Two ways to pay.
Both of them published.

It depends on the vendor, the plan, the provider category and what is bundled, so compare named plans rather than averages. Two published examples: Tebra Practice Essentials, physician, standard volume: $599 per provider per month, per its official pricing page, retrieved September 22, 2026. Tebra describes this as typical pricing; provider category, specialty, claim volume, bundle and configuration affect a quote, and Tebra publishes lower categories. eClinicalWorks EHR with Practice Management: $599 per provider per month, per its official pricing page, retrieved September 22, 2026. eClinicalWorks advertises no start-up costs for this plan and a separate, lower-priced EHR Only plan; training, implementation above nine providers, airfare and transaction fees are described separately. Against either advertised price, the regular Medical Practice EMR Individual rate of $380 a month is $219 a month lower, about 37% lower. Advertised recurring provider prices only; configurations, provider categories, implementation, transactions, add-ons, taxes, contract terms and included capabilities differ. Copergrine Medical Practice EMR in full — Individual: $229 per provider seat per month for your first 6 months, then $380 per month thereafter. Group: For first-time clients, $1,500 per month includes 5 concurrent clinical licenses and each additional concurrent license is $285 per month for the first 6 months; then $2,000 per month includes 5 concurrent clinical licenses, and each additional concurrent license is $380 per month, with unlimited locations. Every clinician keeps an individual account. Group is billed monthly. A one-time $499 setup fee covers onboarding, data-migration assistance, and payer-enrollment support. It is waived in full on annual prepay. Every new practice starts with a 14-day trial; a card is required to start and nothing is charged until the trial ends.

There are two billing models. Medical Practice EMR is licensed per clinician or, for medical groups, per concurrent clinical license. Individual: $229 per provider seat per month for your first 6 months, then $380 per month thereafter. Group: For first-time clients, $1,500 per month includes 5 concurrent clinical licenses and each additional concurrent license is $285 per month for the first 6 months; then $2,000 per month includes 5 concurrent clinical licenses, and each additional concurrent license is $380 per month, with unlimited locations. Every clinician keeps an individual account. Group is billed monthly. A one-time $499 setup fee covers onboarding, data-migration assistance, and payer-enrollment support. It is waived in full on annual prepay. Every new practice starts with a 14-day trial; a card is required to start and nothing is charged until the trial ends. Home Health and Therapy & Behavioral Health are licensed by the Medicare number, stepped by the active census on it — Home Health: From $490 per Medicare number (CCN) per month for your first 6 months at 1–15 patients, stepped by active patient census; from $690 per month thereafter. Therapy & Behavioral Health: From $229 per Medicare enrollment (PTAN) per month for your first 6 months at 1–30 clients, stepped by active client census; from $380 per month thereafter. There is no per-org platform fee.

Individual gives each clinician who documents their own provider seat: $229 per provider seat per month for your first 6 months, then $380 per month thereafter. Group is for medical practices that share concurrent clinical licenses across locations: For first-time clients, $1,500 per month includes 5 concurrent clinical licenses and each additional concurrent license is $285 per month for the first 6 months; then $2,000 per month includes 5 concurrent clinical licenses, and each additional concurrent license is $380 per month, with unlimited locations. Every clinician keeps an individual account. Group is billed monthly. Every clinician keeps an individual account. The licenses limit how many clinicians use clinical features at the same time, never who has an account. 5 concurrent licenses can cover 10 clinicians only when they work 2 non-overlapping shifts and no more than 5 use licensed clinical features at once. If your clinicians overlap, count the most who ever work at the same time.

No long-term commitment on monthly plans: there is no minimum term, and cancellation takes effect at the end of the current billing period. The Master Subscription Agreement and Business Associate Agreement still govern. Your accepted Medical Practice EMR rate schedule, including the 6-month introductory-to-standard step, is protected for 24 calendar months. Adding or removing licenses still changes your total. It is not a 24-month commitment, and your rates do not increase automatically when the protection period ends. On annual prepay, a subscriber who cancels is entitled to a prorated refund of unused full months, requested at app.copergrine.com/support/new by choosing Billing. Scheduling cancellation does not by itself process a refund.

Yes. Moving from Individual to Group is an explicit confirmation that takes effect at a supported billing boundary; it starts a new 24-calendar-month protection period from that date, with no new trial, setup fee or proration. Adding Group licenses later keeps the accepted additional-license rate and the original protection end date. Special, legacy and already-issued offers keep their own terms.

