Best EHR Software for Primary Care Offices 2026

3 of the seven vendors compared on this page publish a per-provider monthly price, spanning $126-$499 per provider per month (base-plan price per vendor); the other 4 (Elation Health, athenahealth, Tebra and DrChrono) are quote-only. Sources, each checked 2026-10-05: RXNT pricing, Practice Fusion pricing, eClinicalWorks pricing.

Evaluate the EHR against the quality measures your practice reports. Confirm the reporting workflow during a demo.

The stakes are set in regulation. Under 42 CFR 414.1405(c) the MIPS payment adjustment is built on an applicable percent of 9 percent for MIPS payment year 2022 and each later year, with the adjustment factor set by comparing a clinician's final score to the performance threshold, and the CY 2026 Physician Fee Schedule final rule (CMS-1832-F, 90 FR 49266, published November 5, 2025, effective January 1, 2026) keeps that threshold at 75 points for the CY 2026 through CY 2028 performance periods. An EHR that surfaces the measures during the visit is working against a fixed bar, which is why the fee difference between platforms is small next to the adjustment on a Medicare-heavy panel.

You can, but expect tradeoffs. Most vendors will migrate structured data — demographics, problem lists, medications, allergies, immunizations, recent labs — through their onboarding team. Free-text notes and scanned documents are messier; some practices keep read-only access to the legacy EHR for one to two years rather than migrate every PDF. Negotiate the migration scope and the legacy-access timeline before signing, and ask the new vendor about supported import formats (CCDA, HL7, flat-file) for your current platform.

The import formats have a federal floor. ONC's certification criteria at 45 CFR 170.315(b)(1) require a certified EHR to send and receive transition-of-care summaries, and 45 CFR 170.205(a)(4) names the HL7 Consolidated CDA Release 2.1 templates as the standard for those documents, so a C-CDA export of structured data is something every certified vendor can produce on request. Free text and scanned documents sit outside that floor, which is where the negotiation happens. The EHR migration guide walks the cutover, and the EHR contract clauses that cost practices money lists the terms to fix before the legacy vendor has leverage.

Placement on this page cannot be bought. Vendors are included using our published methodology and the information and evidence available for each vendor. You can submit corrections or supporting evidence for review. Providers are listed alphabetically. Paid placement is labeled separately.