Halaxy vs Medesk (2026): which should you pick?

Pick Halaxy if

• Fits if you run a practice in Australia and want a free core system
• Works for a group that wants unlimited practitioners without per-seat fees

Look elsewhere if

• Skip it if you are outside Australia, as prices are in AUD with GST and several add-ons are Australian funding links
• Watch out: telehealth, SMS, e-scripts, rebate claims and the AI Scribe all use paid credits
• Pricey if you take cards: 1.5% to 1.9% plus 75c to $1 a transaction
• Watch out: two-way calendar sync and the API are paid subscriptions, not part of the free core

Pick Medesk if

• Fits if you're a solo or two-person clinic with under 50 visits a month
• Works for private clinicians outside the US who want online booking

Look elsewhere if

• Tight if you grow past 50 appointments a month, as you must move to Pro
• Pricey if you add modules, which cost 20% more on the base, and SMS is charged per message
• Watch out: the pricing page shows different prices by country, and $28 is the US figure
• Skip it if you bill insurers, since claim submission isn't listed

Halaxy

• Prices are shown in Australian dollars including GST, and several add-ons are built around Australian funding bodies.
• Card payments cost 1.5% to 1.9% per transaction plus 75c to $1, depending on volume band.
• Telehealth, SMS, e-scripts, rebate claims and the AI Scribe all use paid credits.
• Two-way calendar sync and the Halaxy API are paid subscription features, not part of the free core.

Medesk

• The Pro price is quoted per 50 appointments a month, so it grows with volume; the free plan stops at 50.
• The pricing page shows different prices by country; $28 is the figure listed for the US.
• Extra modules cost 20% more on top of the base appointment price, and SMS is paid per message.
• Insurance claim submission is not listed on the pricing page.

Halaxy

Calendar and online booking

Scheduling, a public booking page and directory listing, and email reminders are part of the free core platform.

Records and clinical notes

Patient records and clinical notes, with 700+ clinical tools and templates built for 90+ professions.

Invoicing and rebates

Free invoicing, plus automated claims to funding bodies such as Medicare, NDIS and HICAPS through paid credits.

Credit-based add-ons

SMS messages, e-scripts, telehealth, secure messaging and an AI Scribe are bought with credits, which the page prices at AUD $0.15 to $0.22.

Subscription features

Two-way calendar sync, white-label branding, e-script integrations, the Halaxy API and a dedicated practice phone number, from 25 credits a month.

Medesk

Scheduling and online booking

A shared calendar plus booking links and a patient portal. The schedule syncs with Google Calendar, Outlook and iCal.

Electronic health records

Medical history, consultation notes, lab results and documents in one record, with templates, ICD-10 coding and prescriptions.

Video consultations

Appointments can be turned into video calls, and group sessions of up to 20 people are listed on the Pro plan.

Billing and finance

Invoices, payments, price lists, stock control and payroll calculations sit in the same account as the schedule.

Reports and analytics

The vendor lists more than 80 ready-made reports, a report builder and tracking of where new patients come from.

Patient messaging

Email reminders are included. SMS needs a separate module, with messages paid per use through a local provider.

Halaxy

• Core platform$0

  Unlimited practitioners, locations and appointments. Add-ons are paid separately, by credit, by subscription, or per payment.

Medesk

• Free$0

  2 users, 1,000 patient records and 50 appointments a month, with online booking, patient portal and email reminders.

• Pro$28

  per month for up to 50 appointments, billing basis not shown

  Unlimited users and records, custom branding, video calls and advanced booking. Price rises with appointment volume.