It depends which line you are on, and the SSOT holds both rules. Home Health — One unit per CMS Certification Number. A multi-branch agency operating under several CCNs licenses one unit per CCN. An agency still working through certification licenses one unit keyed on its NPI. Therapy & Behavioral Health — One unit per Medicare enrollment (PTAN) on a Type-2 NPI — rehab agency, CORF/ORF, CMHC, or group practice. A practice still working through enrollment licenses one unit keyed on its NPI.

3 Medicare numbers (CCNs), so 3 units. One unit per CMS Certification Number. A multi-branch agency operating under several CCNs licenses one unit per CCN. An agency still working through certification licenses one unit keyed on its NPI. Each is priced on its OWN active census, not on the total across branches: 3 branches each at 1–15 patients come to $1,470 a month at the introductory rate and $2,070 at the standard rate. A branch that grows into the next band moves on its own; the others do not.

You license one unit keyed on your organizational NPI, and we record the CCN when CMS issues it. A CCN is not a precondition of subscribing — an agency working through certification has real charting, scheduling and compliance work to do before its first claim. ⛔ We do not treat a missing CCN as zero units or as a free account; it is a unit whose number is not yet known.

On the agency lines, as many as you employ. Unlimited clinicians and staff — headcount is not a price input. Clinicians, schedulers, QA reviewers and billers do not change the price — only the active census on the Medicare number does. Medical Practice EMR is licensed by seat — each clinician who documents holds one. One seat per clinician who documents. Each provider account that starts, leads, signs or closes encounters needs its own seat; admin, billing, nursing and front-desk staff are free under your headcount cap. Medical groups can instead license concurrent clinical licenses: For first-time clients, $1,500 per month includes 5 concurrent clinical licenses and each additional concurrent license is $285 per month for the first 6 months; then $2,000 per month includes 5 concurrent clinical licenses, and each additional concurrent license is $380 per month, with unlimited locations. Every clinician keeps an individual account. Group is billed monthly. Every clinician keeps an individual account. The licenses limit how many clinicians use clinical features at the same time, never who has an account. 5 concurrent licenses can cover 10 clinicians only when they work 2 non-overlapping shifts and no more than 5 use licensed clinical features at once.

A one-time $499 setup fee covers onboarding, data-migration assistance, and payer-enrollment support. It is waived in full on annual prepay. Onboarding covers tenant provisioning, user and role setup, clearinghouse and payer enrollment, a sandbox migration of your existing charts before anything touches production, and training for your clinical and billing staff. It is charged once, on the first invoice.

Your own. The introductory column applies to first-time clients from the subscription's effective date, not to a calendar-wide promo: your first 6 months, on every line. We notify you at T-60, T-30 and T-7 days before the step-up. After that every cycle bills the standard column — and on the agency lines, against the band your current census puts you in.

Each line is its own subscription with its own unit. A clinic that uses Medical Practice EMR and also runs a certified home health agency holds provider seats for its clinicians AND one unit per CCN — two regulatory regimes, two subscriptions. If you run only one line, you pay for only that one.

One seat per clinician who documents. Each provider account that starts, leads, signs or closes encounters needs its own seat; admin, billing, nursing and front-desk staff are free under your headcount cap. Front-desk, billing, nursing support, admin and read-only roles are free under your plan's headcount cap. Admin, billing, nursing, and front-desk staff seats are free under your headcount cap. This question does not arise on the agency lines, where headcount is not a price input at all.

No. The subscription covers all infrastructure: AI scribe, clearinghouse, OASIS submission, iQIES export, EVV, PDGM grouping, audit logs, custom-domain TLS and encrypted patient comms. We make money when you actually use the platform — not by gating features.

Only at the standard rate — the introductory rate is monthly-only. Medical Practice EMR: Annual prepay at the standard rate: $4,180 per provider seat per year — one month free versus $380/month, setup fee waived. Home Health: Annual prepay at the standard rate: from $7,590 per Medicare number (CCN) per year — one month free versus from $690/month, setup fee waived. Therapy & Behavioral Health: Annual prepay at the standard rate: from $4,180 per Medicare enrollment (PTAN) per year — one month free versus from $380/month, setup fee waived. On the banded lines that rule applies band by band; the annual column of each table above is that figure. You can elect it once you are on the standard rate.

The org goes into a read-only grace state — no PHI is destroyed, no data is exported elsewhere, no surprise charges. You can return any time within 90 days to activate.