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Electronic Health Record (EHR) · Head to head

eClinicalWorks vs Epic

Both products compete in Electronic Health Record (EHR). Electronic health record (EHR) software is the central clinical system that captures, stores, and shares patient health information across the care continuum — from physician notes and medication orders to lab results, billing, and interoperability with outside providers. Here are the facts the B4 Index maintains on each, side by side.

The two files, side by side

What it is
Cloud-based ambulatory EHR with integrated practice management, telehealth, and population health tools
Dominant large health system EHR, 38% market share
Pricing
Subscription per provider/mo; custom by practice size
$50M-500M+ implementation, $1M+/year maintenance
Categories served
Electronic Health Record (EHR), Practice Management
Electronic Health Record (EHR)
Status
Active · verified September 2026
Active · verified September 2026

The decision underneath the comparison

Choosing between eClinicalWorks and Epic assumes you're buying Electronic Health Record (EHR) at all. That's the prior question, and the B4 Index scores it on two axes: how much Electronic Health Record (EHR) differentiates you, and how far AI has come at building it. Read the build-versus-buy considerations for Electronic Health Record (EHR) before you shortlist either product.

Vendor facts are maintained independently of any B4 verdict and re-verified on a monthly liveness check. See the full methodology.