Healthie vs Opus EHR
Healthie scores 7.6/10 vs 7.0/10. Best for: Nutritionists, wellness providers, and digital health startups that want an API-first platform they can build on, not just use as-is.
Healthie scores higher overall at 7.6/10 vs 7.0/10. Buy Healthie if you are a nutritionist or wellness provider who wants the cheapest starting price with room to scale to a full digital health platform. Skip if you need a large community of users for troubleshooting or if e-prescribing costs matter to your bottom line.
Healthie 
Opus EHR Rank
#11 of 41
Rank
#27 of 41
Features
18/18
Features
16/18
Starting at
$19/mo
Starting at
$79/mo
User reviews
3.9/5 (137)
User reviews
4/5 (50)
What they cost
| Healthie | Opus EHR | |
|---|---|---|
| Starting at | $19 /mo | $79 /mo |
| Free trial | 14 days | Free tier available |
| Number of plans | 4 | 2 |
What the pricing really means
At first glance, Healthie looks cheaper at $19/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 Healthie wins
- Starts at $19/mo which is the cheapest paid plan in the healthcare practice management category
- API-first architecture means digital health startups and developers can build custom workflows on top of it
- Insurance billing via CMS-1500 and Office Ally integration handles the claim submission pipeline without a separate clearinghouse
- Auto-populated superbills save 10-15 minutes of end-of-day admin per clinician
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 Healthie falls short
- Only 21 G2 reviews suggests a smaller user community, which means fewer forums, walkthroughs, and peer support
- E-prescribing is a $40/clinician/mo add-on that stacks on top of already-paid plan costs
- Custom intake forms are locked behind the Essentials plan at $49/mo, so the $19 Core plan uses generic templates only
- The $19 Core plan caps at 10 active clients, which most solo practitioners outgrow within the first month
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?
Healthie
Target: 1-50 providers
Buy Healthie if you are a nutritionist or wellness provider who wants the cheapest starting price with room to scale to a full digital health platform. Skip if you need a large community of users for troubleshooting or if e-prescribing costs matter to your bottom line.
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 | Healthie | 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
Healthie scores 7.6/10 vs Opus EHR's 7.0/10 in our ranking. Healthie is the better pick for 1-50 providers. 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.
Healthie starts at $19/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.
Healthie: Yes, 14-day free trial. Opus EHR: Free tier available. Always test with your actual workflow before committing to an annual plan.
Healthie covers 18 of 18 features we track. Opus EHR covers 16 of 18. Healthie has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, Healthie 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 Healthie if...
Nutritionists, wellness providers, and digital health startups that want an API-first platform they can build on, not just use as-is.
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.