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Head-to-Head Specification Audit
Epic Systems vs Neon
Enterprise Electronic Health Records · United States
Healthcare Software
Epic Systems
Enterprise Electronic Health Records · United States
Visit Epic Systems →Specification Matrix
| Metric | Epic Systems | Neon |
|---|---|---|
| Starting Price | $1000000/mo | $19/moBetter |
| API Rate Limit | 200 req/min | N/A |
| Target Country | United States | Global |
| Category | Healthcare Software | Database & Backend |
| Compliance | HIPAA, ONC, SOC2, HL7-FHIR, FDA-SaMD | SOC2, GDPR |
| Hosting Regions | US-East, US-West | US-East, EU-West |
| Native Integrations | 5 listed | 6 listedBetter |
Epic Systems — Key Specs
- ✓Largest EHR market share (35%+ of US hospital beds)
- ✓MyChart patient portal with 200M+ registered patients
- ✓Epic AI (Cosmos) — largest real-world clinical dataset for AI training
- ✓ONC-certified, HIPAA, HL7 FHIR R4 compliant
Neon — Key Specs
- ✓Serverless Postgres with scale-to-zero — database pauses when idle, zero idle cost
- ✓Branching creates instant database copies for staging and PR preview environments
- ✓Autoscaling grows from 0.25 to 8 vCPUs in seconds based on connection load
- ✓Compatible with all PostgreSQL clients and ORMs — zero migration required
Frequently Asked Questions
What is cheaper, Epic Systems or Neon?+
Neon starts at $19/mo, which is lower than Epic Systems at $1000000/mo.
Which tool is better for compliance — Epic Systems or Neon?+
Both support SOC2. Epic Systems additionally supports HIPAA, ONC, HL7-FHIR, FDA-SaMD. Neon additionally supports GDPR.
Which tool is better suited for United States?+
Epic Systems is evaluated for Enterprise Electronic Health Records in United States with hosting regions: US-East, US-West. Neon has hosting regions: US-East, EU-West. For data residency in United States, check each vendor's data processing agreements.
Data last verified: 26 June 2026
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