# OpenEMR vs Tebra

**Leader by vioscaleAI score:** Tebra

| Attribute | OpenEMR | Tebra |
|---|---|---|
| **vioscaleAI score** | 36.7 (63% (medium)) | 48.8 (63% (medium)) |
| activity.commits_last_30d | 10 | - |
| adoption.dependent_repos | 0 | - |
| adoption.github_stars | 119 | - |
| content.faq | `[{"answer":"Free, open-source EHR and practice management platform available for self-deployment or as a managed cloud service. ONC-certified and HIPAA-compliant, designed for ambulatory healthcare practices with integrated clinical workflows and medical billing. It is indexed under Healthcare Software.","source":"https://www.open-emr.org/","question":"What is OpenEMR?","confidence":0.6},{"answer":"OpenEMR is open source, so it can be self-hosted and used at no licence cost. It is released under the GPL-3.0 licence. A commercial or hosted edition starts at $70 per month. Pricing changes often, so verify at source before relying on it.","source":"https://www.open-emr.org/","question":"Is OpenEMR free to use?","confidence":0.6},{"answer":"We have confirmed browser-based access to OpenEMR. That is the extent of what we could verify from public sources, so it may well offer desktop or mobile clients we have not indexed.","source":"https://www.open-emr.org/","question":"What platforms does OpenEMR support?","confidence":0.6},{"answer":"Yes. OpenEMR can be deployed cloud / SaaS, hybrid, on-premise and self-hosted, so it does not have to run on the vendor's infrastructure.","source":"https://www.open-emr.org/","question":"Can OpenEMR be self-hosted?","confidence":0.6},{"answer":"We have independently confirmed HIPAA for OpenEMR. Certifications we do not list are ones we have not been able to verify from public sources, which is not the same as OpenEMR not holding them. Always confirm compliance directly before you rely on it.","source":"https://www.open-emr.org/","question":"What security certifications does OpenEMR have?","confidence":0.6},{"answer":"Yes. OpenEMR is published under the GPL-3.0 licence, a copyleft licence, so check its terms before embedding it in a closed-source product. Licence terms can change between releases, so verify against the repository for the version you intend to use.","source":"https://github.com/openemr/openemr-devops","question":"Is OpenEMR open source?","confidence":0.95},{"answer":"OpenEMR is available in the United States. Its primary market is the United States.","source":"https://www.open-emr.org/","question":"Where is OpenEMR available?","confidence":0.75}]` | `[{"answer":"An integrated EHR and practice management system that consolidates clinical documentation, medical billing, appointment scheduling, insurance claims processing, and patient communications into a single connected workflow for private practices. It is indexed under Healthcare Software.","source":"https://www.tebra.com/","question":"What is Tebra?","confidence":0.6},{"answer":"Tebra does not publish its prices. Pricing is quoted on request, across 2 plans (Practice Essentials and Practice Automation), so the figure depends on your seat count and requirements. We record this as a pricing-transparency signal rather than guessing a number. Pricing changes often, so verify at source before relying on it.","source":"https://www.tebra.com/","question":"How much does Tebra cost?","confidence":0.6},{"answer":"We have confirmed browser-based access to Tebra. That is the extent of what we could verify from public sources, so it may well offer desktop or mobile clients we have not indexed.","source":"https://www.tebra.com/","question":"What platforms does Tebra support?","confidence":0.6},{"answer":"We have only confirmed a cloud / SaaS deployment for Tebra, so it appears to be vendor-hosted. If a self-hosted option exists we have not found it documented publicly.","source":"https://www.tebra.com/","question":"Can Tebra be self-hosted?","confidence":0.6},{"answer":"We have independently confirmed SOC 2 and HIPAA for Tebra. Certifications we do not list are ones we have not been able to verify from public sources, which is not the same as Tebra not holding them. Always confirm compliance directly before you rely on it.","source":"https://www.tebra.com/security-notice","question":"What security certifications does Tebra have?","confidence":0.6},{"answer":"Tebra is available worldwide. Its primary market is the United States. The vendor is headquartered in the United States.","source":"https://www.tebra.com/tebra-payment-processing-pricing-policy","question":"Where is Tebra available?","confidence":0.75}]` |
| deployment.options | `{"cloud":true,"hybrid":true,"on_prem":true,"self_hosted":true}` | `{"cloud":true}` |
| description.long | Free, open-source EHR and practice management platform available for self-deployment or as a managed cloud service. ONC-certified and HIPAA-compliant, designed for ambulatory healthcare practices with integrated clinical workflows and medical billing. | A cloud-based platform combining electronic health records, medical billing, scheduling, and patient engagement tools. Features AI-assisted clinical documentation and integrated insurance claims processing and eligibility verification. |
| features.capabilities | `{"hipaa":true,"deployment":"on_prem","care_setting":"ambulatory","product_type":"ehr","onc_certified":true,"revenue_cycle":true,"patient_portal":true,"target_segment":"clinic","interoperability":"fhir","telehealth_builtin":true}` | `{"epcs":true,"hipaa":true,"deployment":"cloud","care_setting":"ambulatory","product_type":"ehr","soc2_type_ii":true,"pricing_model":"per_provider","revenue_cycle":true,"patient_portal":true,"target_segment":"clinic","deployment_model":"cloud_web_app","interoperability":"hl7v2","telehealth_builtin":true,"icd_10_and_cpt_coding_assistance":true,"direct_edi_clearinghouse_connections":true,"medicare_medicaid_macra_mips_reporting":true,"hipaa_baas_business_associate_agreement":true,"front_desk_calendar_scheduling_and_check_in":true,"patient_demographic_and_registration_portal":true,"real_time_insurance_eligibility_verification":true,"patient_statement_generation_and_portal_payments":true}` |
| integrations.count | 1 | 1 |
| integrations.list | `[{"name":"ClaimRev Clearinghouse Module"}]` | `[{"name":"Google"}]` |
| language.primary | Shell | - |
| license.spdx | GPL-3.0 | - |
| market.availability | `{"primaryMarkets":["US"],"availabilityScope":"regional","availableCountries":["US"],"notAvailableCountries":[]}` | `{"primaryMarkets":["US"],"availabilityScope":"global","availableCountries":[],"notAvailableCountries":[]}` |
| platform.support | `{"web":true,"linux":true,"windows":true}` | `{"web":true}` |
| pricing | `{"type":"hybrid","plans":[{"free":true,"name":"Self-Hosted (Open Source)","description":"Free and open source software for self-deployment"},{"free":false,"name":"Cloud Standard Edition","summary":"Starting at approximately $70/month with no per-provider charges","components":[{"kind":"fixed","amount":70,"period":"month","currency":"USD"}],"description":"Managed cloud hosting on AWS Marketplace","contactSales":false}],"summary":"Free open-source or managed cloud starting at ~$70/month","currency":"USD","freeTier":true,"sourceUrl":"https://www.open-emr.org/","retrievedAt":"2026-08-25T21:45:36.304Z","startingPrice":{"amount":70,"period":"month","currency":"USD"}}` | `{"type":"hybrid","plans":[{"free":false,"name":"Billing Module","contactSales":true},{"free":false,"name":"Clinical Module","contactSales":true},{"free":false,"name":"Patient Experience Module","contactSales":true}],"addOns":[{"name":"Electronic Prescribing of Controlled Substances (EPCS)","components":[{"kind":"fixed","amount":99,"period":"month","currency":"USD"},{"per":{"qty":1,"unit":"note"},"kind":"metered","amount":0.25,"currency":"USD"}]}],"summary":"Subscription per provider per month (amount varies by module and provider type). Transactional fees for claims, eligibility checks, and remittance advice. EPCS: $99/month + $0.25 per note over 400/month.","currency":"USD","freeTier":false,"sourceUrl":"https://www.tebra.com/tebra-pricing-policy","retrievedAt":"2026-10-06T10:08:54.785Z","billingPeriods":["month","year"]}` |
| pricing.free_tier | yes | no |
| pricing.model | free | quote |
| pricing.price_level | free | unknown |
| pricing.starting_price | `{"amount":70,"currency":"USD"}` | - |
| pricing.transparent | no | no |
| reliability.status_page | - | yes |
| security.certifications | `[{"name":"ONC Ambulatory EHR Certification","status":"active"}]` | - |
| security.gdpr | yes | - |
| security.hipaa | yes | yes |
| security.pci | - | yes |
| security.soc2 | - | yes |
| security.vulnerabilities | `{"count":0,"source":"https://advisories.ecosyste.ms/api/v1/advisories?ecosystem=go&package_name=github.com%2Fopenemr%2Fopenemr-devops&per_page=100","last_12m":0,"max_severity":null}` | - |

