[Home](https://www.selecthub.com/) \> [EMR](https://www.selecthub.com/category/emr/) \> [EMR Software](https://www.selecthub.com/c/emr-software/) \> [OpenEMR](https://www.selecthub.com/p/emr-software/openemr/) \> OpenEMR vs Practice EHR # OpenEMR vs Practice EHR Last Updated: June 1st, 2026 Our analysts compared [OpenEMR](https://www.selecthub.com/p/emr-software/openemr/) vs [Practice EHR](https://www.selecthub.com/p/ehr-software/practice-ehr/) based on data from our 400+ point analysis of [EMR Software](https://www.selecthub.com/c/emr-software/), user reviews and our own crowdsourced data from our [free software selection platform](https://www.selecthub.com/about/start-free-selection-project-site/?category=EMR Software&cta=emr-software). [Overview](#product-overview) [Pricing](#product-pricing) [Our Review](#product-analyst-summary) [User Ratings](#user-sentiment-section) [Features](#product-benefits-features) [Screenshots](#product-screenshots) Remove Add to Compare [![OpenEMR Software Tool](https://cdn.selecthub.com/products/d139db6a236200b21cc7f752979132d0-8ebab6b0e536cb95902d97cbacacfacf/resources/normal/logo.png?1693318220)](https://www.selecthub.com/p/emr-software/openemr/) Remove Add to Compare [![Practice EHR Software Tool](https://cdn.selecthub.com/products/a667f4e7b0c8a3babe331569d3eac6bd-e6095912df44a327826f00cd55e2772a/resources/normal/logo.png?1693318243)](https://www.selecthub.com/p/ehr-software/practice-ehr/) [Get Free Demo](https://pmo.selecthub.com/get-product-demo/?category=EMR+Software&product%5Fname=OpenEMR&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fd139db6a236200b21cc7f752979132d0-8ebab6b0e536cb95902d97cbacacfacf%2Fresources%2Fnormal%2Flogo.png%3F1693318220) [Demo](https://pmo.selecthub.com/get-product-demo/?category=EMR+Software&product%5Fname=OpenEMR&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fd139db6a236200b21cc7f752979132d0-8ebab6b0e536cb95902d97cbacacfacf%2Fresources%2Fnormal%2Flogo.png%3F1693318220) [Request Pricing](https://pmo.selecthub.com/get-product-pricing-medical/?category=EMR+Software&product%5Fname=OpenEMR&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fd139db6a236200b21cc7f752979132d0-8ebab6b0e536cb95902d97cbacacfacf%2Fresources%2Fnormal%2Flogo.png%3F1693318220&price=1) [Pricing](https://pmo.selecthub.com/get-product-pricing-medical/?category=EMR+Software&product%5Fname=OpenEMR&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fd139db6a236200b21cc7f752979132d0-8ebab6b0e536cb95902d97cbacacfacf%2Fresources%2Fnormal%2Flogo.png%3F1693318220&price=1) [Get Free Demo](https://pmo.selecthub.com/get-product-demo/?category=EMR+Software&product%5Fname=Practice%2BEHR&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fa667f4e7b0c8a3babe331569d3eac6bd-e6095912df44a327826f00cd55e2772a%2Fresources%2Fnormal%2Flogo.png%3F1693318243) [Demo](https://pmo.selecthub.com/get-product-demo/?category=EMR+Software&product%5Fname=Practice%2BEHR&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fa667f4e7b0c8a3babe331569d3eac6bd-e6095912df44a327826f00cd55e2772a%2Fresources%2Fnormal%2Flogo.png%3F1693318243) [Request Pricing](https://pmo.selecthub.com/get-product-pricing-medical/?category=EMR+Software&product%5Fname=Practice%2BEHR&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fa667f4e7b0c8a3babe331569d3eac6bd-e6095912df44a327826f00cd55e2772a%2Fresources%2Fnormal%2Flogo.png%3F1693318243&price=3) [Pricing](https://pmo.selecthub.com/get-product-pricing-medical/?category=EMR+Software&product%5Fname=Practice%2BEHR&product%5Flogo=https%3A%2F%2Fd3uimxdj41cg3o.cloudfront.net%2Fproducts%2Fa667f4e7b0c8a3babe331569d3eac6bd-e6095912df44a327826f00cd55e2772a%2Fresources%2Fnormal%2Flogo.png%3F1693318243&price=3) ### Products Insights Product Ranking ## #8 among all EMR Software ## #74 among all EMR Software [Find out who the leaders