Top Free
EHR Alternatives

Professional-grade replacements for EHR software. Verified for features, security, and zero cost.

Tools Tested

100%

Free or Open Source

Database Updated Dec 2025

Hand-Picked Comparisons

Save Enterprise ($1,200/mo - $100M+)

Epic Systems

The industry-standard EHR for large-scale health systems, known for its deep interoperability but criticized for its extreme cost, steep learning curve, and complex implementation cycles.

Top Recommended Replacement

OpenEMRPRO CHOICE

The most mature open-source EHR globally; ONC Certified; includes integrated billing, patient portal, and e-prescribing; 100% free with no licensing fees.

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Save Enterprise ($25/user/mo to $30M+)

Cerner

A top-tier EHR platform known for its clinical intelligence and population health management, but often criticized for its high implementation costs and complex user interface.

Top Recommended Replacement

GNU HealthPRO CHOICE

100% free and community-driven; focuses on social medicine and population health; includes modules for genetics and epidemiology that are often paid add-ons in Cerner.

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Save 4%–7% of Collections

Athenahealth

A popular cloud-native EHR and practice management suite that automates billing and clinical workflows, though its percentage-based pricing is often considered restrictive for high-revenue practices.

Top Recommended Replacement

SimplePracticePRO CHOICE

Incredibly user-friendly; free 30-day trial; best-in-class mobile app for clinicians on the go; includes telehealth and a paperless client portal for a low flat monthly fee.

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Save Custom (Quote-based)

DrChrono

A mobile-first EHR known for its award-winning iPad app and integrated billing, though its pricing transparency and support delays are common points of user frustration.

Top Recommended Replacement

CharmHealthPRO CHOICE

Permanent free plan for up to 50 patient encounters per month; fully cloud-based with modern iPad support; includes e-prescribing and a patient portal at no initial cost.

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Mastering EHR for Free

Our mission at Best Free Alternatives is to democratize access to high-end digital tools. The software listed above provides professional-grade results without the burden of monthly subscriptions. Whether you are a student, freelancer, or small business owner, these EHR alternatives are production-ready.