Updated November 10, 2026 · Prices checked on each vendor's own site
Akute Review and Pricing
Akute calls itself an automation-first EMR. Here's what that means in practice, what it costs as your panel grows and who it fits.
The verdict
Akute is the best DPC EMR for owners who like building their own cohorts, tasks and templates, and its published plans make costs easy to plan. Pricing grows with your patient count, so model the cost at 300 and 600 patients before you commit.
Akute pricing
| Plan | Price | Includes |
|---|---|---|
| Essentials | $300/mo | 1 clinician, 100 patients, then $0.75 per patient |
| Premium | $550/mo | 2 clinicians, 300 patients, multi-location, then $0.85 per patient |
Add-ons include a virtual phone line at $15 a month, controlled-substance ePrescribing at $15 a month, and Hint Core billing at $50 a month on Essentials or $110 on Premium. Prices checked November 4, 2026.
What Akute does well
Automation built into the EMR, with cohorts, tasks, document management and custom templates. Essentials includes lab ordering and results, ePrescribing, telemedicine, secure portal messaging, self-scheduling and an integrated payment processor.
Things to watch
Per-patient pricing past the included count means your bill grows with your panel. At 300 patients on Essentials you'd pay for 200 extra patients on top of the base price.
Who Akute is best for
Owners who enjoy configuring workflows inside the EMR and want published, predictable plans, plus clinics that want Akute's chart with Hint's billing.
Akute alternatives
Elation for charting first, Atlas.md for unlimited patients at one price, and Cerbo for integrative clinics.
The part most comparisons skip
Every tool on this page is good at its own job, and none of them were built to talk to each other. So 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. We set it up around the way your clinic already runs, and you keep every tool you picked.
Works alongside the tools on this page. No switching required.
Frequently asked questions
How much does Akute cost?
Akute Essentials is $300 a month for one clinician and 100 patients, plus $0.75 per extra patient. Premium is $550 a month for two clinicians and 300 patients.
Can Akute use Hint for billing?
Yes. Hint Core billing is an Akute add-on at $50 a month on Essentials and $110 on Premium.