Quick Overview
- 1#1: Phreesia - Delivers digital patient intake and seamless online payment collection at the point of visit.
- 2#2: Rectangle Health - Offers secure, contactless patient payment solutions including text-to-pay and financing options.
- 3#3: InstaMed - Provides HIPAA-compliant payment processing and patient payment portals for healthcare providers.
- 4#4: Waystar - Streamlines revenue cycle management with integrated patient self-service payment tools.
- 5#5: Tebra - Combines practice management and patient engagement with easy online billing and payments.
- 6#6: SimplePractice - Enables behavioral health practices to collect secure online payments via client portals.
- 7#7: TherapyNotes - Supports mental health practices with integrated online payment processing and statements.
- 8#8: AdvancedMD - Features a patient portal for convenient online bill pay and payment plans.
- 9#9: Athenahealth - Integrates patient payment estimates and collections within its EHR and practice management system.
- 10#10: DrChrono - Offers mobile-friendly patient portals for online payments and appointment self-service.
These tools were carefully evaluated based on key factors: security compliance (such as HIPAA), user-friendly interfaces, integration capabilities with existing systems, and the range of patient-centric features—including flexible payment plans and intuitive portals—to ensure they deliver exceptional value and performance.
Comparison Table
Patient online payments software is reshaping how healthcare providers manage financial transactions, with tools like Phreesia, Rectangle Health, InstaMed, Waystar, Tebra, and more at the forefront. This comparison table simplifies evaluation by outlining key features, usability, and functionality, helping readers identify the best fit for their practice. By examining these top options side-by-side, users gain clarity on tailored payment solutions to meet their unique needs.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Phreesia Delivers digital patient intake and seamless online payment collection at the point of visit. | specialized | 9.5/10 | 9.7/10 | 9.3/10 | 9.1/10 |
| 2 | Rectangle Health Offers secure, contactless patient payment solutions including text-to-pay and financing options. | specialized | 9.2/10 | 9.5/10 | 8.8/10 | 9.0/10 |
| 3 | InstaMed Provides HIPAA-compliant payment processing and patient payment portals for healthcare providers. | specialized | 8.7/10 | 9.2/10 | 8.4/10 | 8.1/10 |
| 4 | Waystar Streamlines revenue cycle management with integrated patient self-service payment tools. | enterprise | 8.7/10 | 9.2/10 | 8.4/10 | 8.1/10 |
| 5 | Tebra Combines practice management and patient engagement with easy online billing and payments. | enterprise | 8.4/10 | 8.7/10 | 8.0/10 | 8.1/10 |
| 6 | SimplePractice Enables behavioral health practices to collect secure online payments via client portals. | specialized | 8.4/10 | 8.6/10 | 9.1/10 | 7.9/10 |
| 7 | TherapyNotes Supports mental health practices with integrated online payment processing and statements. | specialized | 8.4/10 | 9.0/10 | 8.5/10 | 8.0/10 |
| 8 | AdvancedMD Features a patient portal for convenient online bill pay and payment plans. | enterprise | 8.1/10 | 8.6/10 | 7.9/10 | 7.5/10 |
| 9 | Athenahealth Integrates patient payment estimates and collections within its EHR and practice management system. | enterprise | 8.4/10 | 9.1/10 | 8.0/10 | 7.6/10 |
| 10 | DrChrono Offers mobile-friendly patient portals for online payments and appointment self-service. | enterprise | 7.8/10 | 8.2/10 | 7.5/10 | 7.0/10 |
Delivers digital patient intake and seamless online payment collection at the point of visit.
Offers secure, contactless patient payment solutions including text-to-pay and financing options.
Provides HIPAA-compliant payment processing and patient payment portals for healthcare providers.
Streamlines revenue cycle management with integrated patient self-service payment tools.
Combines practice management and patient engagement with easy online billing and payments.
Enables behavioral health practices to collect secure online payments via client portals.
Supports mental health practices with integrated online payment processing and statements.
Features a patient portal for convenient online bill pay and payment plans.
Integrates patient payment estimates and collections within its EHR and practice management system.
