Legacy enterprise EHR
$449–599/provider/mo
Before implementation, training, and data migration. Reviewers report extra charges per virtual visit, for iPad use, the clearinghouse, an annual ECPS fee, and the integrated scribe.
Founding-customer pricing
One all-inclusive rate, the whole platform in the box, and none of the per-visit, per-feature, percentage-of-your-revenue surcharges the incumbents bolt on after you sign.
Early access, founding customers
All-inclusive. Every module, every care setting, on one secure core.
Rate locked for your first 3 months as a founding customer.
In development, early access opening 2026. Full tiered pricing arrives as the platform matures; founding customers keep their rate through the early-access window.
What you actually pay elsewhere
Most EHR pricing looks reasonable until the add-ons arrive. Here is where the market sits in 2026, drawn from public pricing and independent reviews, next to a single all-inclusive number.
Legacy enterprise EHR
$449–599/provider/mo
Before implementation, training, and data migration. Reviewers report extra charges per virtual visit, for iPad use, the clearinghouse, an annual ECPS fee, and the integrated scribe.
Percentage-of-collections vendors
~4–7%of collections
Priced as a share of your revenue, so the cost rises as your practice grows, and the monthly number is never the same twice.
Budget cloud EHRs
$99–399+/provider/mo
Entry rates look low, but AI note drafting and key modules are sold separately, and the module count pushes the real total well past the sticker.
OmniEHR
$249/provider/mo
All-inclusive. No per-visit fees, no percentage of collections, no add-on tax. Every module included, locked for your first 3 months.
Figures reflect common 2026 market pricing patterns and independent reviews, shown as category context, not specific-vendor quotes. OmniEHR is in active development and pre-pilot; we do not publish customer counts or savings claims we cannot yet stand behind.
How it works
You license the modules your care settings need. What you never license again is the space between them.
Every deployment starts with the secure core: record store, identity, consent, audit, and the event backbone. Everything else attaches to it.
Add the modules your care settings need. Each is independently deployable, so adding one later never re-opens the ones you run today.
Pricing scopes to sites, users, and care volume. Growing from one clinic to twelve is a license change, not a migration.
Typical footprints
Behavioral health clinic
A practice that lives in therapy notes, measurement-based care, and Part 2 consent. Billing included, nothing hospital-shaped in the way.
Community hospital
Inpatient, emergency, pharmacy, flow, quality measurement, and the intelligence layer. The capability set usually priced for systems ten times the size.
Health system, expanding home
Hospital-at-home with native SmartCemic remote monitoring, plus hospice and assisted living. Acute care in the living room, on the same record as the ward.
Every footprint includes the security model, the audit ledger, FHIR R4 APIs, and standards conformance. Those are the floor, not add-ons.
Join the early-access program at $249 all-inclusive, locked for your first three months. Tell us your settings, sites, and team, and we will get you started.