zHealthEHR vs Tebra vs NextGen Healthcare EHR vs Athenahealth EHR Comparison
zHealthEHR
Starting at $116 /month
- Large Enterprises
- Medium Business
Starting at $129/mo, zHealth is an all-in-one chiropractic software with 100% customizable SOAP Notes, automated billing & powerful AI features. Automate appointments & intake: Patients book online & complete fully cus…
Tebra
Starting at Contact for pricing
- Freelancers / Consultants
- Small Business
Tebra is an integrated EHR and practice management platform designed to help independent medical practices streamline clinical workflows, automate billing, enhance patient engagement, and improve practice visibility—all…
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
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…
zHealthEHR vs Tebra vs NextGen Healthcare EHR vs Athenahealth EHR — at a glance
| Feature | zHealthEHR | Tebra | NextGen Healthcare EHR | Athenahealth EHR |
|---|---|---|---|---|
| Rating | — | — | — | 3.3 / 5 |
| Reviews | — | — | — | 26 |
| Starting price | $116 /month | Contact for pricing | Contact for pricing | Contact for pricing |
| Free trial | No | No | No | No |
| Free version | No | No | No | No |
| Best for | Large Enterprises, Medium Business, Small Business | Freelancers / Consultants, Small Business, Medium Business | Large Enterprises, Medium Business, Small Business | Large Enterprises, Medium Business, Small Business |
| Category | EHR Software | EHR Software | EHR Software | EHR Software |
| Integrations | 1+ apps | 1+ apps | — | — |
| Platforms | SaaS/Web/Cloud, Mobile - Android, Mobile - iOS | SaaS/Web/Cloud, Mobile - iOS | SaaS/Web/Cloud | SaaS/Web/Cloud |
| API | — | — | — | — |
| Support modes | 24/7 (Live rep), Online | Online, Business Hours | Online | Online |
| Certifications | SOC 2, HIPAA, GDPR | SOC 2, HIPAA | SOC 2, HIPAA | SOC 2, HIPAA, GDPR |
| Data residency | US | US | Global | US |
Key differences between zHealthEHR and Tebra
- Pricing: zHealthEHR starts at $116 /month. Tebra pricing is not publicly listed.
- Target audience: zHealthEHR is built for Large Enterprises and Medium Business, while Tebra targets Freelancers / Consultants and Small Business.
- Deployment: zHealthEHR supports SaaS/Web/Cloud, Mobile - Android, Mobile - iOS; Tebra supports SaaS/Web/Cloud, Mobile - iOS.
Compare zHealthEHR vs Tebra vs NextGen Healthcare EHR vs Athenahealth EHR — and walk away knowing which one fits.
Which tool fits your team best
Which is actually cheaper for your team size
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.
Biggest differences
Features
Pricing
Buying details
Security
Buyer feedback
Integrations
Product tour
Other options
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Biggest differences
Start here before you go deeper into features.
Best for chiropractic clinics needing customizable AI-powered SOAP notes and billing.
- You require fully customizable SOAP notes tailored to your clinic’s workflow.
- You want automated billing and appointment scheduling with multilingual patient intake.
- Your practice values responsive customer service and a user-friendly interface.
- You need extensive onboarding support and out-of-the-box training materials.
- Integrated email communication within the platform is critical for your workflow.
Freelancers / Consultants, Small Business, Medium Business
Large Enterprises, Medium Business, Small Business
Large Enterprises, Medium Business, Small Business
zHealthEHR typically suits Large Enterprises and Medium Business. Tebra tends to fit Freelancers / Consultants and Small Business better. The right choice depends on your team size, workflow, and whether a free trial matters.
Description | Starting at $129/mo, zHealth is an all-in-one chiropractic software with 100% customizable SOAP Notes, automated billing & powerful AI features. Automate appointments & intake: Patients ... Read More about zHealthEHR | Tebra is an integrated EHR and practice management platform designed to help independent medical practices streamline clinical workflows, automate billing, enhance patient engagement, and ... Read More about Tebra | 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 |
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Spotsaas ScoreWhat's this? ↗ | 8.8/10 | Not Available | Not Available | Not Available |
User RatingsBased on verified Spotsaas reviews | ||||
Best Company Size | 1-100 employeesSmall to medium businesses | 5 to 100+ Employees | 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.
Key strengths
- All-in-One Platform for Wellness Clinics: zHealth provides a comprehensive suite of features including appointment scheduling, billing, SOAP notes, online payments, EHR, and patient portals—streamlining administrative, clinical, and operational workflows within a single interface.
- Customization and Ease of Use: The platform allows for customized SOAP templates, intuitive navigation, and flexible configurations, helping clinics adapt the software to their specific workflows without complexity.
- Improved Patient Engagement: With automated text/email reminders, patient portals, and mobile access, zHealth enhances the overall patient experience and reduces no-show rates.
- All-in-One Practice Management: Connects EHR, billing, scheduling, and reputation management in a single, cohesive platform.
- Time-Saving Automation: AI-driven note generation, review responses, and task automation help reduce manual workloads.
