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

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

Pick SimplePractice if

• Fits if you're a solo US therapist who bills insurance and wants claims in the same account as your notes
• Works for groups of up to five clinicians who want a published price: Plus is $99 plus $74 a clinician

Look elsewhere if

• Tight if you stay on Starter: reminders, calendar sync, secure messaging and treatment plans start on Essential at $79
• Pricey if you want AI notes, as Note Taker is $35 a month and Care Aide $59 plus $49 per extra clinician
• Watch out: claims are 39¢ each, cards 3.15% + 30¢, and every clinician pays a $20 yearly fee for CPT codes
• Watch out: ePrescribe is $49 a month plus an $89 setup fee, and group sessions and extra clinicians need Plus
• Not for you if your group has six or more clinicians and you want a price up front, as those go through sales

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.

SimplePractice

• Insurance claims cost $0.39 each, card payments 3.15% + $0.30, and each clinician pays an annual $20 fee for CPT code access.
• Reminders, calendar sync and client messaging start on Essential; group sessions and extra clinicians need Plus.
• AI notes are extra: Note Taker is $35 a month, Care Aide $59 a month plus $49 per extra clinician. ePrescribe is $49 a month plus an $89 setup fee.
• The 50% discount applies only if a paid account starts within 7 days of the trial; groups of 6 or more clinicians are priced by sales.

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.

SimplePractice

Client portal and online booking

Clients request appointments online and complete paperless intake documents through a client portal website. Essential adds email, text and voice reminders and calendar sync.

Notes and treatment plans

Progress notes, a template library and measurement-based care come on every plan; customizable treatment plans and Wiley Treatment Planners start on Essential.

Built-in telehealth

Video sessions are included on every plan. Plus adds group appointments and group telehealth.

Insurance claims and payments

Claims are filed from the account at $0.39 each and clients pay online by card. Insurance Navigator, listed as coming soon, adds claim checks and benefits verification at $1.79 a claim.

Care Aide and Note Taker

Paid AI add-ons. Note Taker drafts progress notes from a recorded session or dictation; Care Aide adds live telehealth support, treatment plans in beta and client-ready summaries.

Clinician mobile app

An iPhone, iPad and Android app to manage the calendar, write and review session notes, share documents, send secure messages and take payments.

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.

SimplePractice

• Starter$49

  per month

  Unlimited clients, telehealth, progress notes, insurance claims, online payments, intake forms and a client portal. $24.50 a month for the first 3 months.

• Essential$79

  per month

  Adds free email, text and voice reminders, calendar sync, treatment plans, Wiley Treatment Planners and secure messaging. $39.50 for the first 3 months.

• Plus$99

  per month, plus $74 per additional clinician

  Adds group appointments, group telehealth, a premium support line and advanced analytics. $49.50 for the first 3 months; groups of 6+ can get custom pricing.

Medesk

No public discounts listed.

SimplePractice

• Other savings

  50% off the first 3 months

  Starting a paid account within 7 days of signing up halves the first 3 months: $24.50 for Starter, $39.50 for Essential and $49.50 for Plus, then the regular price.