Therapy EHR Comparison
Most EHRs have additional fees like charges per claim, and surcharges for card processing. Bomi doesn’t have any hidden fees and doesn’t charge anything above Stripe’s standard rate.
Estimated monthly cost
1 clinician · 10 sessions a week · about 43 sessions a month*
| Monthly cost | ||||||||
|---|---|---|---|---|---|---|---|---|
| EHR subscriptionall clinicians and staff | $29$29 × 1 | $79Essential | $69Solo | $49incl. $10 telehealth × 1 | $39Plus $39 × 1 users | $59Advanced | $99Practice + $20 insurance add-on | $65$1.49 × 43 sessions |
| AI notes | $22$1 × 22 notes | $35 | $40 | $35 | $0included | $35 | $15 | $0included |
| Card processing | $682.9% + 30¢ | $733.15% + 30¢ | $723.1% + 30¢ | $682.9% + 30¢ | $812.9% + 60¢ | $702.99% + 30¢ | $652.85% + 25¢ | $733.15% + 30¢ |
| Electronic claims | $0 | $14 | $5 | $9 | $9 | $050 free | $40Claim.MD Basic | $0included |
| ERAs | $0 | $0 | $5 | $0 | $0 | $0 | $0 | $0 |
| Eligibility checks | $0 | $1 | $1 | $1 | $1 | $050 free | $0in Claim.MD plan | $0included |
| Text reminders | $0 | $0 | $12 | $0 | $0 | $4 | $0 | $0 |
| Annual feesper month | $0 | $2$20/yr AMA fee | $0 | $0 | $0 | $2$19.50/yr CPT fee | $0 | $0 |
| Monthly total* | $119 | $203 | $204 | $162 | $130 | $169 | $219 | $138 |
| Compared to Bomi | baseline | Bomi saves $84$1,014 a year | Bomi saves $85$1,021 a year | Bomi saves $43$518 a year | Bomi saves $11$134 a year | Bomi saves $50$604 a year | Bomi saves $100$1,200 a year | Bomi saves $19$224 a year |
1 clinician · 20 sessions a week · about 87 sessions a month*
| Monthly cost | ||||||||
|---|---|---|---|---|---|---|---|---|
| EHR subscriptionall clinicians and staff | $29$29 × 1 | $79Essential | $69Solo | $49incl. $10 telehealth × 1 | $39Plus $39 × 1 users | $59Advanced | $99Practice + $20 insurance add-on | $129$1.49 × 87 sessions |
| AI notes | $43$1 × 43 notes | $35 | $40 | $35 | $0included | $35 | $15 | $0included |
| Card processing | $1372.9% + 30¢ | $1463.15% + 30¢ | $1443.1% + 30¢ | $1372.9% + 30¢ | $1632.9% + 60¢ | $1402.99% + 30¢ | $1302.85% + 25¢ | $1463.15% + 30¢ |
| Electronic claims | $0 | $27 | $10 | $17 | $17 | $450 free | $53Claim.MD Basic | $0included |
| ERAs | $0 | $0 | $10 | $0 | $0 | $0 | $0 | $0 |
| Eligibility checks | $0 | $2 | $2 | $2 | $2 | $050 free | $0in Claim.MD plan | $0included |
| Text reminders | $0 | $0 | $24 | $0 | $1 | $12 | $0 | $0 |
| Annual feesper month | $0 | $2$20/yr AMA fee | $0 | $0 | $0 | $2$19.50/yr CPT fee | $0 | $0 |
| Monthly total* | $209 | $291 | $299 | $240 | $222 | $252 | $297 | $275 |
| Compared to Bomi | baseline | Bomi saves $82$988 a year | Bomi saves $90$1,083 a year | Bomi saves $31$377 a year | Bomi saves $14$163 a year | Bomi saves $44$522 a year | Bomi saves $88$1,056 a year | Bomi saves $66$796 a year |
2 licensed clinicians at 20 sessions a week + 2 supervisees at 10 a week · about 260 sessions a month*
| Monthly cost | ||||||||
|---|---|---|---|---|---|---|---|---|
| EHR subscriptionall clinicians and staff | $116$29 × 4 | $321Plus $99 + $74 × 3 | $229Group $79 + $50 × 3 | $166incl. $10 telehealth × 4 | $156Plus $39 × 4 users | $236Advanced | $159Practice + $20 insurance add-on | $387$1.49 × 260 sessions |
| AI notes | $130$1 × 130 notes | $140 | $160 | $140 | $0included | $140 | $60 | $0included |
| Card processing | $4102.9% + 30¢ | $4383.15% + 30¢ | $4333.1% + 30¢ | $4102.9% + 30¢ | $4882.9% + 60¢ | $4202.99% + 30¢ | $3912.85% + 25¢ | $4383.15% + 30¢ |
| Electronic claims | $0 | $81 | $29 | $52 | $52 | $3650 free | $86Claim.MD Small Volume | $0included |
| ERAs | $0 | $0 | $29 | $0 | $0 | $0 | $0 | $0 |
| Eligibility checks | $0 | $0free on Plus until 2027 | $7 | $7 | $7 | $050 free | $0in Claim.MD plan | $0included |
| Text reminders | $0 | $0 | $73 | $0 | $0 | $47 | $0 | $0 |
| Annual feesper month | $0 | $7$20/yr AMA fee | $0 | $0 | $0 | $7$19.50/yr CPT fee | $0 | $0 |
| Monthly total* | $656 | $987 | $959 | $775 | $703 | $886 | $696 | $826 |
