My Vision Express vs Spruce Health
Updated June 2026 · A structured head-to-head comparison.
All-in-one optometry EHR and optical POS.
HIPAA-compliant communication.
The verdict
Both My Vision Express and Spruce Health are credible healthcare tools, and the right pick comes down to your priorities.
My Vision Express - All-in-one optometry EHR and optical POS.
Choose Spruce Health if you'd rather have a lower starting price (from $24/user/mo), a longer free trial (14 days) and a higher overall rating (4.6/5). HIPAA-compliant communication.
My Vision Express vs Spruce Health: side by side
| Dimension | My Vision Express | Spruce Health |
|---|---|---|
| Starting price | Custom | From $24/user/moWinner |
| Free plan | No | No |
| Free trial | - | 14 daysWinner |
| Pricing model | Subscription | Subscription |
| Best for | Healthcare Providers, Smb | Medical Practices |
| Platforms | Windows, Web | Web, iOS, Android |
| Rating | 4.2/5 | 4.6/5Winner |
My Vision Express key facts
- Vendor
- Insight Software
- Pricing
- Subscription - Custom
- Free tier
- No
- Platforms
- Windows, Web
- Best for
- Healthcare Providers, Smb
- Editor rating
- 4.2 / 5
- Founded
- 2001
- Headquarters
- Coral Springs, FL, USA
Spruce Health key facts
- Vendor
- Spruce
- Pricing
- Subscription - From $24/user/mo
- Free tier
- Free trial (14 days)
- Platforms
- Web, iOS, Android
- Best for
- Medical Practices
- Editor rating
- 4.6 / 5
- Founded
- 2013
- Headquarters
- San Francisco, CA, USA
Frequently asked questions
Is My Vision Express better than Spruce Health?
Neither is universally better - Spruce Health edges ahead on overall rating, but the best choice depends on price, platforms, and your use case. See the side-by-side table above.
Is My Vision Express or Spruce Health cheaper?
Spruce Health is the more affordable of the two to get started, at from $24/user/mo. My Vision Express starts at custom; Spruce Health starts at from $24/user/mo.
Can My Vision Express replace Spruce Health?
Yes for most teams - both are healthcare tools with heavily overlapping features. The main trade-offs are pricing and platform support, covered in the comparison above.
Side-by-side software breakdowns and pricing changes - in your inbox monthly.