Best Waystar alternatives in 2026

Looking for an alternative to Waystar? Whether you've outgrown it, find the pricing steep, or just want to weigh your options, these are the strongest healthcare & medical alternatives in 2026 — ranked on pricing, features, and who each one fits best. Waystar itself starts at custom, so we've flagged where each option is cheaper, simpler, or more specialized.

1
Luma Health
Best for: health-systems
Patient engagement and access. A popular healthcare alternative to Waystar — custom. Particularly strong for health-systems.
4.5CustomVisit
2
athenahealth
Best for: medical-practices
If Waystar feels like overkill or over-budget, athenahealth is a leaner option. Cloud EHR and revenue cycle. Pricing: custom.
4.0CustomVisit
3
Jane
Best for: clinics
Jane goes head-to-head with Waystar on features. Practice management you'll love. Best suited to clinics. From $79/mo.
4.8From $79/moVisit
4
Spruce Health
Best for: medical-practices
A well-rated healthcare pick. HIPAA-compliant communication. Spruce Health starts at from $24/user/mo, making it a credible Waystar replacement.
4.6From $24/user/moVisit
5
TherapyNotes
Best for: therapists
EHR for behavioral health. A popular healthcare alternative to Waystar — from $49/mo. Particularly strong for therapists.
4.6From $49/moVisit
6
SimplePractice
Best for: therapists
If Waystar feels like overkill or over-budget, SimplePractice is a leaner option. Practice management for health & wellness. Pricing: from $29/mo.
4.6From $29/moVisit
7
Klara
Best for: medical-practices
Klara goes head-to-head with Waystar on features. Patient communication platform. Best suited to medical-practices. Custom.
4.5CustomVisit
8
Healthie
Best for: dietitians
A well-rated healthcare pick. EHR for nutrition & wellness. Healthie offers a free plan and starts at free – $49/mo, making it a credible Waystar replacement.
4.5Free – $49/moVisit

Still considering Waystar itself? Read our Waystar review →

Frequently asked questions

What is the best Waystar alternative?

Luma Health is our top-rated Waystar alternative for 2026. Patient engagement and access. Custom.

Is there a free Waystar alternative?

Yes — Healthie offers a free tier you can start on without a credit card.

Why switch from Waystar?

Common reasons are price, a simpler feature set, better fit for a specific use case, or platform support. Each tool above notes where it has an edge over Waystar.