are](https://pmo.selecthub.com/request-custom-scorecard?post%5Ftype=auto%5Fvs%5Farticle&category%5Fslug=emr-software&product%5Fslug=openemr&category=EMR+Software) Price Starts From $0 Free, Open-Source [ Free Trial is available →](https://pmo.selecthub.com/free-trial/?product%5Fname=OpenEMR&category=EMR Software&product%5Flogo=https://d3uimxdj41cg3o.cloudfront.net/products/d139db6a236200b21cc7f752979132d0-8ebab6b0e536cb95902d97cbacacfacf/resources/normal/logo.png?1693318220) $179/Provider, Monthly [ Free Trial is available →](https://pmo.selecthub.com/free-trial/?product%5Fname=Practice EHR&category=EMR Software&product%5Flogo=https://d3uimxdj41cg3o.cloudfront.net/products/a667f4e7b0c8a3babe331569d3eac6bd-e6095912df44a327826f00cd55e2772a/resources/normal/logo.png?1693318243) Pros What we like about OpenEMR and Practice EHR: * Free and open-source, so there are no licensing fees or recurring subscription costs * Source-code-level customization lets you tailor workflows to your clinic's specific needs * Clinical decision rules engine helps physicians navigate patient algorithms and care reminders * Users find the interface intuitive and easy to navigate compared to many EHR systems * Dedicated customer support team responds quickly to issues and questions * Built-in tele-visit tools let you conduct HIPAA-compliant video consultations from within the platform Cons What we dislike about OpenEMR and Practice EHR: * Community-driven support means response times and expertise can be inconsistent * No native mobile apps, which limits access for providers who work across locations * Customizing the system typically requires technical expertise or third-party developers * Reporting features are less robust, which can be a drawback for practices needing advanced analytics * The system can run slowly, which users have flagged as a source of frustration * Billing module has limited functionality, which may not meet all revenue cycle needs ### Our Review **Bottom line:** OpenEMR suits cost-sensitive practices that have technical resources and want deep customizability. Practice EHR is a better fit if you want a ready-to-go, easy-to-learn system with dedicated support. OpenEMR is completely free to download and run. There's no subscription and no per-provider cost, which makes it an appealing choice for clinics watching their budget. Practice EHR starts at $179 per provider per month, which is a real cost to account for, though it comes with a commercial product experience in return. The biggest difference in day-to-day experience is how much setup work you're willing to do. OpenEMR's open-source nature means you can customize almost anything, but doing so often takes technical know-how. Practice EHR's workflows come pre-built and users find it quick to learn — one reviewer compared it to ordering an Uber. On the support side, OpenEMR relies on community forums rather than a dedicated team. You'll usually get answers, but turnaround isn't guaranteed. Practice EHR includes formal customer support, and users note it's responsive. Where OpenEMR pulls ahead is in clinical depth — particularly its clinical decision rules engine, which helps physicians navigate treatment decisions based on patient-specific algorithms. Practice EHR handles clinical tasks well too, and adds tele-visit capabilities and a check-in kiosk that OpenEMR doesn't include natively. If you're comfortable doing some technical work and want to avoid subscription fees entirely, OpenEMR is hard to beat. If you'd rather have something you can deploy quickly with ongoing support, Practice EHR is the more practical choice. ### User Sentiment Summary OpenEMR has a user sentiment rating of 78 based on 32 reviews. Practice EHR has a user sentiment rating of 85 based on 35 reviews. ![Good User Sentiment](https://www.selecthub.com/display/images/scores/good.svg) 32 reviews ![Great User Sentiment](https://www.selecthub.com/display/images/scores/great.svg) 35 reviews Synopsis Evaluating all review platforms, our market analysts have compiled the following user sentiment data. 78% of users recommend this product OpenEMR has a 'good' User Satisfaction Rating of 78% when considering 32 user reviews from 2 recognized software review sites. 