Offers mobile-friendly patient portals for online payments and appointment self-service.
Phreesia
specializedDelivers digital patient intake and seamless online payment collection at the point of visit.
Phreesia Payment Guarantee, which ensures providers get paid for eligible balances or Phreesia covers the shortfall.
Phreesia is a comprehensive patient engagement platform specializing in online payments, enabling healthcare providers to collect copays, deductibles, and balances seamlessly before or at the point of care. Patients can pay via secure web portals, mobile apps, kiosks, or text links, with support for credit/debit cards, HSA/FSA, and digital wallets. It integrates deeply with EHR systems like Epic and Cerner, automating eligibility checks, reminders, and statements to boost collection rates significantly.
Pros
- Exceptional integration with major EHRs for automated workflows
- High collection rates with payment guarantees and multi-channel reminders
- Patient-friendly interface supporting diverse payment methods
Cons
- Premium pricing may be steep for smaller practices
- Initial setup and training require time investment
- Limited standalone use without full platform adoption
Best For
Mid-to-large healthcare practices seeking an all-in-one solution for maximizing patient payments and revenue cycle efficiency.
Pricing
Custom enterprise pricing; typically $300-$1,000/month base plus per-patient or transaction fees (around $2-5/check-in).
Rectangle Health
specializedOffers secure, contactless patient payment solutions including text-to-pay and financing options.
Deep, bidirectional integrations with major EHRs that automatically post payments to patient ledgers without manual reconciliation
Rectangle Health offers a robust patient online payments platform tailored for healthcare providers, enabling secure bill pay via branded portals, text-to-pay, and mobile options. It supports flexible payment plans, FSA/HSA processing, and integrates deeply with major EHRs and practice management systems like Epic, Cerner, and Athenahealth. The solution emphasizes collections efficiency with automated reminders and real-time ledger posting, helping practices reduce A/R days.
Pros
- Extensive integrations with 50+ EHR/PM systems for seamless ledger posting
- Multiple payment methods including installment plans and FSA/HSA
- Advanced analytics and automated patient reminders to boost collections
Cons
- Custom pricing requires a quote, potentially higher for small practices
- Initial setup and integration can take time
- Limited customization for non-US healthcare providers
Best For
Mid-sized to large medical practices and multi-location groups needing EHR-integrated payment solutions.
Pricing
Custom quote-based; typically 2.4-2.9% + $0.25-$0.35 per transaction, plus $99-$299/month platform fee depending on volume.
InstaMed
specializedProvides HIPAA-compliant payment processing and patient payment portals for healthcare providers.
Text-to-Pay, enabling patients to receive payment links via SMS and complete transactions in seconds without needing an app or portal.
InstaMed is a healthcare-focused payments platform that streamlines patient billing and collections for providers through secure online payment solutions. It supports multiple payment methods including credit/debit cards, eChecks, and HSA/FSA, with features like text-to-pay, payment plans, and seamless EHR/EMR integrations. The platform emphasizes HIPAA and PCI DSS compliance, reducing accounts receivable days and improving cash flow for medical practices.
Pros
- Robust healthcare-specific security and compliance (HIPAA/PCI DSS)
- Seamless integrations with major EHR systems like Epic and Cerner
- Flexible payment options including text-to-pay and financing partnerships
Cons
- Pricing can be steep for small practices due to transaction fees and setup costs
- Limited self-service customization for non-technical users
- Reporting dashboard could be more intuitive for advanced analytics
Best For
Mid-to-large healthcare providers and hospitals seeking secure, integrated patient payment solutions to accelerate collections.
Pricing
Custom quote-based pricing with transaction fees typically 2.5-3.5% per payment, plus one-time setup and monthly platform fees.
Waystar
enterpriseStreamlines revenue cycle management with integrated patient self-service payment tools.
AI-powered payment optimization that predicts patient behavior and boosts collection rates up to 30% higher than industry averages
Waystar is a leading revenue cycle management platform specializing in healthcare payments, with robust patient online payments software that enables providers to collect payments efficiently via secure, customizable portals. It supports multiple payment methods including credit cards, ACH, and installment plans, while integrating seamlessly with EHRs and practice management systems. The solution emphasizes high collection rates through patient-friendly interfaces, text-to-pay options, and analytics for optimizing payment performance.
