Spruce Health vs TherapyNotes
Updated June 2026 · A structured head-to-head comparison.
HIPAA-compliant communication.
EHR for behavioral health.
The verdict
Both Spruce Health and TherapyNotes are credible healthcare tools, and the right pick comes down to your priorities.
Choose Spruce Health if you want a lower starting price (from $24/user/mo) and broader platform coverage. HIPAA-compliant communication.
Choose TherapyNotes if you'd rather have a longer free trial (30 days). EHR for behavioral health.
Spruce Health vs TherapyNotes: side by side
| Dimension | Spruce Health | TherapyNotes |
|---|---|---|
| Starting price | From $24/user/moWinner | From $49/mo |
| Free plan | No | No |
| Free trial | 14 days | 30 daysWinner |
| Pricing model | Subscription | Subscription |
| Best for | Medical Practices | Therapists, Behavioral Health |
| Platforms | Web, Ios, AndroidWinner | Web |
| Rating | 4.6/5 | 4.6/5 |
Spruce Health key facts
- Vendor
- Spruce
- Pricing
- Subscription — From $24/user/mo
- Free tier
- Free trial (14 days)
- Platforms
- Web, Ios, Android
- Best for
- Medical Practices
- Editor rating
- 4.6 / 5
- Founded
- 2013
- Headquarters
- San Francisco, CA, 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 Spruce Health better than TherapyNotes?
Neither is universally better — Spruce Health 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 Spruce Health or TherapyNotes cheaper?
Spruce Health is the more affordable of the two to get started, at from $24/user/mo. Spruce Health starts at from $24/user/mo; TherapyNotes starts at from $49/mo.
Can Spruce Health 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.