Branzino vs Tebra

Tebra starts at $225 a provider. Branzino is $29, and you don't have to ask.

Tebra (the company Kareo became) is a full practice-management and revenue-cycle platform, ONC-certified, with marketing tools bolted on. If you bill insurance heavily, that matters. If you're a small cash-pay practice, you're paying for a billing department you don't have.

Free migration from Tebra  ·  No credit card  ·  Cancel anytime

The honest version

Where each one wins

Where Tebra wins

  • ONC-certified EHR — required if you bill Medicare or Medicaid under programs that mandate certified technology.
  • Full revenue-cycle services, payer connectivity and MIPS reporting for insurance-heavy practices.
  • Practice marketing and reputation tools (the former PatientPop) in the higher bundle.
  • Phone support, a large support organisation, and a long track record.
  • Deep specialty templates for physician practices.

Where Branzino wins

  • Price: $29 per provider, published. Tebra's published starting prices run from $225 (therapist) to $599 (physician) per provider per month for Practice Essentials.
  • No quote, no sales call, no contract — sign up and be charting this afternoon.
  • Built cash-first: memberships, packages, card-on-file and superbills are the core, claims are the $40 add-on.
  • CareRAG chart assistant with citations, and a native patient app, included.
  • Free migration and the founder on support.
Who should stay with Tebra

If you bill Medicare or Medicaid under a program that requires certified technology, or you outsource your billing to Tebra's RCM team, stay. Branzino is not ONC-certified and its insurance billing is built for practices with a handful of payers, not a high-volume billing operation.

Price

What the same practice pays

Tebra publishes starting prices by provider type. Practice Essentials — EHR, billing and telehealth — starts at $225 a month for a therapist, $399 for a non-physician provider and $599 for a physician; Practice Automation adds patient-experience tools for $299, $449 and $799.

Monthly software cost, published list prices, September 2026
PracticeBranzinoTebra
Solo therapist, no insurance$29$225 (Essentials)
Solo NP or PA, billing insurance, prescribing$79$399 (Essentials)
Solo physician, billing insurance, prescribing$79$599 (Essentials)
2 physicians, billing insurance, prescribing$158$1,198–$1,598

Tebra: published starting prices per provider per month on tebra.com/pricing — Practice Essentials $599 physician (standard), $349 physician (low volume), $399 non-physician, $199 non-physician (low volume), $225 therapist; Practice Automation $799 / $399 / $449 / $249 / $299. Single solutions start at $49 (marketing) and $199 (billing or EHR starter). Exact pricing requires a quote. Branzino: $29 per provider per month, insurance billing +$40 per provider, e-prescribing +$10 per prescriber. Run your own headcount →

Features

Side by side

BranzinoTebra
Published price, no sales callStarting prices; quote required
Sign up and go live the same day
ONC-certified EHR
Insurance claims, eligibility, ERA+$40 / providerIncluded
Outsourced billing / RCM services
e-Prescribing+$10 / prescriberIncluded
Telehealth & patient portal
Memberships & prepaid packagesLimited
Presets for med spa, chiro, PT, DPC, sportsPhysician-specialty templates
AI chart assistant with cited sources (CareRAG)AI notes add-on
Practice marketing & reputation toolsGoogle reviews onlyAutomation bundle
Phone support
Free data migrationVaries
Free trial30 days, no cardDemo

Tebra bundle contents are from tebra.com/pricing/overview as of September 2026. Tebra's exact price for any practice is by quote.

Switching

Moving from Tebra is our job, not yours

Tebra can export patient demographics and documents on request; we take the export and rebuild your practice in Branzino.

1

Export from Tebra

Ask Tebra for your patient demographic export and document download while you are still a customer, then send us the files.

2

We map & import

Clients, demographics, notes and history land in Branzino, checked for you. Free, on every plan.

3

Go live

Start seeing patients the same week. Your 30-day trial means you can run both side by side before you cancel anything.

Questions people ask when leaving Tebra

I bill some insurance. Is Branzino enough?

For a practice with a handful of payers, yes: the $40 add-on gives you eligibility checks, claim scrubbing, submission, ERA auto-posting and a denial worklist inside the chart. If you have a billing team working hundreds of claims a month, Tebra's RCM is the better tool.

Does switching mean a long implementation?

No. Setup is self-serve and most practices are charting the same afternoon. Migration is done by us, free, in the background.

Why is the price difference so large?

Tebra carries ONC certification, an RCM services business, marketing tools and a sales organisation, and its price reflects all of it. We carry none of those, on purpose. How much should an EHR cost? →

Are you ONC-certified?

No. Certification matters if you bill Medicare or Medicaid under programs that require certified technology. For a practice that bills patients directly it has no bearing on charting, prescribing or HIPAA. Who actually needs it →

How long have you been around?

We started building Branzino in early 2025 and opened it to practices in summer 2026. We're early and we say so. Who's behind it →

Sources, all read on 6 September 2026: Tebra pricing overview. Tebra prices and features change; check their site before you decide, and tell us if we've got something wrong.

You've been meaning to leave for a while.

Most practices stay because switching sounds like a nightmare. We move your clients and history across for free, and you'll be charting the same week. 30 days, no card.

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