What SimplePractice costs, what it does better, when to stay, and what moves if you go.
SimplePractice's cheapest plan that does the core job is $79/month — $948 a year, $2,844 over 3 years at today's price. Nexa is $279 once for invoicing, scheduling, CRM, time tracking, tasks and accounting in one suite, so it costs less than SimplePractice after 4 months. What Nexa is not: software someone hosts for you with a support desk, and it does not run payroll. If SimplePractice's strengths below are why you pay for it, stay.
Nexa is $279 once, about $23 a month over its first year. Its Drain Guard reads your expenses (from a linked bank, an imported statement, or ones you type in), finds the charges that repeat, and adds them up by the month. Keep or Cut then walks you through them one at a time. Cancel $23 a month of charges you'd forgotten about and Nexa has paid for itself inside the first year, before you count the SimplePractice bill you'd stop paying.
It depends on what you find and what you cancel, so we don't promise a number. In our demo data, Drain Guard finds 5 subscriptions adding up to $110.13 a month. That is sample data, not a customer's.
SimplePractice's homepage lists four groups it serves: therapists, speech-language pathologists, occupational therapists and psychiatrists. For therapists it says its EHR "includes integrated telehealth, a robust template library, and helpful insurance tools". (simplepractice.com)
What people outside SimplePractice and outside Nexa say:
Read on each linked page in October 2026. Check them again before you decide; vendors change plans often.
From SimplePractice's own published feature list, each with whether Nexa has an equivalent:
✓ where SimplePractice's published feature list shows it, ✗ where its record says it is missing, — where its list does not say.
| SimplePractice | Nexa | |
|---|---|---|
| Invoicing | — | ✓ |
| Scheduling | — | ✓ |
| CRM | — | ✓ |
| Time Tracking | — | ✓ |
| Full Accounting | — | ✓ (SIMPL) |
| Task Management | — | ✓ |
| Works offline | — | ✓ |
SimplePractice: $79/month — the cheapest plan that does the core job, from SimplePractice's pricing page, checked September 2026. That is $948 a year and $2,844 over 3 years if the price never changes. Nexa: $279 once. The break-even point is 4 months.
| Over 3 years, at today's prices | Total |
|---|---|
| SimplePractice, billed monthly | $2,844 |
| Nexa, one device | $279 |
| Nexa + Cloud Sync on all your devices | $458.64 |
Even with Cloud Sync, Nexa costs less over 3 years than SimplePractice at today's price.
Extra users: Group practice (Plus): $74/month per additional clinician (regular; shown as $37 during the 50%-off promo); 6+ clinicians custom pricing. Payment processing: 3.15% + $0.30 per successful card transaction (Online Payments).
These import into Nexa by file: clients and leads (CSV or Excel (.xlsx)); services and price list (CSV or Excel (.xlsx)); jobs (CSV or Excel (.xlsx)); open invoices (CSV or Excel (.xlsx)); open tasks (CSV or Excel (.xlsx)); time entries (CSV or Excel (.xlsx)); expenses (CSV or Excel (.xlsx)); bank and card transactions (CSV, OFX, QFX, QBO); personal contacts (CSV or vCard (.vcf) — the exports from Google Contacts, Outlook and iCloud); calendar events (.ics — the export from Google Calendar, Outlook, Apple Calendar, Calendly and most booking tools). Client addresses go in the Notes column for now. You re-enter once: recurring work, online booking. Past invoices and job history stay in SimplePractice's export as your record.
Getting it out of SimplePractice:
Go to Settings → Data Export. Download clients, invoices, expenses as CSV.
Every import, with templates: Bring your data. Keep SimplePractice running until Nexa checks out.
The same comparison worked through for specific trades, with a job example and the numbers for each:
At $79/month — the cheapest SimplePractice plan that does the core job, per SimplePractice's pricing page in September 2026 — it is $948 a year and $2,844 over 3 years at today's price. Nexa is $279 once.
SimplePractice's strengths above — best-in-class client portal/onboarding and HIPAA compliant — are the reason you pay for it, and you like how SimplePractice does them. Switching tools costs time; it is not worth it to save money on something that already works for you. You have a team large enough that SimplePractice's per-seat pricing still buys you more than owning the software outright. You want software someone else hosts, with a support desk and a roadmap you can ask for features on. Nexa is software you own and run yourself. You run payroll, with taxes and pay stubs, inside the same tool. Nexa stops at the edge of payroll: it hands your payroll app each person's hours, overtime and pay rate — keep a payroll service.
Partly. Your client list (CSV), expenses (CSV), bank and card history (CSV, OFX, QFX, QBO), contacts and calendar (.ics) import by file. Invoices, jobs and services do not — re-enter the open ones and keep SimplePractice's export as your record.
It does not run payroll. It stops at the edge: each person's hours, overtime and pay rate per pay period, as a sheet to type from or a CSV for your payroll app. Taxes, pay stubs and paying people stay there. It is not hosted for you: your data lives on your device. Syncing across devices is optional Cloud Sync, $4.99/month. Automated emails (drip sequences, booking reminders, review requests) send only while Nexa is open on one of your devices. There is no server sending them overnight. No Google Calendar or QuickBooks sync. Calendars move by .ics file. Invoices, jobs and your services list do not import. Clients, expenses, bank history, contacts and calendar do; the rest you re-enter once. No vendor support desk or roadmap to lobby — you buy it once and own it.
30-day money-back guarantee. Export from SimplePractice first and keep it running while you try Nexa.
30-day money-back guarantee.
· SimplePractice price checked September 2026