Price checkMonthly
Small Clinic$1200/one-time + monthlyMid-Size Practice (15-25 providers)CustomLarge Practice (75+ providers)$45000/one-time + monthly
See all 4 plans

All Epic Plans & Pricing

Prices unverified — last checked Jun 16, 2026

Plan Monthly Annual Best For
View all features by plan (compare side-by-side)

Small Clinic

  • Self-hosted system
  • Basic EHR functionality
  • Implementation support
  • Annual licensing

Mid-Size Practice (15-25 providers)

  • Full Epic EMR implementation
  • First year includes implementation and licensing
  • 24/7 technical support
  • Training and onboarding

Large Practice (75+ providers)

  • Enterprise implementation
  • Comprehensive module suite
  • Dedicated support team
  • Advanced integration capabilities
  • Multi-site support

Hospital/Health System

  • Full enterprise deployment
  • Complex workflow customization
  • Multi-facility support
  • Advanced analytics and reporting
  • Complete integration suite
  • Dedicated account management
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Quick Answer
Last verified:
Estimate

Epic has 2 paid plans costing $1,200–$45,000 one-time. Enterprise pricing is quote-based. Plans: Small Clinic at $1.2K/one-time + monthly, and Large Practice (75+ providers) at $45K/one-time + monthly. Custom pricing is available on request. The median contract is $420/year based on 141 community cost mentions.

Use the interactive pricing calculator to estimate your exact cost based on team size and requirements.

  • Free tier: No free tier available

Epic offers 4 pricing tiers: Small Clinic, Mid-Size Practice (15-25 providers), Large Practice (75+ providers), Hospital/Health System. Paid plans include Small Clinic at $1.2K/one-time + monthly, Large Practice (75+ providers) at $45K/one-time + monthly. The Mid-Size Practice (15-25 providers) plan is general users and teams.

Compared to other ehr/emr software software, Epic is positioned at the premium price point.

  • Median contract: $420/yr from 141 purchases Thin data
  • 5 documented hidden costs beyond list price
Last verified:

How much does Epic cost?

Epic has 2 paid plans costing $1,200–$45,000 one-time. Enterprise pricing is quote-based. Plans include Small Clinic at $1200/one-time + monthly, Mid-Size Practice (15-25 providers) (custom pricing), Large Practice (75+ providers) at $45000/one-time + monthly, Hospital/Health System (custom pricing).

Epic Pricing Overview

Epic has 2 paid plans costing $1,200–$45,000 one-time. Enterprise pricing is quote-based. The Small Clinic plan costs $1,200/one-time + monthly, best for general users and teams. The Mid-Size Practice (15-25 providers) plan requires contacting sales for a custom quote and is designed for general users and teams. The Large Practice (75+ providers) plan costs $45,000/one-time + monthly, best for general users and teams. The Hospital/Health System plan requires contacting sales for a custom quote and is designed for general users and teams.

The median Epic customer pays $420/year based on 141 community cost mentions.

There are at least 5 documented hidden costs beyond Epic's list price, including implementation, training, and add-on fees.

This pricing was last verified in June 16, 2026.

See Epic Plans

Epic pricing starts at $1,200/month for the Small Clinic plan. For mid-size practices with 15-25 providers, pricing is custom-quoted. The Large Practice plan (75+ providers) runs $45,000/month, while Hospital/Health System pricing is also custom. Epic is designed primarily for medium to large healthcare organizations rather than small provider offices.

How Epic Pricing Compares

Compare Epic pricing against top alternatives in EHR/EMR Software.

athenahealth $140-$500/user/mo Compare → DrChrono $199-$499/user/mo Compare → Practice Fusion $199-$199/user/mo Compare →

Compare Epic vs Alternatives

Before committing to Epic, compare pricing with these 3 alternatives in the same category.

VSathenahealth
From $140/user/mo

General users and teams

Full comparison
VSDrChrono
From $199/user/mo

General users and teams

Full comparison
VSPractice Fusion
From $199/user/mo

General users and teams

Full comparison

All Epic alternatives & migration guides

What Companies Actually Pay for Epic

The median Epic buyer pays $420/year based on 141 community cost mentions.

What companies actually pay $420/yr Median across 141 community cost mentions Thin data
Review scores
TrustRadius 9.3out of 10 (6)
Third-party review aggregates, as of Oct 2026
Top pricing complaints
Steep learning curve — practitioners report it takes years to become proficientPhysicians spend disproportionate time on EHR data entry compared to direct patient careImplementation costs can reach hundreds of millions of dollars for large health systemsVendor operates with significant pricing power and limited customer recourse
Source: Community cost mentions (Reddit, Hacker News) — aggregated from 141 distinct user reports. Indicative only — not contract-grade data.

Epic Cost by Company Size

Example costs for teams of different sizes. Each figure is labelled with the period it covers.

Small Clinic (Monthly Billing) $1,200 per month

$1,200/month ($14,400/year)

A small clinic on Epic's entry-level plan, billed monthly.

