Summary: A list of the top 10 electronic medical records (EMR) systems in 2026: SPRY, Epic, Oracle Health, eClinicalWorks, athenahealth, PatientNow, OmniMD, DrChrono, CareCloud and Praxis EMR. Covers common EMR examples by care setting, which EMR most hospitals use (KLAS 2025 market share), published pricing, EMR vs EHR, how to choose an EMR, an EMR total cost of ownership calculator and FAQs.
The top 10 EMR systems in 2026 are SPRY, Epic, Oracle Health, eClinicalWorks, athenahealth, PatientNow, OmniMD, DrChrono, CareCloud and Praxis EMR. The right one depends on your care setting: Epic leads hospitals with 43.7% of acute care hospitals in 2025 (KLAS, via Becker's), ambulatory practices often use eClinicalWorks, athenahealth or NextGen, and outpatient rehab clinics use therapy-specific systems such as SPRY, which is ONC certified, rated 4.8 on G2 and Capterra and ranked #1 for physical and occupational therapy by Black Book Research in 2026.
EMRs are now standard: 88.2% of office-based physicians use an EMR or EHR, and 77.8% use a certified system (CDC NCHS, 2021 survey). Below: the list, examples by setting, hospital market share, pricing, how to choose, a cost calculator and FAQs.
List of the top 10 EMR systems in 2026
| EMR system | Built for | Published pricing |
|---|---|---|
| SPRY | Outpatient PT, OT, SLP and pediatric therapy | Quote, priced by visits per full-time provider |
| Epic | Hospitals, health systems and academic medical centers | Quote |
| Oracle Health (Cerner) | Hospitals and health systems | Quote |
| eClinicalWorks | Ambulatory practices | EHR $499 or EHR + PM $599 per provider per month; RCM 2.9% of collections |
| athenahealth | Ambulatory practices | Not published |
| PatientNow | Med spas, aesthetics, plastic surgery and wellness | Quote |
| OmniMD | Multi-specialty ambulatory practices | Custom pricing by providers, volume and modules |
| DrChrono | Small and mid-size ambulatory practices | Quote |
| CareCloud | Ambulatory practices | Not published |
| Praxis EMR | Primary care and specialty practices | Not published |
Pricing sources: eClinicalWorks pricing, OmniMD pricing and SPRY pricing. Vendors without published prices quote by practice size, specialty and modules.
1. SPRY
An AI-native EMR and revenue cycle platform for outpatient rehab: PT, OT, SLP and pediatric therapy documentation, scheduling, eligibility, billing, prior authorization and patient engagement in one system. Eligibility checks run in under 10 seconds across 900+ payers, SPRY reports 95–99% clean claims, and its AI Scribe cuts documentation time by over 70%. Migration can take as little as 30 days. See the SPRY EMR.
2. Epic
The most widely used hospital EHR in the US, with 43.7% of acute care hospitals in 2025 and the lead in large and small health systems, academic medical centers and children's hospitals (KLAS). Epic is built for enterprise organizations and is priced by quote; rehab documentation usually needs configuration.
3. Oracle Health (Cerner)
Oracle's hospital and health system EHR, formed from its acquisition of Cerner, with 21.9% of acute care hospitals in 2025 and the lead among the smallest standalone hospitals (KLAS). Priced by quote.
4. eClinicalWorks
A cloud EHR and practice management system for ambulatory practices, with published pricing: $499 per provider per month for EHR, $599 for EHR with practice management and 2.9% of collections for RCM, with no start-up costs. Extra implementation fees apply above nine providers.
5. athenahealth
A cloud EHR, practice management and revenue cycle platform (athenaOne) used by ambulatory practices. Pricing is not published.
6. PatientNow
An EMR and practice management platform for medical aesthetics, med spas, plastic surgery, dermatology and wellness practices, with scheduling, patient engagement, payments and marketing tools. Priced by quote.
7. OmniMD
A cloud EHR, practice management and RCM platform for multi-specialty practices. Its three plans (EHR Essentials, Growth Clinics Suite and Enterprise and Multi-Location) are custom-priced by provider count, patient volume and modules.
8. DrChrono
A cloud EHR with scheduling, billing, telehealth and a patient portal for small and mid-size ambulatory practices. Priced by quote.
9. CareCloud
A cloud EHR, practice management and revenue cycle platform for ambulatory practices. Pricing is not published.
10. Praxis EMR
An EMR that uses concept processing, which learns from each provider's past notes instead of relying on fixed templates. Used by primary care and specialty practices; pricing is not published.
