# OpenEMR vs Tebra

**Leader by Vioscale score:** Tebra

| Attribute | OpenEMR | Tebra |
|---|---|---|
| **Vioscale score** | 31.8 (63% (medium)) | 57.3 (65% (medium)) |
| activity.commits_last_30d | 10 | - |
| adoption.github_stars | 118 | - |
| 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. | Integrated cloud-based platform combining electronic health records, billing, scheduling, patient engagement, and marketing tools with built-in AI automation to help independent practices reduce administrative work and focus on patient care. |
| 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","telehealth_builtin":true}` | `{"hipaa":true,"deployment":"cloud","care_setting":"ambulatory","product_type":"ehr","soc2_type_ii":true,"revenue_cycle":true,"patient_portal":true,"target_segment":"clinic","deployment_model":"cloud_web_app","telehealth_builtin":true,"icd_10_and_cpt_coding_assistance":true,"medicare_medicaid_macra_mips_reporting":true,"front_desk_calendar_scheduling_and_check_in":true,"patient_demographic_and_registration_portal":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":[]}` | `{"hqCountry":"US","primaryMarkets":["US"],"availabilityScope":"global","availableCountries":[],"notAvailableCountries":[]}` |
| platform.support | `{"web":true}` | `{"ios":true,"web":true,"android":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":"quote","plans":[{"free":false,"name":"Practice Essentials","description":"Includes billing, clinical EHR, and telehealth","contactSales":true},{"free":false,"name":"Practice Automation","description":"Includes all Practice Essentials features plus patient engagement and experience tools","contactSales":true}],"summary":"Custom pricing varies by provider count, features, and implementation requirements. Bundled pricing and volume incentives available.","freeTier":false,"sourceUrl":"https://www.tebra.com/","retrievedAt":"2026-08-04T08:42:59.197Z"}` |
| pricing.free_tier | yes | no |
| pricing.model | freemium | commercial |
| pricing.price_level | high | unknown |
| pricing.starting_price | `{"amount":70,"currency":"USD"}` | - |
| pricing.transparent | no | yes |
| reliability.status_page | - | yes |
| security.hipaa | yes | yes |
| security.pci | - | yes |
| security.soc2 | - | yes |

## 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 | - | - |
| **Engagement** |  |  |
| Patient portal | ✓ | ✓ |
| **Financial** |  |  |
| Revenue-cycle / medical billing | ✓ | ✓ |
| **Deployment** |  |  |
| Deployment | On-premises | Cloud / SaaS |
| **Pricing** |  |  |
| Pricing model | - | - |
| **Market** |  |  |
| Target segment | Clinic / group practice | Clinic / group practice |

*Source: Vioscale. Generated 2026-09-01T15:04:54.880Z. "-" = undocumented, not absent.*