Practice Fusion vs Tebra (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 Tebra if

• Fits if you run an independent medical or mental health practice that bills insurance
• Works for practices that want their website, listings and review replies next to the EHR

Look elsewhere if

• Skip it if you want a price before talking to sales, as every package is quoted after a demo
• Not for you if you want to try it first, as there's no free plan or trial on record
• Watch out: controlled-substance prescribing adds about $75 a provider, and PDMP checks $500 a facility plus about $50 a user a year
• Skip it if your team uses Android phones, as the app is listed for iPhone and iPad only
• Watch out: pricing is per clinical provider, with lower tiers only for providers billing 100 claims or fewer a month

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.

Tebra

• No subscription prices are published; every package (EHR Starter, Billing Starter, EHR+, Patient Experience + Marketing, All in One) is quoted after a demo.
• Controlled-substance prescribing adds about $75 per provider for EPCS setup, and PDMP checks cost $500 per facility plus about $50 per user a year.
• Pricing is per clinical provider; providers billing 100 claims or fewer a month can get lower-tier pricing.
• The mobile app is listed on the App Store for iPhone and iPad; the pages read mention no Android app.

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.

Tebra

Cloud EHR with AI Note Assist

Charting with flowsheets and templates, treatment plans, AI-generated clinical notes, e-prescribing with controlled-substance and PDMP checks, electronic labs and MIPS reporting.

Billing and claims

Real-time eligibility checks, charge capture, electronic claims with rejection and denial handling, automatic payment posting and insurance enrollment. Managed billing is also offered.

Patient scheduling and intake

Online scheduling, digital intake, custom appointment reminders, HIPAA-compliant two-way messaging and a patient portal.

Practice marketing

A custom practice website, listings on 80+ web profiles including Google Business Profile, patient feedback collection and AI-drafted replies to reviews.

Telehealth

Video visits are built into the platform alongside the EHR, and are listed in Tebra's packages on the pricing page.

Mobile app

An iPhone, iPad and Apple Watch app for the schedule, patient records, secure messages, clinical notes, e-prescribing, labs and superbills.

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.

Tebra

Pricing could not be confirmed. See tebra.com.