5 Affordable EMRs for Small Medical Practices

By: on November 7, 2019

Here’s our list of five affordable EMRs:


Practice Fusion


Kareo Clinical

Praxis EMR

The best trick for finding the right electronic medical records (EMR) system at the right price is to know exactly what your small practice needs and what it doesn’t. If you’re reading this article, chances are you’re looking for a low-cost EMR system that provides the capabilities you need.

Based on our market research, small practices consider an EMR “affordable” if it’s available for less than $500 per month and offers essential features. According to conversations our advisors have had with 300 representatives from small medical practices in the past 12 months, we found that most are willing to spend $400 to $500 per month toward EHR costs.

chart of monthly emr budget for small practices

But which EMR systems can you get for under $500? And do they work well for small medical practices? To help you out, we’ve evaluated all the EMR systems in our database for their cost and looked at real user reviews that mention pricing.

Out of more than 400 EMR systems in our database, we selected the top five EMRs by sorting products based on lowest cost (“$”) and maximum number of published reviews. We eliminated specialty-specific systems to choose the top five systems that are suitable for all medical specialties.


4.38 out of 5 stars
450 reviews

NueMD is a cloud-based solution for medical practitioners. It offers EHR, practice management, medical billing services, and a mobile app. Its features include e-prescribing, charting, patient scheduling, and a patient portal.

The solution can be customized for more than 100 specialties and is suitable for practices of all sizes.

Cost: The starting price for NueMD is $99 per user per month. The solution offers a free demo as well.

Here’s what real users say about NueMD’s affordability in Software Advice reviews:

  • Users feel it comes at an affordable price, considering it bundles EHR and practice management (PM) together.
  • Users note that the solution is reasonably priced overall and a good value for the money.

Practice Fusion

3.73 out of 5 stars
359 reviews

Practice Fusion is a cloud-based EHR software that offers e-prescribing, charting, patient scheduling, lab and imaging integration, voice recognition, and other integrated features. Prior to January 2018, Practice Fusion offered a free version, but now it’s available for a subscription fee.

Practice Fusion is certified for ONC-ATCB and meaningful use, and it is HIPAA compliant. The solution is suitable for practices and clinics of all sizes.

Cost: The starting price for Practice Fusion is $99 per user per month, and the vendor offers a free trial.

Here’s what real users say about Practice Fusion’s affordability in Software Advice reviews:

  • Reviewers generally feel that it comes at a low cost to the consumer.
  • Although the solution was free previously, reviewers feel that it’s still reasonably priced with a paid subscription.


4.08 out of 5 stars
269 reviews

PrognoCIS is a cloud-based and fully integrated EHR, practice management, and billing solution. The software is certified by ONC-ATCB and for meaningful use. It offers features such as charting, appointment management, e-prescribing, handwriting recognition, and a patient portal.

PrognoCIS is suitable for solo medical practitioners as well as small to large multispecialty clinics.

Cost: The starting price of PrognoCIS EMR is $250 per month. The vendor also offers a free trial for potential buyers.

Here’s what real users say about PrognoCIS’ affordability in Software Advice reviews:

  • Reviewers say they’re able to get PrognoCIS up and running at a lower cost compared to other EMRs.
  • They also say the system provides all the required basic features for the price.
  • Users feel that the solution itself as well as the customer support are affordable.

Kareo Clinical

4.04 out of 5 stars
256 reviews

Kareo Clinical EHR is a cloud-based solution that offers an integrated and comprehensive set of tools such as EHR, medical billing, and practice management. It offers features such as patient scheduling, appointment management, customized dashboards, data tracking, visualization, and reporting and analysis.

Kareo can be used by a wide variety of specialties, such as family medicine, mental health, chiropractic, pediatrics, cardiology, and podiatry. It’s mostly suitable for small practices.

Cost: The starting price for Kareo is $80 per user per month. You can sign up for a free demo of the solution to test it out before purchase.

Here’s what real users say about Kareo Clinical EHR’s affordability in Software Advice reviews:

  • Users find it to be a cost effective solution.
  • They also feel it offers efficient service at a reasonable price.
  • The EMR and billing functionalities are priced separately, and users find both to be affordable.

Praxis EMR

4.96 out of 5 stars
137 reviews

Praxis EMR is a customizable EMR solution that uses artificial intelligence (AI) technology called Concept Processing rather than templates. It is intended to learn the way each physician operates and adapt to their individual needs.

Praxis EMR is suitable for small and midsize practices.

Cost: The starting price of Praxis EMR is $219 per month, which includes implementation and training. The solution also offers a free demo.

Here’s what real users say about PraxisEMR’s affordability in Software Advice reviews:

  • Several users feel that this solution beats other products in terms of price, quality and customer service.
  • Reviewers also remark on the affordable cost and efficient support.

Conclusions and next steps

The EMR solutions we’ve covered in this article should help you shortlist low-cost EMR systems for your small medical practice. To learn about even more low-cost EMR systems, click here.

Also, if you’re interested in free or open-source EMR systems, check out our guide to the pros and cons of choosing each.

You can also visit our EHR systems product page to see even more solutions that may suit your needs. Or call us at (855) 998-8505 for a free consultation with an EHR software advisor. To receive custom price quotes in your inbox, fill out this short questionnaire about your needs and details.

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