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Allscripts EHR vs Epic vs NextGen Healthcare EHR vs Athenahealth EHR Comparison

Last updated:

Allscripts EHR

3.4(63 reviews)

Starting at Contact for pricing

  • Individuals
  • Large Enterprises

Allscripts EHR is a comprehensive electronic record-keeping software designed for health professionals, hospitals and health clinics. It serves as a one-stop solution for all their record-keeping needs, including schedul…

Epic

4.3(884 reviews)

Starting at Contact for pricing

  • Large Enterprises
  • Medium Business

Epic is a software that offers a great patient experience with a bevy of helpful tools. It features MyChart, which allows patients to quickly locate valuable health information, and even text with doctors, complete quest…

NextGen Healthcare EHR

Starting at Contact for pricing

  • Large Enterprises
  • Medium Business

NextGen Healthcare EHR is a robust, cloud-based electronic health record platform designed to streamline clinical, operational, and revenue workflows in ambulatory care settings. Tailored for practices of all sizes, it o…

Athenahealth EHR

3.3(26 reviews)

Starting at Contact for pricing

  • Large Enterprises
  • Medium Business

Athenahealth EHR is designed to make it easy for medical professionals to stay ahead of industry changes and maintain exceptional care. This software provides accurate documentation enabling users to excel in providing q…

Epic leads on user satisfaction with a 4.3-star rating across 884 reviews.

Allscripts EHR vs Epic vs NextGen Healthcare EHR vs Athenahealth EHR — at a glance

FeatureAllscripts EHREpicNextGen Healthcare EHRAthenahealth EHR
Rating3.4 / 54.3 / 53.3 / 5
Reviews6388426
Starting priceContact for pricingContact for pricingContact for pricingContact for pricing
Free trial No No No No
Free version No No No No
Best forIndividuals, Large Enterprises, Medium BusinessLarge Enterprises, Medium Business, Small BusinessLarge Enterprises, Medium Business, Small BusinessLarge Enterprises, Medium Business, Small Business
CategoryEHR SoftwareEHR SoftwareEHR SoftwareEHR Software
PlatformsSaaS/Web/CloudSaaS/Web/Cloud, Mobile - Android, Mobile - iOSSaaS/Web/CloudSaaS/Web/Cloud
API
Support modes24/7 (Live rep), OnlineOnlineOnlineOnline
CertificationsHIPAAHIPAASOC 2, HIPAASOC 2, HIPAA, GDPR
Data residencyUSUSGlobalUS

Key differences between Allscripts EHR and Epic

  • Target audience: Allscripts EHR is built for Individuals and Large Enterprises, while Epic targets Large Enterprises and Medium Business.
  • User satisfaction: Epic scores higher with a 4.3-star average.
  • Deployment: Allscripts EHR supports SaaS/Web/Cloud; Epic supports SaaS/Web/Cloud, Mobile - Android, Mobile - iOS.

Compare Allscripts EHR vs Epic vs NextGen Healthcare EHR vs Athenahealth EHR — and walk away knowing which one fits.

01

Which tool fits your team best

02

Which is actually cheaper for your team size

03

Where each product wins, per real buyers

Most EHR Software tools look identical on paper. This comparison cuts to the differences that matter — pricing structure, team fit, and what real buyers found after signing up.

Allscripts EHR - EHR Software
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Epic - New SaaS Software
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Biggest differences

Start here before you go deeper into features.

Allscripts EHR

Best for

Individuals, Large Enterprises, Medium Business

Epic

Best for large healthcare systems needing comprehensive, integrated EHR solutions.

Choose if
  • You operate a hospital or multi-hospital health system requiring enterprise-grade features.
  • Your team includes physicians, nurses, and IT analysts needing advanced clinical decision support.
  • You want robust patient engagement tools like MyChart for improved communication and education.
Consider alternatives if
  • You run a small clinic or solo practice needing a simple, low-cost EHR solution.
  • You require quick, low-complexity implementation without extensive resource investment.

