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Card payments in psychiatric EHRs

Card billing options and published prices for psychiatric practices, from EHR vendor documentation.

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.

Quick answer

Two vendors in our comparison publish a card processing rate: TheraNest at 2.99% + $0.30 per transaction [1] and Osmind through Stripe at 2.9% + $0.30 [2]. CharmHealth routes cards through Bluefin with commission set by Bluefin [3]; OptiMantra lists integrated payments without a rate [4].

By vendor

EHRPublished terms
TheraNest (Ensora Health)2.99% + $0.30 per transaction [1]; client portal payments [5] Vendor-reported
OsmindStripe, 2.9% + $0.30 [2] Vendor-reported
CharmHealthBluefin gateway; terms not published [3] Vendor-reported
OptiMantraPoint of sale and integrated payments listed; rate not published [4] Vendor-reported
PracticeQ (IntakeQ)Payments, invoices, and recurring payments on Practice Management; rate not in our sources [6] Vendor-reported
Others in our comparisonNot found in public docs Not publicly disclosed

For cash-pay psychiatry, ask whether the card fee is passed through or marked up, and whether cards on file transfer if you switch. TheraNest says stored cards do not transfer in a migration from SimplePractice [7].

How we researched this page

Only prices published by the vendor are listed. We did not test these features hands-on.

Sources

  1. Ensora Health: TheraNest pricing and add-ons. Checked 2026-10-23.
  2. Osmind: Plans and pricing, including FAQ. Checked 2026-10-21.
  3. CharmHealth: EHR pricing and add-ons. Checked 2026-10-23.
  4. OptiMantra: Pricing. Checked 2026-10-23.
  5. TheraNest: Product overview (claims, card payments, client portal, intake forms). Checked 2026-10-23.
  6. IntakeQ / PracticeQ: Pricing. Checked 2026-10-23.
  7. Ensora Health: TheraNest vs SimplePractice (vendor-written; used only for TheraNest's own plans, prices, and migration terms). Checked 2026-10-23.