What ChiroTouch Actually Costs Per Year (and a $49 Alternative)

If you’ve shopped for chiropractic software, you’ve probably noticed how hard it is to get a straight answer on price. The monthly number you see in a sales call is rarely the number that lands on your card. So let’s do the math honestly — including for our own product.

The sticker price vs. the real price

As of 2026, ChiroTouch’s entry plan is publicly reported around $159/month, with higher tiers (Advanced) closer to $299/month. But the monthly subscription is only the first line of the invoice. The costs that catch new practice owners off guard are the ones that aren’t on the pricing page:

• Setup and implementation fees — frequently quoted in the four figures.
• Per-provider charges — each additional provider adds to the monthly bill.
• Add-ons — text/SMS reminders, payments, and certain integrations are often billed separately.
• Training — onboarding sessions beyond the basics.

None of that is unique to ChiroTouch. It’s how most legacy chiropractic EHRs are priced. The base number is designed to look competitive; the total is what you actually pay.

A realistic first-year total

Here’s a conservative back-of-the-napkin comparison. Your exact numbers will vary — always get a written quote — but this is the shape of it:

	Monthly	Setup	First-year total
ChiroTouch (entry, est.)	~$159	~$1,000+	~$2,900+
ChiroFusion (est.)	~$129	~$299 + clearinghouse fees	~$1,800+
Jane (base)	~$54	$0	~$648
Grit	$49	$0	$588

The gap isn’t small. For a doctor opening a practice on borrowed money, the difference between $2,900 and $588 in year one is real — it’s a month of rent, or several months of your software bill, or simply the breathing room to not panic in month three.

Why the big systems cost what they do

This isn’t a conspiracy. Enterprise EHRs are priced for multi-provider clinics that bill insurance heavily, need claim submission and ERA posting, and have staff to run all of it. If that’s you, those features may be worth every dollar.

But most solo chiropractors — especially cash-forward practices — never touch the majority of what they’re paying for. You’re buying a 12-lane highway to drive to the grocery store. The complexity isn’t a bonus; it’s a tax on your attention.

What “cheap” actually means

ChiroTouch has gone as far as publishing an article warning about “the real cost of cheap chiropractic EHR software.” It’s a fair point in one sense — software that loses your records or disappears next year is expensive no matter the price. But it conflates cheap with focused.

A focused product can be both affordable and dependable. The savings don’t come from cutting corners on security or uptime (Grit is HIPAA compliant, encrypted in transit and at rest, with a BAA included at no extra cost). They come from not building insurance-clearinghouse infrastructure, multi-location management, and a decade of enterprise features that a solo cash practice will never open.

The $49 alternative

Grit is a modern, chiropractic-specific EHR built for solo and cash-pay practices:

• SOAP notes with chiropractic templates
• Scheduling and recurring appointments
• Patient portal with self check-in and digital intake
• Secure messaging and text reminders included — no per-message fee
• Stripe payments and superbills

All of it for $49/month. No setup fee. No per-provider charge. No contract.

If you bill a lot of insurance, you’ll likely still want a system with built-in claim submission, and that’s an honest reason to look elsewhere. But if you’re cash-forward — or just tired of paying enterprise prices for features you don’t use — the math is hard to argue with.

See exactly what’s included →