eClinicalWorks costs about $449 to $599 per provider, per month
eClinicalWorks is a cloud EHR and practice management system for medical offices. Small and mid size practices use it. eClinicalWorks costs about $449 to $599 per provider per month in 2026, and a one time license starts near $30,000 for one provider.
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Is this price fair?
A fair price is $450 to $600.
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Middle of the range: $525
What you are paying for
How we calculate this
Prices are for the United States in 2026 from published cost guides, checked September 2026. This is an estimate, not a quote.
What eClinicalWorks buyers pay
| EHR only | $449 per user per month. |
|---|---|
| EHR with Practice Management | $599 per month. |
| RCM as a Service | Custom quote. |
| Perpetual license | From $30,000 one time for one provider. |
What pushes a quote up
| EHR only or EHR | EHR only or EHR with practice management. |
|---|---|
| How many you buy | Number of providers. |
| Subscription or one time license | This changes the size of your quote. |
| Add ons | Add-ons like telehealth, patient tools and analytics. |
| Setup and training | Training, support and data migration. |
| Billing services | This changes the size of your quote. |
Why eClinicalWorks has no price list
eClinicalWorks is a cloud EHR and practice management system for medical offices. Small and mid size practices use it. It does not post a full price list, so every deal is quoted by a sales rep.
Reported extra fees include clearinghouse services at $79 per month per provider, RCM onboarding at $500 to $2,000, hardware setup at $300 to $1,000, and training that can cost $250 to $400 per day plus travel. Reviewers also mention fees for iPad use, e-prescribing for controlled drugs, and virtual visits.
Why you have to ask
Like most software sold by a sales team, eClinicalWorks keeps its pricing off the website. Every quote is custom, and the gap between a small deal and a large one is wide. We built the ranges here from reported deals so you have a number before the first call.
Pricing is per provider, per month, so the main levers in the quote are the tier you pick and the setup fee, not the headcount.
How to judge the quote in your hand
- Ask for every add-on fee in writing before you sign.
- Compare the subscription with the one time license over five years.
- Ask for the all in number: licence, setup, training and support for year one.
- Ask what renewal looks like in year two and three, in writing.
- Get a second quote from a rival and say so on the call.
- Buy at quarter end, when reps chase targets.
- Cut seats and modules you will not use in the first 90 days.
Ways to pay less
- Ask for training and data migration to be included.
- Ask for a cap on yearly price rises.
- Ask for the clearinghouse and e-prescribing fees to be waived.
- Pay yearly if the discount is real, not just a rounding of the monthly price.
- Start on the lowest tier and upgrade when you hit a wall.
- Ask for the setup fee to be waived or split over the year.
- Check the free trial or demo before you sign anything.
Before you decide
eClinicalWorks does not post a full price list. The ranges here come from the buyer reports and guides listed below, checked October 2026. FeeGuides.com is not linked to eClinicalWorks.
eClinicalWorks costs about $449 to $599 per provider per month in 2026, and a one time license starts near $30,000 for one provider. No. Prices come from a sales quote. Reported extra fees include clearinghouse services at $79 per month per provider, RCM onboarding at $500 to $2,000, hardware setup at $300 to $1,000, and training that can cost $250 to $400 per day plus travel.Common questions
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Other software prices
Photo: an Unsplash contributor, Wikimedia Commons, CC0, cropped.
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