Charm Health vs Heard
Heard scores 7.5/10 vs 7.0/10. Best for: Solo therapists in private practice who want someone else to handle bookkeeping and taxes.
Heard scores higher overall at 7.5/10 vs 7.0/10. Buy Heard if you hate bookkeeping and want someone else to handle your practice finances and taxes. Skip if you can handle QuickBooks yourself or if you thought this was practice management software — it's not.
Charm Health 
Heard Rank
#24 of 41
Rank
#13 of 41
Features
18/18
Features
1/18
Starting at
$0/mo
Starting at
$169/mo
User reviews
3.5/5 (160)
User reviews
—
What they cost
| Charm Health | Heard | |
|---|---|---|
| Starting at | Free /mo | $169 /mo |
| Free trial | Free tier available | No |
| Number of plans | 3 | 3 |
What the pricing really means
At first glance, Charm Health looks cheaper at $0/month vs $169/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 Charm Health wins
- Free tier handles 50 encounters/month with no time limit
- Pay-per-encounter model at $0.50 each is unique and budget-friendly for low-volume practices
- MU3-certified EHR with 256-bit encryption
- Full insurance billing with ERA/EOB posting included
Where Heard wins
- Done-for-you monthly bookkeeping saves therapists the most hated admin task
- Tax prep and filing included — personal on Essential, business on Premium
- S corp election guidance that reportedly saves $5,000+/year in taxes
- Built specifically for therapy private practice finances, not generic accounting
Where Charm Health falls short
- Only 9 G2 reviews with a 3.5 rating suggests limited market presence
- Telehealth is a $20/mo add-on, not included in base price
- AI Scribe costs $125/provider/mo on top of everything else
- E-prescribing and EPCS are separate add-ons totaling $265+/year
Where Heard falls short
- NOT practice management software — handles finances only, not clinical work
- $169/mo is a lot when QuickBooks Self-Employed is $15/mo
- No G2 or Capterra reviews for independent comparison
- Premium at $255/mo needed if you're an S corp
Who is each product built for?
Charm Health
Target: 1-50 providers
Buy Charm Health if you run a low-volume practice and want the pay-per-encounter model, or if you need a free tier that actually lets you see patients. Skip if you want telehealth and e-prescribing included in the base price.
Heard
Target: 1-5 providers
Buy Heard if you hate bookkeeping and want someone else to handle your practice finances and taxes. Skip if you can handle QuickBooks yourself or if you thought this was practice management software — it's not.
Feature comparison
| Feature | Charm Health | Heard |
|---|---|---|
| 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
Heard scores 7.5/10 vs Charm Health's 7.0/10 in our ranking. Heard is the better pick for 1-5 providers. Charm Health is better if you need low-volume independent practices that want a pay-per-encounter model instead of flat monthly fees.
Charm Health starts at $0/month. Heard starts at $169/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
Charm Health: Free tier available. Heard: No free trial. Always test with your actual workflow before committing to an annual plan.
Charm Health covers 18 of 18 features we track. Heard covers 1 of 18. Charm Health has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, Charm Health has a mobile app. Heard does not.
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 Charm Health if...
Low-volume independent practices that want a pay-per-encounter model instead of flat monthly fees
Pick Heard if...
Solo therapists in private practice who want someone else to handle bookkeeping and taxes