Compare · Practice software sold worldwide
PixelCare and Medesk
Cloud practice-management and EHR system for private outpatient clinics and solo practitioners, UK-focused (GDPR, NHS, Healthcode, BNF/NICE) with a Spanish-language site; a separate Russian product runs at medesk.ru.
How Medesk is delivered
Cloud, in a web browser.
Its published price
USD 32 a month for 50 appointments, or USD 42 a month per 100 appointments; each add-on module adds 20%. Figures from its pricing page as archived in May 2025.
Its pricing page →On our 28 questions
Medesk’s website confirms 8 in full and 18 in part or as a paid add-on. PixelCare is built to answer all 28 in one product.
Medesk’s website →Worth knowing
What a buyer should check about Medesk.
Each point is from Medesk’s own material, read on 3 October 2026.
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Priced by monthly appointment volume: Mini caps at 3 users and 50 appointments; Pro is $42 per 100 appointments billed quarterly, so a busy clinic pays for many blocks.
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Most modules a pharmacy-clinic needs (online booking, stock, payroll/commission, lab, video, Stripe, white-label, SMS gateway) are add-ons, each adding 20% to the package cost.
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No general ledger or financial statements in the product; accounting relies on the Xero sync add-on.
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Managing several practices and custom API access are Premium-only add-ons (contact sales, from 1,000 appointments/month).
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Stock module is aimed at clinic consumables; no batch/expiry tracking or pharmacy till is described, and SMS needs the clinic's own gateway account.
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Side by side
All 28 questions.
“Not stated” means we found nothing either way on Medesk’s website. Check with the vendor before you decide.
| Capability | PixelCare | Medesk |
|---|---|---|
| Appointments by doctor | Yes Each doctor’s hours, slot length, leave and holidays | Yes Multi-practitioner calendar with workload analytics, tasks and Google/iCal/Outlook sync; included in all plans. Source |
| Patients book online | Yes Under the clinic’s own name, with booking rules | Paid add-on Branded 24/7 booking page by clinician, service or location, with intake forms and deposits; add-on on Pro/Premium, not on Mini. Source |
| Walk-ins and token queue | Yes Tokens, one queue, waiting-room screen | Not stated |
| Reminders by SMS, WhatsApp or email | Yes In the clinic’s own words and sender name | Yes Email reminders in all plans; SMS and bulk SMS on Pro+ but need the clinic's own SMS gateway (add-on). No WhatsApp found. Source |
| Visit record and vitals | Yes Structured record, vitals with trends, templates | Yes EHR with consultation form templates, structured fields, drop-downs, ICD-10 coding, treatment plans; vitals not specifically mentioned. Source |
| Prescriptions | Yes Written from the pharmacy’s own shelf, printed or sent | Yes Prescriptions and referral letters generated from the record in all plans; BNF/NICE integration (UK drug formulary). Source |
| Lab and imaging orders | Yes Orders, results and abnormal-value flags | Paid add-on Lab requests from the patient record, results auto-imported, barcode labels, multiple labs (e.g. TDL); sold as an add-on. Source |
| Phone and video visits | Yes Booked, noted and billed like any visit | Paid add-on One-click video visits from the calendar, group sessions up to 20; video consultations and group video are add-ons. Source |
| Billing, discounts and refunds | Yes Limits per role, part payments, credit | Yes Invoices, receipts, credit notes, patient balances, partial payments and refunds, invoice tags; discounts not explicitly confirmed. Source |
| Online and card payments | Yes Local gateways, wallets, QR and card machines | Paid add-on Stripe integration for full or partial prepayment at online booking; Stripe is a paid add-on and the only gateway named. Source |
| Company and insurer billing | Yes Agreed rates, monthly invoice, ageing | Paid add-on Claims tracking plus Healthcode integration (UK insurer e-billing and policy checks), sold as an add-on. Source |
| Doctor’s share and payouts | Yes Any arrangement, a ledger per doctor, payout runs | Paid add-on Payroll module computes salary, fixed or percentage commission per service/product and bonuses, with statements and Excel export; it is an add-on. Source |
| Pharmacy stock by batch and expiry | Yes Earliest expiry first, never an expired batch | In part Stock add-on tracks consumables and products, auto write-off in appointments; no batches, expiry dates or earliest-expiry-first described. Source |
| Pharmacy till | Yes Barcode, shifts, returns, works offline | In part Selling products creates an invoice and updates stock; no till, barcode scanning at sale or returns screen described. Source |
| Suppliers and purchasing | Yes Orders, goods received, returns, supplier balances | In part Deliveries/purchases recorded and purchase documents generated; supplier accounts, purchase orders and supplier balances not described. Source |
| Full accounts inside the product | Yes Ledger, trial balance, profit and loss, balance sheet | Paid add-on No in-product ledger, trial balance or balance sheet found; invoices sync to Xero via a paid add-on. Source |
| Reports | Yes Financial and operational, PDF and spreadsheet | Yes 40+ ready-made reports plus report builder: revenue, practitioners, services, acquisition channels, lab turnaround, UK CQC/QOF. Source |
| Several clinics and branches | Yes Separate books, combined reports | Paid add-on Switching between practices with separate patient lists is a Premium-only add-on; locations exist within one account for booking. Source |
| Roles and permissions | Yes Per-person switches and money limits | Yes Role-based access rights per colleague, e.g. restricting invoicing to admin staff; exact granularity not documented publicly. Source |
| The clinic’s own brand | Yes Name, logo, colours and web address on every screen | Paid add-on Custom Branding add-on puts clinic logo and colours on the account and booking module; removal of Medesk branding not stated. Source |
| Custom fields and forms | Yes On patient, booking and visit forms | Yes Customisable consultation templates, document templates, intake forms by speciality; custom print templates on Premium. Source |
| Languages and right-to-left | Yes Per clinic, per user and per patient | In part Vendor site in English and Spanish (Russian earlier); in-app language list not published; no right-to-left or Urdu evidence. Source |
| Works without internet | Yes Till and day list carry on; work posts itself later | Not stated |
| Mobile apps | Yes For patients, doctors and the desk | In part Web app works on phones; Medesk Meet video app on Google Play; booking page mentions iOS/Android apps, scope unclear. Source |
| API and integrations | Yes Documented interface and webhooks | Paid add-on Integrations (Xero, Stripe, Healthcode, labs, telephony, calendars) are add-ons; custom/extended API only on Premium. Source |
| Audit trail | Yes Permanent, with every record opening logged | In part Vendor says actions are securely logged and the record shows every event; no user-facing audit log screen documented. Source |
| Export of all data | Yes Every list, restricted and logged | In part CSV/Excel exports for payroll and stock documents, CSV import; records transferable on leaving; full export format not documented. Source |
| Patient portal | Yes Bookings, receipts, prescriptions and results | Paid add-on Portal (bundled with online booking add-on) lets patients book, prepay, fill forms and join video visits. Source |
Also compared: Cliniko, Jane, SimplePractice, Carepatron, Tebra. See every product in one table.
See what PixelCare does that Medesk does not.
The live demo is a working clinic with sample patients, stock and seven weeks of history. Enter as the owner, the receptionist, the doctor, the pharmacist or a patient.