Heard vs PsyPack
Heard scores 7.5/10 vs 6.5/10. 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 6.5/10. 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.
Heard 
PsyPack Rank
#13 of 41
Rank
#39 of 41
Features
1/18
Features
5/18
Starting at
$169/mo
Starting at
$0/mo
User reviews
—
User reviews
— (12)
What they cost
| Heard | PsyPack | |
|---|---|---|
| Starting at | $169 /mo | Free /mo |
| Free trial | No | Free tier available |
| Number of plans | 3 | 3 |
What the pricing really means
At first glance, PsyPack 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 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 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 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
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?
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.
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 | Heard | 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
Heard scores 7.5/10 vs PsyPack's 6.5/10 in our ranking. Heard is the better pick for 1-5 providers. PsyPack is better if you need solo or small-group therapists who need a dedicated outcome measurement tool alongside their existing ehr.
Heard starts at $169/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.
Heard: No free trial. PsyPack: Free tier available. Always test with your actual workflow before committing to an annual plan.
Heard covers 1 of 18 features we track. PsyPack covers 5 of 18. PsyPack has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
No, Heard does not have a mobile app. PsyPack does not have one either.
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 Heard if...
Solo therapists in private practice who want someone else to handle bookkeeping and taxes
Pick PsyPack if...
Solo or small-group therapists who need a dedicated outcome measurement tool alongside their existing EHR