- Enhanced Patient Engagement: Tools like online booking, secure messaging, and automated reminders support a more modern, accessible patient experience.
- 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.
- 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
- 1 to 100 employees
- Chiropractic, Physical Therapy, Acupuncture, Massage Therapy, Wellness Clinics, Holistic Health
- Chiropractors, Practice Managers, Office Administrators, Billing Coordinators, Front Desk Staff, Physical Therapists, Massage Therapists
- 5 to 100+ Employees
- Independent Medical Practices, Family Medicine Clinics, Behavioral Health, Pediatrics, Physical Therapy Clinics, Primary Care Offices
- Physicians, Medical Office Managers, Practice Administrators, Billing Coordinators, Nurse Practitioners, Front Office Staff, Clinical Directors, Health IT Coordinators
- 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
- 5–50 Employees
- General Medical Practices, Family Medicine, Internal Medicine, Pediatrics, Multispecialty Clinics
- Physicians, Medical Assistants, Practice Managers, Billing Specialists, IT Support Staff
Reasons buyers look elsewhere
- Compared to more open platforms, zHealth has relatively fewer out-of-the-box integrations with external tools like advanced CRMs, marketing platforms, or analytics software.
- While ideal for small to mid-sized practices, larger multi-location enterprises may require more robust enterprise features, analytics, or integrations not currently offered.
- Some users find the built-in reporting features basic and may prefer software with deeper analytics and KPI dashboards for advanced decision-making.
- Users in complex specialties often seek platforms that provide deeper clinical documentation, diagnostic tools, or specialty-specific workflows not readily available in Tebra.
- Large health systems may prefer enterprise-grade solutions with advanced analytics, role hierarchies, and custom reporting features that exceed Tebra’s current scope.
- Tebra’s platform primarily supports U.S. compliance and billing standards, which may deter global users looking for multilingual interfaces and international code support.
- 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.
- 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 |  Tebra has not given any software demo yet If you're the owner of this profile, add your demo.Contact us |
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How do zHealthEHR, Tebra, NextGen Healthcare EHR and Athenahealth EHR Compare on Features?
Total Features | 18 Features | 14 Features | 9 Features | 7 Features |
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Unique Features | No unique features | No unique features | No unique features | No unique features |
Get Quote | Get Quote |
Compare zHealthEHR, Tebra, 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.
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Other Details
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Get help choosing | Get help choosing |
Security & Compliance
Certifications, data handling, and security controls for IT and compliance evaluators.
SOC 2 | ✓ Yes | ✓ Yes |
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HIPAA | ✓ Yes | ✓ Yes |
GDPR | ✓ Yes | — |
Single Sign-On (SSO) | ✓ Yes | — |
Multi-Factor Auth (MFA) | ✓ Yes | — |
Data Encryption | ✓ Yes | — |
Audit Logs | ✓ Yes | — |
Data Residency | 🇺🇸 US | 🇺🇸 US |
zHealthEHR vs Tebra vs NextGen Healthcare EHR User Reviews & Rating Comparison
User Ratings | No reviews available for the product | No reviews available for the product | No reviews available for the product | |
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Rating Distribution | No reviews available for this product | |||
Spotsaas Editor’s POV generated by AI | Buyer sentiment Overall positive sentiment highlighting ease of use, customization, and customer support, tempered by concerns around onboarding and email integration. What buyers like
Common complaints
| What buyers like
Common complaints
| What buyers like
Common complaints
| Buyer sentiment Buyer sentiment is mixed across 30 reviews, so it is worth reviewing the tradeoffs closely. What buyers like
Common complaints
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Pros and Cons |
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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 |
Integrations
Integration with other apps | No Integration information available. | No Integration information available. |
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List of Customers
Customers |  Austin Chiropractic Associates  Infinite Life Chiropractic  Vaughn Chiropractic | No Customers information available. |  Vision Care  KATZEN EYE GROUP  Otis R. Bowen Center for Human Services | No Customers information available. |
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Media and Screenshots
Screenshots |  7 Screenshots |  4 Screenshots |
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Videos |  2 Videos | No videos available. |
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Related Blogs and Articles for Ehr Software
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, zHealthEHR or Tebra?
- zHealthEHR and Tebra are closely matched with equal user ratings of -1.0. The right choice depends on your team size, budget, and specific EHR Software needs.
- Do zHealthEHR and Tebra offer a free trial?
- Neither zHealthEHR nor Tebra currently lists a free trial.
- What is the starting price of zHealthEHR vs Tebra?
- zHealthEHR starts at $116 /month. Tebra starts at Contact for pricing.
- What are the top alternatives to zHealthEHR?
- Top alternatives to zHealthEHR include NextGen Healthcare EHR, Athenahealth EHR, PayDC Chiropractic Software, ChiroSpring, RAPID.
- What are the top alternatives to Tebra?
- Top alternatives to Tebra include NextGen Healthcare EHR, Athenahealth EHR, Remedly, Genensys, In Touch EMR.