NextGen Healthcare EHR

Best for

Large Enterprises, Medium Business, Small Business

Athenahealth EHR

Best for

Large Enterprises, Medium Business, Small Business

Allscripts EHR typically suits Individuals and Large Enterprises. Epic tends to fit Large Enterprises and Medium Business better. The right choice depends on your team size, workflow, and whether a free trial matters.

Description

Allscripts EHR is a comprehensive electronic record-keeping software designed for health professionals, hospitals and health clinics. It serves as a one-stop solution for all their ... Read More about Allscripts EHR

Epic is a software that offers a great patient experience with a bevy of helpful tools. It features MyChart, which allows patients to quickly locate valuable health information, and even ... Read More about Epic

NextGen Healthcare EHR is a robust, cloud-based electronic health record platform designed to streamline clinical, operational, and revenue workflows in ambulatory care settings. Tailored ... Read More about NextGen Healthcare EHR

Athenahealth EHR is designed to make it easy for medical professionals to stay ahead of industry changes and maintain exceptional care. This software provides accurate documentation ... Read More about Athenahealth EHR

Free Trial Availability

  • No free trial
  • No free trial
  • No free trial
  • No free trial

User Ratings

Based on verified Spotsaas reviews

3.4

(63)

3.3

(26)

Best Company Size

500+ EmployeesMedium Business
50 – 1,000+ Employees
5–50 Employees
Get pricing help
Get pricing help

Where each option fits best

See where each product is strongest, which teams it fits, and what causes buyers to keep looking — before you commit.

Based on buyer reviews and verified product data collected by Spotsaas.

Strengths

Key strengths

Epic

  • Highly Comprehensive & Integrated Platform: From clinical documentation and e-prescribing to revenue cycle management and patient engagement via MyChart, Epic covers the full healthcare continuum across all specialties
  • Advanced Decision Support & Scalability: Epic’s AI-driven tools, standardized order sets, and robust analytics support clinical decision-making. The platform scales effectively to large hospitals and health systems
  • Strong Mobile & Patient Engagement Ecosystem: MyChart, along with clinician mobile apps like Haiku and Canto, provides flexible access for staff and patients, enhancing engagement across devices

NextGen Healthcare EHR

  • Comprehensive feature-rich platform: Includes patient portal, specialty-specific workflows, practice management, e‑prescribing, and revenue cycle management—all under one cloud-based system.
  • Customizable and scalable: Highly adaptable templates, smart phrases, and specialty modules make it a solid fit for diverse healthcare settings from outpatient to hospitals.
  • Integrated patient engagement & mobility: Secure messaging, appointment management, mobile access, and population health tools improve patient experience and provider efficiency.

Athenahealth EHR

  • Integrated billing and scheduling: Athenahealth provides seamless integration between billing, scheduling, and clinical documentation, streamlining administrative tasks and reducing errors.
  • Cloud-based accessibility: Being a cloud-based platform, Athenahealth allows healthcare providers to access patient records and manage workflows remotely, enhancing flexibility and continuity of care.
  • Regulatory compliance support: The system is designed to help practices comply with healthcare regulations, including HIPAA, by incorporating necessary features such as secure messaging and audit trails.
Best fit

Best fit

Epic

  • 500+ Employees
  • Hospitals, Academic Medical Centers, Multi-Hospital Health Systems, Large Specialty Clinics
  • Physicians, Nurses, IT Systems Analysts, Revenue Cycle Managers, Chief Information Officers, Population Health Directors, Clinical Decision Support Leads

NextGen Healthcare EHR

  • 50 – 1,000+ Employees
  • Healthcare, Ambulatory Care, Specialty Clinics, Community Hospitals, Group Practices
  • Physicians, Nurse Practitioners, Practice Managers, Medical Billers, Health IT Staff, Care Coordinators

