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Epic costs $1.2K to $30000K per one-time + monthly as of November 2026, with 4 plans available. 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. Pricing depends on your chosen tier, contract length, and negotiated discounts.

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.

Epic lists $1200-$30000000/one-time + monthly, but hidden costs like implementation and support add to the total as of November 2026. Key hidden costs: hardware and infrastructure requirements, mandatory version upgrades, ehr implementation costs. Verified from 1 sources by CostBench.

Hidden Costs Breakdown

1

Hardware and Infrastructure Requirements

medium implementation

Epic requires high-end system configuration for smooth functionality, which can make systems slow and require additional hardware investments beyond the software licensing costs.

trustradius · 2022-08-03

It's a heavy software that requires high-end system configuration for smooth functionality. Because of this reason, it can make your system slow.

2

Mandatory Version Upgrades

medium support

Epic does not allow customers to lag behind on older versions and pushes customers to keep equipment up to date and patched, which can create unexpected upgrade costs.

trustradius · 2025-05-22

Epic does not allow their customers to lag behind on older verision. Epic pushes their customers to keep equipment up to date and patched.

3

EHR Implementation Costs

critical implementation

Large health systems face major implementation costs when deploying Epic. Healthcare IT professionals note that EHR implementations can cost hundreds of millions of dollars for large organizations, covering hardware, data migration, integration work, and project management overhead.

hn · 2017-10-16

one hospital reported upgrading to a new one cost about half a billion dollars, which was a third of their net patient revenue

4

Clinical Staff Training

high training

Epic requires extensive training investment for clinical staff. Practitioners report it takes years to become proficient, and surveys indicate physicians may spend as much time on EHR data entry as on direct patient care.

hn · 2017-10-16

Word is that it takes years for a practitioner to learn how to use the EHR system (EPIC, Cerner, etc.)

hn · 2017-10-16

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

5

Ongoing IT and Billing Staff Overhead

high support

Maintaining Epic requires dedicated IT personnel for system maintenance and upgrades, plus specialized billing coders to manage complex CPT/ICD coding requirements. These ongoing staffing costs add significantly to total cost of ownership beyond licensing fees.

hn · 2017-10-16

Hospitals/physicians end up needing to pay for those jobs as well, on top of IT people for maitaining/upgrading EHRs

Frequently Asked Questions

01 What hidden costs should I budget for with Epic?

Beyond the license fee, budget for: Hardware and Infrastructure Requirements (10-15% of license costs); Mandatory Version Upgrades (5-10% of license costs); EHR Implementation Costs (10-35% of license costs); Clinical Staff Training (5-15% of license costs); Ongoing IT and Billing Staff Overhead (5-15% of license costs). Exact totals depend on your deployment size and negotiated terms.

02 Does Epic charge for implementation?

Epic implementation is not included in the license cost. Epic requires high-end system configuration for smooth functionality, which can make systems slow and require additional hardware investments beyond the software licensing costs.. Estimated impact: 10-15% of license costs.

03 How much does Epic support cost?

Epic does not allow customers to lag behind on older versions and pushes customers to keep equipment up to date and patched, which can create unexpected upgrade costs.. Estimated impact: 5-10% of license costs.

04 Are there overage or storage costs with Epic?

Overage and storage policies for Epic depend on tier limits. Check the sourced cost breakdown above for verified data.

05 What add-ons cost extra with Epic?

Add-on pricing for Epic varies by feature. The sourced cost breakdown above lists any verified add-on costs we have.

Check current Epic pricing

Prices and terms change; verify against the live pricing page.

See Epic Pricing