Opus EHR vs Sessions Health
Sessions Health scores 8.0/10 vs 7.0/10. Best for: Therapists who want a clean, modern EHR at $39/mo without the bloat of platforms built for hospital systems.
Sessions Health scores higher overall at 8.0/10 vs 7.0/10. Buy Sessions Health if you want the cleanest interface in the category at the lowest price and your reviews confirm that matters to you. Skip if you need a native mobile app or e-prescribing.
Opus EHR 
Sessions Health Rank
#27 of 41
Rank
#7 of 41
Features
16/18
Features
15/18
Starting at
$79/mo
Starting at
$0/mo
User reviews
4/5 (50)
User reviews
4.6/5 (113)
What they cost
| Opus EHR | Sessions Health | |
|---|---|---|
| Starting at | $79 /mo | Free /mo |
| Free trial | Free tier available | Free tier available |
| Number of plans | 2 | 2 |
What the pricing really means
At first glance, Sessions Health looks cheaper at $0/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 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 Sessions Health wins
- Free tier with up to 3 active clients lets you test the entire platform with real workflows before paying anything
- Capterra rating of 4.9 across 113 reviews is the highest in the behavioral health EHR category, with 98% positive sentiment
- Customer support gets constant praise in reviews for fast responses and actually listening to feature requests
- At $39/mo for the first practitioner and $29/mo for each additional, it undercuts SimplePractice and TherapyNotes significantly
- Unlimited admin staff included at no extra charge, which matters for growing group practices
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
Where Sessions Health falls short
- No native mobile app, so you are using a browser on your phone which is workable but not ideal between sessions
- Telehealth is a $10/mo add-on per practitioner, while competitors like Blueprint include it in the base price
- No e-prescribing support, so psychiatrists or prescribers need a separate tool
- Smaller review count (113) compared to SimplePractice (2,900+) means less community knowledge and fewer third-party guides
Who is each product built for?
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.
Sessions Health
Target: 1-10 clinicians
Buy Sessions Health if you want the cleanest interface in the category at the lowest price and your reviews confirm that matters to you. Skip if you need a native mobile app or e-prescribing.
Feature comparison
| Feature | Opus EHR | Sessions Health |
|---|---|---|
| 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
Sessions Health scores 8.0/10 vs Opus EHR's 7.0/10 in our ranking. Sessions Health is the better pick for 1-10 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.
Opus EHR starts at $79/month. Sessions Health starts at $0/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
Opus EHR: Free tier available. Sessions Health: Free tier available. Always test with your actual workflow before committing to an annual plan.
Opus EHR covers 16 of 18 features we track. Sessions Health covers 15 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.
No, Opus EHR does not have a mobile app. Sessions Health 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 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.
Pick Sessions Health if...
Therapists who want a clean, modern EHR at $39/mo without the bloat of platforms built for hospital systems.