Practice Fusion vs Epic Pricing (2026)
Compare / Practice Fusion vs Epic
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Team size
25 seats

Practice Fusion vs Epic

EHR/EMR Software pricing comparison · 2026

Practice Fusion starts at $199/mo, while Epic costs $1,200–$45,000 one-time. Practice Fusion is typically 100% more affordable, though your actual cost depends on tier and team size.

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Above-the-fold path — each link opens the vendor's pricing page in a new tab.
Visit Practice pricing
Discount programs →
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Discount programs →
Compare
2 products · EHR/EMR Software
Side-by-side · live
Practice Fusion
Practice Fusion costs $199/month billed monthly per provider for the Standard (Annual Comm
verified 4mo ago
$420 $490
View pricing →
Epic
Epic pricing starts at $1,200/month for the Small Clinic plan.
verified 5mo ago
$420 $490
View pricing →
Recorded annual contract medians
Epic median is $70 less than Practice · different customer contracts; not a quote
Cheapest $420
Spread 14%
Estimated license cost
at 25 seats
List price × seats. Click a tier below to lock it.
Practice Fusion
$60K/yr
year 1 license · $199/seat
Large Practice (75+ providers)
$540K/yr
year 1 license · flat plan price
What buyers actually pay
median, annual
Vendr deal-flow data. The real benchmark, not list price.
Median annual
$490/yr
Vendr · n=65
↓ Lowest median
Median annual
$420/yr
Vendr · n=141
REF · 01

Sources & confidence

Every dollar amount and contract clause below traces back to a sourced fact. We don't manufacture composite scores.

Where this data comes from
Vendr · TrustRadius · Reddit · BBB · official docs
Sources 14 sourced facts
12 hidden-cost · Vendr median · 1 review platform
Last verified 4mo ago
Confidence Medium confidence
Sources 9 sourced facts
6 hidden-cost · 1 contract · Vendr median · 1 review platform
Last verified 4mo ago
Confidence Limited confidence
REF · 02

Plans at a glance

Every tier per product. Lock one to drive the cost row above and reveal a tier-specific outbound CTA.

Tier ladder
Click a tier to lock the cost row to it. Locking surfaces a tier-specific Visit CTA.
REF · 03

Hidden costs

Each cost is severity-ranked, with the dollar range quoted from its source (Vendr, Reddit, TrustRadius, BBB, official docs) — never our estimate.

Beyond the sticker
Severity-ranked, sourced
5 documented
  • Difficult Cancellation Process
    Continued billing for 1-12 months
    3 sources
  • Add-On Costs
    5-15% of license costs
    1 source
  • Limited Customization Requires Workflow Workarounds
    5-15% of license costs
    2 sources
  • Lab Result Data Requires Manual Processing Outside the System
    5-10% of license costs
    1 source
  • Stalled Feature Roadmap Requires Third-Party Supplements
    5-10% of license costs
    1 source
5 documented
  • Hardware and Infrastructure Requirements
    10-15% of license costs
    1 source
  • Mandatory Version Upgrades
    5-10% of license costs
    1 source
  • EHR Implementation Costs
    10-35% of license costs
    1 source
  • Clinical Staff Training
    5-15% of license costs
    2 sources
  • Ongoing IT and Billing Staff Overhead
    5-15% of license costs
    1 source
REF · 04

Contract terms

The fine print, surfaced. Green = buyer-friendly. Each clause backed by a quoted source.

Practice
Epic
Auto-renewal
—
—
Cancellation
—
—
Commitment
1 year
—
Price escalation
—
No published schedule; Epic is reported to operate with significant pricing power and limited recourse for health system customers
Can downgrade
—
—
Based on 1 verified source (Vendr · TrustRadius · BBB)
REF · 05

What users say

Aggregated, with sample sizes. We use whichever review platform has data.

User reviews
TrustRadius · Trustpilot · G2
TrustRadius
7.2out of 5 (8)
Best for
General users and teams
Watch out
No customization options available
TrustRadius
9.3out of 5 (6)
Best for
General users and teams
Watch out
Steep learning curve — practitioners report it takes years to become proficient
Decide
Get a quote from each vendor
Each link opens the vendor's pricing page in a new tab.
Visit Practice pricing
Discount programs →
Visit Epic pricing
Discount programs →
License cost is computed from publicly listed plans (real math, list price × seats). Median annual cost is from Vendr's deal flow when available — see source badges. Hidden costs and contract terms each cite their own sources. We do not invent composite scores.
EHR/EMR Software

Practice Fusion

From $199
/mo
2 plans
Full pricing breakdown →
VS
EHR/EMR Software

Epic

$1,200–$45,000 one-time
4 plans
Full pricing breakdown →

Practice Fusion and Epic both operate in the ehr/emr software category. This page compares their list pricing.

Plan-by-Plan Pricing

Plan Practice Fusion Epic
Standard (Annual Commitment) $199 /user/month $1.2K /one-time + monthly
Practice Fusion $199 /user/month Custom
Large Practice (75+ providers) — $45K /one-time + monthly
Hospital/Health System — Custom

Cost at Scale

Total cost of ownership — licenses, implementation, and hidden costs included.

Practice Fusion

6 scenarios
$2,388 Year 1 ($199/month × 12 months)
Solo Provider Practice
$7,164 Year 1 ($597/month × 12 months)
Small Practice (3 Providers)
$23,880 Year 1 ($1,990/month × 12 months)
Mid-Size Practice (10 Providers)
See all 6 scenarios →

Epic

3 scenarios
$1,200/month ($14,400/year)
Small Clinic (Monthly Billing)
$15,625/month ($187,500/year)
Large Practice — 75+ Providers (Annual Billing)
$45,000/month ($540,000/year)
Large Practice — 75+ Providers (Monthly Billing)

Market Intelligence

Practice Fusion

Median annual cost
$490
Based on
65 deals

Epic

Median annual cost
$420
Based on
141 deals

Hidden Costs

Beyond the sticker price — what catches buyers off guard.

Practice Fusion 8 hidden costs

high
Difficult Cancellation Process Continued billing for 1-12 months
medium
Add-On Costs 5-15% of license costs
medium
Limited Customization Requires Workflow Workarounds 5-15% of license costs
medium
Lab Result Data Requires Manual Processing Outside the System 5-10% of license costs
low
Stalled Feature Roadmap Requires Third-Party Supplements 5-10% of license costs
See all Practice Fusion hidden costs →

Epic 5 hidden costs

medium
Hardware and Infrastructure Requirements 10-15% of license costs
medium
Mandatory Version Upgrades 5-10% of license costs
critical
EHR Implementation Costs 10-35% of license costs
high
Clinical Staff Training 5-15% of license costs
high
Ongoing IT and Billing Staff Overhead 5-15% of license costs
See all Epic hidden costs →

Contract Terms

Term Practice Fusion Epic
Auto-renewal — —
Cancellation — —
Minimum commitment 1 year —
Price escalation — No published schedule; Epic is reported to operate with significant pricing power and limited recourse for health system customers

Continue researching

Practice Fusion

Epic

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