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Psychiatric EHR total cost calculator

Add up base plan, controlled-substance prescribing, texting, fax, and telehealth from published list prices.

Draft 2026-10-23. Vendor facts verified 2026-10-21 to 2026-10-23 (see dated Sources).

Disclosures

  • How we make money: Some links may earn us a referral fee at no cost to you. Fees never affect scores, rankings, or what we cover, and we accept no paid placement.
  • How this was researched: Everything on this page comes from public vendor documentation, regulators, and third-party sources, each linked below with the date we checked it. We did not test these products hands-on.
  • Not advice: General business software information, not medical, legal, billing, or compliance advice. Confirm current prices, state rules, and BAA terms directly with the vendor before you buy.

How this works

Pick the parts of your stack and enter usage. The calculator adds published monthly list prices for one prescriber. Anything a vendor does not publish is shown as "not published" and left out of the total, so totals for those vendors are floors, not estimates. Scores are from the comparison page [1]. Excludes taxes, claims fees, card processing, and promotions. Annual fees are divided by 12.

Calculator






EHR (score)Monthly total, one prescriberOne-time or unpriced extras
Turn on JavaScript to use the calculator. The price basis table below lists every input.

Price basis

EHRBase planControlled-substance prescribing (eRx, EPCS, PDMP)Two-way textingeFaxTelehealthExtras
TheraNest (Ensora Health) (74)$59.00: Advanced plan [2]$45.00: eRx + EPCS + PDMP add-on [2]Not published. Two-way texting not documented; reminders only [2]Not published. Not published $0.00: Included on Advanced [2]$135 one-time eRx setup per practice
CharmHealth (73)$200.00: Provider plan [3]$20.83: EPCS $250/yr incl. eRx; PDMP $100 one-time [3]1,000/mo included in Provider plan, then $0.08 each [3]500 pages/mo included in Provider plan, then $0.10 each [3]$20.00: CharmTeleHealth add-on (may be bundled; confirm) [3]$100 one-time PDMP per provider
OptiMantra (73)$99.00: First practitioner [4]$38.00: eRx license with EPCS [4]$75.00: Two-way texting add-on [4]$25.00: Fax number add-on [4]$0.00: Listed in base plan [4]Possible Bamboo Health PDMP fees
PracticeQ (IntakeQ) (72)$84.90: Practice Management [5]$65.00: ePrescribe incl. EPCS [6]Not published. Two-way not documented [7]Not published. Not published $0.00: Included [5]Bamboo PDMP fees not published
Osmind (68)$249.00: Osmind One [8]$49.00: EPCS via DrFirst [8]Not published. Not published Not published. Not published Not published. Listed; price not published [8]Unpublished EPCS and PDMP setup fees
AdvancedMD (66)$130.00: Low end of mental health range [9]$35.00: EPCS typically $35 incl. PDMP [9]Not published. Not published Not published. Not published $0.00: Core included feature [9]Setup free to $1,000
ICANotes (66)$213.00: Prescribing plan, unlimited notes [10]$4.17: eRx in plan; Bamboo PDMP about $50/yr in California [11]Not published. Not published Not published. Not published $20.00: Telehealth per user [10]$99 activation
Valant (60)Not published. Custom quote [12]$0.00: Vendor says EPCS and PDMP included [13]Not published. Two-way not documented; reminders $0.09 each [14]$0.06 per page integrated outbound [14]$35.00: Practice-wide rate [14]None listed
SimplePractice (60)$49.00: Starter [15]$55.25: ePrescribe $49 + PDMP $6.25 [15][16]Not published. Not published Not published. Not published Not published. Solo terms not confirmed [15]$89 + $699 one-time
TherapyNotes (60)$69.00: Solo [17]$65.00: ePrescribe; PDMP not documented [17]Not published. Not published Not published. Not published $0.00: Basic telehealth free [17]None listed
Practice Fusion (60)$199.00: Provider license, annual [18]$0.00: EPCS included; PDMP not in California [18][19]Not published. Not published Not published. Not published Not published. Not published Annual commitment
DrChrono (60)Not published. Quote only [20]Not published. EPCS add-on price not published [21]Not published. Not published Not published. Not published $0.00: Listed as included [20]None listed
Tebra (formerly Kareo) (57)Not published. Quote only [22]$4.17: PDMP about $50/yr per user [22]Not published. Not published Not published. Not published $0.00: Included in Practice Essentials [22]About $75 EPCS setup, $500 PDMP setup

How we researched this page

Every number comes from the linked vendor source on the check date. We did not test these products hands-on.

Sources

  1. ClinicalAIWeekly: Psychiatric EHR comparison (scores and rubric sub-scores). Checked 2026-10-23.
  2. Ensora Health: TheraNest pricing and add-ons. Checked 2026-10-23.
  3. CharmHealth: EHR pricing and add-ons. Checked 2026-10-23.
  4. OptiMantra: Pricing. Checked 2026-10-23.
  5. IntakeQ / PracticeQ: Pricing. Checked 2026-10-23.
  6. PracticeQ help: ePrescribe, enable ePrescriptions. Checked 2026-10-23.
  7. PracticeQ help: SMS appointment reminders. Checked 2026-10-23.
  8. Osmind: Plans and pricing, including FAQ. Checked 2026-10-21.
  9. AdvancedMD: Software pricing and FAQ. Checked 2026-10-21.
  10. ICANotes: Pricing. Checked 2026-10-21.
  11. ICANotes Help: PDMP in ICANotes+. Checked 2026-10-22.
  12. Valant: Plans and pricing. Checked 2026-10-21.
  13. Valant blog: EHR for psychiatric prescribers (vendor-written). Checked 2026-10-21.
  14. Valant: Pricing list for additional services, effective Dec 16, 2024 (PDF). Checked 2026-10-23.
  15. SimplePractice: EHR pricing and plans. Checked 2026-10-21.
  16. SimplePractice Support: Adding PDMP to your account. Checked 2026-10-21.
  17. TherapyNotes Support: Pricing and subscription options. Checked 2026-10-21.
  18. Practice Fusion: Pricing. Checked 2026-10-21.
  19. Practice Fusion: EPCS and PDMP. Checked 2026-10-21.
  20. DrChrono: Pricing. Checked 2026-10-21.
  21. DrChrono Support: EPCS requirements. Checked 2026-10-21.
  22. Tebra: Pricing and FAQ. Checked 2026-10-21.