Does Epic publish its prices?

No. A pricing data source checked on October 16, 2026 recorded no public list price [1]. Figures in circulation come from vendor estimates and from rules that set a share of a host's cost, not from Epic.

How much does Epic cost a small practice?

It depends on how you reach it. One vendor blog estimates $100,000 to $300,000 to set up a standalone small clinic and $50,000 to $150,000 a year after [2]. Through a hospital's Community Connect program, the federal rule has the practice pay 15 percent of the host's cost [3]. Neither figure is a quote.

Comparison

Gale vs Epic: An Honest Comparison

Summary

Epic publishes no price. One vendor blog estimates $100,000 to $300,000 to set up a standalone small clinic and $50,000 to $150,000 a year after, and a federal rule has a practice on a hospital's Epic pay 15 percent of the host's cost. Gale has no monthly fee and charges one flat fee per completed visit, stated in its Fee Schedule.

By Gale Editorial · Updated 2026-10-28. Every figure cited to a dated source. How we write.

Epic pricing as cited: No public price. A vendor blog estimates $100,000 to $300,000 to set up a standalone small clinic and $50,000 to $150,000 a year (October 2026) [2]. Through a host, 15 percent of the host's cost [3].

	Gale	Epic
How you pay	One flat fee for each completed visit, the amount in the Fee Schedule. No monthly fee.	Quoted, through a hospital host or a hosted offer [2][4]
Published price	Yes, in the Fee Schedule	None from Epic. A pricing data source verified no public list price [1]
Setup	No setup fee	A vendor blog estimates $100,000 to $300,000 for a standalone small clinic [2]
Through a hospital host	Not applicable	The federal Community Connect rule has the practice pay 15 percent of the host's cost [3]
Card payments	Stripe's own rate, charged on your own account. Gale adds nothing.	Not published
A month with no visits	No charge	Not published

Where Epic may be the better fit

—Epic, if your practice is tied to a hospital system that already runs it: the host's instance is the way in, and the host quotes the price [4].
—Epic, where a health system needs one record across many sites and specialties.

The question this page answers

If you run or are opening a small practice, Epic is the name you hear most from hospital systems. This page sets out what is and is not public about its cost, next to how Gale charges, so you can ask the right questions before a demo. Epic publishes no price list. One data source that tracks software pricing checked on October 16, 2026 and recorded 'no public list price verified' 1Ref 1MedicalRecords.com (2026).Epic EMR pricing.No public list price verified for Epic, checked 2026-10-16. Every dollar figure below is therefore either a vendor's own estimate or a rule that sets a share of a cost, and each is labelled that way.

What is published about Epic's price

Nothing from Epic itself. What exists is three kinds of evidence.

A vendor blog's estimates. Topflight, an app development firm, published its own estimates on October 8, 2026, from its client projects: $100,000 to $300,000 up front for a small clinic, $50,000 to $150,000 a year after that, a physician license at $5,000 to $7,000 per user, and hosted access from about $200 per user per month 2Ref 2Topflight Apps (2026).Epic EHR cost: pricing, implementation and what drives it.A vendor's own estimates for a small clinic: $100K to $300K up front, $50K to $150K a year, $5K to $7K per physician license, hosted from about $200 per user per month. It spreads the small-clinic figures to roughly $4,000 to $12,000 a month. These are estimates from one firm, not a quote, and your own quote can differ a great deal.

A federal rule for hospital-hosted access. Many small practices reach Epic through a hospital's program rather than buying it directly. Under the federal safe harbor for Community Connect arrangements, the practice that receives the software pays 15 percent of the host's cost 3Ref 3U.S. Department of Health and Human Services (2026).42 CFR 1001.952(y)(11): electronic health records items and services.The recipient of Community Connect items and services pays 15 percent of the donor's cost. A hospital that runs such a program says its pricing is reviewed in a program overview meeting and publishes no figure 4Ref 4Baptist Health Jacksonville (2026).Epic Community Connect.A host's program page: pricing is reviewed during the program overview meeting.

Nothing on contract terms. Minimum terms, renewal and exit costs are not published by Epic or by the hosts reviewed here.

How Gale charges

Gale has no subscription, no setup fee and no per-seat fee. It charges one flat fee for each completed visit, the amount stated in Gale's Fee Schedule, and nothing in a month with no visits. Card payments are charged on the practice's own Stripe account at Stripe's own rate, and Gale adds nothing to them. The practice signs every note, claim and prescription.

