Cliniko vs Opus EHR
Cliniko scores 7.8/10 vs 7.0/10. Best for: Physiotherapy and allied health clinics that want a clean interface with all features unlocked on every plan and no per-feature upsells.
Cliniko scores higher overall at 7.8/10 vs 7.0/10. Buy Cliniko if you want the cleanest interface in allied health with zero feature gating and stable pricing. Skip if you bill US insurance directly or need a platform with a large review base to validate before buying.
Cliniko 
Opus EHR Rank
#9 of 41
Rank
#27 of 41
Features
14/18
Features
16/18
Starting at
$45/mo
Starting at
$79/mo
User reviews
4.5/5 (227)
User reviews
4/5 (50)
What they cost
| Cliniko | Opus EHR | |
|---|---|---|
| Starting at | $45 /mo | $79 /mo |
| Free trial | 30 days | Free tier available |
| Number of plans | 4 | 2 |
What the pricing really means
At first glance, Cliniko looks cheaper at $45/month vs $79/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 Cliniko wins
- Every plan gets the full feature set with no feature gating, so you are not paying more just to unlock telehealth or notes
- Prices have not changed since 2011, which is rare in SaaS and means no surprise annual increases
- 4.9/5 ease-of-use score on Capterra, which is the highest in allied health practice management
- 30-day free trial is enough time to actually migrate data and test with real patients before committing
- Unlimited locations included on all plans, which matters for clinics expanding to a second site
Where Opus EHR wins
- Purpose-built for addiction treatment and SUD with workflows that match how residential and outpatient centers actually operate
- E-prescribing with full DEA compliance and lab integration for substance abuse monitoring built into every paid plan
- Combines EHR, CRM, and revenue cycle management in one platform, so facilities do not need to stitch together three separate tools
- Capterra rating of 4.8 across 50 reviews with 100% positive sentiment, which is unusually high for behavioral health EHRs
- Free Starter plan lets you test scheduling and basic billing before committing to the $79/user paid tier
Where Cliniko falls short
- Only 23 reviews on Capterra means the 4.7 rating is based on a thin sample compared to competitors with 200+ reviews
- No built-in insurance billing or clearinghouse integration, so US practices billing insurance need a separate tool
- Jump from $45 Solo to $95 Team is a big leap just for adding one more practitioner
- SMS reminders are billed separately by country, and costs are not published upfront on the pricing page
Where Opus EHR falls short
- Small review count (50 total across platforms) means less community knowledge compared to established players like SimplePractice
- Multiple reviewers report slow issue resolution, with bugs sometimes taking weeks to fix after being reported
- Pricing requires contacting sales for anything beyond the base plan, and enterprise costs are not published
- Built for facilities and organizations, so solo therapists or small talk-therapy practices will find it overkill
Who is each product built for?
Cliniko
Target: 1-25 clinicians
Buy Cliniko if you want the cleanest interface in allied health with zero feature gating and stable pricing. Skip if you bill US insurance directly or need a platform with a large review base to validate before buying.
Opus EHR
Target: 5-100+ staff
Buy Opus EHR if you run an addiction treatment center or behavioral health facility that needs SUD-specific workflows with built-in e-prescribing and lab integration. Skip if you are a solo therapist or small practice that does not need facility-level features.
Feature comparison
| Feature | Cliniko | Opus EHR |
|---|---|---|
| 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
Cliniko scores 7.8/10 vs Opus EHR's 7.0/10 in our ranking. Cliniko is the better pick for 1-25 clinicians. Opus EHR is better if you need behavioral health and addiction treatment facilities that need ehr, crm, and billing in one system built specifically for substance use disorder workflows.
Cliniko starts at $45/month. Opus EHR starts at $79/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
Cliniko: Yes, 30-day free trial. Opus EHR: Free tier available. Always test with your actual workflow before committing to an annual plan.
Cliniko covers 14 of 18 features we track. Opus EHR covers 16 of 18. Opus EHR has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, Cliniko has a mobile app. Opus EHR 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 Cliniko if...
Physiotherapy and allied health clinics that want a clean interface with all features unlocked on every plan and no per-feature upsells.
Pick Opus EHR if...
Behavioral health and addiction treatment facilities that need EHR, CRM, and billing in one system built specifically for substance use disorder workflows.