Netsmart pricing in 2026
Netsmart costs about $27,000 to $1,866,175 per organization per year in 2026, and a typical buyer pays near $128,379.
What moves the price
- Cost depends on the product (small therapy practice tools versus the Avatar suite for large behavioral health systems), the number of users and sites, and whether hosting is included.
- Hosting, maintenance and support are often billed as separate yearly lines on top of the license, and optional add-ons such as disaster recovery or identity management raise the total.
- Big public systems pay millions each year, while small agencies pay a small fraction of that, so the range is very wide.
- Contract length. Multi year deals usually get a lower yearly price.
What is included
The range is per organization per year. It covers the software license or subscription. Setup, training, add on modules and outside consultants are usually billed on top. Ask for a written quote that lists each fee before you sign.
Netsmart prices people report
| Plan or item | Price | Source |
|---|---|---|
| Netsmart Therapy (TheraOffice), median annual cost, sample of 3 companies | $27,000 per year | CostBench |
| Therapy setup and implementation, small agency | $20,000 to $50,000 one time | CostBench |
| Therapy setup and implementation, medium agency | $50,000 to $100,000 one time | CostBench |
| Therapy setup and implementation, large agency | $100,000 to $300,000 one time | CostBench |
| MIPS reporting through TheraOffice registry | $330 per provider per year | CostBench |
| Steuben County NY, county EHR renewal, year one | $128,379.06 per year, rising 3% a year | Citizen Portal (Steuben County committee) |
| Steuben County NY, five year total | $681,738.83 | Citizen Portal (Steuben County committee) |
| San Francisco Dept of Public Health, Avatar maintenance, support and hosting | $1,866,175 per year (3 year term, excludes one time costs) | City and County of San Francisco |
| Los Angeles County, hosting plus maintenance for IBHIS (Avatar suite), CY2025 | $10,323,352.45 per year | County of Los Angeles Board of Supervisors |
| Los Angeles County, same, CY2026 | $10,633,053.02 per year | County of Los Angeles Board of Supervisors |
Average prices in US dollars. Source: CostBench.
Ways to pay less
- Ask for hosting, support, upgrades and interface fees to be priced separately so they can be compared with other vendors.
- Look up recent county or state contract approvals for a real price benchmark, since renewals often include a fixed yearly increase such as 3 percent.
- Get quotes from two or three rival products and share them with the sales rep. Vendors often drop the price to win the deal.
What price guides say
We checked 5 price guides and read every number on their pages. They do not all measure the same thing, so the ranges on this page come from putting them side by side.
- CostBench: Netsmart Therapy hidden costs
- Citizen Portal: Committee approves five-year Netsmart EHR renewal totalling $681,738.83
- City and County of San Francisco: Health Commission memo, Netsmart Technologies Inc.
- County of Los Angeles: Board letter adopted 9-24-24, Netsmart Technologies Inc.
- Software Advice: myAvatar Software Reviews, Demo and Pricing 2026
Common questions
How much does this cost in 2026?
Netsmart costs about $27,000 to $1,866,175 per organization per year in 2026, and a typical buyer pays near $128,379. Most people pay about $128,379 per organization per year. The low end is $27,000 and the high end is $1,866,175.
What changes the price the most?
The biggest factors are: Cost depends on the product (small therapy practice tools versus the Avatar suite for large behavioral health systems), the number of users and sites, and whether hosting is included; Hosting, maintenance and support are often billed as separate yearly lines on top of the license, and optional add-ons such as disaster recovery or identity management raise the total; Big public systems pay millions each year, while small agencies pay a small fraction of that, so the range is very wide.
How can I pay less?
Ask for hosting, support, upgrades and interface fees to be priced separately so they can be compared with other vendors. Look up recent county or state contract approvals for a real price benchmark, since renewals often include a fixed yearly increase such as 3 percent. Get quotes from two or three rival products and share them with the sales rep. Vendors often drop the price to win the deal.
Where do these numbers come from?
From 5 named price guides: CostBench, Citizen Portal, City and County of San Francisco, County of Los Angeles, Software Advice. Each one is linked on this page with the date we read it.
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