Most therapy software looks cheap until you add the AI, the clearinghouse, the recording, and the per-claim fees. Here's the honest, fully-loaded monthly cost for a typical solo therapist who wants AI notes and insurance billing — assembled elsewhere vs bundled in Teja.
What each setup actually costs per month once you add everything that workflow needs.
| Setup | EHR plan | AI | Claims / clearinghouse | Monthly total |
|---|---|---|---|---|
| A leading incumbent EHR + its AI add-on | ~$99 top tier | +~$35 add-on | per-claim fees | ~$141+ |
| A clearinghouse direct + a free EHR + an AI scribe | $0 free EHR | ~$89 scribe (60 sess.) | ~$60 direct plan | ~$149 |
| An AI-first tool + a separate billing service | included | ~$69–99 | no native claims | $69+ & gaps |
| Teja Essential — one bundle | included | included | 10 claims included | $39 |
List prices and documented add-ons as of 2026; competitor figures are illustrative of a 60-session, insurance-billing solo profile and exclude card-processing fees, which all platforms charge. We don't name third-party plans by SKU because their tiers and add-ons change — check each vendor for current pricing.
Incumbents sell an AI note-taker as a ~$35/mo add-on. With Teja it's the product, not a line item.
Most EHRs don't offer recording at any price. Teja records (with consent) and drafts the note from it.
No separate clearinghouse account or billing service to wire up — claims, ERA and eligibility are native.
Documentation links to the claim, so medical necessity is supported and denials drop — a billing edge no add-on gives you.
Capable claims and a familiar EHR — but AI is a paid add-on with no cross-session intelligence, no recording, and tiered features that nickel-and-dime the basics.
Excellent documentation AI — but little or no insurance billing, so you bolt on a clearinghouse or a billing service and copy data between systems.
They handle billing by taking a cut of your reimbursement and setting your rates — you trade control and margin for convenience.
Advanced AI and complete insurance billing in one tab — the gap every other category leaves open.
Full product on pay-as-you-go, then a bundle when daily use makes it cheaper. No "$X for three months," ever.
Your rates, your data (export anytime), your sign-off on every AI draft. Nothing trains a shared model on your sessions.
SimplePractice sells AI as a paid add-on on top of tiered plans; Teja is AI-native — AI Notes, Co-pilot, Smart Inbox and live in-session AI are bundled in every paid plan. Teja also includes session recording and an integrated clearinghouse, and links documentation to claims (the Golden Thread) so denials drop.
The real monthly cost is the EHR plan + the AI add-on + per-claim and processing fees + any separate scribe or telehealth tool. Teja bundles all of it, so the honest comparison is the full assembled stack.
Yes — Teja Free gives full product access on pay-as-you-go ($1.49 per AI session; claims optional at $30/mo + $0.45/claim), and unlike AI-only tools it includes the EHR and clearinghouse, so you never assemble a stack.
Full product, free to begin. Bundle when your usage says so.