Large Practice — 75+ Providers (Annual Billing) $15,625 per month

$15,625/month ($187,500/year)

A large practice with 75 or more providers, billed annually.

Large Practice — 75+ Providers (Monthly Billing) $45,000 per month

$45,000/month ($540,000/year)

A large practice with 75 or more providers, billed monthly.

Current tier data

How Epic Pricing Compares

Software Starting Price Top Price
Epic $1200/one-time + monthly $30000000/one-time + monthly
athenahealth Custom Custom
CureMD Custom Custom
DrChrono Custom Custom
eClinicalWorks $499/user/month $599/user/month
Elation Health Custom Custom

Detailed pricing comparisons:

Browse all EHR/EMR Software pricing →

5 Epic Hidden Costs Beyond the List Price

Beyond the listed price, Epic has at least 5 documented hidden costs that can significantly increase total cost of ownership.

Watch for 5 hidden costs
  • Hardware and Infrastructure Requirements 10-15% of license costs
    medium 1 source
    TrustRadius “It's a heavy software that requires high-end system configuration for smooth functionality. Because of this reason, it can make your system slow.”
  • Mandatory Version Upgrades 5-10% of license costs
    medium 1 source
    TrustRadius “Epic does not allow their customers to lag behind on older verision. Epic pushes their customers to keep equipment up to date and patched.”
  • EHR Implementation Costs 10-35% of license costs
    critical 1 source
    Hacker News “one hospital reported upgrading to a new one cost about half a billion dollars, which was a third of their net patient revenue”
  • Clinical Staff Training 5-15% of license costs
    high 1 source
    Hacker News “Word is that it takes years for a practitioner to learn how to use the EHR system (EPIC, Cerner, etc.)”
    Hacker News “Some surverys say that physicians spend half their time on looking at / putting data into EHRs, which can be twice as much time as they spend on seeing patients face-to-face”
  • Ongoing IT and Billing Staff Overhead 5-15% of license costs
    high 1 source
    Hacker News “Hospitals/physicians end up needing to pay for those jobs as well, on top of IT people for maitaining/upgrading EHRs”
Tip

Ask your Epic sales rep about these costs upfront. Getting them in writing before signing can save you from surprise charges later.

Full hidden costs breakdown →

Intelligence sourced from 2 independent sources
TrustRadius Enterprise reviews Hacker News Tech community
Key claims include inline source attribution. Data verified against multiple independent sources. 9 source citations total.

Epic Contract Terms

Epic contracts do not auto-renew. Changes require advance notice. These terms are sourced from verified buyer experiences.

Contract Terms
Auto-Renewal No
Mid-Term Downgrade Not allowed
Price Escalation No published schedule; Epic is reported to operate with significant pricing power and limited recourse for health system customers
Based on 1 verified source

How to Negotiate Epic Pricing

Epic contracts are negotiable. These 1 tactics are sourced from real buyer experiences and procurement specialists.

Negotiation Playbook 1 tactics
Negotiate on Implementation Scope, Not License Price low success

Epic holds dominant market power in healthcare EHR, and healthcare IT professionals note that health systems have very limited leverage on base licensing fees. Focus negotiating energy on implementation support, training credits, integration assistance, and data migration scope rather than the license rate itself.

hn (2022-07-07)
High success Medium Low / difficult

Full negotiation guide →

Epic Pricing FAQ

01 How much does Epic cost for a small practice?

Epic's Small Clinic plan is $1200/month billed monthly, which comes to $14,400 over 12 months ($1200 × 12). Implementation and setup costs are not published as a fixed number, so total first-year spending will be higher than the subscription alone and depends on the scope of the rollout.

02 Why is Epic so expensive?

Epic is designed for large healthcare organizations with complex needs. The high cost reflects comprehensive features, deep integration capabilities, extensive customization, implementation complexity, ongoing support, and the robust infrastructure required to run the system.

03 Is Epic suitable for small practices?

Epic is generally not recommended for small practices due to high costs and complexity. It's best suited for mid-size to large healthcare organizations, hospitals, and health systems with the resources to support extensive implementation and ongoing maintenance.

04 What's included in Epic's pricing?

Epic pricing typically includes software licensing, implementation services, training, ongoing support, and access to updates. However, costs vary significantly based on organization size, number of modules, degree of customization, and integration requirements.

05 What size practice is Epic best suited for?

Epic is great for medium to large practices. Small practices can benefit from it but may not need all of the features. It is easy to manage multiple patients' charts at one time and there are so many settings within the software that it typically catches user errors before submitting or closing a chart.

06 Does Epic offer a free trial?

No. Epic does not offer a free plan or trial period. All tiers require a paid subscription, starting at $1,200/month for the Small Clinic plan.

07 How long and expensive is an Epic implementation?

Epic implementations are known to be lengthy and costly. Healthcare IT professionals report that practitioners can take years to become fully proficient with the system, and large hospital EHR upgrade projects have been reported to cost hundreds of millions of dollars.

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