Behavioral Health EHR Pricing Compared (2026)
Published 2026 prices for behavioral health EHR software: Ona, TherapyNotes, SimplePractice, Ensora, ICANotes, and who publishes no figures at all.
Published behavioral health EHR prices in September 2026 run from $29 to $213 per clinician per month before add-ons. A prescribing clinician lands between $169 and $282 all-in. Ona charges $130 per practitioner seat plus $45 e-prescribing and $25 EPCS, so $200. Valant, Kipu and Qualifacts publish no figures.
Quick answer:
- For a prescriber, the seat plus prescribing is $134 at Ensora Health and at TherapyNotes, $148 at SimplePractice, $200 at Ona and $213 at ICANotes. Add each vendor's own AI documentation and video, which Ona already carries in the seat, and the all-in numbers are $169, $189, $207, $200 and $282 before activation.
- For a clinician who does not prescribe, the cheap end is $29 at Ensora Health, $49 at SimplePractice, $55 at ICANotes and $69 at TherapyNotes. Ona is $130 and is not the cheapest seat.
- Three vendors publish nothing usable: Valant runs a pricing page with no dollar figures, and Kipu and Qualifacts have no pricing page at all.
One framing note before the numbers. Ona is a general ambulatory EHR that scales from solo clinics to enterprise systems, and behavioral health is one of the nine specialties it serves. It appears in this comparison because it is on the shortlist a therapy or psychiatry practice actually builds, not because it belongs to that category.
Start with the prescriber, because that is where the bill gets real
A therapist seat is a small number almost everywhere. The moment someone prescribes, the price stops being the plan fee and becomes a stack: the seat, the e-prescribing module, EPCS for Schedule II to V, an AI scribe so notes close the same day, and video if the practice runs remote.
So every vendor below carries two figures. The seat plus prescribing is the seat and whatever that vendor charges to write a script. The all-in figure adds that vendor's own AI documentation and video, because Ona keeps the ambient scribe and telehealth inside its seat and a stack that leaves them out is not the same purchase. Our psychiatry and prescribing guide prints the same two numbers for the same vendors. Priced from each vendor's own page:
Ona. $130 practitioner seat, plus $45 per prescribing practitioner for e-prescribing and $25 for EPCS. $200 per prescriber per month, and the same $200 all-in. The ambient scribe and telehealth are in the seat, and so are charting, scheduling, the patient portal, intake, invoicing, the insurance and eligibility workflow, tasks and reports. Claims, ERAs and eligibility checks themselves are metered by an Ona Clearing House plan from $69, which cash-pay practices skip. No activation fee, no minimum term.
ICANotes. $213 a month for a full-time Prescribing clinician, and that plan carries e-prescribing, so $213 seat plus prescribing. Add $49 per user for AI Scribe and $20 per user for Telehealth: $282 per prescriber per month all-in, plus a $99 activation fee, on a subscription requiring a three-month commitment.
SimplePractice. Plus at $99 and ePrescribe at $49, so $148 seat plus prescribing. Care Aide at $59 for the account owner adds the AI documentation and telehealth is already in every plan: $207 per prescriber per month all-in, plus an $89 one-time ePrescribe setup fee.
Against those two, Ona comes in $82 a month under ICANotes and $7 under SimplePractice all-in, with no activation fee and no minimum term. Across three prescribers the ICANotes gap alone is roughly $2,950 a year before activation. Now the other half of it: on the seat plus prescribing, before anyone's scribe or video is switched on, Ona at $200 is $52 above SimplePractice and $13 below ICANotes. The gap that favours us is the like-for-like one. That is the honest shape of the win: real, not a landslide, and it does not hold everywhere.
Where a competitor is cheaper, plainly
Two vendors land under Ona all-in, three land under it on the seat plus prescribing, and several land far under it on a plain therapist seat.