Athenahealth EHR

  • 5–50 Employees
  • General Medical Practices, Family Medicine, Internal Medicine, Pediatrics, Multispecialty Clinics
  • Physicians, Medical Assistants, Practice Managers, Billing Specialists, IT Support Staff
Watchouts

Reasons buyers look elsewhere

Epic

  • Epic is notorious for its steep price tag—software, implementation, training, and ongoing support can reach hundreds of millions for large systems. Upgrades alone can cost 40–50% of the initial investment, making long-term costs unpredictable. This can deter smaller organizations.
  • Although feature-rich, Epic’s interface can be overwhelming. Frequent UI updates and redundant navigation paths can frustrate users, slowing down workflow and increasing time spent navigating the system .
  • Epic excels within its own ecosystem (Care Everywhere, MyChart) but has been slower and more restrictive with external data exchange. This has drawn criticism and even antitrust scrutiny.

NextGen Healthcare EHR

  • The interface requires significant time to master, especially for users transitioning from more intuitive platforms.
  • Tasks like rescheduling appointments often involve multiple steps, increasing administrative burden.
  • Users report delays and system sluggishness—sometimes exacerbated by server load or internet bandwidth issues.

Athenahealth EHR

  • While Athenahealth offers some degree of customization, many users find it insufficient for tailoring workflows and templates to specific practice needs. This limitation can hinder efficiency and adaptability.
  • Users have reported instances of system lag and slow loading times, which can disrupt clinical workflows and reduce productivity.
  • The platform's complexity necessitates comprehensive training for staff, which can be time-consuming and may temporarily disrupt practice operations.

Software Demo

Demo

No software demo available

Epic has not given any software demo yet

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Share your priorities, budget, and team needs, and we’ll help you narrow the options and understand the tradeoffs before you talk to vendors.

How do Allscripts EHR, Epic, NextGen Healthcare EHR and Athenahealth EHR Compare on Features?

Total Features

0 Features

6 Features

9 Features

7 Features

Unique Features

No features

No unique features

No unique features

No unique features

Get Quote
Get Quote

Compare Allscripts EHR, Epic, NextGen Healthcare EHR and Athenahealth EHR on pricing

Review starting price, plan structure, and free-trial access side by side so you can see which option fits your budget and buying process.

Pricing Option

          Pricing Plans

          • Not Available
          • Not Available
          • Not Available
          • Not Available

          Pricing Page

          Pricing information not available

          Pricing information not available

          NextGen Healthcare EHR pricing

          Pricing information not available

          Other Details

          Organization Types supported

          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers
          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers
          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers
          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers

          Platforms Supported

          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)
          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)
          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)
          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)

          Modes of support

          • 24/7 (Live rep)
          • Business Hours
          • Online
          • 24/7 (Live rep)
          • Business Hours
          • Online
          • 24/7 (Live rep)
          • Business Hours
          • Online
          • 24/7 (Live rep)
          • Business Hours
          • Online

          API Support

          • Not Available
          • Not Available
          • Not Available
          • Not Available
          Get help choosing
          Get help choosing

          Security & Compliance

          Certifications, data handling, and security controls for IT and compliance evaluators.

          SOC 2

          HIPAA

          ✓ Yes
          ✓ Yes

          GDPR

          Single Sign-On (SSO)

          ✓ Yes

          Multi-Factor Auth (MFA)

          ✓ Yes

          Data Encryption

          ✓ Yes

          Audit Logs

          ✓ Yes

          Data Residency

          🇺🇸 US
          🇺🇸 US

          Allscripts EHR vs Epic vs NextGen Healthcare EHR User Reviews & Rating Comparison

          User Ratings

          No reviews available for the product

          Rating Distribution

          19

          41

          11

          7

          9

          479

          325

          70

          9

          8

          64

          62

          22

          9

          9

          5

          11

          6

          0

          8

          Spotsaas Editor’s POV generated by AI

          Buyer sentiment

          Buyer sentiment is mixed across 87 reviews, so it is worth reviewing the tradeoffs closely.

