Practice Fusion vs SimplePractice (2026): which should you pick?

Pick Practice Fusion if

• Fits if you are a doctor in a small practice that needs e-prescribing
• Makes sense if three signing staff per provider is enough for you

Look elsewhere if

• Pricey if you are a solo therapist, at $199 per provider
• Skip it if you want therapy tools, since the pages mention no client portal or telehealth
• Tight if you need billing, as billing services are separate with no price
• Watch out: billed monthly but with a required annual commitment

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

Practice Fusion

• The $199 price carries a required annual commitment, even though it is billed monthly.
• Billing services are a separate offering with no published price.
• It is built for medical practices; the pages read do not mention therapy-specific features such as telehealth sessions or client portals.

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.

Practice Fusion

Charting templates

A library of customizable charting templates for documenting visits, with signing licenses for providers and signing staff.

E-prescribing

Prescribing of regular and controlled substances and approval of refill requests. Controlled-substance prescribing is available only in the 50 US states and DC.

Labs and imaging

Orders go to lab and imaging centers from the chart, with structured results returned to the patient record and saved panels for re-ordering.

Reporting

Quality, clinical and practice management reports, plus MIPS, Meaningful Use and eCQM dashboards on provider licenses.

Billing services

An optional service with a billing team that handles claims scrubbing, submission, payment posting, denials and patient statements. Its price is not published.

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.

Practice Fusion

• EHR provider license$199

  per provider / month, billed monthly with an annual commitment

  Each provider license includes 3 signing staff licenses and unlimited non-signing staff. Prices exclude taxes.

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.

Practice Fusion

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.