How Congruent compares

What should you compare when choosing a mental health EHR?

Compare the monthly total rather than the advertised base price, because AI documentation and telehealth are frequently sold as separate add-ons. Then compare what happens to a note after it is written: whether the system checks it against the diagnosis and treatment plan, whether it becomes a claim without retyping, and whether you can export everything if you leave.

• Congruent vs.

  SimplePractice

  Congruent is a SimplePractice alternative built for outpatient mental health, priced at $20 per clinician per month with every AI feature included. SimplePractice starts at $49 and adds $35 per clinician per month for its AI Note Taker, so a solo clinician pays at least $84 a month at list price once documentation help is switched on.

  $20 vs $84

  Monthly, as of 19 September 2026

• Congruent vs.

  TherapyNotes

  Congruent is a TherapyNotes alternative for outpatient mental health, priced at $20 per clinician per month with AI documentation and telehealth included. TherapyNotes charges $69 for its solo plan, roughly $40 more for its AI note assistant, and about $15 more for premium telehealth — around $124 a month for the equivalent setup.

  $20 vs $124

  Monthly, as of 25 September 2026

• Congruent vs.

  AI scribes

  AI scribes used to be note generators you paired with an EHR. Two of the three best-known have since become EHRs themselves: Upheal charges $1 per session capped at $69 a month, and Blueprint charges $1.49 per session for its all-in-one plan. Mentalyc is still a scribe. On the plans a solo clinician would buy, all three meter your documentation by session or by note. Congruent charges a flat $20 per clinician per month, unlimited.

  $20 vs $69–$149

  Monthly, as of 29 August 2026