$149 a month, plus $29 or $149 for each clinician
Two plans
The first ten practices get a free trial and a founding discount.
The founding discount's amount and length are agreed with each practice when it joins. In return, your practice gives one interview a month about how the product is working for you.
Operations
For a practice that keeps its current EHR
Launch price, 50% off
- Each clinician, a month
- $29
list price $58 - Each clinician past 20
- $23
list price $46 - A part-time clinician
- A full seat
- Claims
- Not included
- Card payments
- Not included
Includes
- Inquiries from every way in, with each urgent one held for a safety check
- Matching each inquiry to the clinicians who fit
- Texting from your own texting account, with opt-outs honored the moment they arrive
- EOS scorecards
- Onboarding and offboarding for every hire
- Your whole record in one export
See everything in this plan
- Consult booking against your clinicians' own calendars
- Referral partners, and where each client came from
- Practice news by email, sent only to people who signed an authorization
- Waiting-room check-in that shows the clinician and nothing about the client
- A planner with spaces, dependencies and forms
- Weekly leadership meetings, moved or canceled while they wait
- License status, supervision hours and training for each clinician
- A policy manual your staff can ask questions of
- E-signature
- Recorded walkthroughs and training video
- Automations
- Time off with balances, and vendors with their agreements
- An incident register where every correction stays listed with the incident
- Two-step sign-in, single sign-on and a tamper-evident audit trail
Complete
Everything in Operations, plus the clinical record and billing
Launch price, 50% off
- Each clinician, a month
- $149
list price $298 - Each clinician past 20
- $119
list price $238 - A part-time clinician
- Half a seat, if under 15 sessions a week
- Claims
- 150 a month for each full seat (75 for a half seat), pooled across the practice, with eligibility checks and remittances. $0.35 each past that
- Card payments
- Included in the seat price
Includes
- Progress notes, signed and changed only by addendum
- Scheduling, with recurring and group sessions
- A client portal for booking, messages and paperwork
- Telehealth from the scheduled session
- Claims, remittances and denials
- Card payments on your processor's page
See everything in this plan
- Treatment plans and diagnoses
- Supervisor sign-off
- Outcome measures, scored and trended
- A departing clinician's caseload moved to another clinician with its future sessions, in one step
- Intake questions your practice writes that show only for some answers
- Homework your clinician sends with a due day, done in the portal
- Reminders by email and text
- AI drafting of progress notes
- Insurance eligibility checks, on demand
- Statements, superbills and payment plans
- Prepaid session packages, drawn down per session, with a report of who has sessions left
- Credentialing with each payer
- E-prescribing in a certified partner's screen, opened from the chartComing
- Practice fee
- $149
list price $298a month, or $79list price $158with 1 to 4 clinicians - Marketing email
- 10,000 sends a month, then $1 per 1,000
- Texting
- Through your own Twilio account, at Twilio's rates, with nothing added
These are launch prices, 50% off the list price, and a practice that joins during the launch keeps them for as long as it stays.
Items marked Coming are not ready for a practice to use yet. Until the clinical record is ready, you pay the Operations price. From the month it is ready, you pay Complete for that whole month.
Pillar against the tools it replaces
An example practice with 15 clinicians and 3 admins pays $3,419 a month for 11 separate tools from 10 vendors. On Pillar Complete it pays $2,384.
What the video says:
- Here's what software costs a practice with 15 clinicians.
- The EHR. Its AI note taker. A CRM. A task board. Check-in. Marketing email. E-signatures. Video. Booking. Scorecards. Analytics. That's $3,419 a month.
- Or one. Practice Pillar.
- Pillar does all of it for $2,384 a month, with claims included. That's $1,035 less, every month.
- 11 tools in one. HIPAA compliant from end to end.
Where each price comes from
Where each price comes from
Each tool is at one vendor's monthly list price, from its own pricing page on October 19, 2026, with no promotion and no annual plan. The practice has 15 clinicians and 3 admins and sends 1,290 claims a month.
Pillar Complete is at its launch price. SimplePractice offers custom pricing to practices with 6 or more practitioners, so your practice's own numbers may differ. Estimate your month
Estimate your month
15 or more sessions a week
A clinician who averages fewer than 15 held sessions a week, where a canceled session does not count and a no-show you charge for does.
Fewer than 15 sessions a week, at half a seat
Claims you send to insurers in a month: each full seat adds 150 to a pool the whole practice shares, and a claim past the pool is $0.35.
One for each insured session
Launch price, 50% off, kept while you stay
Each month
$1,788
List price $3,576
- Practice fee
- $149
- Seats, 10 full and 2 half
- $1,639
- Claims, 900 of the 1,650 included
- Included
- Guided setup
- Free with a two-year commitment
Who counts as a clinician
- On Complete, seats are counted from the sessions held each month. A clinician averaging 15 or more a week is a full seat, one averaging fewer is half a seat, and one with no sessions that month is free.
- A canceled session does not count toward a seat. A no-show you charge for does.
Billing terms
- Contract
- None unless you choose a two-year commitment for free guided setup. Without one, you are billed monthly and can cancel at any time.
- Importing from a spreadsheet
- Free. Bring your inquiry list and your roster.
- Guided setup
- Free when you commit to two years. Without a commitment, it is optional, one-time and quoted with your plan.
- No extra charge for
- Eligibility checks, remittances, telehealth, AI note drafting or a second location.
- Adding a clinician
- On Operations, charged from their first day to the end of the month. On Complete, counted from the sessions they hold that month.
- Removing a clinician
- Charged to the end of the month.
- Price changes
- At most once a year, with 60 days' notice.
- Sales tax
- Added where your state taxes software.
- A failed payment
- Retried for 14 days. After that the account turns read-only, and nothing is deleted.
- Your records
- Export every record at any time, and for 90 days after you cancel.