A group practice outgrows an EHR one clinician at a time. The system chosen for a single therapist ends up carrying the schedule, the billing, and the notes for ten, plus a biller and a supervisor who each need their own view of it. The alternatives to SimplePractice for a group are the mental health EHRs that price by the clinician and add administrators without a seat fee. On My Best Practice, an owner can run the whole practice from one account and add schedulers, billers, and bookkeepers at no charge.

SimplePractice alternatives for group practices

Five publish a group price: TherapyNotes, Sessions Health, Jane, TherapyAppointment, and My Best Practice. Valant quotes each practice its own price and publishes none.

On SimplePractice, a practice that adds any team member needs the Plus plan, at $99 a month for the first clinician. SimplePractice charges $74 a month for each additional clinician in a practice of 2 to 5, $72 at 6 to 15, and $69 at 16 or more, and each of those clinicians has telehealth. A biller, a scheduler, or a supervisor costs nothing to add, and a practice manager costs $39 a month. SimplePractice also offers custom pricing for groups of six or more. J. Ryan Fuller's My Best Practice vs. Simple Practice: Detailed EHR comparison for therapists & mental health teams lists SimplePractice's clinician tiers, claim fees, card processing, and the AI Note Taker.

CliniciansSimplePractice Plus, telehealth includedTherapyNotes Group, Basic Telehealth includedSessions Health, every clinician on telehealthJane Practice, all full-time, one-to-one telehealth includedTherapyAppointment Group, with TA telehealthMy Best Practice, every clinician on telehealth
5$395$329$205$219$290$215
10$747$629$400$394$560$410
20$1,410$1,229$790$744$1,100$800

What each company's standard rate comes to per month, with telehealth for every clinician. The figures leave out claim fees, AI notes, e-prescribing, card processing, and any migration fee.

Against TherapyNotes Group, the same group of ten pays $219 a month less. TherapyNotes Group starts at $89 a month and adds $60 for every clinician after the first, and Basic Telehealth for one-on-one sessions comes with it.

Sessions Health charges $39 and $29, and its $10 a month telehealth add-on covers sessions of up to 4 participants.

On Jane's Practice plan, the first full-time practitioner costs $79, and each one after $35, with one-to-one telehealth included. A practitioner booked under 24 hours a week costs $17.50, so a practice with part-timers pays less than the full-time figure. Jane's claims go through a Claim.MD clearinghouse account, billed outside the subscription.

TherapyAppointment's Group Plan charges $59 for the first clinician and $39 for each one after, and its own telehealth costs $15 a month per provider.

On My Best Practice, a clinician pays $20 a month for telehealth and can hold a session with up to 16 participants, each with their own link and reminder.

Telehealth participants in one sessionClaim feeAI notesNon-clinical staffFree trial
SimplePractice PlusGroup appointments with up to 15 clients, included on Plus39 cents per submitted claim, falling to 33 cents after 1,000 claims in a month; ERAs, the payment reports insurers return, freeNote Taker, $35 a month per clinicianBillers, schedulers, and supervisors free; practice managers $39 a month each30 days, no credit card
TherapyNotes GroupBasic Telehealth, one-on-one; Premium Telehealth, $15 a month per clinician, up to 16 participants25 cents an electronic claim, 9 cents a claim on ERA, 14 cents an eligibility requestTherapyFuel, $40 a month per clinicianFree30 days
Sessions HealthUp to 4 participants25 cents per claim, falling to 19 cents at 1,000 or more claims a month; eligibility reports 15 cents; ERA posting includedAI Assist, $35 a month per practitionerUnlimited administrators30 days, no credit card
Jane PracticeOne-to-one included; Group Telehealth, $15 a month per opted-in practitionerClaims go through a Claim.MD clearinghouse account outside the subscription; Insurance Billing add-on $20 a month plus $5 per full-time practitionerAI Scribe, 5 free notes; unlimited, $15 a month per opted-in practitionerUnlimited adminsNo free trial; a demo account instead
TherapyAppointment GroupTA Integrated Telehealth, $15 a month per provider, or Integrated Zoom, $5 a month per provider plus the practice's own Zoom for Healthcare license15 cents per claim, paid to Office Ally; benefits verification 7 cents a lookup; ERA posting freeAI Notes, 59 cents per chart noteFree administrative accounts30 days
My Best PracticeUp to 16 participants, each with their own link and reminder; $20 a month per clinicianFree plan, 20 claims a month, then 35 cents per claim, ERA, or eligibility check; Unlimited plan, $99 a month, whole practiceAI Progress Notes at $2 a note or $60 a month for each professional, on top of the $20 telehealth add-on; $80 a month buys unlimited notesUnlimited schedulers, billers, and bookkeepers14 days, no credit card, telehealth included

What each of the six EHRs includes and adds on for a group practice, from the companies' pricing and feature pages.