| Compared to Bomi | baseline | Bomi saves $331$3,977 a year | Bomi saves $304$3,644 a year | Bomi saves $119$1,428 a year | Bomi saves $47$564 a year | Bomi saves $230$2,762 a year | Bomi saves $41$488 a year | Bomi saves $170$2,040 a year |
* Monthly estimate. Assumes 80% of sessions billed to insurance with a $30 copay and 20% self-pay at $100, all paid by card; AI notes used in half of sessions; one eligibility check per insured client per month and two text reminders per session. Excludes billing services; Bomi EHR requires Bomi Billing at 4% of net collections. Full assumptions and sources
Feature comparison
What each EHR includes on the plans priced above, what costs extra, and what isn’t offered.
- Included
- Costs extra
- Some plans or limited
- Coming soon
- Not offered
| Feature | ||||||||
|---|---|---|---|---|---|---|---|---|
| Scheduling and sessions | ||||||||
| Online booking | from the client portal | requests you approve | requests you approve | requests you approve | Advanced and Premier | |||
| Text and email reminders | Essential and Plus | texts 14¢ each | 150 texts/user, then 5¢ | 50 texts free, then 10¢ | texts on Practice and Thrive | |||
| Telehealth | HD premium $15/mo | $10/mo | Advanced+ · $12/mo on Essentials | |||||
| Calendar sync | one-way to Google | two-way Google on Plus | one-way | two-way Google | two-way Google, Outlook | Google, Apple | one-way feeds | view-only, inbound |
| Group appointments | Plus · $20/mo on Essential | book clients in one slot | as classes | group telehealth only | ||||
| Clinical | ||||||||
| AI notes | $1 per note, only when used | $35/mo | $40/mo | $35/mo | $35/mo | $15/mo | in $1.49/session | |
| Scored assessments | ? | |||||||
| Treatment plans | Wiley planner +$25/mo | no goal tracking listed | ||||||
| Supervisor co-signing | Plus | ?view-only documented | ||||||
| Clients | ||||||||
| Portal, intake, and e-signatures | ||||||||
| Secure messaging | Essential and Plus | Advanced and Premier | planned | |||||
| Card on file and autopay | autopay not listed | charges are manual | ||||||
| Insurance | ||||||||
| Electronic claims | filed for you | 39¢ each | 14¢ each | 25¢ each | 25¢ each | 50 free, then 23¢ | $20/mo + Claim.MD | |
| Eligibility checks | checked for you | 15¢ each | 14¢ each | 15¢ each | 15¢ each | 50 free, then 25¢ | through Claim.MD | |
| Superbills | ||||||||
| Billing done for you | claims, denials, follow-up | referral partner | $99/mo + 3.9% | price by quote | announced | |||
| Credentialing | upkeep included | select customers only | referral partner | with managed billing | 1–3 enrollments via partner | with managed billing | ||
| Support | ||||||||
| Named point of contact | dedicated to your practice | general support queue | Enterprise, 30+ users | ?email support | onboarding manager on Advanced | with RCM Advanced | onboarding, 10+ practitioners | Enterprise plan |
| Insurance billing experts | led by an AAPC-certified biller | Insurance Navigator, $1.79/claim | referral partner | software support only | with managed billing | RCM add-on, by quote | third-party billers | with managed billing |
| Setup and onboarding help | from our team | group classes; 1:1 on request | personalized onboarding | screen share on request | 1:1 on Advanced | free 25-min call | free 45-min call | ?self-serve setup |
| Other | ||||||||
| Reports and analytics | claims and payments only | |||||||
| Data import when switching | assisted, including notes | demographics only | client list only | staff import | self-serve | from $199 on monthly plans | done for you | from 3 EHRs |
| Data export | 60 days after cancelling | export before cancelling | $9/mo storage after | 30 days after cancelling | one client at a time | notes one client at a time | export before cancelling | PDFs, one at a time |
| Clinician mobile app | mobile web | ? | client app only | iOS, for recording | ||||
| Client mobile app | portal in browser | mobile web | ? | portal in browser | iOS, check-ins only | |||
Checked against each vendor’s pricing page and help center on October 14, 2026. “Not listed” means we couldn’t find it on the vendor’s own site.
