Epic EHR costs about $150,000 to $600,000 first year, small clinic
Epic is the large EHR system used by hospitals and health systems. Small clinics can join it through a host hospital program called Community Connect. Epic EHR costs about $150,000 to $600,000 in the first year for a small clinic in 2026, and tens of millions of dollars for a hospital.
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A fair price is $150,000 to $375,000.
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Middle of the range: $262,500
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 Epic EHR buyers pay
| Small clinic (1 to 3 physicians) | Setup $100,000 to $300,000, then $4,000 to $12,000 per month (estimate). |
|---|---|
| Mid sized health center (25 to 50 physicians) | Setup $800,000 to $1,000,000 (estimate). |
| Community hospital | $10 million to $30 million (estimate). |
What pushes a quote up
| Number of physicians and facilities | This changes the size of your quote. |
|---|---|
| Modules | Modules chosen, such as billing, patient portal and analytics. |
| Joining a host hospital | Joining a host hospital or running your own Epic. |
| Data move from your old | Data move from your old system. |
| Setup and training | Training and staff time. |
| Interfaces to other systems | This changes the size of your quote. |
Why Epic EHR has no price list
Epic is the large EHR system used by hospitals and health systems. Small clinics can join it through a host hospital program called Community Connect. It does not post a full price list, so every deal is quoted by a sales rep.
Estimates list data migration at $100,000 to $500,000, training at $100,000 to $1 million, and interfaces from $15,000 to $1 million. Staff to run Epic can add $150,000 to $500,000 a year.
Why you have to ask
Like most software sold by a sales team, Epic EHR 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.
How to judge the quote in your hand
- Ask a host hospital about Community Connect, which is much cheaper than your own build.
- Ask exactly which modules are in the base price.
- 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
- Plan training costs and staff time before you sign.
- Get all interface fees in writing.
- Ask what upgrade work you must pay for later.
- 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
Epic EHR 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 Epic EHR.
Epic EHR costs about $150,000 to $600,000 in the first year for a small clinic in 2026, and tens of millions of dollars for a hospital. No. Prices come from a sales quote. Estimates list data migration at $100,000 to $500,000, training at $100,000 to $1 million, and interfaces from $15,000 to $1 million.Common questions
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Other software prices
Photo: an Unsplash contributor, Wikimedia Commons, CC0, cropped.
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