Examples of EMR systems by care setting
| Care setting | Common EMR examples | What matters most |
|---|---|---|
| Large hospitals and health systems | Epic, Oracle Health | Enterprise integration, inpatient workflows, interoperability |
| Community and small hospitals | MEDITECH, Oracle Health, TruBridge | Cost, IT support needs, fit for smaller bed counts |
| Primary care and multi-specialty clinics | eClinicalWorks, athenahealth, NextGen, DrChrono, CareCloud, Praxis | Templates, e-prescribing, billing, patient portal |
| Outpatient rehab (PT, OT, SLP) | SPRY, WebPT, Prompt Health, Raintree | Therapy notes, Medicare therapy rules, outcome measures, billing |
| Aesthetics and wellness | PatientNow | Photos, packages, payments, marketing |
For therapy clinics, see the best EMR for physical therapy clinics and the PT EMR buyer's guide.
Which EMR do most hospitals use?
Epic. In KLAS's 2025 data, Epic was the overall leader among multispecialty acute care hospitals:
| EHR vendor | Share of acute care hospitals | Where it leads |
|---|---|---|
| Epic | 43.7% | Large and small health systems, standalone hospitals over 200 beds, academic medical centers, children's hospitals |
| Oracle Health | 21.9% | Standalone hospitals with 1–25 beds |
| MEDITECH | 14.7% | Standalone hospitals with 26–200 beds |
| TruBridge | 7.6% | — |
| Altera Digital Health | 2.9% | — |
Source: KLAS Research, May 2026, reported by Becker's Hospital Review. Hospital market share says little about which system fits an outpatient clinic, where specialty workflows and billing matter more.
EMR vs EHR
An EMR is the digital chart a practice uses for its own patients. An EHR is built to share records across providers and settings. Most vendors now use the terms interchangeably; what matters is ONC certification, which confirms a system meets federal interoperability and security standards. More in EMR vs EHR and PMS vs EHR vs EMR.
How to choose an EMR system
- Start with your specialty. A system built for your setting needs less configuration than a general one.
- Check certification and security. Ask for ONC certification and a business associate agreement under HIPAA.
- Test documentation speed. Run a real visit in the demo and time the note.
- Confirm billing is built in. Notes should feed claims without re-entry.
- Ask about interoperability. Labs, imaging, referrals and HL7 or FHIR data exchange.
- Get an all-in quote. Subscription, setup, migration, training and per-claim fees.
- Check reviews and references. Read verified reviews on G2 and Capterra and call clinics like yours.
Planning a switch? Use the EMR data migration checklist and the implementation timeline guide.
EMR total cost of ownership calculator
EMR total cost of ownership calculator
Add up what an EMR really costs over several years, including setup and the staff time spent on training. Enter each vendor's quote to compare them. Example values are placeholders.
Add clearinghouse, per-claim, e-prescribing or other module fees to the monthly subscription if a vendor charges them. Percentage-of-collections pricing is not modeled. This tool does not store any data.
Frequently asked questions
What are the top 10 EMR systems in 2026?
SPRY, Epic, Oracle Health, eClinicalWorks, athenahealth, PatientNow, OmniMD, DrChrono, CareCloud and Praxis EMR. Each fits a different setting, from hospitals (Epic, Oracle Health) to ambulatory practices (eClinicalWorks, athenahealth) and outpatient rehab (SPRY).
What EMR do most hospitals use?
Epic, with 43.7% of US acute care hospitals in 2025, followed by Oracle Health at 21.9% and MEDITECH at 14.7%, according to KLAS.
What are examples of electronic medical records systems?
Epic and Oracle Health in hospitals; eClinicalWorks, athenahealth, NextGen and DrChrono in ambulatory practices; SPRY, WebPT and Raintree in outpatient rehab; and PatientNow in aesthetics.
How much does EMR software cost?
eClinicalWorks publishes $499 per provider per month for EHR and $599 with practice management. Most others, including Epic, Oracle Health, athenahealth and SPRY, price by quote. Add setup, migration and training, as in the calculator above.
What is the difference between an EMR and an EHR?
An EMR is a practice's digital chart; an EHR is designed to share records across providers. Look for ONC certification either way.
Which EMR is best for physical therapy clinics?
A therapy-specific system. SPRY is built for PT, OT and SLP, with therapy notes, Medicare therapy rules and billing in one platform, and is ranked #1 for physical and occupational therapy by Black Book Research in 2026.
How many doctors use EMR systems?
88.2% of office-based physicians use an EMR or EHR, and 77.8% use a certified system, according to the CDC's 2021 National Electronic Health Records Survey.
How long does it take to switch EMR systems?
It depends on size and data volume. SPRY migrations can take as little as 30 days; hospital EHR projects often take much longer. Plan data migration, training and a go-live date in a lower-volume period.
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Get a DemoLegal Disclosure:- Comparative information presented reflects our records as of Nov 2025. Product features, pricing, and availability for both our products and competitors' offerings may change over time. Statements about competitors are based on publicly available information, market research, and customer feedback; supporting documentation and sources are available upon request. Performance metrics and customer outcomes represent reported experiences that may vary based on facility configuration, existing workflows, staff adoption, and payer mix. We recommend conducting your own due diligence and verifying current features, pricing, and capabilities directly with each vendor when making software evaluation decisions. This content is for informational purposes only and does not constitute legal, financial, or business advice.
