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eClinicalWorks uses custom pricing as of July 2026 with 3 plans available. Contact eClinicalWorks directly for a personalized quote. Pricing depends on your chosen tier, contract length, and negotiated discounts.

Use the interactive pricing calculator to estimate your exact cost based on team size and requirements.

  • Free tier: No free tier available

eClinicalWorks offers 3 pricing tiers: eClinicalWorks V12 + AI, Sunoh.ai, healow Genie.

Last verified: | Sources: 1 pricing pages and reviews
Know Before You Buy — Request eClinicalWorks Pricing

eClinicalWorks uses custom pricing, and hidden costs like implementation and support add to the quoted price as of July 2026. Contact the vendor for a quote. Hidden costs like implementation and support add significantly to the total. Key hidden costs: implementation and setup fees, lost productivity during training, direct training fees. Verified from 1 sources by CostBench.

Hidden Costs Breakdown

1

Implementation and Setup Fees

medium implementation

While eClinicalWorks states "no start-up costs" for some plans, a one-time $299 implementation fee and an additional $99 license fee per practice for practice management are reported, with additional fees for practices with more than nine providers.

industry

Implementation and Setup Fees: While eClinicalWorks states "no start-up costs" for its EHR-only and EHR with Practice Management plans, some sources indicate a one-time $299 implementation fee and an additional $99 license fee per practice for practice management, though there is no implementation fee for practices with less than nine providers

2

Lost Productivity during Training

high training

A significant hidden cost is the loss of productivity as staff learn the new system, which can easily amount to $10,000–$20,000 in reduced patient volume for a 10-person practice during 4–8 weeks of significant productivity dip.

industry

For a 10-person practice, this can easily amount to $10,000–$20,000 in reduced patient volume during the 4–8 weeks of significant productivity dip, with staff requiring 20–40 hours of training

3

Direct Training Fees

medium training

Although initial training is included for practices with 1-9 providers, airfare for trainers is billed separately, and external training courses can cost around $250.00 per person/per course for members and $400.00 per course for non-members.

industry

Direct Training Fees: While initial training is included for practices with 1-9 providers, airfare for trainers is not included and is billed separately

4

Hardware Setup

medium implementation

If applicable, hardware setup can range from $300 to $1,000 per workstation, and practices should also budget for hardware that is four years old or newer, network security, and backup strategies.

industry

Practices should budget for hardware that is four years old or newer, along with network security and backup strategies

5

RCM Onboarding Fee

medium implementation

A one-time Revenue Cycle Management (RCM) onboarding fee can range from $500 to $2,000.

industry

Revenue Cycle Management (RCM) Onboarding Fee: This can range from $500 to $2,000 as a one-time fee

6

iPad Usage Fee

low addon

Users report extra charges for using an iPad with the system.

industry

Add-on Services and Features: Users report extra charges for various functionalities, which can significantly increase the total cost: * Using an iPad

7

Clearinghouse Services

medium addon

Clearinghouse services incur an extra monthly charge, with one partner, Change Healthcare, charging $79 per month per named provider.

industry

One clearinghouse partner, Change Healthcare, charges $79 per month per named provider

8

EPCS Annual Charge

low addon

There is an annual charge for Electronic Prescribing of Controlled Substances (EPCS).

industry

Annual charge for Electronic Prescribing of Controlled Substances (EPCS)

9

Integrated Scribe Fee

low addon

Users report extra charges for an integrated scribe functionality.

industry

Add-on Services and Features: Users report extra charges for various functionalities, which can significantly increase the total cost: * Using an iPad

10

Per Virtual Visit Charges

medium overage

Charges are applied per virtual visit, making the bill variable.

industry

Per virtual visit charges, making the bill variable

11

eClinicalMessenger Transaction Fees

medium overage

eClinicalMessenger transaction fees are $0.15 per message for the first 1-1000 messages per month, and $0.10 per message for additional messages.

industry

Additional implementation fees apply for practices with more than nine providers

Frequently Asked Questions

01 What hidden costs should I budget for with eClinicalWorks?

Beyond the license fee, budget for: Implementation and Setup Fees ($299, $99); Lost Productivity during Training ($10,000–$20,000); Direct Training Fees ($250.00, $400.00); Hardware Setup ($300 to $1,000); RCM Onboarding Fee ($500 to $2,000); Clearinghouse Services ($79 per month); eClinicalMessenger Transaction Fees ($0.15, $0.10). Exact totals depend on your deployment size and negotiated terms.

02 Does eClinicalWorks charge for implementation?

eClinicalWorks implementation is not included in the license cost. While eClinicalWorks states "no start-up costs" for some plans, a one-time $299 implementation fee and an additional $99 license fee per practice for practice management are reported, with additional fees for practices with more than nine providers.. Estimated impact: $299, $99.

03 How much does eClinicalWorks support cost?

Premium support pricing for eClinicalWorks depends on your tier and contract terms. See the sourced cost breakdown above for any verified figures we have.

04 Are there overage or storage costs with eClinicalWorks?

Charges are applied per virtual visit, making the bill variable..

05 What add-ons cost extra with eClinicalWorks?

Add-on pricing for eClinicalWorks varies by feature. The sourced cost breakdown above lists any verified add-on costs we have.

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