TherapyNotes vs Carepatron: Costs and Fit for Therapists
By Bomi Team • October 14, 2026
Comparing TherapyNotes and Carepatron? Start with the practice you actually run: the people who need access, the sessions you see, and who handles insurance work. This guide separates subscription costs from AI and billing, then explains when Bomi belongs on the shortlist.
Disclosure: this comparison is published by Bomi. Prices and feature statements are linked to vendor sources. We have not run a comparative product-quality benchmark, and a cheaper subscription is not proof of a better clinical workflow.
Sections
Role design matters more than the word unlimited
Unlimited clients or users does not tell you whether the intended permissions are available. Model the people actually using the workspace, including a scheduler and a biller if they are different people. Check the access controls and recurring seat cost before assuming a team plan is cheaper.
How we compare costs at 20 sessions a week
Our scenario is one clinician, individual telehealth, secure client messaging, and one scheduler or biller user. We model 20 completed sessions weekly: 20 × 52 ÷ 12 = 86.67 monthly on average, rounded to 87 for transaction examples. Time off, cancellations, and your actual usage can change the bill.
Prices were checked October 14, 2026. We use standard US monthly rates after promotions, with optional AI for one note per session. Annual license fees are listed separately. These are selected configurations, not a complete feature-equivalence audit or the cheapest possible plan for every clinician.
EHR / selected plan | Software monthly, before AI | With AI on 87 sessions | Annual license fee |
|---|---|---|---|
TherapyNotes — Group, first clinician | $79.00 | $119.00 | $0.00 |
Carepatron — Advanced, clinician + staff | $98.00 | $98.00 | $0.00 |
Software totals exclude claim and eligibility transactions, card processing, taxes, paid reminders, other third-party charges, and human billing services. Jane’s optional insurance tools are also excluded. Bomi’s required billing fee is additional in every Bomi total; it cannot be omitted from a complete purchasing estimate.
TherapyNotes: Group is selected because the scenario includes a staff user. Basic telehealth is modeled; premium telehealth and insurance transactions are excluded.
Carepatron: Advanced is selected for staff permissions. The monthly rate is $49 per team member from the subscription help center, not the $39 annual-equivalent rate. Free and Plus may suit other setups.
What to know about TherapyNotes
TherapyNotes makes an important distinction between a sole-user account and an account with administrative staff. A practice with one clinician and a biller should compare the Group subscription rather than assume the Solo price applies.
The Solo subscription is $69 monthly for a sole user. The modeled Group subscription starts at $79 and includes nonclinical users. Basic telehealth is included; premium telehealth and other optional services have their own prices.
TherapyFuel is an optional clinician subscription. Its published overview says it is not currently available for group therapy sessions; verify your session types rather than treating every AI offering as equivalent.
TherapyNotes pricing and plan details
TherapyNotes feature and usage details
What to know about Carepatron
Carepatron belongs in this comparison because its free entry point and paid team plans answer different needs. A free clinician account should not be confused with a paid workspace that needs role-based staff permissions.
The subscription help center lists Advanced at $49 per user on monthly billing, or $39 per user on annual billing. Two monthly seats therefore total $98. Its marketing page displays discounts and annual-equivalent amounts; confirm the billing selector, currency, and renewal price before checkout.
Paid plans advertise included AI with unlimited tokens. The free plan lists 1 million AI tokens and 1 GB of storage; tokens are not a guaranteed number of completed therapy notes. Confirm applicable terms and workflow limits.
Carepatron pricing and plan details
Carepatron feature and usage details
Which should you shortlist?
TherapyNotes: You want to compare sole-user and staffed mental-health workflows, with a clear distinction between clinical and nonclinical users.
Carepatron: You want to test a free entry point or a paid team workspace, and can evaluate seat charges against the permissions you need.
During a trial, have the clinician and biller complete their separate parts of the same appointment workflow. Check whether a rejected claim is easy to identify, assign, investigate, and revisit after a response.
Invite the staff user you expect to need and test the intended permissions. Then check which storage, AI, messaging, and insurance features are available in the chosen plan, rather than assuming the free workspace has the paid workflow.
Bomi as a third option
Bomi makes sense to investigate if you also want an in-house team handling billing. Its EHR is $29 monthly per clinician plus required billing at 4% of net collections. AI notes cost $1 per recorded telehealth session. At 87 sessions with AI on every visit, software and AI are $116 before the required billing fee and third-party charges.
Bomi is not VC-backed, and our billing team is in-house. That describes how we operate; it does not establish how another vendor staffs its services. Ask every provider who performs benefits checks, payer follow-up, and denial work, and how the practice can review that work.
For a self-billing practice, managed billing adds a new expense. For a practice already paying a biller, compare the full package with that existing fee. At an illustrative $10,000 in monthly net collections, Bomi’s required 4% fee is $400; the modeled EHR and all-session AI bring the subtotal to $516 before third-party charges.
See Bomi’s current prices and service scope
Switching from TherapyNotes to Carepatron
When leaving TherapyNotes, inventory signed documentation and active treatment plans alongside outstanding claims. Decide which system will retain the historical billing ledger and who will work old dates of service after the cutover.
Before canceling, ask the destination for an import checklist and a sample reconciliation. Verify client count, signed notes, attachments, active treatment plans, future appointments, payer details, and open balances. Keep a written cutover date and an owner for old claims. Do not assume payer enrollments, payment credentials, or every document format move automatically.
Run a complete workflow with a synthetic client: intake, scheduling, documentation, billing, payment review, and export. Record missing fields and manual steps. A successful demo is more useful than a long feature checklist, especially when you depend on custom forms or staff permissions.
Related comparisons
AI notes at 20 sessions weekly
Frequently Asked Questions
Is TherapyNotes or Carepatron cheaper?
For the selected clinician-plus-staff setup, monthly software is $79.00 for TherapyNotes and $98.00 for Carepatron. With AI for 87 sessions, the subtotals are $119.00 and $98.00. Annual license fees, insurance transactions, payment processing, and human billing services are separate. Other plan configurations can change the comparison.
When should I consider Bomi instead?
Consider Bomi when you want to evaluate an EHR together with managed billing. Its billing service is required with the EHR, so compare complete service costs rather than subscription prices alone.
Want Bomi to handle insurance?
Bomi helps therapy practices with credentialing, benefit checks, claims, denials, balances, and revenue management.
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About Bomi
Founded by George Ruan, Dax Earl, and Andrey Goder, Bomi helps independent therapists and group practices with insurance billing, credentialing, and payer follow-up. Bomi grew out of Dax’s experience helping his mother with her therapy practice, with a clear purpose: reduce the administrative burden of insurance while keeping practice owners in control.
Meet our founders