Branzino HealthThe EHR built for a cash-pay practice.
Charting, scheduling, packages, memberships and superbills in one clean system — priced for a practice that bills patients, not payers. $29 per provider per month, published on the site.
$29 / provider / month · Free migration · No setup fee · Cancel anytime
Product screenshot — Branzino dashboard
You're paying for insurance machinery you never touch.
Almost every EHR is built around getting paid by a payer — claim scrubbing, eligibility checks, ERA posting, denial worklists. That's most of the product, and most of the price. If you bill patients directly, you fund all of it and use none of it.
See our published pricingWhat that difference actually costs
A standard-tier EHR at $200 per provider per month, plus a typical migration charge, against a published $29 plan with migration included.
| Branzino | Typical standard-tier EHR | |
|---|---|---|
| Software, 12 months | $348 | $2,400 |
| Setup / implementation | $0 | $500–$2,000 |
| Data migration | Free | $500–$3,000 |
| Patient portal | Included | Often +$20–$40 / mo |
| Insurance claims engine | Optional add-on | Bundled in, billed for |
| Long-term contract | None | Usually required |
Comparison figures are 2026 market ranges, not a specific vendor quote. We walk through the numbers in How much should an EHR cost?
Every practice that bills the patient, not the payer
Everything a cash practice runs on — nothing it doesn't
One plan, one login, one predictable number. No stripped base tier that quietly triples once you add the things you assumed were included.
Get paid at the front desk, not in 45 days
Set your own fee schedule, take payment at checkout, and hand patients a superbill they can submit for out-of-network reimbursement. Good Faith Estimates built in for No Surprises Act compliance.
Screenshot — Cash billing & superbillsSell the way a cash practice actually sells
Prepaid visit packages and recurring memberships that renew on their own. Track sessions remaining, charge the card on file, and see recurring revenue without a separate billing tool bolted on the side.
Screenshot — Packages & membershipsNotes that don't hold the visit hostage
SOAP, progress and phone notes that carry forward from the last visit. Update what changed, sign and file. No coding-for-reimbursement fields you'll never fill in.
Screenshot — ChartingPatients book themselves; you see the whole day
Online booking through the patient portal, one-tap check-in that opens the encounter, and list, timeline and split calendar views — solo or multi-provider.
Screenshot — SchedulingGoing hybrid shouldn't mean switching systems
Plenty of cash practices bill a payer occasionally — an initial exam, imaging, a covered plan. Turn on insurance billing when you need it, off when you don't. The difference is you choose to pay for it.
Insurance billing add-on — +$40 / provider / month. See pricing
Screenshot — Claims workspaceSerious infrastructure, quietly handled
Cash-pay doesn't mean casual. The same privacy and security obligations apply, and they're handled from day one.
Read the honest version first
How much should an EHR cost?
Real 2026 figures, the hidden fees that inflate the bill, and what a cash practice should actually pay.
How to choose an EHR for a cash-pay practice
What to look for, the red flags to avoid, and the questions to ask before you switch.
Cash-pay vs insurance
The real trade-offs in revenue, overhead and autonomy — and a framework for choosing.
Questions, answered
What is the best EHR for a cash-pay practice?
The one that charges you for what you actually use. A cash practice needs charting, scheduling, a patient portal, packages and memberships, and superbills — not claim scrubbing, payer eligibility or ERA posting. Branzino is $29 per provider per month with all of that included, and insurance billing as an optional add-on if you ever need it.
How much should a cash-pay practice pay for an EHR?
Most EHRs run $150–$300 per provider per month at the standard tier, plus setup and migration fees, because they're built around insurance workflows. You don't use that machinery and shouldn't pay for it. Branzino is $29 per provider per month, or $300 per provider per year, with free data migration and no setup fee. We show the full math in How much should an EHR cost?
Do I need insurance billing features at all?
No. You bill the patient directly, so claim submission, eligibility checks and denial management sit unused. What you do need is a superbill patients can submit themselves for out-of-network reimbursement, and Good Faith Estimates to stay compliant with the No Surprises Act. Both are included.
Can I bill insurance later if I change my mind?
Yes. Insurance billing is a $40 per provider per month add-on — claim submission, real-time eligibility, claim scrubbing, ERA auto-posting and a denials worklist. Turn it on when you need it and off when you don't. Your plan never assumes you bill payers.
Can I sell packages and memberships?
Yes, and it's in the base plan. Sell prepaid visit packages and recurring memberships that renew automatically, track sessions remaining, and charge the card on file at checkout.
Will I lose patient data if I switch?
No. Migration is free and included — we bring your patients, demographics and history across. Your data stays exportable at any time, so you're never locked in. Here's how to switch EHRs without downtime.
Is patient data private and HIPAA-compliant?
Yes, and we sign a Business Associate Agreement with every practice. Data is encrypted in transit and at rest, with role-based access so only your team sees your patients' records.
See it with your own patients
Start a free 30-day trial today. No credit card, no sales call, no contract.
