Alma vs Tebra
Tebra scores 7.2/10 vs 7.0/10. Best for: Independent practices that want EHR, billing, and patient marketing in one platform without paying per staff seat.
Tebra scores higher overall at 7.2/10 vs 7.0/10. Buy Tebra if you want an all-in-one that includes patient marketing and SEO alongside EHR and billing. Skip if you want transparent pricing or if you're behavioral health only — Tebra targets general practice more than therapy.
Alma 
Tebra Rank
#23 of 41
Rank
#21 of 41
Features
14/18
Features
17/18
Starting at
$125/mo
Starting at
$150/mo
User reviews
4.1/5 (92)
User reviews
4.1/5 (2020)
What they cost
| Alma | Tebra | |
|---|---|---|
| Starting at | $125 /mo | $150 /mo |
| Free trial | No | No |
| Number of plans | 2 | 2 |
What the pricing really means
At first glance, Alma looks cheaper at $125/month vs $150/month. But sticker price is only part of the story. Look at what is included on the base plan, how many users you get, and whether you need add-ons to get the features you actually need. The $99/month plan that requires $200 in add-ons is actually more expensive than the $250/month plan that includes everything.
Where Alma wins
- Flat $125/mo includes insurance credentialing that normally takes months and costs thousands
- Built-in referral network sends clients directly to your profile
- AI Note Assist for session recording and transcription
- Handles both insurance and out-of-pocket billing in one place
Where Tebra wins
- 2,000+ combined reviews across G2 and Capterra makes it one of the most reviewed platforms in the category
- Built-in patient marketing tools from the PatientPop legacy for growing your practice
- HITRUST certified for security-conscious organizations
- Unlimited non-clinical staff seats at no extra cost
- Estimated range of $99-399/provider/mo covers solo to mid-size practices
Where Alma falls short
- Must credential with Aetna, Cigna, or Optum — no flexibility to pick other panels
- No group practice support (individual memberships only)
- No mobile app, web-based only
- 3.6 Capterra rating with only 26 reviews is concerning
Where Tebra falls short
- Custom pricing means no price transparency until you talk to sales
- $500 implementation fee on top of monthly costs
- 3.9 Capterra rating despite high volume suggests mixed experiences
- Merging Kareo and PatientPop created integration growing pains still felt by users
Who is each product built for?
Alma
Target: 1 provider
Buy Alma if you're a solo therapist who wants insurance credentialing done for you and a steady stream of referred clients. Skip if you run a group practice, want to pick your own insurance panels, or need a mobile app.
Tebra
Target: 1-100 providers
Buy Tebra if you want an all-in-one that includes patient marketing and SEO alongside EHR and billing. Skip if you want transparent pricing or if you're behavioral health only — Tebra targets general practice more than therapy.
Feature comparison
| Feature | Alma | Tebra |
|---|---|---|
| Compliance & Security | ||
| HIPAA compliant | ||
| Telehealth / video sessions | ||
| Secure messaging | ||
| Scheduling & Clients | ||
| Online scheduling | ||
| Client portal | ||
| Intake forms / assessments | ||
| Automated reminders | ||
| Clinical | ||
| Progress notes / documentation | ||
| Treatment plans | ||
| E-prescribing | ||
| Outcome measures / assessments | ||
| Billing & Payments | ||
| Insurance billing / claims | ||
| Payment processing | ||
| Superbill generation | ||
| Automated billing | ||
| Platform | ||
| Group practice support | ||
| Mobile app | ||
| Integrations / API | ||
Common questions
Tebra scores 7.2/10 vs Alma's 7.0/10 in our ranking. Tebra is the better pick for 1-100 providers. Alma is better if you need solo therapists in private practice who want insurance credentialing done for them and a built-in referral network to fill their caseload.
Alma starts at $125/month. Tebra starts at $150/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
Alma: No free trial. Tebra: No free trial. Always test with your actual workflow before committing to an annual plan.
Alma covers 14 of 18 features we track. Tebra covers 17 of 18. Tebra has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
No, Alma does not have a mobile app. Tebra does have one.
Yes. The main effort is migrating your data (customer lists, job history, invoices). Plan for 1-2 weeks of overlap where you run both. Most healthcare practice management tools can import CSV data. Ask both vendors about migration support before you sign.
The bottom line
Pick Alma if...
Solo therapists in private practice who want insurance credentialing done for them and a built-in referral network to fill their caseload
Pick Tebra if...
Independent practices that want EHR, billing, and patient marketing in one platform without paying per staff seat