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NextGen Healthcare vs TherapyNotes

Updated June 2026 · A structured head-to-head comparison.

EHR for ambulatory practices.

EHR for behavioral health.

The verdict

Both NextGen Healthcare and TherapyNotes are credible healthcare tools, and the right pick comes down to your priorities.

Choose NextGen Healthcare if you want broader platform coverage. EHR for ambulatory practices.

Choose TherapyNotes if you'd rather have a lower starting price (from $49/mo), a longer free trial (30 days) and a higher overall rating (4.6/5). EHR for behavioral health.

NextGen Healthcare vs TherapyNotes: side by side

DimensionNextGen HealthcareTherapyNotes
Starting priceCustomFrom $49/moWinner
Free planNoNo
Free trial30 daysWinner
Pricing modelSubscriptionSubscription
Best forMedical Groups, Specialty PracticesTherapists, Behavioral Health
PlatformsWeb, Ios, AndroidWinnerWeb
Rating3.9/54.6/5Winner

NextGen Healthcare key facts

Vendor
NextGen Healthcare
Pricing
Subscription — Custom
Free tier
No
Platforms
Web, Ios, Android
Best for
Medical Groups, Specialty Practices
Editor rating
3.9 / 5
Founded
1994
Headquarters
Atlanta, GA, USA

TherapyNotes key facts

Vendor
TherapyNotes
Pricing
Subscription — From $49/mo
Free tier
Free trial (30 days)
Platforms
Web
Best for
Therapists, Behavioral Health
Editor rating
4.6 / 5
Founded
2010
Headquarters
Horsham, PA, USA

Frequently asked questions

Is NextGen Healthcare better than TherapyNotes?

Neither is universally better — TherapyNotes edges ahead on overall rating, but the best choice depends on price, platforms, and your use case. See the side-by-side table above.

Is NextGen Healthcare or TherapyNotes cheaper?

TherapyNotes is the more affordable of the two to get started, at from $49/mo. NextGen Healthcare starts at custom; TherapyNotes starts at from $49/mo.

Can NextGen Healthcare replace TherapyNotes?

Yes for most teams — both are healthcare tools with heavily overlapping features. The main trade-offs are pricing and platform support, covered in the comparison above.