How we calculated this
- Weekly sessions × 52 ÷ 12 per month. Each client is seen weekly.
- 80% of sessions are billed to insurance: one electronic claim and one ERA per session, and a $30 copay paid by card.
- 20% of sessions are self-pay at $100, paid by card. Self-pay sessions have no claim or eligibility check.
- One eligibility check per insured client per month. Two text reminders per session.
- AI notes are used in about half of sessions. Bomi charges $1 per AI note. Other EHRs charge a flat monthly fee for every clinician who uses AI, however many notes they write.
- Every clinician uses integrated telehealth for individual sessions. Bomi AI notes work from recorded telehealth sessions.
- Plans shown are the least expensive standard monthly plan with claims, telehealth, secure messaging, and reminders. Group practices use each EHR’s group plan. Free plans, trials, promotions, and annual-prepay discounts are excluded.
- Totals cover what you pay your EHR: subscriptions, AI notes, card processing, and per-use fees. They don’t include a billing service. Bomi EHR requires Bomi Billing at 4% of net collections, billed separately.
- Blueprint’s All-in-One EHR is $1.49 per session, applied to every session, with AI notes, claims, and eligibility checks included. Its card fee of 3.15% + 30¢ is waived until February 2027 and is included at the ongoing rate.
- Excludes taxes, card dispute and failed-payment fees, ePrescribe, group telehealth add-ons, paper claims, and new payer applications.
Sources · Checked October 14, 2026
- SimplePractice plans & pricing (opens in a new tab)
- SimplePractice features by plan (opens in a new tab)
- SimplePractice insurance pricing (opens in a new tab)
- SimplePractice online payments (opens in a new tab)
- SimplePractice AMA fee (opens in a new tab)
- TherapyNotes pricing (opens in a new tab)
- TherapyNotes supervision (opens in a new tab)
- Sessions Health pricing (opens in a new tab)
- Sessions Health group appointments (opens in a new tab)
- Carepatron pricing (select monthly) (opens in a new tab)
- Carepatron payment processing (opens in a new tab)
- Carepatron claim fees (opens in a new tab)
- Carepatron managed billing (opens in a new tab)
- TheraNest pricing (opens in a new tab)
- TheraNest co-signing (opens in a new tab)
- Jane US pricing (opens in a new tab)
- Jane supervision (opens in a new tab)
- Claim.MD pricing for Jane (opens in a new tab)
- Blueprint pricing (opens in a new tab)
- Blueprint managed billing (opens in a new tab)
- SimplePractice data exports (opens in a new tab)
- TherapyNotes account termination (opens in a new tab)
- Sessions Health switching EHRs (opens in a new tab)
- Carepatron calendar sync (opens in a new tab)
- TheraNest data migration (opens in a new tab)
- Jane batch chart export (opens in a new tab)
- Blueprint EHR imports (opens in a new tab)
- SimplePractice Insurance Navigator (opens in a new tab)
- Sessions Health support (opens in a new tab)
- Ensora support (opens in a new tab)
- TheraNest onboarding (opens in a new tab)
- Jane onboarding call (opens in a new tab)
- Blueprint support (opens in a new tab)
- Stripe pricing (opens in a new tab)
We can talk through whether Bomi EHR is right for you
Tell us about your caseload, payers, and current EHR. We’ll walk through the product and what you’d pay.