Tebra Pricing Explained for Billing Companies

Short answer

Tebra publishes per-provider rates at tebra.com/pricing/overview. Its billing-comparable tier (Billing Starter) is $99 to $199 per provider per month; full EHR bundles run $399 to $799. On top of the subscription, Tebra also publishes a per-claim overage fee ($0.99 per claim above the included volume), ERA at no extra charge, and card processing at 2.75% plus $0.30 per transaction. Contracts usually run annually with a 60-day written cancellation notice. Tebra bundles an EHR, practice management, and patient engagement into one product aimed at independent practices, which fits a practice that wants a single vendor but not a billing company that already brings its own clients.

How Tebra prices its platform

Tebra came out of the 2021 merger of Kareo (billing and EHR) and PatientPop (patient acquisition and engagement). The combined platform groups features into modules that stack into bundles.

The core modules are:

• Tebra Clinical: EHR, documentation, telehealth
• Tebra Billing: claims, revenue cycle, eligibility
• Tebra Engage: patient messaging, intake, online scheduling, marketing

Two named bundles appear in Tebra's marketing: Practice Essentials (Billing plus Clinical) and Practice Automation (Billing plus Clinical plus Engage). Single-solution tiers for billing or EHR alone are also offered.

Tebra publishes per-provider rates at tebra.com/pricing/overview. Per-provider monthly rates land in this band:

• Billing Starter (billing tier, the Medi-comparable tier): $99 to $199 per provider per month
• EHR bundles (Billing plus Clinical and higher): $399 to $799 per provider per month

Pricing scales by the number of clinical providers (MD, DO, NP, PA). Non-clinical staff such as front desk, billing coordinators, and coders generally access the system without a per-seat charge. Practices that submit 100 or fewer claims per month are quoted a lower tier.

The per-provider model is the standard shape for EHR platforms, because EHR licensing tracks clinical documentation, not billing headcount. A billing company on this model pays for the EHR whether or not its team ever opens it.

What Tebra's onboarding and payments fees add

The subscription line is not the full number. Reviewers and user reports cite these additional charges:

Full-practice implementation and training in third-party reviews runs wider, from roughly $1,000 to $20,000 depending on specialty complexity and data migration scope.

What a billing company pays at scale

Using Tebra's published EHR bundle midpoint of $599 per provider per month and adding a $500 per-provider onboarding charge amortized over a 12-month contract.

A 20-provider billing company:

A 50-provider billing company:

Medi charges per client practice, not per provider. Adding providers inside a practice never changes the fee; adding practices adds the per-practice rate. Platform access is $20 per client practice per month, with volume pricing available. Claims are billed at a flat $0.70 each, with ERA included and no separate remittance fee. The full schedule is published at /pricing; see tebra.com/pricing/overview for Tebra's current tier table.

An illustrative Medi estimate for a billing company with 50 client practices submitting roughly 2,000 claims a month:

These numbers use estimated volumes. Your actual Medi cost depends on your own claim and ERA volume, which you can run in the pricing calculator. The comparison is not apples to apples: Tebra includes an EHR and Medi does not. If your client practices need clinical documentation software, that cost belongs in the picture whichever billing platform you choose.

Tebra's pricing policy

Tebra publishes tier rates at tebra.com/pricing/overview, though final pricing for a specific book often involves a sales conversation because cost varies by specialty, provider count, contract length, and module mix. One policy detail to know before signing: Tebra's pricing policy states that canceling any single module removes the bundle discount from the remaining modules, which then reprice to full individual rates. Annual price increases are capped at a small percentage per 12-month period with notice, while regulatory or compliance cost increases can bypass that cap. Current terms are at tebra.com/tebra-pricing-policy.

How to cancel or leave Tebra

Tebra's pricing policy requires written notice before your agreement end date, commonly 60 days. Miss that window and the agreement auto-renews for another term. Key exit terms from the published policy:

• Fees are generally non-refundable, with no credits for partial months or prepaid plans at deactivation
• A monthly minimum fee can apply to an account period without an active provider
• Post-termination data is available in common export formats
• Tebra retains your data for a defined period after termination under its HIPAA business associate agreement
• Help-center data assistance after account close is billed hourly

If you plan to migrate away, start the data export before your termination date. State and HIPAA record-retention rules typically require keeping patient records for several years depending on jurisdiction. For a step-by-step plan, see the Tebra migration guide.

How Medi prices differently

Medi is built for the third-party billing company, not the clinical practice, and the pricing follows from that:

• $20 per client practice per month, with volume pricing available
• Adding providers inside a practice never changes the fee; the rate moves only when you add or drop client practices
• Claims billed at a flat $0.70 each, the same whether a claim has one service line or twelve, with ERA included and no separate remittance fee. Volume steps down to $0.65 per claim from 501 to 5,000 a month and $0.55 beyond 5,000. Eligibility $0.25, claim status $0.20, COB and attachments $1.50. 277CA and PDF copies are included
• No setup fee, no onboarding charge, no per-provider seat, no annual contract
• Migration is free with a 12-month commitment, or $100 per practice (capped at $3,000) month-to-month; data export is always free and there is no termination fee

The full rate card is at /pricing, with a live pricing calculator to model your book. Medi does not include an EHR. It runs the revenue cycle: claim submission, denial management, ERA posting, eligibility, authorizations, and the billing workflows a billing company works every day. If your clients need clinical documentation, that is a separate decision.

Frequently asked questions

How much does Tebra cost per month?

Tebra publishes per-provider rates at tebra.com/pricing/overview. Its billing-only tier (Billing Starter) runs $99 to $199 per provider per month; EHR bundles run $399 to $799 per provider per month. Onboarding fees are separate, commonly cited near $500 per provider.

Does Tebra have a free version?

No. Tebra offers a free trial but no permanently free tier.

Where can I find Tebra's pricing?

Tebra publishes tier rates at tebra.com/pricing/overview. Final pricing for a specific deployment may still involve a sales conversation because cost can vary by specialty and module mix.

Is there a Tebra cancellation fee?

Tebra does not advertise a formal early-termination fee, but its pricing policy holds customers responsible for fees through the subscription term and treats them as non-refundable. The main exit obligation is written notice before the contract end date; miss it and the contract auto-renews. Canceling a single module also reprices the remaining modules to full individual rates.

How does Tebra compare to Medi on cost for a billing company?

It depends on practice count and transaction volume. At Tebra's published EHR bundle midpoint ($599/provider), 20 providers runs about $11,980 to $12,800 a month in year one; 50 providers runs about $29,950 to $32,000. For billing-only work, Tebra's Billing Starter tier ($99 to $199/provider) gives a lower starting point but still scales with provider count. Medi charges per client practice rather than per provider, at $20 per client practice per month with volume pricing available. The gap widens as provider count rises, because Medi's platform fee scales with client practices, not with individual providers. Tebra includes an EHR and Medi does not, so factor in clinical documentation if your clients need it. See Medi vs Tebra for the full side-by-side.

What is Tebra's contract length?

Tebra contracts are typically annual, with written notice required before the end date to avoid auto-renewal. Month-to-month agreements exist but carry broader price-adjustment rights than the capped annual increase that applies to annual subscribers.