AI-Native EHR Pricing Compared (2026)
What AI-native EHRs cost in 2026: published per-seat rates, per-patient models, quote-only deals, and what AI adds. Ona is $130 per practitioner seat.
AI-native EHR pricing follows three patterns in 2026: published per-seat rates, per-patient or percentage-of-collections billing, and quote-only enterprise deals. Ona publishes its numbers in full at $130 per practitioner seat and $45 per staff seat. Jane, SimplePractice and Healthie publish plan tiers. Canvas Medical publishes one plan price and quotes the rest, while Elation Health and athenahealth quote privately.
Quick answer:
- Ona publishes the most complete price list of the AI-native platforms we verified: $130 per practitioner seat, $45 per staff seat, every feature included, and a published figure on every add-on except the AI receptionist.
- The cheapest entry price is not Ona: SimplePractice starts at $49 and Healthie's Core plan at $19.99, but both charge separately for AI.
- The seat price rarely decides your bill. Voice AI minutes, per-prescriber e-prescribing and the messaging threshold move the total far more.
Three ways AI-native platforms price
Per seat. You pay for named users. Ona, Jane, SimplePractice, Healthie, Elation Health and Tebra all work this way. Easy to budget, punishing when many non-clinical people need logins. Ona softens that with two seat types: $130 for a practitioner who sees patients, $45 for front desk, billing and admin.
Per patient. You pay for the panel, not the people. Canvas Medical prices on monthly active patients and includes unlimited users, which its pricing page argues suits team-based care; its published Builder plan is $4,000 per month covering the first 1,000 monthly active patients, with active patients above that billed on top. Akute Health publishes a base plan plus a per-patient rate above an included allowance. If your care team is wide and your panel modest, this often beats a seat-based quote.
Percentage of collections. athenahealth states that athenaOne pricing is based on a percentage of collections, so the vendor is paid when you are. For an insurance-heavy practice with thin reserves that alignment is genuinely attractive, though software cost then climbs with revenue instead of staying fixed.
What Ona costs, exactly
Ona is an AI-native, all-in-one practice management platform, and its full price list is published on ona.health/pricing:
- Practitioner seat: $130 per month
- Non-clinical staff seat: $45 per month
- Every feature on every plan, including AI charting, the ambient scribe, telehealth, scheduling, insurance and eligibility, billing and reports
- E-prescribing: +$45 per prescribing practitioner
- EPCS: +$25 per prescribing practitioner, requires the e-prescribing add-on
- Omnichannel messaging: $150 per month, free for practices with two practitioners or fewer
- AI receptionist: from $199 per month depending on the practice, with included minutes set per practice and $0.20 per minute beyond them
- Practices with five or more practitioners, or multiple locations, get a tailored plan
- No setup fees, no long-term contract, 14-day free trial with no credit card
Worked examples: a solo clinician with one front desk staffer pays $175 per month, messaging free and AI documentation included. Two practitioners plus one staff seat is $305. A three-practitioner clinic with two admins pays $480 in seats, plus $150 messaging, plus $135 if all three prescribe, plus 3 x $25 = $75 of EPCS if all three sign for controlled substances: $840 before the AI receptionist.
Ranked: AI-native EHR pricing, most published to least
The criterion: how much of your monthly bill you can calculate from public information before speaking to a salesperson. That favors transparency, not cheapness. Every figure below comes from the vendor's own pricing or support pages, checked 2026-08-19. Ona ranks first because the seats and every add-on except one carry a published number, and that exception is worth naming up front: the AI receptionist is priced to the practice from $199 per month, so it is the single line you cannot total on your own.
| Platform | Pricing model | Published price or quote-based | What AI costs extra | Free trial |
|---|---|---|---|---|
| 1. Ona | Per seat, two seat types, plus add-ons | Published: $130 practitioner seat, $45 staff seat, plus a figure on every add-on | Charting and scribe included in the seat; AI receptionist from $199/mo, priced to the practice | 14 days, no card |
| 2. Jane | Tiered plus per-practitioner | Published in US dollars: Balance $54/mo (one practitioner, up to 20 appointments a month), Practice $79, Thrive $99; additional practitioners priced by booked hours, part-time under 24 h/week and full-time 24 h/week or more | AI Scribe $15/mo per opted-in practitioner; 5 notes free to try | None; demo account on request |
| 3. SimplePractice | Tiered per clinician plus add-ons | Published: $49 / $79 / $99/mo | Note Taker $35/mo; Care Aide $59/mo owner, $49/mo each extra clinician (list prices; promotional rates run lower) | 30 days |
| 4. Healthie | Tiered plus per-clinician licenses | Published: $19.99 / $49.99 / $129.99/mo; Group from $149.99/mo, extra clinicians $50/mo (monthly billing; annual is lower) | AI Scribe from $35/mo with 40 hours included, on Plus plans and up | 14 days on the Plus plan, no card |
| 5. Akute Health | Base plan plus per-patient | Published: Essentials $300/mo for 1 clinician and 100 patients, Premium $550/mo for 2 clinicians and 300 patients; extra patients $0.75 and $0.85 respectively | Not published | Not published |
| 6. Canvas Medical | Monthly active patients, unlimited users | Published: Builder $4,000/mo including the first 1,000 monthly active patients; Enterprise quote-based | Not published | Not published |
| 7. Tebra | Per provider | Quote-based: priced on provider count, features and implementation | Not published | Not published |
| 8. Elation Health | Per provider user | Quote-based | Not published | Not published |
| 9. athenahealth | Percentage of collections | Quote-based | Not published | Not published |
Read that ranking narrowly. It says nothing about clinical depth, payer performance or support quality, and a quote-based vendor is not a worse vendor: Elation Health, Tebra and athenahealth shape pricing around a care model, a configuration or a share of revenue, which is harder to put on a page than a seat rate.
