Moonshot EHR vs Tebra: EHR Comparison

Side by side

Moonshot EHR vs Tebra at a Glance

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Feature	Moonshot EHR	Tebra
Setup fee	$0	Not published (one-time onboarding fee billed at sign-up; amount not listed)
Price (monthly)	Performance $650/location; Medical $1,000/location (1 prescriber) + $200/additional prescriber; staff free	Not published; set per clinical provider in a signed order form
Staff users	Unlimited, free	Unlimited non-clinical staff at no extra cost
E-prescribing (EPCS II–V)	Yes, integrated (ScriptSure / Surescripts network)	eRx included on EHR plans; EPCS $75 one-time application fee per provider; PDMP $500 per facility setup
DEA inventory tracking	Yes (mg-level, lot-tracked)	Not listed on vendor site
Built-in CRM	Yes	Not listed on vendor site (marketing services: websites, SEO, reputation)
Cash-pay billing	Integrated billing · multiple payment options	Online payments, card on file, automated statements
Two-way patient texting	Built in; shared clinic number; replies land in the Communications inbox	Listed as two-way text communication; pricing policy adds a per-provider SMS compliance pass-through fee
Fax, inbound and outbound	Built in; inbound faxes filed to the chart from a Fax tab	Inbound digital fax included on EHR plans; outbound eFax for referrals
Membership billing	Built in; monthly, quarterly, yearly; included items; pause, resume, cancel; public join page	Not supported: help center says recurring monthly charges cannot be set up in Tebra Payments
Payment processors	Stripe, NMI or TRX; your own merchant account; no platform transaction fee	Tebra Payments on Worldpay: 2.75% + $0.30 card present, 3.25% + $0.30 card not present
AI phone receptionist	Built in; books, cancels, takes messages; $250/mo package with 500 minutes	AI Voice Assistant answers forwarded calls, books, reschedules, cancels; price not published
Website chat that books appointments	Built in; answers from the live service catalog; $100/mo AI package	Not listed on vendor site (online booking listed)
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 (generic CCDA clinical import; fees apply)
AI: scribe + natural-language data queries	Yes (both)	AI note generation $99/provider/mo for 400 notes; data queries not listed
DEXA integration	Yes	Not listed on vendor site
Self-service setup	About 15 minutes, after a demo call	Demo first; onboarding manager; vendor cites implementation within 45 days to 10 weeks

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

Pay for one connected workflow.

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.

Moonshot built-in CRM showing lead stages, sources, and assigned staff

What a separate stack can add

External CRM: $117/month equivalent: Example: three Pipedrive Growth seats at US$39 per seat per month, billed annually ($1,404/year).
Manual inventory administration: $390/month: Illustrative workload: 3 hours/week × $30/hour fully loaded staff cost × 52 weeks ÷ 12 months. Think duplicate dispensing entries, matching lot records, and reconciling spreadsheets.

$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.

The Moonshot Medical alternative

$1,000/month per location: One prescriber and unlimited staff included. Additional prescribers are $200/month each.
Lead follow-up through ongoing care: CRM, scheduling, clinical charting, medication inventory, and membership billing in the same platform. Fewer separate records for your team to maintain.
Compare the work you can remove: If your existing tools already cover the workflow, do not add them again. If they do not, include subscriptions, integration upkeep, and avoidable duplicate entry in your comparison.

No platform transaction fee; processor fees are separate. Optional hands-on migration starts at $1,000, depending on scope.

See the connected workflow

CRM 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

Why Prescribing Clinics Choose Moonshot

Memberships are the business model

Tebra’s help center says recurring monthly charges cannot be set up through Tebra Payments. Moonshot bills memberships on a card on file monthly, quarterly or yearly, tracks what each plan includes, and sells plans from a public join page.

A price you can read before the call

Tebra prices per clinical provider in a signed order form and does not publish the number. Moonshot Medical is $1,000 per location per month with one prescriber, $200 for each additional prescriber, and unlimited staff, all on the pricing page.

Inventory for clinics that dispense

Tebra’s pages list no medication inventory. Moonshot tracks medication inventory by lot, including controlled substances, with first-expiry-first-out deduction, reconciliations and dispensing records.

Frequently Asked Questions

Does Moonshot EHR bill insurance like Tebra?

No. Moonshot EHR does not submit insurance claims, run eligibility checks or connect to a clearinghouse. Patients get itemized receipts they can submit to an HSA, FSA or out-of-network benefit themselves. Tebra sells claims, eligibility and clearinghouse services, so a practice that bills payers should weigh it on that basis.

Can Tebra bill memberships?

Not through Tebra Payments. Tebra’s help center says recurring monthly charges cannot be set up there (checked October 19, 2026). Moonshot EHR bills memberships monthly, quarterly or yearly on Stripe, NMI or TRX, on the clinic’s own merchant account.

How much does Tebra cost?

Tebra does not publish its subscription price; it is set per clinical provider in an order form. Its published pricing policy lists a one-time onboarding fee with no amount, a $75 EPCS application fee per provider, a $500 PDMP setup fee per facility, and AI note generation at $99 per provider per month for up to 400 notes. Moonshot Medical is $1,000 per location per month with one prescriber, plus $200 per additional prescriber, with no platform setup fee (per vendor pages as of October 19, 2026).

Does Tebra have an AI phone receptionist?

Yes. Tebra publishes an AI Voice Assistant that answers forwarded calls and schedules, reschedules and cancels visits in English and Spanish; its price is not published. Moonshot EHR’s phone assistant is $250 per location per month in the AI + receptionist package with 500 minutes, or $200 on its own, with $0.40 per minute after.

Moonshot EHR vs Tebra