Epic Resolute is the default pick for hospitals that already run Epic, and Waystar is the default pick for hospitals that need an EHR-agnostic revenue cycle layer that sits beside Epic, Oracle Health or MEDITECH. No vendor in this list publishes a hospital price on its official product page, so every starting price below is quote only and every contract needs a written quote that names the modules, the payer connections and the implementation work. athenaOne suits smaller hospitals and hospital-owned physician groups that want billing, records and patient contact in one cloud system, while R1 RCM suits large health systems that want to hand over most of the revenue cycle.
Hospitals buy revenue cycle tools to turn a visit into a correct claim, a correct claim into a collected amount, and a denied claim into a fixed and resubmitted claim. The work starts at registration and eligibility, moves through charge capture and coding, and ends with claim submission, remittance posting, denial work and patient billing. A hospital on one record system will often keep its billing module, while a hospital with mixed systems will often add a separate revenue cycle layer.
On this page
Best revenue cycle management tools for hospitals: comparison table
Swipe the table sideways on a phone to see every column.
| # | Name | Best for | Starting price | Free plan / trial | Link |
|---|---|---|---|---|---|
| 1 | Epic Resolute | Hospitals already on Epic | quote only | No | Visit |
| 2 | Waystar | EHR-agnostic hospital revenue cycle | quote only | No | Visit |
| 3 | athenaOne | Smaller hospitals and physician groups | quote only | No | Visit |
| 4 | Oracle Health Patient Accounting | Oracle Health hospitals | quote only | No | Visit |
| 5 | Experian Health | Claims, contracts and patient access | quote only | No | Visit |
| 6 | FinThrive | Large hospitals consolidating point tools | quote only | No | Visit |
| 7 | R1 RCM | Large systems outsourcing revenue cycle | quote only | No | Visit |
| 8 | MEDITECH Expanse Revenue Cycle | Community and rural hospitals | quote only | No | Visit |
The 8 best best revenue cycle management tools for hospitals, in detail
Epic Resolute
Best for: Hospitals already on Epic
Epic Resolute is the billing part of Epic, and it is the natural choice when a hospital already uses Epic for clinical records. Charges move from the clinical note into Resolute through Charge Router, so billing starts from documented care. Resolute Hospital Billing covers facility charges, Resolute Professional Billing covers clinician charges, and Single Billing Office combines the self-pay parts of both into one statement process.
- The trade-off is scope.
- Resolute is not a standalone product that a hospital can buy apart from Epic.
- Epic does not publish a hospital price, so the cost is a quote that covers the wider Epic contract, implementation, training and support.
- A hospital should also plan for certified staff, because Epic certification generally requires backing from an employer that uses Epic.
Pros
- Billing shares one record with clinical care
- separate Hospital Billing and Professional Billing applications
Cons
- Only available inside Epic
- Epic certification generally requires backing from an employer that uses Epic
Waystar
Best for: EHR-agnostic hospital revenue cycle
Waystar is a cloud revenue cycle platform that sits beside a hospital record system instead of replacing it. Its modules cover financial clearance, claim and payer payment management, patient financial care, and clinical integrity and revenue capture. Waystar states that it serves more than 30,000 clients and more than 1 million providers, with more than 5,000 commercial and Medicare connections.
- Waystar also sells AltitudeAI, which is built into its workflows, and it added clinical documentation work through its Iodine acquisition.
- A hospital should ask which pieces are in the base contract and which are added modules, because the platform is sold in parts.
- Waystar does not publish a hospital price, so the starting price here is quote only.
- Choose Waystar when the hospital wants one revenue cycle layer across mixed record systems.
Pros
- Works beside Epic, Oracle Health and MEDITECH
- more than 5,000 commercial and Medicare connections
Cons
- No published hospital price
- advanced clinical documentation tools come from added modules
athenaOne
Best for: Smaller hospitals and physician groups
athenaOne combines three parts: athenaCollector for practice management and revenue cycle work, athenaClinicals for the medical record, and athenaCommunicator for patient contact. athenaCollector was introduced in 2000 and remains the billing core. Information from the medical record pre-populates claims, and more than 30,000 rules scrub those claims before electronic submission to payers.
- The pricing model is different from a flat monthly fee.
- athenahealth prices athenaOne as a share of what a practice collects, and it does not publish a fixed percentage or a hospital price on its own pricin
- This article does not use a third-party price as a vendor price, so the starting price here is quote only.
- Get the percentage, any monthly minimum, implementation fees and the scope of included coding and prior authorization work in writing.
Pros
- athenaCollector, athenaClinicals and athenaCommunicator in one cloud system
- more than 30,000 billing rules scrub claims
Cons
- No published hospital price
- pricing is based on a share of collections, so cost rises with collected revenue
Oracle Health Patient Accounting
Best for: Oracle Health hospitals
Oracle Health Patient Accounting is the go-forward patient accounting product for hospitals that run Oracle Health, formerly Cerner. Oracle describes it as an enterprise revenue cycle system for acute and ambulatory settings, built around each patient financial record. Integrated with the Oracle Health record system, it can automate charge capture and generate clinically driven claims in near real time, with upstream editing, contract management, automated remittance posting and denial management.
