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How to evaluate the costs and ROI on an EHR for your practice

Wondering how much an EHR system costs and if it’s worth the investment? We’ll help you analyze what your practice truly needs.

March 7, 2025 • Updated on September 9, 2025

7 min read

Whether you’re starting your own private practice for the first time or you’re looking for ways to optimize your existing group practice, you may be wondering, “do I need an EHR for my practice?” and if so, “how much will an EHR cost me?”

It’s true: There are many costs involved with incorporating EHR into your operations, and the process of implementing one can be time-consuming. But an EHR system can also help streamline your practice, while mitigating security risks that can disrupt your practice. With these systems in place, you can spend more time and mental energy on supporting your clients on their mental health journeys. 

In this article, learn more about how to decide whether you should invest in an EHR and how to determine the best solution for your practice.

EHR cost/benefit analysis

Like many things in life, EHRs tend to present a mix of challenges and opportunities. On the plus side, an EHR can transform your practice’s workflows by providing a centralized platform for critical tasks like appointment scheduling, client communication, documentation, and billing. But that benefit comes at a literal and figurative cost, since EHR systems can be expensive and complex to implement. Below, we’ll help you sort through the pros and cons.

Evaluate the benefits

An EHR is an investment, but for many practices, a valuable one. The right EHR should ideally streamline workflow processes in your practice, saving you and the therapists you work with valuable time and energy. Think of it this way: When you spend less time searching for client information, you can focus more on providing better mental health care. The same is true for tasks like note-taking, updating treatment plans, and billing.

If you work in a group practice or frequently collaborate with other healthcare providers, EHRs also make it easy to communicate and share information in a secure, HIPAA-compliant way. Many EHR systems also make it easy for clients to schedule appointments and pay bills, all in one place. Plus, using less paper is better for the environment (not to mention your office supply budget). 

Compile the costs

Considering an EHR for your practice? Your EHR itself isn’t the only cost you’ll need to consider. Much like buying a house or car, you’ll likely face other expenses associated with the EHR itself. Some of the most common indirect and direct costs associated with an EHR include: 

  • Hardware updates (such as new computers or tablets)
  • Internet service upgrades
  • Data storage upgrades
  • Software licenses, depending on the number of EHR users
  • EHR training or consulting services
  • Add-ons like practice management tools or a patient portal

It’s also not uncommon for other, unexpected costs to arise with large projects like implementing EHR systems — for example, you may realize you need additional licenses or staff training mid-way through your project. Acknowledging this and planning accordingly can prepare you so potential surprises don’t catch you off guard (or negatively impact your bottom line). 

Keep in mind some costs will be up front, while others — such as license renewals or eventual hardware upgrades — will occur over time, so you’ll need to include those in your budget, too. Some EHRs also have a monthly cost in addition to a one-time fee. 

Then there’s Headway’s EHR, which is 100 percent free to use for Headway providers. Not only that, it’s part of a truly all-in-one platform that also includes practice management and marketing tools, saving you time, money, and effort in one fell swoop.

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It’s also not uncommon for other, unexpected costs to arise with large projects like implementing EHR systems — for example, you may realize you need additional licenses or staff training mid-way through your project. Acknowledging this and planning accordingly can prepare you so potential surprises don’t catch you off guard (or negatively impact your bottom line). 

Determine your needs based on your resources.

Different practices have different needs that drive their priorities when searching for an EHR. If you practice alone, you may be able to manage appointments yourself. But if you work in a larger practice or have a large case-load, it may make sense to invest in additional features, like a patient portal that allows people to schedule their own appointments. Portals also allow for patient/provider communication, including sending educational materials. 

You should also consider the types of providers that will be using the EHR. For example, if your practice includes psychiatrists or nurse practitioners, you may want to consider a product that allows e-prescribing.

Evaluating your practice’s unique traits and needs will help determine where you can cut costs, so you choose the most cost-effective EHR option for you. Headway’s platform is a great option for any budget-savvy practice, since it’s cost- and subscription-free.

Set your budget

How much you want to spend on an EHR is unique to you and your practice. After you set your priorities and align them with your EHR system research, set a budget. When you know what to expect, you can cut other costs to maintain profitability amidst your new expenses.

Choosing the right EHR for your practice

There’s no such thing as the “best” EHR, full stop. Practices have different needs depending on size, budget, client population, provider types, and many other considerations. 

To decide which EHR is right for your practice — or if you need an EHR at all — carefully consider the pain points in your current work, the features that would make your professional life easier, how much you’re willing to pay for those features, and how much time you and your team have to implement and learn a new system. After weighing all those factors, you should have a clearer vision of the EHR system that will best serve your unique needs.

Curious about your EHR options? Learn more about the best options for your practice:

Streamline your practice with Headway’s EHR

Whether you’re a solo therapist or a member of a large group practice, brand new or seasoned, budget-conscious or ready to spend, Headway’s EHR is here for you. From scheduling and documentation to integrated telehealth and tools for private pay, our EHR allows you to take a hands-on approach to own the work you want — while automating or simplifying the rest. The result? More time for the work that fills your cup, and less time wasted on backend details.

Focus less on admin and more on clients with Headway

Join Headway to build a connected practice with a streamlined suite of free EHR features — from scheduling and messaging to documentation and assessments.

This content is for general informational and educational purposes only and does not constitute clinical, legal, financial, or professional advice. All decisions should be made at the discretion of the individual or organization, in consultation with qualified clinical, legal, or other appropriate professionals.

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