TherapyNotes is cheaper for a prescriber, on both figures. $69 solo or $79 for the first clinician in a group, plus $65 per prescriber for ePrescribe: $134 seat plus prescribing solo, $144 in a group. Add $40 per clinician for TherapyFuel and $15 for Premium Telehealth, which is what it takes to match the scribe and video Ona keeps in the seat: $189 solo, $199 in a group all-in. TherapyNotes states that prescribing controlled substances through ePrescribe carries no additional fee, so EPCS sits inside that $65. Non-clinical seats are free, where Ona charges $45 each, and every TherapyNotes plan advertises 24/7 phone and email support. Ona's human support is a primarily business-hours team; what runs around the clock at Ona is the AI receptionist answering patient calls, not a person answering yours.
Ensora Health, formerly TheraNest, is cheaper still. Premier at $89 per therapist plus $45 for eRx and PDMP is $134 seat plus prescribing, the same figure as TherapyNotes. Add $35 for the Ensai Session Assistant, with telehealth included from the Advanced plan up: $169 per prescriber per month all-in. A $135 one-time eRx setup fee and a $19.50 annual CPT license per therapist sit on top, but the running number is still below Ona's.
And for a clinician who does not prescribe, Ona is the expensive option. Ensora Essentials is $29, SimplePractice Starter is $49, ICANotes Notes Only is $55, TherapyNotes Solo is $69. Ona is $130. If one therapist wants scheduling, notes and a card reader and nothing else, four of these five will cost less than Ona will, and the honest advice is to buy one of them.
Ona's $130 buys a wider surface: the chart, the money, the patient portal and the insurance workflow on one record, with AI charting and the scribe included rather than metered, and the front desk and the clearing house priced on top of that same record rather than bolted to a second system. That matters when a practice carries phone volume, insurance work and several clinicians. It matters little to a solo cash-pay therapist, and pretending otherwise would waste your demo slot.
How the published tiers are structured
Five of the eight platforms put real numbers on a public page, and the table below carries every tier. Three structural differences matter more than the headline figures. ICANotes prices by clinician load, so a part-time prescriber pays $138 instead of $213 but is capped at 100 notes a month. TherapyNotes and ICANotes make non-clinical seats free or nearly free, where Ona charges $45 a seat. And Ona sells a per-seat calculator rather than named tiers, so there is no cheaper plan to drop to and no feature gated behind a higher one.
Trial lengths differ too: 30 days at TherapyNotes and SimplePractice, 21 at Ensora Health on its top plan, 14 at Ona. None asks for a credit card.
The three that publish nothing
Valant maintains a plans and pricing page that contains no dollar figure. It says instead that pricing is built around your practice, that Valant will build a quote that fits how you actually operate whether you are a solo psychiatrist, a growing group practice or a multi-provider outpatient program, and that a Valant specialist will be in touch to walk through your custom quote once you hand over contact details. That is a form, not a price.
Kipu has no pricing page, and neither does Qualifacts. A request for a /pricing path on either domain returns a 404 and neither sitemap lists one; Qualifacts publishes ONC certification cost disclosures, which is a compliance document about certified health IT, not a price list.
This changes how you shop. With five vendors you can build a three-year cost model tonight. With the other three you cannot start until a call is booked and a quote comes back, by which point the evaluation has a sunk-cost problem. Ask them for the per-license rate, the one-time fees and the contract term in writing before the second call.
The fees that never make it onto the sticker
Four things reliably move a behavioral health software bill away from the number on the pricing page.
One-time setup. ICANotes charges a $99 activation fee, SimplePractice $89 to turn on ePrescribe, Ensora $135 per practice to turn on eRx. Ona charges no setup fee, and migration from any EHR is free, typically exported and imported inside one business day, with full cutover in one to three weeks for smaller practices.
Metered transactions. TherapyNotes bills 14 cents per electronic claim, per ERA claim, per eligibility request and per text or phone reminder. Ensora gives 50 free claims and 50 free eligibility checks a month on its Advanced plan, then charges 23 and 25 cents; Premier makes them unlimited subject to a fair usage policy. SimplePractice lists Insurance Navigator as coming soon at $1.79 per claim. At Ona, claims, ERAs and eligibility run on separate Ona Clearing House plans, from $69 a month for 100 claims, 100 ERAs and 200 eligibility checks up to $1,099 for 2,500 of each and 3,750 checks, every plan carrying unlimited providers and payer enrollments, and no plan needed at all for a cash-pay practice. On low claim counts a per-item vendor will beat that; on predictable ones a flat tier is easier to budget.
