DPC EMR Pricing Compared: What Each One Costs at 100, 300 and 600 Members
For one doctor, a full DPC EMR costs between $200 and $375 a month at published prices if it charges per provider, and anywhere from $300 to $680 a month if it charges by panel size, depending on whether you have 100 or 600 members. The flat-priced options (Charm, Cerbo, Hint Launch, Atlas.md and Elation) cost the same at 600 members as at 100, while Akute Essentials and Hint Pro more than double as the panel fills.
Every number below comes from the vendor's own pricing page, checked on each vendor's site in November 2026. We only used published prices, so where a fee isn't public we say so instead of guessing. Card processing is shown as a percentage, with one clearly labeled example, because your membership fee is your number, not ours.
How DPC EMRs price themselves
There are three pricing models in this market, and knowing which one you're looking at tells you most of what you need about how the bill will change as you grow.
Per provider, unlimited patients. You pay a fixed amount for each clinician and the member count doesn't matter. Elation ($375 for a Standard DPC provider), Atlas.md ($300 per registered provider), Cerbo ($281 per full-time prescriber), Charm's Provider plan ($200) and Hint's Launch plan ($290 with unlimited members) all work this way.
A base plan plus a per-patient charge. You get a set number of patients in the base price, then pay for each one above it. Akute Essentials includes 100 patients for $300 and charges $0.75 for each extra patient. Hint Pro includes 100 members for $320 and adds $36 for every 50 members after that.
Tiers by active clients. Healthie prices by how many active clients you have, with Essentials at $45 a month billed annually for up to 250 and Plus at $115 a month for unlimited. Healthie is built around programs and care plans more than a classic primary care chart, so it's here for completeness.
Hero EMR and SigmaMD don't publish a price, so they're quote-based and left out of the math.
Monthly subscription at 100, 300 and 600 members
This first table is the base subscription for one provider and nothing else. It answers "what will the EMR line on my bank statement say" before add-ons and processing.
| EMR and plan | 100 members | 300 members | 600 members |
|---|---|---|---|
| Charm, Provider plan | $200 | $200 | $200 |
| Cerbo, full-time prescriber | $281 | $281 | $281 |
| Hint, Launch | $290 | $290 | $290 |
| Atlas.md | $300 | $300 | $300 |
| Elation, Standard DPC | $375 | $375 | $375 |
| Akute, Essentials | $300 | $450 | $675 |
| Hint, Pro | $320 | $464 | $680 |
| Healthie, Essentials or Plus | $45 | $115 | $115 |
Here's how the growing rows were worked out.
- Akute Essentials at 300 is $300 plus 200 extra patients at $0.75 ($150), so $450. At 600 it's $300 plus 500 extra patients at $0.75 ($375), so $675.
- Hint Pro at 300 is $320 plus four blocks of 50 members at $36 ($144), so $464. At 600 it's $320 plus ten blocks ($360), so $680. Hint's Scale plan would be $770 for 500 members plus one $140 block of 250, so $910 at 600 members, before its required $500 onboarding fee. Pro is cheaper for a single doctor at every size on this page.
- Akute Premium ($550 for two clinicians and 300 patients, $0.85 per extra patient) would cost $805 for one doctor at 600, so Essentials is the better fit until you add a second clinician.
- Healthie moves from Essentials to Plus once you pass 250 active clients.
Model your EMR at the panel you expect in two years, not the one you open with. A $300 plan and a $675 plan can be the same product, separated only by 500 members.
The add-ons most clinics end up paying
The base price rarely tells the whole story. These are the published extras that most DPC clinics will actually turn on, as opposed to optional upgrades.
| EMR | Common extras (published) |
|---|---|
| Atlas.md | eRx $475 to set up a prescriber, then $400 a year; PDMP setup $525 per clinic |
| Akute | Controlled-substance prescribing $15/mo; Hint Core membership billing $50/mo on Essentials |
| Cerbo | Patient portal $79/mo; one-time setup $1,195 |
| Charm | eRx $15/mo per provider on the Free and Encounter plans |
| Elation | None required; telehealth is an optional $25/mo |
| Hint | None required on Launch; employer billing needs Pro or Scale |
A few notes on those. Elation's DPC plan lists ePrescribing for both controlled and non-controlled drugs and includes office staff at no charge, so its higher sticker price absorbs things others bill separately. Cerbo shows its $79 portal price next to a patient-count selector, so confirm the figure at your panel size on the demo. Akute's own page lists Hint Core billing at $50 a month on Essentials, which is how most Akute clinics would collect memberships, while Hint's site lists a separate Hint Core bundle for Akute users; ask which one applies to you. For a full breakdown of prescribing fees, see what ePrescribing costs in each DPC EMR.
First-year cost for one provider at 300 members
Putting the subscription and the common extras together gives a fairer picture. This table uses 300 members, a common point where a solo DPC doctor starts to feel full.
| EMR | Year-one math | Year one |
|---|---|---|
| Charm, Provider plan | $200 × 12 | $2,400 |
| Hint, Launch | $290 × 12 | $3,480 |
| Elation, Standard DPC | $375 × 12 | $4,500 |
| Atlas.md | $300 × 12 + $475 eRx + $525 PDMP | $4,600 |
| Cerbo | $281 × 12 + $79 × 12 + $1,195 setup | $5,515 |
| Hint, Pro | $464 × 12 | $5,568 |
| Akute, Essentials | $450 × 12 + $15 × 12 + $50 × 12 | $6,180 |
Year two looks a little different. Atlas.md drops to $4,000 (the $400 eRx renewal replaces the $475 setup, and the PDMP setup was one time), and Cerbo drops to $4,320 once the setup fee is behind you. Atlas.md also notes that a state PDMP subscription usually runs about $60 per doctor, which is paid to the state rather than to Atlas.md. Charm's year-one figure assumes eRx is part of the Provider plan, since Charm lists the $15 eRx fee against its Free and Encounter plans; confirm that before you sign.