## Capabilities (Healthcare Software)

| Capability | OpenEMR | Tebra |
|---|:--:|:--:|
| **Core** |  |  |
| Product type | EHR/EMR | EHR/EMR |
| Care setting | Ambulatory / outpatient | Ambulatory / outpatient |
| **Compliance** |  |  |
| HIPAA compliant / BAA available | ✓ | ✓ |
| ONC Health IT certified | ✓ | - |
| HITRUST CSF certified | - | - |
| **Clinical** |  |  |
| e-Prescribing with EPCS (controlled substances) | - | ✓ |
| Built-in telehealth / video visits | ✓ | ✓ |
| **Interoperability** |  |  |
| Interoperability standards | FHIR / SMART on FHIR | HL7 v2 |
| **Engagement** |  |  |
| Patient portal | ✓ | ✓ |
| **Financial** |  |  |
| Revenue-cycle / medical billing | ✓ | ✓ |
| **Deployment** |  |  |
| Deployment | On-premises | Cloud / SaaS |
| **Pricing** |  |  |
| Pricing model | - | Per provider / clinician |
| **Market** |  |  |
| Target segment | Clinic / group practice | Clinic / group practice |

*Source: vioscaleAI. Generated 2026-10-16T19:02:33.442Z. "-" = undocumented, not absent.*