Comparison

SimplePractice vs Spruce Health

On the evidence we track, Spruce Health leads this comparison with a composite score of 66/100. Scores are only directly comparable because these tools share a category; the full breakdown and every source is below.

Machine formatsMarkdownJSONGraphQLMarkdown is open. JSON and GraphQL need a free key.
SimplePractice52
★Spruce Health66
Score
vioscaleAI score
SimplePractice52 / 100medium · 64%
Spruce Health66 / 100low · 49%
Pricing
Free tier
SimplePractice✓
Spruce Health✓
Model
SimplePracticefreemium
Spruce Healthfreemium
Price level
SimplePracticemid
Spruce Healthlow
Starting price
SimplePractice$49
Spruce Health$24
Transparent
SimplePractice✓
Spruce Health✓
Security
Hipaa
SimplePractice✓
Spruce Health✓
Pci
SimplePractice✓
Spruce Health–
Trust center
Spruce Health–
Reliability
Status page
SimplePractice✓
Spruce Health–
Market
Content
Faq
SimplePractice6 items
Spruce Health6 items

Capabilities

Feature-by-feature on the axes that matter for telemedicine. “-” means undocumented, not absent.

Capabilities
Deployment model
SimplePracticeCloud web app
Spruce HealthCloud web app
HIPAA baas business associate agreement
SimplePractice-
Spruce Health✓
Secure 1080p HIPAA video conferencing
SimplePractice-
Spruce Health✓
Virtual waiting room triage queue
SimplePractice-
Spruce Health-
E prescribing ERX integration
SimplePractice✓
Spruce Health-
Secure asynchronous text messaging
SimplePractice-
Spruce Health✓
EHR epic cerner two way sync
SimplePractice-
Spruce Health-
Multi participant family group calls
SimplePractice-
Spruce Health-
Screen sharing and medical image review
SimplePractice-
Spruce Health-
Integrated insurance eligibility checks
SimplePractice-
Spruce Health-
SOC2 type ii
SimplePractice-
Spruce Health-
ISO 27001
SimplePractice-
Spruce Health-
Pricing model
SimplePracticeper_seat
Spruce HealthFlat monthly subscription

What each one is

The product in its own terms, so the numbers below have context.

SimplePractice

SimplePractice is an electronic health record and practice management system that helps therapists and mental health practitioners manage clients, conduct virtual appointments, handle billing and insurance, and maintain secure patient records. It provides telehealth capabilities, automated documentation tools, client portals, and billing integration in a single cloud platform.

Independently observed

Spruce Health

Leader

Spruce Health consolidates phone, text, video, and secure messaging for healthcare practitioners in one platform. It includes HIPAA compliance, business associate agreements, and tools to automate workflows while keeping patient communications secure and compliant.

Independently observed

Pricing

List pricing as published by each vendor, with the date we read it. Always verify at the source before you buy.

SimplePractice

from $49/moSubscriptionFree tier30-day trial

From $49/month. Free 30-day trial.

  • Starter (Solo)$49/month (50% off first 3 months at $24.50/month)
  • Essential (Solo)$79/month
  • Plus (Solo)$99/month
  • Starter (Group)$49.50/month for first practitioner
  • Plus (Group)$74/month first practitioner, $37/month each additional
    • Group appointments
    • Group telehealth
    • Premium support phone line
    • Appointment request widget
as of verify ↗

Spruce Health

Leader
from $24/user/moSubscription14-day trial

From $24/user/month. Free 14-day trial with no credit card required. Month-to-month billing.

  • Basic$24/user/month, month-to-month billing
    • Advanced medical phone system
    • SMS texting
    • Secure app-based messaging
    • Secure team chat
    • Video telemedicine
    • +9 more
  • Communicator$49/user/month, month-to-month billing
    • Everything in Basic, plus:
    • Self-service customizable call flows (IVR)
    • Urgent escalation and after-hours triage
    • Integrations & API access
    • VoIP phone service
    • +10 more
as of verify ↗

Platform & deployment

Where each product runs and how it can be hosted. A dash means undocumented, not unsupported.

Platforms
Web
SimplePractice✓
Spruce Health✓
Deployment
Cloud / SaaS
SimplePractice✓
Spruce Health✓
Still deciding?

SimplePractice or Spruce Health: which one depends on you

A composite score cannot know your constraints. Describe them and both get re-weighted against what you actually need, with the evidence behind every position.

Free to run, no account needed to start. How the evaluation works

Comparison generated from independently-sourced facts. Every value links to its source and retrieval date. See the method.