Payment processing, the cost that grows with you
If your EMR also runs membership billing, it takes a cut of every payment. These are the published card and ACH rates.
| EMR | Cards | ACH (bank) |
|---|---|---|
| Atlas.md | 2.1% + 30¢ | 1.1% + 30¢ |
| Hint Launch | 3.00% + 30¢ | 1.00% + 25¢ (cap $5) |
| Hint Pro | 2.75% + 30¢ | 0.75% + 25¢ (cap $5) |
| Elation (via Stripe) | 2.99% | 1.00% + 25¢ (cap $5) |
| Cerbo | Through a merchant partner, quote-based | Quote-based |
| Charm | Recurring card charges, rate not published | Not published |
Hint adds 1% for American Express cards. Atlas.md lists a $15 card chargeback fee and a $5 failed ACH fee, and Hint lists $7.50 for a dispute or an ACH return.
A worked example
To make the percentages concrete, here's one clearly labeled example. If your 300 members each pay $75 a month by card, you collect $22,500 a month, and processing costs:
| Billing in | Per $75 payment | 300 members, per month |
|---|---|---|
| Atlas.md | $1.88 | $562.50 |
| Elation | $2.24 | $672.75 |
| Hint Pro | $2.36 | $708.75 |
| Hint Launch | $2.55 | $765.00 |
That spread of about $200 a month is bigger than the gap between most of the subscriptions above. It also changes one decision. Hint Pro's lower card rate saves $56.25 a month over Launch in this example, but Pro's subscription costs $174 more at 300 members, so Launch still comes out ahead unless you need Pro's employer billing. Moving members to ACH shrinks every row, which is why many clinics offer a small discount for paying by bank.
Adding a second provider
Here's what the subscription does when a second full-time clinician joins, at 300 and 600 members.
| EMR and plan | 300 members | 600 members | How |
|---|---|---|---|
| Charm, Provider plan | $400 | $400 | $200 per provider |
| Akute, Premium | $550 | $805 | 2 clinicians and 300 patients included, $0.85 after |
| Cerbo | $562 | $562 | $281 each, plus the $79 portal |
| Hint, Launch | $580 | $580 | $290 per added clinician |
| Atlas.md | $600 | $600 | $300 each, plus $475 eRx setup for the new prescriber |
| Hint, Pro | $696 | $912 | $232 per added clinician |
| Elation, Standard DPC | $750 | $750 | $375 per provider |
Part-time help is cheaper on some systems. Hint charges $112 a month for a clinician who sees patients fewer than three days a week, and Cerbo charges $174 a month for a part-time prescriber (under 30 hours a week, in multi-provider clinics only). Elation lists a non-prescribing provider at $215. Healthie's Group plan starts at $135 a month, with added clinicians at $50 a month each.
How to read these numbers
The cheapest subscription isn't always the cheapest clinic. A plan that saves you $100 a month but leaves your team retyping membership changes into the chart, or chasing failed cards from a separate tool, costs you back in hours. That's not a staffing problem. It's what happens when the chart, the billing and the phone were never built to talk to each other.
So use the tables as a filter, then decide on fit. If one predictable price matters most, Atlas.md, Charm, Cerbo, Hint Launch and Elation all stay flat as you grow. If employer contracts are central, Hint Pro's extra cost buys employer billing. And if you're just starting out and want to spend as little as possible before launch, read is there a free EMR for DPC? before committing. When you're down to two, bring this page to the call along with our demo checklist, and ask each vendor to confirm the total in writing.
The part most guides skip
Every tool in a DPC clinic is good at its own job, and none of them were built to talk to each other. A patient text turns into a refill in the chart, which needs a review, which needs a reply, and the follow-up lives in someone's head. That isn't anyone's fault. The tools just don't share a to-do list.
That's the job Tabflows does. Tabflows is a dedicated tech team for DPC clinics. We connect the tools you already chose and give your team one place for chat, tasks and patient context, with managed workflows for the repeat work like refills, lab follow-ups and onboarding. You keep every tool you picked.
Frequently asked questions
How much does a DPC EMR cost per month?
For one provider, published prices in November 2026 ran from $200 a month (Charm's Provider plan) to $375 a month (Elation's Standard DPC plan) for a full primary care EMR. Plans priced by patient count, like Akute Essentials and Hint Pro, reach $450 a month or more at 300 members.
Which DPC EMR is cheapest at 600 members?
Among full EMRs with a flat price, Charm's Provider plan ($200), Cerbo ($281 before its portal fee), Hint Launch ($290) and Atlas.md ($300) all stay flat no matter how many members you have. Akute Essentials reaches $675 a month at 600 patients.
Do DPC EMRs charge per patient?
Some do. Akute charges $0.75 per patient past 100 on Essentials, and Hint's Pro plan adds $36 for every 50 members past 100. Elation, Atlas.md, Cerbo and Charm's Provider plan charge per provider instead.
Is card processing included in the EMR price?
No. Every EMR that bills memberships takes a percentage of each payment on top of the subscription, from 2.1% plus 30 cents (Atlas.md cards) to 3% plus 30 cents (Hint Launch cards). At a few hundred members that can cost more than the EMR itself.