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HST Pathways vs NextGen Healthcare: Which Healthcare IT Is Better in 2026?

Compare pricing, features, integrations, verified reviews, AI capabilities, security, and customer satisfaction, side by side, with no marketing spin.

Rating
,
Reviews
0
From
Custom

in Healthcare IT

Rating
,
Reviews
0
From
Custom

in Healthcare IT

The Short Answer

HST Pathways vs NextGen Healthcare, in 15 seconds

Choose HST Pathways if…

  • You want to trial before paying

Choose NextGen Healthcare if…

  • You have strict security & compliance needs

Head-to-Head Scorecard

How HST Pathways and NextGen Healthcare score

NextGen Healthcare leads on 2 of 9 measured dimensions.

  • Customer Rating

    Average score from verified user reviews

    Even
    HST
    No reviews
    NextGen
    No reviews
  • Review Volume

    Number of verified reviews, a proxy for adoption

    Even
    HST
    0
    NextGen
    0
  • Entry Pricing

    Lowest published starting price (free plan = lowest)

    Even
    HST
    Custom
    NextGen
    Custom
  • Free Access

    Availability of a free plan and/or free trial

    HST Pathways
    HST
    Free trial
    NextGen
    Paid only
  • Integrations

    Number of listed third-party integrations

    Even
    HST
    6
    NextGen
    6
  • Features

    Number of listed product capabilities

    Even
    HST
    0
    NextGen
    0
  • AI Features

    Capabilities mentioning AI, automation or ML

    Even
    HST
    ,
    NextGen
    ,
  • Security & Compliance

    Number of listed compliance certifications

    NextGen Healthcare
    HST
    2
    NextGen
    3
  • Platforms & Deployment

    Supported platforms and deployment options

    NextGen Healthcare
    HST
    4
    NextGen
    7

Feature Comparison

HST Pathways vs NextGen Healthcare feature breakdown

Search or filter the full feature matrix, core features, AI, integrations, APIs, security and compliance.

HST Pathways
NextGen Healthcare
Overview
User rating
,
,
Pricing model
Quote-based
PAID
Starting price
Custom
Custom
Free version
Free trial
Features
Key capabilities
,
,
AI features
,
,
Integrations & API
Integrations
EHR systemsHL7 interfacesBilling systemsInventory systemsImaging systemsFHIR APIs
SurescriptsHL7 FHIRStripeMicrosoft 365NuanceSalesforce
Public API
Platforms
Deployment
CloudSaaS
CloudSaaSOn-Premise
Platforms
WebAPI
WebiOSAndroidAPI
Mobile support
Security & Compliance
Compliance
HIPAASOC 2
HIPAASOC 2HITRUST
Vendor
Company
,
,
Verified
Founded
,
1998
Headquarters
,
Remote

Pricing Comparison

HST Pathways vs NextGen Healthcare pricing

Entry pricing, plan tiers and the cost factors that shape total cost of ownership.

HST Pathways

Custom to start
ProfessionalCustom
  • Integrations
  • case scheduling
  • Standard support
  • EHR
EnterpriseCustom
  • Advanced security and controls
  • Dedicated support and onboarding
  • benchmarking
  • billing

NextGen Healthcare

Custom to start
OfficeCustom
  • Specialty content
  • Telehealth
  • Ambulatory EHR
  • Practice management
EnterpriseCustom
  • Revenue cycle services
  • Analytics
  • Everything in Office
  • Dedicated support

Total cost of ownership factors

Free planHST NextGen
Free trial to evaluateHST NextGen
Transparent published pricingHST NextGen
Public API (build vs. buy add-ons)HST NextGen

Beyond list price, factor in implementation, training, add-ons and per-seat scaling when estimating total cost of ownership.

Pros & Cons

HST Pathways vs NextGen Healthcare: strengths and trade-offs

HST Pathways

Pros

  • Free trial offered
  • Compliance: HIPAA, SOC 2
  • Public API available

Cons

  • No free plan
  • Pricing is quote-based (less transparent)

NextGen Healthcare

Pros

  • Compliance: HIPAA, SOC 2, HITRUST
  • Public API available

Cons

  • No free plan
  • No free trial
  • Pricing is quote-based (less transparent)

Buyer Fit

Who should use HST Pathways vs NextGen Healthcare?

Startups

Either

Either keeps early-stage costs lowest with its entry tier.

Small businesses

Either

Either offers the most accessible pricing for lean teams.

Agencies

Either

Either connects to more tools for multi-client workflows.

Enterprises

NextGen Healthcare

NextGen Healthcare leads on compliance and breadth for complex needs.

Ecommerce

Either

Either integrates with more of the commerce stack.

SaaS companies

Either

Either is the more developer- and automation-friendly choice.

Integration overlap

Only in HST Pathways (6)

EHR systemsHL7 interfacesBilling systemsInventory systemsImaging systemsFHIR APIs

Only in NextGen Healthcare (6)

SurescriptsHL7 FHIRStripeMicrosoft 365NuanceSalesforce

Keep Exploring

Other alternatives worth considering

Similar healthcare it products buyers compare alongside HST Pathways and NextGen Healthcare.

Ask SIA which solution fits your business

SIA, Saaskart's AI buying assistant, weighs HST Pathways and NextGen Healthcare against your team size, budget, integrations and compliance needs, then recommends the right fit and the questions to ask each vendor.

Get a personalised recommendation

HST Pathways vs NextGen Healthcare, Frequently Asked Questions

What is the difference between HST Pathways and NextGen Healthcare?

HST Pathways and NextGen Healthcare are both Healthcare IT solutions. HST Pathways is rated 0.0/5 by 0 users, while NextGen Healthcare is rated 0.0/5 by 0 users. The main differences lie in pricing, features, and target audience.

Which is better, HST Pathways or NextGen Healthcare?

Based on user ratings, HST Pathways scores higher at 0.0/5. The best choice depends on your team size, budget, and specific requirements.

Which is cheaper, HST Pathways or NextGen Healthcare?

Both products have custom pricing. We recommend contacting both vendors for a quote tailored to your team size.

Does HST Pathways or NextGen Healthcare have a free plan?

Neither HST Pathways nor NextGen Healthcare currently offers a free plan, but HST Pathways provides a free trial.

Can I switch from HST Pathways to NextGen Healthcare?

Switching between HST Pathways and NextGen Healthcare is possible. Both support data export. Check integration compatibility and plan for data migration to minimise disruption to your team.

Who should use HST Pathways vs NextGen Healthcare?

HST Pathways is best suited for teams that prioritise enterprise features. NextGen Healthcare works well for teams needing advanced capabilities.

Our Verdict

The bottom line on HST Pathways vs NextGen Healthcare

Best Overall

Either

It's a tie balances user satisfaction and proven adoption.

Best for Startups

Either

It's a tie has the friendliest entry point for new teams.

Best for Enterprise

NextGen Healthcare

NextGen Healthcare leads on compliance and feature breadth.

Best Value

Either

It's a tie delivers the lowest cost to get started.

Best AI Features

Either

Comparable AI capabilities on both sides.

Highest Rated

Either

Both earn equal user ratings.

Ready to decide between HST Pathways and NextGen Healthcare?

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