Pros
- Seamless integration with over 1,000 EHRs and billing systems
- High collection rates with patient-friendly portals and text-to-pay
- Advanced analytics and AI-driven payment optimization
Cons
- Pricing is quote-based and can be expensive for small practices
- Setup and configuration may require significant IT involvement
- Limited standalone options without full RCM suite
Best For
Large hospitals and health systems needing integrated revenue cycle management with top-tier patient payment capabilities.
Pricing
Custom enterprise pricing, typically subscription-based on claims volume or revenue share; contact sales for quote.
Tebra
enterpriseCombines practice management and patient engagement with easy online billing and payments.
End-to-end revenue cycle integration that automatically posts payments to patient ledgers and triggers follow-up actions
Tebra is an integrated healthcare platform offering robust patient online payments as part of its practice management and revenue cycle tools. It enables secure, convenient bill payments through a patient portal, email/text links, or mobile app, supporting credit/debit cards, ACH transfers, FSA/HSA, and flexible installment plans. Designed for medical practices, it streamlines collections with automated reminders, real-time reconciliation, and analytics to reduce accounts receivable.
Pros
- Deep integration with EHR, billing, and practice management for seamless workflows
- Multiple payment options including cards, ACH, and plans with automated reminders
- Branded patient portal enhances user experience and boosts collection rates
Cons
- Pricing is bundle-based and can be expensive for small practices focused only on payments
- Initial setup and customization require some technical expertise
- Customer support response times vary according to user reviews
Best For
Mid-sized medical practices needing integrated patient payments within a full practice management suite.
Pricing
Custom quote-based; core plans start at around $300-$500 per provider/month including payments, with transaction fees of 2.5-3.5%.
SimplePractice
specializedEnables behavioral health practices to collect secure online payments via client portals.
Automated superbill payments via secure client portal, directly linking insurance claims to patient responsibility
SimplePractice is an all-in-one practice management platform tailored for behavioral health professionals, with robust patient online payments functionality integrated into its client portal. Patients can securely pay invoices, superbills, and statements via credit card or ACH, set up flexible payment plans, and store payment methods for recurring use. The system automates billing workflows, sends payment reminders, and processes payments through Stripe while maintaining HIPAA compliance, making it efficient for practices handling both insurance and self-pay clients.
Pros
- HIPAA-compliant client portal for seamless self-service payments
- Integrated payment plans and automated reminders reduce chasing payments
- Low processing fees (2.8% + 30¢) with no setup costs for payments
Cons
- Requires full platform subscription (not standalone payments tool)
- Processing fees add up for high-volume practices
- Limited advanced customization for payment workflows compared to specialized gateways
Best For
Solo therapists and small behavioral health practices needing integrated payments within a comprehensive EHR and billing system.
Pricing
Subscription starts at $29/month per provider (Essential plan) up to $99+/month (Professional/Enterprise), plus 2.8% + 30¢ per credit card transaction and 1% for ACH.
TherapyNotes
specializedSupports mental health practices with integrated online payment processing and statements.
Zero credit card processing fees for payments made through the secure patient portal
TherapyNotes is a practice management software tailored for behavioral health professionals, featuring a secure patient portal that allows patients to view statements and make online payments via credit card. It integrates payments directly with billing, scheduling, and electronic health records for streamlined workflows. The platform ensures HIPAA compliance and offers no credit card processing fees for portal payments, making it efficient for therapy practices.
Pros
- Seamless integration with billing and EHR
- HIPAA-secure patient portal with no credit card fees
- Easy statement delivery and payment tracking
Cons
- Primarily designed for mental health practices, less flexible for other specialties
- Subscription model may not suit very low-volume users
- Limited advanced payment customization options
Best For
Mental health and therapy practices needing integrated online payments within a full practice management system.
Pricing
$49 per month per clinician (billed annually) for the full suite, including patient payments with 0% credit card fees.