- On 23 September 2026 Oracle Health announced five new AI capabilities across its revenue cycle portfolio, covering prior authorization, clinical docum
- Oracle said those tools were planned for release in the coming months, so a hospital should ask which ones are live in its contract.
- Oracle does not publish a hospital price, so the starting price here is quote only.
Pros
- Clinically driven claims from Oracle Health EHR data
- contract management and automated remittance posting
Cons
- No published hospital price
- new AI tools were announced for release in the coming months, not as live features on the announcement date
Experian Health
Best for: Claims, contracts and patient access
Experian Health sells revenue cycle and patient engagement tools that work beside a hospital record system. Its claims work includes AI Advantage, which flags claims with a high chance of denial so staff can act before submission, and ClaimSource, which automates clean claim submission at scale. Contract Manager audits payer contract performance and applies current reimbursement rules.
- Patient Access Curator brings eligibility, coordination of benefits, coverage and financial status checks together at registration.
- Experian Health acquired Wave HDC in November 2023, and that data capture work feeds into Patient Access Curator.
- Experian Health states that more than 60 percent of all United States hospitals partner with it.
- Experian Health does not publish a hospital price, so the starting price here is quote only.
Pros
- AI Advantage, ClaimSource and Contract Manager in one suite
- Patient Access Curator checks coverage at registration
Cons
- No published hospital price
- the suite is sold in parts, so a hospital must confirm which modules are included
FinThrive
Best for: Large hospitals consolidating point tools
FinThrive is a revenue cycle software provider for hospitals and health systems, with tools for patient access, revenue integrity and revenue optimization. Its platform includes Insurance Discovery, which finds coverage that was missed at intake, Claims Manager for billing and denial work, contract management, and analytics. FinThrive states that it supports customers in all 50 states, handles more than 1.4 trillion dollars in annual revenue, and processes more than 200 million claims each year through more than 940 payer connections.
- The current platform is organized around FinThrive Fusion, a data intelligence architecture introduced in June 2025 that centralizes data across patie
- At HIMSS 2026 FinThrive presented more than 50 AI and automation use cases across that architecture, including Denials Prevention Manager, which uses
- FinThrive does not publish a hospital price, so the starting price here is quote only.
Pros
- More than 940 payer connections
- Fusion data layer connects patient access, billing and analytics
Cons
- No published hospital price
- the platform was built from several acquired products, so module maturity can vary
R1 RCM
Best for: Large systems outsourcing revenue cycle
R1 RCM is an outsourced revenue cycle partner rather than a software-only vendor. Hospitals hand over patient access, coding, billing, follow-up, denial management and underpayment recovery to R1 teams and technology. R1 states that it partners with 95 of the top 100 United States health systems and manages more than 82 billion dollars in net patient revenue, with more than 270 million payer transactions a year.
- In October 2025 R1 acquired Phare Health, and its Phare platform now sits at the center of the offer as a revenue operating system for access, claims
- The platform reads clinical records, assigns codes, submits claims, flags likely denials and generates appeals.
- R1 does not publish a hospital price, and its engagements are typically based on service or contingency fees rather than a software licence, so the st
Pros
- End-to-end outsourced revenue cycle at health system scale
- Phare platform for access, claims and accounts receivable work
Cons
- No published hospital price
- full outsourcing means the hospital gives up day-to-day control of billing operations
MEDITECH Expanse Revenue Cycle
Best for: Community and rural hospitals
MEDITECH Expanse Revenue Cycle is the billing part of MEDITECH Expanse, and it covers access, documentation, billing and collections in one continuous cycle from first contact through final payment. The Financial Status Desktop gives finance staff a daily view of cash receipts, charges, days in revenue billed and unbilled, and individual account detail. MEDITECH reports that Phelps Memorial Health Center cut denial days from 9.4 to 0.2 and cut accounts receivable days from 55 to 30, with a clean claim rate rising from 0 percent to 90 percent.
- For a small or rural hospital, the delivery model can matter as much as the features.
- MEDITECH as a Service is a cloud-based subscription model that offers the full Expanse platform without the upfront cost of buying an on-premise recor
- Roosevelt General Hospital chose that model to keep its independence while improving cash flow.
- MEDITECH does not publish a hospital price, so the starting price here is quote only.
