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Head-to-head · Family Practice Electronic Medical Records Software

Tebra vs GNUmed

  • Updated Oct 2026
  • Both researched from official sources
  • 2 checks side by side
Higher score Tebra #5 in Family Practice Electronic Medical Records Software 8.3/10 Paid ✓ 1 of 4 features Visit Tebra
GNUmed #7 in Family Practice Electronic Medical Records Software 7.7/10 Free plan Free plan✓ 0 of 4 features Visit GNUmed

Tebra leads on 0 checks, GNUmed on 1, and 1 is even. Who comes out ahead on the 2 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreTebra · 8.3/10
  • Free planonly GNUmed
  • Most featuresTebra · 1 of 4

Tebra scores higher on our rubric for family practice electronic medical records software: 8.3 against 7.7 out of 10; our editors rank them #5 and #7.

GNUmed offers free plan; Tebra doesn't.

Tebra is the better fit for practices wanting scheduling, patient access and billing. GNUmed is the better fit for cost-conscious practices comfortable with self-hosting.

  • Tebra fits best

    Practices wanting scheduling, patient access and billing

  • GNUmed fits best

    Cost-conscious practices comfortable with self-hosting

Advertiser disclosure: iTechGuides is reader-supported. Vendors can pay for top positions in our rankings and for a place on other products' pages, and we may earn a commission when you click some links. Bought places stand at the number bought; this page and our disclosure say so. Paying vendors may get a fuller, more detailed review from our editors, and that review can change their score. How we rank.

Side by side

Feature Tebra 8.3/10 Visit ↗ GNUmed 7.7/10 Visit ↗
At a glance
Editor score 8.3 7.7
Ranking #5 in Family Practice Electronic Medical Records Software #7 in Family Practice Electronic Medical Records Software
Best for Practices wanting scheduling, patient access and billing Cost-conscious practices comfortable with self-hosting
Pricing model Paid Free
Starting price $49/user/mo Free plan
Free plan — ✓ (best)
Free trial — —
Deployment Cloud, Desktop, Mobile Self-hosted, Desktop
Platforms Web, Windows, iOS, Android Windows, macOS, Linux
Support Live chat, Phone, Tickets, Community, Docs Community, Docs, Email
Integrations 3 integrations 5 integrations
Built for Solo, Small business, Mid-market Solo, Small business, Mid-market
Features Tebra 1/4 · GNUmed 0/4
E-prescribing Not checked yet Not checked yet
Patient portal Not checked yet Not checked yet
Telehealth ✓ (best) Not checked yet
Claims included Not checked yet Not checked yet
Specs
Mobile access Not checked yet None
Our review
Pros
  • Online booking, reminders, intake forms and e-signatures support patient access.
  • Combines clinical documentation, billing workflows, telehealth and messaging.
  • Available on web, Windows, iOS and Android, with lab and imaging integrations.
  • Tracks longitudinal records, medications, allergies, tests and vaccinations
  • Includes appointments, waiting lists, billing items and invoices
  • Free, open-source desktop clients for Windows, macOS and Linux
Cons
  • EHR Starter requires purchase of Billing Starter.
  • The $49 monthly entry plan covers patient experience and marketing, not EHR.
  • Listed prices vary by provider type, claim volume and selected solution or bundle.
  • Requires local installation and a PostgreSQL database
  • No mobile access is listed
  • No e-prescribing, patient portal or telehealth is listed
Our verdict

Tebra brings electronic health records, practice management, medical billing, telehealth and patient engagement into a platform for independent medical practices. Its scheduling tools include provider calendars, patient online booking and…

Read the review →

GNUmed is a free, open-source electronic medical record system for ambulatory practices and clinics. Its focus is longitudinal patient care, making it relevant to clinicians and other health professionals who need to document ongoing…

Read the review →
  1. TebraFamily Practice Electronic Medical Records Software 8.3Paid
  2. GNUmedFamily Practice Electronic Medical Records Software 7.7Free plan

Strengths and trade-offs

  • Tebra — where it wins

    • Online booking, reminders, intake forms and e-signatures support patient access.
    • Combines clinical documentation, billing workflows, telehealth and messaging.
    • Available on web, Windows, iOS and Android, with lab and imaging integrations.

    Where it doesn't

    • EHR Starter requires purchase of Billing Starter.
    • The $49 monthly entry plan covers patient experience and marketing, not EHR.
    • Listed prices vary by provider type, claim volume and selected solution or bundle.

  • GNUmed — where it wins

    • Tracks longitudinal records, medications, allergies, tests and vaccinations
    • Includes appointments, waiting lists, billing items and invoices
    • Free, open-source desktop clients for Windows, macOS and Linux

    Where it doesn't

    • Requires local installation and a PostgreSQL database
    • No mobile access is listed
    • No e-prescribing, patient portal or telehealth is listed
  • Tebra8.3/10 · Paid

    A broad practice platform, with EHR Starter requiring a separate Billing Starter purchase.

    Visit TebraFull verdict →
  • GNUmed7.7/10 · Free plan

    A self-hosted EMR for practices that want longitudinal records without a license fee.

    Visit GNUmedFull verdict →

More comparisons

All family practice electronic medical records software comparisons → · Full ranking →

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update