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What Are The Top EHR Systems In The US?

Hamideh Alizadeh

January 8, 2026

10
mins read

Electronic health record (EHR) systems are software applications that store and manage patients' health information in a digital format. EHR systems allow healthcare providers to access and share patient data across different settings and devices, improving the quality and efficiency of care delivery. EHR systems also enable patients to view their health records, communicate with their providers, and participate in their care.

EHR systems are widely adopted in the USA, with more than 95% of hospitals and 86% of office-based physicians using certified EHR technology in 2019, according to the Office of the National Coordinator for Health Information Technology (ONC). EHR systems have been shown to improve patient outcomes, reduce medical errors, increase patient satisfaction, and lower healthcare costs.

However, not all EHR systems are created equal. Hundreds of EHR vendors in the market offer different features, functionalities, and prices. Choosing the best EHR system for your practice can be daunting, especially if you are unfamiliar with the technical aspects and industry standards.

To help you make an informed decision, we have ranked the top EHR systems in the USA based on the following criteria:

Here are our picks for the best EHR systems in the USA:

DrChrono

DrChrono is a cloud-based EHR system that integrates with iOS devices, allowing providers to access and update patient records from anywhere. DrChrono offers a comprehensive suite of features, such as:

DrChrono is praised by users for its intuitive design, flexibility, and mobility. DrChrono also offers a free version for small practices with limited features.

DrChrono's pricing varies depending on the number of providers and features. DrChrono offers four plans:

DrChrono provides 24/7 customer support via phone, email, chat, and online help center.

Kareo Clinical

Kareo Clinical is a cloud-based EHR system designed for small to medium-sized practices. Kareo Clinical offers a comprehensive suite of features, such as:

Users praise Kareo Clinical for its simplicity, ease of use, and integration with other Kareo products. Kareo Clinical also offers a free trial for new users.

Kareo Clinical's pricing is $160 per provider per month.

NextGen

NextGen is a cloud-based EHR system designed for medium to large-sized practices. NextGen offers a comprehensive suite of features, such as:

Users praise NextGen for its robust functionality, interoperability, and customization. NextGen also offers a free demo for new users.

NextGen's pricing varies depending on the number of providers and features. NextGen does not disclose its pricing publicly.

Allscripts

Allscripts is a cloud-based EHR system designed for medium to large-sized practices. Allscripts offers a comprehensive suite of features, such as:

Users praise Allscripts for its advanced functionality, integration, and scalability. Allscripts also offers a free demo for new users.

Allscripts' pricing varies depending on the number of providers and features. Allscripts does not disclose its pricing publicly.

eClinicalWorks

eClinicalWorks is a cloud-based EHR system designed for small to large-sized practices. eClinicalWorks offers a comprehensive suite of features, such as:

eClinicalWorks is praised by users for its reliability, affordability, and innovation. eClinicalWorks also offers a free trial for new users.

eClinicalWorks' pricing is $449 per provider per month.

Valant

Valant is a cloud-based EHR system that is designed for behavioral health practices. Valant offers a comprehensive suite of features, such as:

Users praise Valant for its specialty-specific functionality, ease of use, and customer service. Valant also offers a free demo for new users.

Valant's pricing varies depending on the number of providers and features. Valant does not disclose its pricing publicly.

TherapyNotes

TherapyNotes is a cloud-based EHR system that is designed for mental health practices. TherapyNotes offers a comprehensive suite of features, such as:

TherapyNotes is praised by users for its specialty-specific functionality, user-friendliness, and customer service. TherapyNotes also offers a free trial for new users.

TherapyNotes' pricing varies depending on the number of providers and features. TherapyNotes offers four plans: Solo ($49 per month), Group ($59 per month), Enterprise ($99 per month), and Enterprise Plus ($149 per month)

athenahealth

athenahealth is a cloud-based EHR system designed for small to large-sized practices. athenahealth offers a comprehensive suite of features, such as:

Users praise athenahealth for its network-based functionality, interoperability, and innovation. Athenahealth also offers a free demo for new users.

athenahealth's pricing varies depending on the number of providers and features. athenahealth does not disclose its pricing publicly.

Cerner

Although best known for its hospital EHR solutions, Cerner offers a cloud-based or on premise EHR system designed for small to large-sized practices. Cerner Ambulatory offers a comprehensive suite of features, such as:

Users praise Cerner for its industry-leading functionality, integration, and scalability. Cerner also offers a free demo for new users.

Cerner's pricing varies depending on the number of providers and features. Cerner does not disclose its pricing publicly.

Cerner provides customer support via phone, email, chat, online help center, community forum, training courses, etc.

RXNT

RXNT is a cloud-based EHR system designed for small to medium-sized practices. RXNT offers a comprehensive suite of features, such as:

Users praise RXNT for its affordability, simplicity, and customer service. RXNT also offers a free trial for new users.

RXNT's pricing is $85 per provider per month.

Conclusion

EHR systems are essential tools for modern healthcare delivery. They can help you improve the quality and efficiency of your care, enhance patient satisfaction and engagement, and reduce costs and errors. However, choosing the best EHR system for your practice can be challenging, as there are many factors to consider and options.

This blog post has helped you narrow your choices and compare the top EHR systems in the USA. To summarize, here are some key points to remember:

To help you compare these systems more easily, here is a brief table that summarizes their pricing and customer reviews:

Comparison of EHRs in the United States

Comparison of EHRs in the United States

What's Next?

Choosing the best EHR system for your practice is an important step, but it's not the only one. After you have procured and implemented your EHR system, you should also think about how to optimize its use and enhance its benefits. One way to do that is to leverage the power of artificial intelligence (AI) to improve your clinical documentation and workflow.

AI can help you create accurate, comprehensive, and timely clinical notes using voice recognition and natural language processing. AI can also help you reduce the time and effort spent typing, clicking, and searching for information in your EHR system. AI can also help you improve the quality and consistency of your documentation by providing feedback and suggestions.

Tali is an example of an AI solution that can help you with your EHR system. Tali is a medical dictation software that integrates with your EHR system and allows you to create clinical notes using your voice. Tali can also help you with tasks such as ordering tests, prescribing medications, generating referrals, and more.

Tali is designed to be easy to use, secure, and compliant with HIPAA and other regulations. Tali can also adapt to your preferences, specialty, and terminology.

If you want to learn more about Tali and how it can help you with your EHR system, you can try it for free. We would love to hear from you and show you how Tali can improve your EHR experience.

This post is published in good faith and for general information purpose only. Tali AI does not make any warranties about the completeness, reliability and accuracy of this information. Any action you take upon the information you find here is strictly at your own risk.

Tali AI is not receiving any compensation from these links or products mentioned, nor are we responsible for the content of any external websites linked to from this blog.

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