CharmHealth (Charm EHR) is a cloud EHR with published pricing, including a free plan, pay-per-encounter and per-provider plans, and add-ons for e-prescribing, texting, fax and AI. It also sells insurance claims through a clearinghouse and an RCM service. Moonshot EHR does not bill insurance; it is built for cash-pay and membership clinics. This comparison is for those clinics.
Side by side
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| Feature | Moonshot EHR | CharmHealth |
|---|---|---|
| Setup fee | $0 | None listed for core plans (setup and training help quoted separately) |
| Price (monthly) | Performance $650/location; Medical $1,000/location (1 prescriber) + $200/additional prescriber; staff free | Free (1 provider, 50 encounters/mo); $0.50/encounter ($25 minimum); $200/provider/mo |
| Staff users | Unlimited, free | Unlimited users on Provider and Encounter plans; 5 on Free |
| E-prescribing (EPCS II–V) | Yes, integrated (ScriptSure / Surescripts network) | Add-ons: eRx $15/provider/mo; EPCS $250/provider/yr (includes eRx) |
| DEA inventory tracking | Yes (mg-level, lot-tracked) | Not listed on vendor site (general inventory with batch and expiry tracking) |
| Built-in CRM | Yes | Not listed on vendor site (patient recalls and bulk messaging listed) |
| Cash-pay billing | Integrated billing · multiple payment options | Self-pay invoices with pay links; card on file needs Bluefin |
| Two-way patient texting | Built in; shared clinic number; replies land in the Communications inbox | Yes, add-on: $20/mo for 250 messages or calls, then $0.08 each |
| Fax, inbound and outbound | Built in; inbound faxes filed to the chart from a Fax tab | Both, add-on: $25/mo for 200 pages, then $0.10/page |
| Membership billing | Built in; monthly, quarterly, yearly; included items; pause, resume, cancel; public join page | Recurring card charges (weekly to annual), on Bluefin |
| Payment processors | Stripe, NMI or TRX; your own merchant account; no platform transaction fee | Bluefin gateway; Bluefin merchant account required; rates not published |
| AI phone receptionist | Built in; books, cancels, takes messages; $250/mo package with 500 minutes | Not listed on vendor site (call routing, auto-reply message, voicemail) |
| Website chat that books appointments | Built in; answers from the live service catalog; $100/mo AI package | Yes: appointment bot add-on, $10/mo |
| Import from Cerbo | Staff-run API migration: patients, providers, history, notes, documents, meds, allergies, labs; self-serve CSV for patients, meds, allergies, problems, notes | Not listed on vendor site (Cerbo not among named source EHRs; migrations from $2,000) |
| AI: scribe + natural-language data queries | Yes (both) | AI scribe $125/provider/mo; CharmCopilot patient lookup $75/provider/mo |
| DEXA integration | Yes | Not listed on vendor site |
| Self-service setup | About 15 minutes, after a demo call | Free plan sign-up online; vendor cites onboarding within a month |
Competitor pricing and features from vendor public pages as of 2026-10-19; verify current terms with the vendor. Comparison reflects the needs of prescribing cash-pay clinics.
The cost beyond the subscription
Moonshot can cost more than a standalone EHR. Compare the complete operation: software, extra users, and the staff time spent keeping separate systems in sync.

$507/month beyond your EHR
An example, not measured savings or a quote for the competitor. Count only tools you need and work you actually do. Physical counts and clinical review remain necessary; software does not eliminate every inventory hour.
No platform transaction fee; processor fees are separate. Optional hands-on migration starts at $1,000, depending on scope.
See the connected workflowCRM benchmark: Pipedrive published pricing, checked September 12, 2026; USD annual-billing rate, before taxes or add-ons. A pricing reference, not a recommendation for storing patient information. Labor inputs are illustrative assumptions. See Moonshot plan details.
The differences that matter
CharmHealth sells e-prescribing at $15 per provider per month and EPCS at $250 per provider per year. Moonshot prescribes through ScriptSure, including Schedules II through V, as part of the Medical plan with no separate Moonshot fee.
CharmHealth card payments, card on file and recurring charges run on Bluefin, and Bluefin’s rates are not published there. Moonshot runs on Stripe, NMI or TRX on the clinic’s own merchant account; NMI or TRX adds the $200 per location integrated-payments module.
CharmHealth documents recurring card charges, weekly to annual. Moonshot memberships also track what each plan includes per period, handle failed payments, and sell through a public join page and the patient portal.
The honest part
CharmHealth fits a practice that wants a low entry price and pays only for what it turns on: the Provider plan is $200 per provider per month with unlimited users, a free plan covers up to 50 encounters a month, and two-way texting, fax and a website booking bot are small add-ons. It also handles insurance claims and lists Quest and LabCorp interfaces. For a clinic with several prescribers and simple needs, CharmHealth’s per-provider math can come out below Moonshot’s.
Moonshot EHR runs Moonshot Medical every day. Watch the demo, then book a call and we will get your clinic set up.