Card processing and annual licensing. TherapyNotes is 3.1 percent plus 30 cents per transaction, Ensora 2.99 percent plus 30 cents; Ona runs payments on Stripe and passes the rates through without taking a cut. Ensora also bills $19.50 per therapist each December for CPT code access, and ICANotes publishes text reminders, claims and statements as "Varies" with no figure at all.
Contract length. ICANotes requires a three-month commitment, cancellable after 90 days with 15 days notice. Ona has no long-term contract.
Behavioral health EHR pricing compared, September 2026
Ranked by how much of a prescribing clinician's bill the vendor publishes before you speak to anyone. This is a transparency ordering, not a quality ranking, and the cheapest all-in figure sits at rank three. Every figure was read from the vendor's own live pricing page in September 2026.
| Rank | Platform | Base list price per clinician per month | Prescribing, AI documentation and video add-ons | Per prescriber: seat plus prescribing, then all-in | Charged on top |
|---|---|---|---|---|---|
| 1 | Ona (general ambulatory EHR; behavioral health is one of nine specialties it serves) | $130 practitioner seat, $45 staff seat, 10% off billed annually, every feature on every plan | E-prescribing +$45 and EPCS +$25 per prescribing practitioner; scribe and telehealth in the seat | $200 seat plus prescribing, $200 all-in | Ona Clearing House from $69; AI receptionist from $100 for 400 minutes; omnichannel $150, free at two practitioners or fewer; calls $25 |
| 2 | TherapyNotes | Solo $69, Group $79 first clinician then $50 each additional, non-clinical staff free | ePrescribe +$65 with controlled substances at no additional fee; TherapyFuel +$40; basic telehealth included, Premium +$15 | $134 solo and $144 group seat plus prescribing; $189 solo and $199 group all-in | 14 cents per claim, ERA and eligibility request; 14 cents per text or call reminder; payments 3.1% plus 30 cents; MIPS reporting $359 a year |
| 3 | Ensora Health (TheraNest) | Essentials $29, Advanced $59, Premier $89 per therapist; $27, $54 and $82 annually | eRx and PDMP +$45; Ensai Session Assistant +$35; telehealth included from Advanced, +$12 on Essentials | $134 seat plus prescribing on Premier, $169 all-in | $135 one-time eRx setup per practice; $19.50 per therapist each December for CPT access; 23 and 25 cents per claim or eligibility check on Advanced, after 50 free of each per practice per month |
| 4 | SimplePractice | Starter $49, Essential $79, Plus $99; group Plus $99 first practitioner then $74 each additional | ePrescribe +$49; Care Aide +$59 for the account owner and +$49 per additional clinician, or Note Taker alone +$35 | $148 seat plus prescribing, $207 all-in | $89 one-time ePrescribe setup; Insurance Navigator listed as coming soon at $1.79 per claim; six or more practitioners moves to custom pricing |
| 5 | ICANotes | Notes Only $55, Non-Prescribing $75, Prescribing $213 full time; $35, $45 and $138 part time with note caps | Prescribing plan carries e-prescribing; AI Scribe +$49 per user; Telehealth +$20 per user | $213 seat plus prescribing, $282 all-in | $99 activation fee; three-month minimum; text reminders, claims and statements published as "Varies"; non-clinical users free for the first, $25 each after |
| 6 | Valant | Not published | Not published | Quote only | Pricing page states pricing is built around your practice and a specialist walks you through a custom quote after a contact form |
| 7 | Kipu | No pricing page | Not published | Quote only | Nothing published |
| 8 | Qualifacts | No pricing page | Not published | Quote only | Publishes ONC certification cost disclosures only |
What Ona costs, in full
Seats first: $130 per practitioner, $45 per non-clinical staff member, 10 percent off the whole bill on annual billing. Every feature is on every plan and AI features are included in the base plan at no extra cost, so the scribe, the charting templates and the conversational intake are not separate lines. Two practitioners and one staff member comes to $305 a month, or $274.50 billed annually. Five or more practitioners gets a tailored plan.
