparent and potentially lower entry point. Cerner, typically for larger hospital systems, is significantly more expensive and complex, making eClinicalWorks a more accessible option for private practices.

eClinicalWorks Pricing FAQ

How much does eClinicalWorks cost?

eClinicalWorks starts at $2.9/month on the RCM as a Service plan. It offers 3 paid tiers ranging from $2.9/month up to $2.9/month.

Does eClinicalWorks have a free plan?

eClinicalWorks does not offer a permanent free plan. Paid plans are required from day one.

What is the cheapest eClinicalWorks paid plan?

The cheapest paid plan for eClinicalWorks is "RCM as a Service" at $2.9/month. Key features include: Claim creation and processing, Denial and rejection management, Appeals at all levels.

Is there a cheaper alternative to eClinicalWorks?

Yes. Popular alternatives to eClinicalWorks include Healthie, MassageBook, ezyVet, SimplePractice. Free alternatives include Atlas Chiropractic Software. Compare them side-by-side on Toolradar.

Cheaper alternatives to eClinicalWorks

Direct competitors with similar features. Many offer free tiers or lower per-seat pricing.