AdvancedMD
enterpriseFeatures a patient portal for convenient online bill pay and payment plans.
Automatic reconciliation and posting of patient payments directly to ledgers, eliminating manual entry
AdvancedMD is a comprehensive cloud-based practice management and EHR platform that includes robust patient online payments functionality through its secure patient portal. Patients can view statements, pay bills online using credit cards or ACH, set up recurring payments, and receive payment reminders. Payments are automatically posted to patient accounts, streamlining AR management for healthcare providers.
Pros
- Seamless integration with EHR, billing, and scheduling
- PCI-compliant security and automatic payment posting
- Mobile-accessible patient portal for convenient self-service
Cons
- High cost tied to full suite subscription
- Steep learning curve for initial setup and customization
- Less flexible as a standalone payments tool
Best For
Mid-sized to large medical practices already using or planning to adopt AdvancedMD's all-in-one platform.
Pricing
Quote-based pricing starts at around $729/month for the Expert Plan (billed annually), with payment features included in higher tiers; additional transaction fees apply.
Athenahealth
enterpriseIntegrates patient payment estimates and collections within its EHR and practice management system.
Real-time automatic payment application and ledger updates without manual intervention
Athenahealth's patient online payments solution is embedded within its athenaOne EHR and revenue cycle management platform, enabling patients to securely view statements, make one-time or recurring payments via credit card, ACH, or digital wallets through a branded patient portal. It automates payment posting, reconciliation, and eligibility checks, streamlining AR management for healthcare providers. The system emphasizes HIPAA and PCI compliance, with features like payment plans and reminders to improve collections efficiency.
Pros
- Seamless integration with EHR and practice management for real-time payment posting
- Strong security features including tokenization and multi-factor authentication
- Comprehensive patient portal with self-service payment options and reminders
Cons
- High cost structure unsuitable for small practices
- Complex implementation and onboarding process
- Limited flexibility for standalone payment use without full athenahealth suite
Best For
Mid-sized to large healthcare practices needing integrated EHR and revenue cycle tools with robust patient payment capabilities.
Pricing
Quote-based subscription pricing, typically $400+ per provider per month as part of the full athenaOne platform; payment features included in revenue cycle modules.
DrChrono
enterpriseOffers mobile-friendly patient portals for online payments and appointment self-service.
QuickPay patient portal that allows instant statement viewing and one-click payments synced directly to real-time charges from encounters
DrChrono is a comprehensive cloud-based EHR platform designed for medical practices, featuring integrated patient online payments through its secure patient portal. Patients can view statements, pay bills online via credit/debit cards or ACH, and set up payment plans directly from their mobile devices or web. The system automates billing-to-payment workflows, reducing AR days by syncing charges with appointments and insurance claims.
Pros
- Seamless integration with EHR billing and scheduling for end-to-end revenue cycle management
- Mobile-optimized patient portal supports quick payments and autopay options
- HIPAA-compliant with robust security for handling sensitive payment data
Cons
- Payments are bundled within the full EHR suite, not ideal as a standalone solution
- Transaction fees (around 2.9% + $0.30) add up for high-volume practices
- Steeper learning curve for non-EHR users focused only on payments
Best For
Small to mid-sized medical practices seeking an all-in-one EHR with reliable integrated patient payment capabilities.
Pricing
Subscription starts at $199/provider/month (Essentials plan); payments incur processing fees of ~2.9% + $0.30 per transaction, with higher tiers up to $599/provider/month.
Conclusion
After assessing the landscape of patient online payments software, Phreesia clearly leads as the top choice, excelling in digital intake and seamless point-of-visit payment collection. Rectangle Health stands as a strong alternative, offering secure, contactless solutions including text-to-pay and financing options, while InstaMed impresses with its HIPAA-compliant processing and patient portals. Each tool caters to distinct needs, ensuring practices can find the optimal fit.
To streamline payment processes and enhance patient experience, Phreesia is an excellent starting point—explore its features today to transform how your practice manages collections.
Tools Reviewed
All tools were independently evaluated for this comparison