Add-ons, all published on the pricing page: e-prescribing $45 per prescribing practitioner, EPCS $25 more and requiring e-prescribing, calls with transcription and recording $25 a month, omnichannel messaging across SMS, email and chat $150 a month and free for practices with two practitioners or fewer. The AI receptionist is priced by included minutes: $100 for 400, $150 for 600, $200 for 800, $400 for 1,500, with $0.20 a minute beyond the tier.
Insurance work sits partly in the seat and partly in the Ona Clearing House plans. Eligibility on the chart, claim generation from the signed note, the status pipeline and the denial queue come with the platform; claim, ERA and eligibility volume is what the Clearing House plans meter, and they run on Stedi with no separate account, contract or fee on the practice's side.
Two limits worth pricing in rather than discovering later. Telehealth at Ona is one to one today, so a practice that runs group visits should weigh that before it weighs the bill. And there are no automated SMS or push reminder cadences; booking confirmations go out by email and the AI receptionist confirms what it books on the phone. Several vendors above charge for reminders and do send them.
Frequently asked questions
How much does a behavioral health EHR cost per clinician per month in 2026?
Published list prices run from $29 to $213 per clinician per month. Ensora Health starts at $29, SimplePractice at $49, ICANotes at $55 for a notes-only seat, TherapyNotes at $69, and Ona at $130 for a practitioner seat with every feature included. ICANotes tops the published range at $213 for a full-time prescribing clinician.
What does a prescribing clinician actually pay per month?
Two figures, and both matter. Counting the seat plus whatever the vendor charges to prescribe: Ensora Health Premier and TherapyNotes solo are both $134, SimplePractice is $148, Ona is $200 and ICANotes is $213. Counting the seat, e-prescribing, AI documentation and telehealth together: Ensora Health Premier is $169, TherapyNotes is $189 solo and $199 for the first clinician in a group, Ona is $200, SimplePractice is $207, and ICANotes is $282 plus a $99 activation fee. Ona's number does not move between the two because the ambient scribe and telehealth are in the seat. Valant, Kipu and Qualifacts publish no figure to compare.
Which behavioral health EHR is cheapest?
On headline list price, Ensora Health at $29 per therapist per month. For a clinician who does not prescribe, Ensora, SimplePractice, ICANotes and TherapyNotes all sit below Ona. Ona is not the cheapest seat, and for a single therapist doing paper-light cash-pay work it is the more expensive choice.
Which behavioral health EHR vendors do not publish prices?
Valant publishes a plans and pricing page that carries no dollar figure at all, saying only that pricing is built around your practice and that a Valant specialist will walk you through a custom quote. Kipu and Qualifacts publish no pricing page; a request for /pricing on either site returns a 404. All three require a sales conversation before you see a number.
What fees are missing from the sticker price?
One-time setup: $99 activation at ICANotes, $89 for ePrescribe at SimplePractice, $135 for eRx at Ensora Health. Metered items: 14 cents per claim, ERA, eligibility request and text reminder at TherapyNotes; 23 to 25 cents per claim or eligibility check at Ensora on its Advanced plan. Ensora also bills $19.50 per therapist each December for CPT code access.
How much does Ona cost for a behavioral health practice?
$130 per practitioner seat and $45 per staff seat per month, with every feature on every plan and 10 percent off billed annually. E-prescribing is $45 per prescribing practitioner and EPCS $25 more. The AI receptionist starts at $100 a month for 400 minutes. An insured practice also needs an Ona Clearing House plan for the claims, ERAs and eligibility checks themselves, from $69 a month, which cash-pay practices skip. There are no setup fees, no long-term contract, and a 14-day free trial with no credit card.
Next step
Build the three-year number, not the monthly one: seats in year two, prescribers, claim volume, reminder volume, setup fees and contract term. Then check it against a real workflow. Book a 15-minute demo with your prescriber stack in hand, see how Ona serves behavioral health practices, or start the 14-day free trial, full access, no credit card.
Written by
Ona Health team