Pricing

Thyra is a full EHR for endocrinology and primary care. The EHR you can try before you switch. Honest pricing. No surprises. Skin in the game. Three ways to work with Thyra: start as an overlay on the EHR you already have, switch to the full chart when Thyra has earned it, or hand us the revenue cycle when you are ready to stop chasing denials.

Pilot. Free for 30 days.

Founding cohort. One provider. JJ reviews every applicant for fit. Decisions in 5 business days. Cancel any time, full data export included. No card on file. Open to the founding cohort only.

Overlay. $300 per provider per month.

Run alongside the EHR you already have. The painkiller before the switch.

• Smart Inbox for messages, refills, and results triage
• Longitudinal AI Scribe with audit trail per sentence
• CGM and Tidepool integration (Dexcom, Libre, Medtronic)
• Inbound and outbound fax
• Cancel any time, no annual contract

Full EHR. $600 per provider per month. Recommended.

Everything in Overlay, plus the chart. Switch when Thyra has earned it.

• Everything in Overlay
• Charting, scheduling, patient portal
• Televideo, in the same window as the note.
• e-Prescribing including controlled substances, no upcharge
• Labs (Quest, Labcorp, hospital interfaces)
• 837 claim export to your existing clearinghouse

RCM Program. 5% of collections. Outcome-priced.

Full EHR included. Thyra runs your billing end-to-end on STEDI, the only programmable healthcare clearinghouse. JSON-native, 3,400+ payers, real-time eligibility and remits, 99.9% uptime, HITRUST and SOC 2. Domestic team. No offshore handoff. We get paid when you get paid.

Sample monthly fee math: at $80,000 collections the Thyra fee is $4,000; at $160,000 collections the fee is $8,000; at $300,000 collections the fee is $15,000. Compare to typical 7 to 11 percent domestic RCM or 4 to 6 percent offshore RCM with hidden per-claim and statement fees.

Domestic, modern, accountable. If you have ever had a denial come back through three time zones, you already know why this matters.

What $600 actually buys versus a typical enterprise EHR stack

Enterprise vendors lead with one headline number and bury the real cost in setup, modules, and variable fees. Thyra Full EHR at $600 includes the AI scribe, televideo, patient engagement, and controlled-substance e-prescribing. A typical enterprise stack adds $100 to $150 per provider per month for an AI scribe, $45 to $90 for televideo, $45 to $90 for patient engagement, $20 to $30 for controlled-substance e-prescribing, plus $3,000 to $7,000 in one-time setup and per-item variable fees of $0.24 to $1.09 on paper claims, statements, attachments, and rebills. Thyra setup is $0. Thyra has no variable fees. Migration off Thyra is free with full data export.

Frequently asked questions

Is the pilot really free? Yes. 30 days, one provider, no card on file. JJ personally reviews every applicant.

What is included in Overlay versus Full EHR? Overlay is Smart Inbox, the Longitudinal AI Scribe, CGM and Tidepool integration, and fax. Full EHR adds charting, scheduling, televideo, e-prescribing including controlled substances, labs, the patient portal, and 837 claim export.

What is RCM and why 5 percent? Revenue Cycle Management on STEDI with a domestic team that lives inside your chart. Typical domestic RCM runs 7 to 11 percent. Offshore runs 4 to 6 percent with time-zone delays and hidden fees. 5 percent domestic aligns our incentives with yours.

Do you charge extra for controlled-substance e-prescribing? No. EPCS with PDMP integration is included in Full EHR at no upcharge.

What happens if I want to leave? Cancel any time. Full data export in standard formats. No exit fee.