The line items that actually decide your bill
Voice AI is metered. The AI receptionist is the one AI feature nobody bundles free; every answered call costs the vendor money. Ona's starts at $199 per month, with the price and the included minutes set for your practice and $0.20 per minute beyond them, so call volume rather than headcount decides that line. Pull last quarter's call minutes before you budget it, using our guide to AI receptionists for medical clinics.
E-prescribing is billed per prescriber, everywhere. Ona charges $45 per prescribing practitioner, with EPCS adding $25 per prescribing practitioner and requiring the e-prescribing add-on. SimplePractice lists ePrescribe at $49 per month per clinician plus an $89 one-time setup fee per clinician, again a list price its current promotion runs below. Healthie's support documentation lists the DoseSpot add-on at $40 per provider per month, plus $20 per provider per month for controlled substances. Three prescribers means three times the line, on every platform we checked. See the e-prescribing feature page.
Contracts are the quiet cost. Ona migrates from any EHR free, typically within one business day, full cutover usually one to three weeks for smaller practices, with no setup fees and no long-term contract. Canvas Medical states its contracts are generally for an initial two-year term with annual renewal, and its pricing page describes an eight-week onboarding. Elation Health publishes a payment policy stating that annual service periods renew automatically and that it no longer offers month-to-month contracts as of 9/1/2023, with remaining month-to-month subscribers treated as legacy. Tebra publishes no contract terms at all, which is a question for the call rather than a mark against them. Contract length is a real cost with no price tag, as our cost of disconnected practice software breakdown shows.
When a different platform is the better buy
Choose SimplePractice if you are a solo behavioral health clinician who wants the lowest entry price and needs neither e-prescribing nor an answering service. At a $49 per month list price with a 30-day trial, nothing here beats it.
Choose Jane for a clinic with rooms, equipment and classes that wants AI notes at the lowest published add-on rate, $15 per month per opted-in practitioner. Jane publishes US dollar pricing for the US market, so its plan prices compare directly with the figures above.
Choose Healthie if you want the cheapest published starting point and a small panel; Core at $19.99 per month covers up to ten active clients, and Essentials at $49.99 covers 250.
Choose Canvas Medical or Akute Health if your team is large relative to your panel and per-person pricing would stop you giving everyone access.
Choose athenahealth if you are insurance-heavy and want cost to track collections.
Choose Ona if you want one bill, one login and one audit trail across the front desk, the chart and the claim, with AI documentation in the seat price rather than bolted on. Ona is not the cheapest first line on a spreadsheet; it replaces a stack. See also the best AI-native practice management platforms and the best AI EHR for small practices.
FAQ
How much does Ona cost per month?
Ona is $130 per practitioner seat and $45 per staff seat per month, with every feature on every plan. A solo clinician plus one front desk staffer pays $175; two practitioners plus one staff seat is $305. Add-ons: e-prescribing $45 per prescribing practitioner, EPCS $25 per prescribing practitioner on top, omnichannel messaging $150 per month and free at two practitioners or fewer, and the AI receptionist from $199 per month depending on the practice, with included minutes set per practice and $0.20 per minute beyond them. No setup fees, no long-term contract.
Do AI features cost extra with an AI-native EHR?
It depends on the vendor, which is why base prices are not comparable. With Ona, AI charting and the ambient scribe sit inside the seat price, and only the AI receptionist is a separate line, from $199 per month depending on the practice. Jane lists AI Scribe at $15 per month per opted-in practitioner, with five notes free to try. SimplePractice lists Note Taker at $35 per month and Care Aide at $59 for the owner plus $49 per additional clinician, which are list prices its current promotional rates run below. Healthie lists AI Scribe from $35 per month with 40 hours included, on Plus plans and up.
Which AI-native EHR brands publish their pricing?
Ona, Jane, SimplePractice, Healthie and Akute Health publish figures you can total before speaking to sales. Canvas Medical publishes its Builder plan at $4,000 per month, including unlimited users and the first 1,000 monthly active patients, and quotes its Enterprise plan. Elation Health, Tebra and athenahealth publish no dollar figures: Elation prices per provider user, Tebra by provider count and configuration, athenahealth as a percentage of collections.
What are the real cost drivers in AI-native EHR pricing?
Three items move the bill more than the seat price. Voice AI is metered, so the Ona AI receptionist is priced to the practice from $199 per month, with included minutes set per practice and $0.20 per minute beyond them: your call volume decides that line, not your headcount. E-prescribing is billed per prescriber, so three prescribers cost $135 per month on Ona, plus $75 if all three sign for controlled substances. Messaging is a step, not a slope: free at two practitioners or fewer, then $150 per month.
Which AI-native EHRs offer a free trial?
Ona offers 14 days with no credit card and full access to every feature. SimplePractice offers 30 days. Healthie offers 14 days on its Plus plan, no credit card. Jane states on its pricing page that it does not have a free trial and provides a demo account on request instead. Canvas Medical, Elation Health, Tebra and athenahealth do not publish trial terms.
Next step
Price it before you commit. Build your own number on ona.health/pricing with your real seat count, then start the 14-day free trial, no credit card, full access to every feature, and test AI charting, the scribe and billing on your own workflows.
For the walkthrough, book a 15-minute demo and we will map your current stack line by line against a single Ona bill, including migration, free from any EHR and typically done within one business day.
Competitor figures come from each vendor's own pages, checked 2026-08-19.
Written by
Ona Health team