Charm Health vs PsyPack
Charm Health scores 7.0/10 vs 6.5/10. Best for: Low-volume independent practices that want a pay-per-encounter model instead of flat monthly fees.
Charm Health scores higher overall at 7.0/10 vs 6.5/10. 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.
Charm Health 
PsyPack Rank
#24 of 41
Rank
#39 of 41
Features
18/18
Features
5/18
Starting at
$0/mo
Starting at
$0/mo
User reviews
3.5/5 (160)
User reviews
— (12)
What they cost
| Charm Health | PsyPack | |
|---|---|---|
| Starting at | Free /mo | Free /mo |
| Free trial | Free tier available | Free tier available |
| Number of plans | 3 | 3 |
What the pricing really means
At first glance, PsyPack looks cheaper at $0/month vs $0/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 PsyPack wins
- 100+ validated psychometric assessments with instant scoring
- Free tier is genuinely usable at 3 assessments/mo with unlimited clients
- Automated weekly assessment reminders to track client progress over time
- Cheapest outcome tracking tool at $17/user/mo on the Professional plan
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 PsyPack falls short
- Not a practice management platform — handles assessments and nothing else
- Only 12 Capterra reviews total, not listed on G2
- No scheduling, billing, notes, or client portal
- Enterprise plan required for API access
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.
PsyPack
Target: 1-10 providers
Buy PsyPack if you need a dedicated outcome measurement tool to supplement your main EHR. Skip if you're looking for a full practice management platform — this handles assessments and nothing else.
Feature comparison
| Feature | Charm Health | PsyPack |
|---|---|---|
| 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
Charm Health scores 7.0/10 vs PsyPack's 6.5/10 in our ranking. Charm Health is the better pick for 1-50 providers. PsyPack is better if you need solo or small-group therapists who need a dedicated outcome measurement tool alongside their existing ehr.
Charm Health starts at $0/month. PsyPack starts at $0/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. PsyPack: Free tier available. Always test with your actual workflow before committing to an annual plan.
Charm Health covers 18 of 18 features we track. PsyPack covers 5 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. PsyPack 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 PsyPack if...
Solo or small-group therapists who need a dedicated outcome measurement tool alongside their existing EHR