Pros
- Revenue cycle inside the Expanse record
- MEDITECH as a Service offers a cloud subscription without an on-premise data center
Cons
- No published hospital price
- the full value depends on running Expanse as the main record system
How we chose
We chose tools that hospitals use for the full revenue cycle, from registration and eligibility through charge capture, coding, claim submission, remittance posting, denial work and patient billing. We included record-system billing modules and EHR-agnostic layers, and one outsourced partner, because hospitals buy in both ways. We did not test any tool hands-on. Prices in this article come from official vendor product pages and announcements opened on 2026-11-12. No vendor here publishes a hospital price, so every starting price is quote only. We did not use third-party price guides as vendor prices, and we did not use customer counts, awards or review scores to rank the items.
Which tool fits your hospital size and budget
| Hospital type | First pick | Why it fits | Price to confirm in writing |
|---|---|---|---|
| Large health system on Epic | Epic Resolute | Billing shares the Epic record | Full Epic contract, implementation and training |
| Large system with mixed record systems | Waystar | Works beside Epic, Oracle Health and MEDITECH, with more than 5,000 payer connections | Modules included, payer connections included, implementation |
| Small hospital or hospital-owned group | athenaOne | One cloud system, with more than 30,000 claim rules | Share of collections, monthly minimum, implementation |
| Oracle Health hospital | Oracle Health Patient Accounting | Claims tied to the Oracle Health record | Modules included, AI tool availability, implementation |
| Hospital with high denials at registration | Experian Health | Patient Access Curator and AI Advantage act before submission | Modules included, payer connections included, implementation |
| Large hospital consolidating tools | FinThrive | More than 940 payer connections and a shared Fusion data layer | Modules included, payer connections included, implementation |
| Large system outsourcing billing | R1 RCM | Partners with 95 of the top 100 United States health systems | Service fee basis, scope of work, exit terms |
| Community or rural hospital | MEDITECH Expanse Revenue Cycle | One record and billing system, with a cloud subscription option | Subscription scope, implementation, data center costs avoided |
Frequently asked questions
How much do revenue cycle management tools for hospitals cost?
Every vendor in this article quotes by contract and none publishes a hospital price, so there is no single starting price to compare. athenaOne charges as a share of collections, while R1 RCM typically uses service or contingency fees. Get a written quote that names the modules, payer connections, implementation, training and support before you sign.
Which is best for a large hospital that already runs Epic?
Epic Resolute is the best fit for a large hospital that already runs Epic, because billing shares one record with clinical care and charges move from the note into Resolute through Charge Router. Resolute Hospital Billing covers facility claims and Resolute Professional Billing covers clinician claims. A hospital with mixed record systems should look at Waystar instead.
Which is best for a small or rural hospital?
MEDITECH Expanse Revenue Cycle fits a community or rural hospital that wants one record and billing system, and MEDITECH as a Service offers it as a cloud subscription without an on-premise data center. athenaOne also fits a smaller hospital or a hospital-owned physician group that wants billing, records and patient contact in one system.
What is the difference between an EHR billing module and a separate revenue cycle platform?
An EHR billing module, such as Epic Resolute or Oracle Health Patient Accounting, runs inside the record system and uses the same clinical data. A separate platform, such as Waystar, Experian Health or FinThrive, sits beside the record system and works across more than one record system. The separate layer suits mixed environments, while the module suits a hospital on one system.
Can a hospital outsource the whole revenue cycle?
Yes, R1 RCM offers end-to-end outsourced revenue cycle work, from patient access and coding through billing, follow-up, denial management and underpayment recovery. R1 states that it partners with 95 of the top 100 United States health systems. Full outsourcing means the hospital gives up day-to-day control, so the contract should name the scope, fee basis and exit terms.
Why do denials happen at registration?
Many denials start with wrong demographic, insurance or coverage detail at registration, so tools such as Experian Health Patient Access Curator check eligibility, coordination of benefits and coverage before a claim is created. FinThrive Insurance Discovery also finds coverage missed at intake. Fixing detail at registration costs less than appealing a denied claim later.
Sources
- https://www.epic.com/
- https://www.waystar.com/
- https://www.waystar.com/our-platform/smart-platform/
- https://www.athenahealth.com/
- https://www.athenahealth.com/landing/athenacollector
- https://www.oracle.com/health
- https://www.oracle.com/news/announcement/oracle-health-advances-revenue-cycle-management-with-ai-2026-09-23/
- https://www.experian.com/
- https://www.experian.com/blogs/healthcare/experian-health-brings-waves-ai-claims-technology-to-more-hospitals/
- https://finthrive.com/
- https://finthrive.com/news/finthrive-highlights-agentic-ai-powered-rcm-platform-at-himss-showcasing-50-ai-and-automation-use-cases-across-unified-fusion-architecture
- https://www.r1rcm.com/
- https://www.r1rcm.com/the-revenue-operating-system-a-new-architecture-for-healthcare-revenue-cycle
- https://ehr.meditech.com/
- https://ehr.meditech.com/ehr-solutions/meditechs-revenue-cycle
Prices and features were read on each company’s own website in November 2026. They change often, so confirm the current offer on the official site before you sign up or buy.