A group of ten that files 300 claims a month pays SimplePractice $116 in claim fees, by SimplePractice's own example, and $863 a month in all. The same group pays My Best Practice $99 a month on the Unlimited plan, which covers every claim and ERA the whole practice files, so the bill is $509 in all. A group that files 20 or fewer claims a month stays on the Free plan and pays nothing for them.

What changed in SimplePractice's pricing

SimplePractice now charges the same claim fee on every plan: 39 cents for the first 250 claims in a month, 37 cents for claims 251 to 600, 35 cents for 601 to 1,000, and 33 cents after that. ERAs carry no fee. The subscription fee did not change on any plan.

What a group practice checks beyond the price

Clinicians who changed EHRs were dissatisfied with typing histories and lists back in when they had expected them to carry over, in a review of hospitals that replaced one EHR with another (Huang et al., 2020). In a review of 23 studies, whose primary studies came mostly from hospital and public mental health services, mental health clinicians valued a record that did not interrupt their work and technical support they could reach (Zurynski et al., 2021). Physicians who found their EHR easier to use were less likely to be burned out (Melnick et al., 2020). In a survey of 870 US physicians, each one-point rise in the usability score went with 3% lower odds of burnout (Melnick et al., 2020). The survey shows an association, not a cause. Before the move, an owner can ask each vendor which record types it imports and how it trains clinicians, and can have the practice's own clinicians write notes in a trial.

On My Best Practice, a clinician can write a custom note from any theoretical perspective, e.g., CBT, DBT, ACT, or REBT, or start from a universal template or from templates available to every provider. The same clinician can schedule the PHQ-9, GAD-7, PCL-5, or any of the more than 100 routine outcome measures included, with reminders, on any cadence, scored and charted automatically in the Metrics tab. When the month closes, the owner can read in the payroll report what the practice owes each clinician. My Best Practice signs a Business Associate Agreement (BAA) with every practice. ChoosingTherapy named it Best Overall in its 2026 roundup of mental health EHRs.

EHR usability and burnout: each one-point rise in usability went with 3% lower odds of burnout among 870 US physicians

How a group practice moves from SimplePractice to My Best Practice

A group that qualifies and switches from SimplePractice gets six months of the My Best Practice subscription free, as a credit. The My Best Practice team can review the practice's available SimplePractice exports and help plan the move. The White Glove Migration costs a group $499, paid once. Client demographics and documents import automatically, the team rebuilds up to 10 custom intake forms, and the team helps add diagnosis codes and emergency contacts for up to 150 active client profiles. SimplePractice exports session notes and other clinical documents as PDFs, and they are filed in each client's Document Center. SimplePractice stores diagnoses in a PDF too, so they cannot import as codes, and the practice can add them through the Missing Dx Code(s) feature in the To-Do List. A small practice can migrate in as little as one day, and very large practices have moved in a couple of weeks. Self-directed migration costs nothing extra.

My Best Practice applies the six-months-free subscription credit to an eligible practice after it switches. The credit covers the subscription and not telehealth or other premium add-ons. When a practice requests the offer, the My Best Practice team confirms whether the practice qualifies and when the credit starts. The offer is My Best Practice's own, not affiliated with or endorsed by SimplePractice.

A ten-clinician group that leaves SimplePractice Plus pays My Best Practice $410 a month with telehealth for all ten, or $509 if it takes the Unlimited billing plan. The same group paid $747 on SimplePractice Plus before claim fees. Clinician number eleven costs the practice $19 a month more, or $39 with telehealth.

Put your clinicians on telehealth in a 14-day free trial.

Disclaimer: This post is for general information only. It does not provide legal, ethical, or clinical guidance, and it is not a substitute for advice from an attorney, your licensing board, your professional association, or a qualified clinical supervisor or consultant. The studies described here were done in specific settings, and their findings may not apply to your practice. Before making decisions about your staff, your compliance obligations, or client care, consult the appropriate professionals.


References

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