85% of users recommend this product Practice EHR has a 'great' User Satisfaction Rating of 85% when considering 35 user reviews from 1 recognized software review sites. User Review Scores **G2.com, Inc** **3.5** (5) n/a **Software Advice, Inc** n/a **4.26** (35) **Capterra Inc** **4.0** (27) n/a ### Product Assistance Training Resources Documentation In Person Live Online Videos Webinars Documentation In Person Live Online Videos Webinars Support Email Phone Chat FAQ Forum Knowledge Base 24/7 Live Support Email Phone Chat FAQ Forum Knowledge Base 24/7 Live Support ### Product Basics Company Size i Small Medium Large Small Medium Large Platforms Supported Windows Mac Linux Android Chromebook Windows Mac Linux Android Chromebook Deployment Supported Cloud On-Premise Mobile Cloud On-Premise Mobile Comparison of Top Alternatives [ OpenEMR Alternatives](https://www.selecthub.com/emr-software/openemr/alternatives/) [ Practice EHR Alternatives](https://www.selecthub.com/ehr-software/practice-ehr/alternatives/) ### Screenshots ![Screenshots]()![Screenshots]()![Screenshots]() ![Screenshots]()![Screenshots]()![Screenshots]()![Screenshots]()![Screenshots]()![Screenshots]() ### Key Features * **Clinical decision rules** – Customizable engine navigates patient algorithms and produces care reminders, clinical quality measures and automated use measurements to support treatment decisions. * **Lab integration** – Lab orders send automatically and results get added directly to a patient's chart, keeping records current without manual entry. * **Patient portal** – Patients can log in to schedule appointments, complete payments and send direct messages to their physician. * **Open-source customization** – Source code is freely available to modify, and a marketplace of modules lets you extend functionality without building from scratch. * **Clinical decision support** – CDS interventions, reminders and disease management tools help guide care decisions at the point of consultation. * **Lab integration** – Submit orders and receive structured lab results electronically, with results shareable through the patient portal for meaningful use requirements. * **Patient portal** – Lets patients request refills and prescriptions, access health records and pay bills through a secure HIPAA-compliant platform. * **Tele-visit** – HIPAA-compliant video consultations include charting via voice recognition and free text, with a summary shared with the patient at the end of each visit. ### Top Alternatives in EMR Software [ AdvancedMD ](https://www.selecthub.com/p/medical-software/advancedmd/) [ athenaOne ](https://www.selecthub.com/p/ehr-software/athenaone/) [ CareCloud Central ](https://www.selecthub.com/p/medical-practice-management-software/carecloud-central/) [ ChartLogic ](https://www.selecthub.com/p/ehr-software/chartlogic/) [ CureMD ](https://www.selecthub.com/p/ehr-software/curemd/) [ DrChrono ](https://www.selecthub.com/p/ehr-software/drchrono/) [ eClinicalWorks ](https://www.selecthub.com/p/ehr-software/eclinicalworks/) [ Elation Health ](https://www.selecthub.com/p/ehr-software/elation-health/) [ EpicCare ](https://www.selecthub.com/p/ehr-software/epiccare/) [ Intergy ](https://www.selecthub.com/p/ehr-software/intergy/) [ MEDITECH Expanse ](https://www.selecthub.com/p/ehr-software/meditech/) [ NextGen Enterprise ](https://www.selecthub.com/p/ehr-software/nextgen-enterprise/) [ Oracle Ambulatory EHR ](https://www.selecthub.com/p/ehr-software/oracle-ambulatory-ehr/) [ Praxis EMR ](https://www.selecthub.com/p/emr-software/praxis-emr/) [ Tebra EHR ](https://www.selecthub.com/p/ehr-software/tebra-ehr/) ### Related Categories OpenEMR and Practice EHR can also be found with other leading products in these categories: [ Medical Practice Management Software ](https://www.selecthub.com/c/medical-practice-management-software/) Show more [ EHR Software ](https://www.selecthub.com/c/ehr-software/) Show more ### Head-to-Head Comparison ![OpenEMR Software Tool]() ![CompuGroup Medical Software Tool]() [OpenEMR VS CompuGroup Medical](https://www.selecthub.com/emr-software/openemr-vs-compugroup-medical/) ![OpenEMR Software Tool]() ![CureMD Software Tool]() [OpenEMR VS CureMD](https://www.selecthub.com/ehr-software/curemd-vs-openemr/) ![OpenEMR Software Tool]() ![eClinicalWorks Software Tool]() [OpenEMR VS eClinicalWorks](https://www.selecthub.com/ehr-software/eclinicalworks-vs-openemr/) ![OpenEMR Software Tool]() ![EpicCare Software Tool]() [OpenEMR VS EpicCare](https://www.selecthub.com/emr-software/openemr-vs-epiccare/) ![OpenEMR Software Tool]() ![Intergy Software Tool]() [OpenEMR VS Intergy](https://www.selecthub.com/emr-software/openemr-vs-intergy/) ![OpenEMR Software Tool]() ![Meditab Software Tool]() [OpenEMR VS Meditab](https://www.selecthub.com/emr-software/openemr-vs-meditab/) ![OpenEMR Software Tool]() ![MEDITECH Expanse Software Tool]() [OpenEMR VS MEDITECH Expanse](https://www.selecthub.com/ehr-software/meditech-vs-openemr/) ![OpenEMR Software Tool]() ![NextGen Enterprise Software Tool]() [OpenEMR VS NextGen Enterprise](https://www.selecthub.com/emr-software/openemr-vs-nextgen-enterprise/) ![OpenEMR Software Tool]() ![Oracle Ambulatory EHR Software Tool]() [OpenEMR VS Oracle Ambulatory EHR](https://www.selecthub.com/emr-software/openemr-vs-oracle-ambulatory-ehr/) ![OpenEMR Software Tool]() ![Practice Fusion Software Tool]() [OpenEMR VS Practice Fusion](https://www.selecthub.com/ehr-software/practice-fusion-vs-openemr/) ![OpenEMR Software Tool]() ![Praxis EMR Software Tool]() [OpenEMR VS Praxis EMR](https://www.selecthub.com/emr-software/openemr-vs-praxis-emr/) ![OpenEMR Software Tool]() ![Tebra EHR Software Tool]() [OpenEMR VS Tebra EHR](https://www.selecthub.com/emr-software/openemr-vs-tebra-ehr/) **About SelectHub (and our data)** We’re the employee-owned Austin-based startup democratizing software data so you can make your decisions in an influence-free zone. Our market data is crowdsourced from our user-base of 100,000+ companies. WE DISTILL IT INTO REAL REQUIREMENTS, COMPARISON REPORTS, PRICE GUIDES and more... ![SelectHub Products Reporting and Analytics]() [ Build Your Requirements](https://pmo.selecthub.com/emr-req-template-site-vers/) ![SelectHub Products Cost and Pricing Guide]() [ Get Your Free Comparison Report](https://pmo.selecthub.com/request-custom-scorecard/?category=EMR%20Software) **Tier 1:** Fully/moderately supported out-of-the-box allowing for quick and easy deployment. Fully or moderately supported out-of-the-box with industry-leading capabilities and is immediately available after installation without needing any add-ons, integrations, or custom development. **Tier 2:** Supported with workarounds or add-ons that may require additional costs. Not directly available in the software, but can be accomplished using other built-in features, workarounds, or add-ons/products from the vendor with or without any additional cost. **Tier 3:** Requires partner integrations or custom development that is often at an additional cost. Requires additional integrations, plugins, marketplace applications from a third-party vendor, or custom development using the APIs, libraries, extensions, and development framework supported by the software, with or without any additional cost. 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