TherapyNotes Alternatives

Sessions Health

Free plan Free trial

9 /10

Sessions Health offers transparent freemium + per-practitioner pricing. Freemium: $0/month for up to 3 active clients + 1 practitioner + full HIPAA-compliant EHR + scheduling + documentation + client portal + unlimited document storage. Professional: $39/month first practitioner + $29/month per additional practitioner for unlimited clients + unlimited administrators + all core features. Add-ons: Integrated Telehealth $10/practitioner/month, Electronic Claims $0.19-0.25/claim, Real-Time Eligibility $0.15/report, Stripe Payment Processing 2.9%+$0.30/transaction. 30-day free trial Professional. No long-term contracts.

• UNIQUE freemium tier ($0/month for 3 active clients + full HIPAA EHR)
• Most transparent pricing in category ($39 first + $29 additional practitioners)
• Stripe integrated payments at standard 2.9%+$0.30 (no proprietary processor markup)

Full Review Visit Sessions Health

Jane App

Free trial

8.9 /10

Jane App is the multi-disciplinary practice management platform with transparent CAD pricing. Balance CAD $54/month (~USD $40) for 1 practitioner + 20 appointments/month + 5 free AI Scribe notes. Practice CAD $79/month (~USD $58) for 1 full-time practitioner + unlimited appointments + unlimited email/SMS reminders + customizable branding. Thrive CAD $99/month (~USD $73) for advanced scheduling + patient self-check-in + return visit reminders + memberships + ratings/reviews + Google Analytics. Add-ons: AI Scribe Unlimited CAD $15/practitioner/month (~USD $11), Group Telehealth CAD $15/practitioner/month, Insurance Billing CAD $20/month + per-license fees, Jane Websites CAD $59/clinic/month.

• UNIQUE multi-disciplinary practice support (PT + OT + SLP + chiropractic + mental health)
• AI Scribe Unlimited CAD $15/practitioner (~USD $11) category's CHEAPEST transparent AI
• Transparent tiered CAD pricing with clear scaling

Full Review Visit Jane App

SimplePractice

Free trial

8.8 /10

SimplePractice is the US mental health EHR category leader with 200,000+ therapist customer base. Three-tier structure (industry estimates): Essential ~$39/month first practitioner + core EHR + scheduling + documentation + HIPAA telehealth + basic billing + client portal. Plus ~$69/month + advanced reporting + premium integrations + electronic claims + assessments + secure messaging. Advanced ~$99/month + enterprise features + AI features (roadmap). 30-day free trial. Multiple Private Equity ownership changes affect pricing stability concerns. Specific rates require account creation — pricing page doesn't display rates publicly.

• US mental health EHR category leader with 200,000+ therapist base (largest community)
• Founded 2012 with 13+ years platform maturity + refined features
• Category-leading client portal + patient engagement capabilities

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TheraNest

Free trial

7.8 /10

TheraNest is the established mental health EHR owned by Growers Marketing (previously Therapy Brands portfolio). Site connectivity issues in our 2026-04-20 audit (ECONNREFUSED) create procurement uncertainty — verify active vendor support status during evaluation. Industry estimates: Solo tier ~$39/month, Group Practice ~$59/month per clinician, Enterprise $500-3,000+/month. Historical feature set: core EHR + scheduling + documentation + telehealth + insurance billing + assessments + client portal + secure messaging.

• Budget-conscious alternative to SimplePractice at similar historical feature depth
• Established mental health category presence
• Comprehensive EHR capabilities historically competitive

Full Review Visit TheraNest