Pricing

Flat plans.
No surprises.

Every price is on this page. Start with a plan, and add full-service billing if you want it done for you.

Book a Demo See features
Pricing

Flat plans. No
per-seat games.

Start with a 3-month minimum, billed monthly, or save 15% on a 12-month term. Every paid plan includes a signed BAA and onboarding.

Software
Your plan, flat monthly

The full EHR, including billing and claims tools. Your own team submits and works the claims.

Software + full billing
Your plan + 4% of collections

We run all of your billing: eligibility, coding review, claim scrubbing, submission, ERA posting, and denials and appeals. 6-month minimum.

Starter
$249 / mo
or $211/mo on a 12-month term
One flat price for up to 2 providers. Everything to run a modern practice.
Get started
  • AI SOAP notes (100/mo)
  • Scheduling and patient records
  • Waitlist, reminders, eligibility
  • Referral intake and analytics
  • Telehealth (50 sessions/mo)
  • Basic billing and claims
  • Signed BAA included
Most popular
Growth
$499 / mo
or $424/mo on a 12-month term
One flat price for up to 5 providers, with higher AI limits.
Get started
  • Everything in Starter
  • Up to 5 providers
  • Unlimited AI SOAP notes
Enterprise
Custom
Multi-location practices and health systems.
Contact sales
  • Everything in Growth
  • Marketing and website builder
  • Custom integrations and API
  • Dedicated account manager
  • Staff training and onboarding

Start with a plan, then add what you need: full-service billing at 4% of collections on top of your plan, a custom website, a branded patient app, and more. Prices in USD, excluding applicable taxes.

Billing, done for you

Get your billing
off your desk.

Most clinics pay a legacy vendor for the EHR, then pay a billing company on top. We do both, for less.

The legacy way
$3,000+/mo

A legacy EHR subscription plus a separate billing service taking 5 to 6% of collections.

The Cowboy way
4% of collections

On top of your monthly plan. Full revenue cycle run for you, inside the EHR you already use. One team, one platform.

We run eligibility, coding review, claim scrubbing, submission through Availity, ERA posting, and denial appeals, on the same platform your clinicians already document in.

See what we would charge you
Live revenue cycle

Claims that clear themselves.

Aetna · Eval 97161Paid · 2d
UHC · 97110 x3Paid · 3d
BCBS · 97140Scrubbed
Medicare · 97530Paid · 2d
Cigna · Re-eval 97164Eligibility ✓
Questions

Straight
answers.

Anything else? Send us a message.

How much does Cowboy cost?

Starter is $249 a month for up to 2 providers. Growth is $499 a month for up to 5, with unlimited AI notes. Enterprise is custom. Every price is on this page, no sales call needed to see it.

Can I bring my patients from my current system?

Yes. The Migration Center reads exports from WebPT, Jane, Prompt, Raintree, Net Health, SimplePractice, TheraOffice, Practice Perfect, SPRY and spreadsheets. It brings patients, appointments and documents across, checks every row before anything is saved, and lets you undo any import in one click.

Is there a contract?

Plans start with a 3-month minimum, billed monthly, or you can save 15% on a 12-month term.

What does the billing service cost?

It is optional: 4% of collections, on top of your plan, with a 6-month minimum. We run eligibility, coding review, claim scrubbing, submission, ERA posting, denials and appeals.

Is the 4% instead of a monthly fee?

No. The software is always a monthly plan: $249 a month for up to 2 providers, $499 a month for up to 5, or custom for Enterprise. The 4% of collections is only for the optional full-service billing, and it is charged on top of your plan.

Does the AI write the note for my therapist?

It drafts it from the visit and the chart. Your therapist reviews it, changes what they want, and signs. Nothing is final until they do.

How long does a note take?

Timed in our own clinic: about six minutes for a full initial evaluation, about five for a re-evaluation, and 3 minutes 38 seconds for a progress note.

Is it HIPAA compliant?

Yes. Every paid plan includes a signed BAA, patient data is encrypted, and every access is recorded in an audit log that cannot be edited.

Can my therapists work from their phones?

Yes. The provider app opens the same note forms as the web, so therapists can write and sign notes, book visits, text patients and block time off.

How do I see it?

Book a 20-minute demo below. We will take one initial evaluation from exam to a signed, coded note, ready to bill.

See it live

Twenty minutes.
Then you will get it.

Book a 20-minute live demo on a real note type. Watch an initial evaluation go from exam to a signed, coded note, ready to bill.

Book a 20-minute demo See every feature