          Buyer sentiment

          Overall positive sentiment highlights Epic's comprehensive features and strong patient engagement, tempered by concerns about complexity and cost.

          What buyers like

          • Comprehensive platform functionality
          • Advanced clinical decision support
          • Effective patient engagement tools

          Common complaints

          • Complex and lengthy implementation
          • Lack of pricing transparency

          What buyers like

          • Easy to navigate and customize templates for individual needs, with support from the user community.
          • The system is user-friendly, quick to navigate, and has good training resources available.
          • Combines EHR and Practice Management into one system, providing a seamless experience.

          Common complaints

          • The interface design may feel outdated and lacks modern features, affecting user experience.
          • Some functions require multiple clicks to access, slowing down workflow efficiency.
          • Reports and customization options can be complex and challenging to set up, especially for large-scale systems.

          Buyer sentiment

          Buyer sentiment is mixed across 30 reviews, so it is worth reviewing the tradeoffs closely.

          What buyers like

          • Convenient and easy to share and update electronic records.
          • Intuitive scheduling system, helpful for both office staff and patients.
          • User-friendly interface, especially for daily patient record tracking.

          Common complaints

          • Disappointing implementation experience with setup complexities and lack of pre-formatted tools.
          • Limited training and support resources, making navigation difficult for new users.
          • Some users find the system non-intuitive in workflows.

          Pros and Cons

          No pros or cons available for this product

          • Highly comprehensive and integrated platform covering clinical, revenue, and patient engagement needs

          • Advanced AI-driven decision support and robust analytics

          • Strong mobile and patient engagement ecosystem through MyChart and clinician apps

          • Pricing is quotation based and not publicly transparent

          • Implementation complexity requiring significant resources and time

          • Easy to navigate and customize templates for individual needs, with support from the user community.

          • The system is user-friendly, quick to navigate, and has good training resources available.

          • Combines EHR and Practice Management into one system, providing a seamless experience.

          • The interface design may feel outdated and lacks modern features, affecting user experience.

          • Some functions require multiple clicks to access, slowing down workflow efficiency.

          • Convenient and easy to share and update electronic records.

          • Intuitive scheduling system, helpful for both office staff and patients.

          • User-friendly interface, especially for daily patient record tracking.

          • Disappointing implementation experience with setup complexities and lack of pre-formatted tools.

          • Limited training and support resources, making navigation difficult for new users.

          Positive Reviews

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          Negative Reviews

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          List of Customers

          Customers

          No Customers information available.

          No Customers information available.

          Vision Care

          Vision Care

          KATZEN EYE GROUP

          KATZEN EYE GROUP

          Otis R. Bowen Center for Human Services

          Otis R. Bowen Center for Human Services

          No Customers information available.

          Media and Screenshots

          Screenshots

          No screenshots available.

          No screenshots available.

          Videos

          video-0

          1 Videos

          No videos available.

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          Disclaimer: This research has been collated from a variety of authoritative sources. We welcome your feedback at [email protected].

          Frequently asked questions

          Which is better, Allscripts EHR or Epic?
          Epic edges out the other on user ratings (4.3 vs 3.4). That said, the best pick depends on your use case — use the comparison tables above to evaluate each dimension.
          Do Allscripts EHR and Epic offer a free trial?
          Neither Allscripts EHR nor Epic currently lists a free trial.
          What is the starting price of Allscripts EHR vs Epic?
          Allscripts EHR starts at Contact for pricing. Epic starts at Contact for pricing.
          What are the top alternatives to Allscripts EHR?
          Top alternatives to Allscripts EHR include NextGen Healthcare EHR, Athenahealth EHR, Dr in Cloud, Vaxi Buddy, PrognoCIS.
          What are the top alternatives to Epic?
          Top alternatives to Epic include NextGen Healthcare EHR, Athenahealth EHR, ChiroSpring, BackChart, CareCloud Charts.

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