Kareo is now Tebra, and its pricing is quote-only, so there’s no single published number. Per 2026 third-party reviews, the EHR plus practice management runs roughly $80 to $100+ per provider per month, with billing-only lower and a separate patient marketing suite that adds $200 to $400 a month. On top of that sit a one-time setup fee near $500 and a $50 annual per-user fee. If you want a transparent all-in figure to compare against, our bundled EHR is published on the pricing page: $119 per clinician per month on the annual Copilot plan.
Key takeaways
- Kareo merged into Tebra; pricing is custom-quote, not published, per EHR Source’s 2026 review.
- Reported EHR plus PM cost is roughly $80 to $100+ per provider per month; the marketing suite is a separate $200 to $400 a month.
- Watch the stacking fees: about $500 setup, $50 annual per user, and a $75 application fee for controlled-substance e-prescribing, per 2026 reviews.
- Practice Copilot publishes its price and bundles an ambient scribe with the EHR at $119 per clinician per month on the annual Copilot plan.
Tebra EHR + PM, per 2026 third-party reviews
Patient marketing suite, billed separately
Practice Copilot, EHR bundled + scribe, published
First, the name: Kareo is Tebra now
If you’re searching for Kareo pricing in 2026, you’re searching for Tebra. Kareo merged with PatientPop to form Tebra, and the EHR sells under that name today. Everything below reflects the combined platform. The old Kareo brand still shows up in reviews and search, which is why the numbers can feel scattered; they’re describing one product under two names.
That matters for budgeting because Tebra bundles more than the old Kareo EHR did. The practice-management and patient-marketing pieces are where the cost quietly grows.
What Tebra (Kareo) actually costs by module
Tebra doesn’t publish a price. Per EHR Source’s 2026 review, “Tebra does not publish transparent pricing and requires a custom quote.” So the figures below come from third-party reviews, not a rate card, and your quote will depend on provider count, modules, and claim volume.
Here’s the module breakdown those reviews report:
- Billing only: roughly $10 to $50 per month.
- EHR plus practice management: about $80 to $100+ per provider per month.
- Patient marketing suite: a separate charge near $200 to $400 a month.
- Managed billing service: a percentage of collected revenue, commonly cited around 4 to 8 percent, rather than a flat fee.
The base EHR is genuinely among the lower-cost entry points in the market. That’s the honest strength. The complication is that the “affordable EHR” framing gets shaky once you add the marketing suite, which reviewers note can push total cost toward pricier competitors. When you price Tebra, price the modules you’ll actually use, not the base line item.
The fees that stack on top
Monthly module cost isn’t the whole bill. Per 2026 reviews, Tebra layers on:
- A one-time implementation and setup fee around $500.
- A $50 annual fee per authorized user.
- A one-time $75 application fee if you e-prescribe controlled substances.
None of these is unusual for the category. The point is that they’re easy to miss when you compare a base monthly rate against another vendor’s all-in number. A $90 base rate with $500 setup, $50 per user a year, and a $300-a-month marketing suite is a very different budget than $90 flat. Add the pieces before you compare.
Is Tebra (Kareo) right for your practice?
To be fair to Tebra: it’s a reasonable pick for a specific kind of practice. Reviews recommend it for solo practitioners, startups, and cash-pay or concierge practices, and it’s ONC-certified, which matters for interoperability programs. If you want a low base-cost EHR and you actually want the patient-acquisition and marketing tooling, Tebra’s bundle can make sense. The marketing suite isn’t padding for a practice trying to grow its patient base; it’s the reason to buy.
Where it gets harder is transparency and documentation load. Quote-only pricing makes clean comparison shopping slower, and like most EHRs on this list, Tebra stores your chart but doesn’t write your note for you. If your practice’s real pain is finishing charts after hours, the marketing suite doesn’t touch that.
The transparent-price alternative for small practices
Here’s where we come in, and we’ll be direct about it. We build Practice Copilot, and we publish the price. The AI Medical Scribe by Patient Square, the ambient scribe module inside it, listens during the visit and hands back a structured SOAP note, ICD-10 suggestions, and a prescription draft, ready to review and sign minutes after the visit. On the Copilot plan, that scribe comes with a bundled EHR, at $119 per clinician per month on the annual plan. No quote, no setup fee to negotiate, no marketing suite billed on the side.
For a small independent practice, the contrast is the point. Tebra’s base EHR may land in a similar range, but you learn the real number after a demo, and the scribe, if you want one, is a separate line. Practice Copilot puts the number on the page and the scribe in the plan. That’s a cleaner comparison to run when you’re a two-provider clinic watching every recurring cost.
We’re not saying Tebra is a bad product. For a growth-focused cash-pay practice that wants the marketing tools, it’s a fair choice. We’re saying that if you want a published all-in price with an ambient scribe already included, ours is easier to budget against. See the pricing, or book a short demo and we’ll run the scribe on your own visits.
| Capability | Tebra (Kareo) | Practice Copilot |
|---|---|---|
| Pricing published | ||
| EHR + PM base cost | ~$80–100+/prov/mo | $119/clinician/mo |
| Ambient scribe included | ||
| Separate marketing-suite fee | $200–400/mo | |
| One-time setup fee | ~$500 | |
| Annual per-user fee | $50 | |
| Best fit | Growth / cash-pay practices | Small practices wanting a clear all-in price |
Pricing published
EHR + PM base cost
Ambient scribe included
Separate marketing-suite fee
One-time setup fee
Annual per-user fee
Best fit
Bottom line on Kareo (Tebra) pricing
Kareo-now-Tebra costs roughly $80 to $100+ per provider per month for the EHR plus practice management, per 2026 reviews, with billing-only cheaper and the marketing suite a separate $200 to $400 a month. Setup, per-user, and e-prescribing fees stack on top, and the whole thing is quote-only, so your real number comes after a demo. It’s a fair pick for a growth-minded cash-pay practice that wants the marketing tools.
If you want a published all-in price and an ambient scribe already in the plan, that’s the case for a transparent bundled EHR. Ours is on the pricing page, no sales call required to read it.
Frequently asked questions
The FAQ above answers the recurring ones: the real cost by module, whether Tebra publishes pricing, the extra fees, and how the total compares to a transparent bundled EHR. For the full Practice Copilot breakdown, see the pricing page; a demo shows the scribe on your own note types.