Side by side, with the gaps shown

The table above sets each answer next to the other. Where Epic publishes nothing, the cell says so instead of guessing. The honest reading is that the two are priced on different principles: Gale by completed visit, with the amount public, and Epic by quote, through a host or a hosted offer, with the amount negotiated.

Where Epic is the stronger fit

Epic is built for health systems and the practices affiliated with them, and hospitals offer it to those practices through programs like Community Connect 4Ref 4Baptist Health Jacksonville (2026).Epic Community Connect.A host's program page: pricing is reviewed during the program overview meeting. If your practice is tied to a hospital that already runs Epic, joining that system's instance is the way into its shared record, and the host is who quotes the price. If you are independent and want to know your cost before you commit, a published per-visit fee is the easier thing to plan around.

Where Gale is the newer option

Gale is a newer product with a short record. It is strongest today in primary care and behavioral health. Ask for a sample chart, and read the Fee Schedule, before you decide.

Common questions

No. A pricing data source checked on October 16, 2026 recorded no public list price 1Ref 1MedicalRecords.com (2026).Epic EMR pricing.No public list price verified for Epic, checked 2026-10-16. Figures in circulation come from vendor estimates and from rules that set a share of a host's cost, not from Epic.

It depends on how you reach it. One vendor blog estimates $100,000 to $300,000 to set up a standalone small clinic and $50,000 to $150,000 a year after 2Ref 2Topflight Apps (2026).Epic EHR cost: pricing, implementation and what drives it.A vendor's own estimates for a small clinic: $100K to $300K up front, $50K to $150K a year, $5K to $7K per physician license, hosted from about $200 per user per month. Through a hospital's Community Connect program, the federal rule has the practice pay 15 percent of the host's cost 3Ref 3U.S. Department of Health and Human Services (2026).42 CFR 1001.952(y)(11): electronic health records items and services.The recipient of Community Connect items and services pays 15 percent of the donor's cost. Neither figure is a quote.

A hospital lets affiliated practices use its Epic system. The federal safe harbor sets the receiving practice's payment at 15 percent of the host's cost 3Ref 3U.S. Department of Health and Human Services (2026).42 CFR 1001.952(y)(11): electronic health records items and services.The recipient of Community Connect items and services pays 15 percent of the donor's cost. A host says its pricing is reviewed in a program meeting 4Ref 4Baptist Health Jacksonville (2026).Epic Community Connect.A host's program page: pricing is reviewed during the program overview meeting.

Gale has no monthly fee and charges one flat fee for each completed visit. The Fee Schedule states the amount, and a month with no visits costs nothing.

Keep reading

How Practice Software Charges: Flat Fee vs. Percentage of Collections vs. Network Rake · Free EHR: What "Free" Really Means (and the Catch to Watch For) · EHR for Independent Practices: Charting That Stays Out of the Way · How to Start a Private Practice: The 2026 Checklist · Gale vs SimplePractice: An Honest Comparison · Gale vs athenahealth: An Honest Comparison · Gale vs. Tebra: Flat Subscription vs. Pay-Only-When-You-Collect · Gale vs Headway: Keep Your Rate, Keep Your Contracts

Run your practice on Gale

No monthly fee. Gale charges $1.99 per completed visit, billed once a month, and takes nothing from a card payment. No subscription, no setup fee, no network cut.

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References

1.MedicalRecords.com (2026). Epic EMR pricing. MedicalRecords.com. link ✓No public list price verified for Epic, checked 2026-10-16
2.Topflight Apps (2026). Epic EHR cost: pricing, implementation and what drives it. Topflight Apps blog, 2026-10-08. link ✓A vendor's own estimates for a small clinic: $100K to $300K up front, $50K to $150K a year, $5K to $7K per physician license, hosted from about $200 per user per month
3.U.S. Department of Health and Human Services (2026). 42 CFR 1001.952(y)(11): electronic health records items and services. Code of Federal Regulations, via Cornell LII. link ✓The recipient of Community Connect items and services pays 15 percent of the donor's cost
4.Baptist Health Jacksonville (2026). Epic Community Connect. baptistjax.com. link ✓A host's program page: pricing is reviewed during the program overview meeting

https://www.gale.care/for-providers/compare/epic · 4 sources. Competitor details are cited to dated public sources and maintained as they change; figures are estimates, not commitments.

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