# OpenEMR vs paymenter

> Two self-hosted projects, compared on the numbers selfhost.directory tracks live: score, popularity, release cadence and setup effort.

| | OpenEMR | paymenter |
|---|---|---|
| Score | 72/100 ✓ | 69/100 |
| Rank in category | #1 of 5 in Healthcare | #3 of 13 in Billing |
| GitHub stars | 5 555 ✓ | 2 810 |
| Stars, last 30 days | +89 | +499 ✓ |
| Stable releases, 12 months | 6 | 14 ✓ |
| Latest release | v8_5_0 · 27 Oct 2026 ✓ | v1.5.9 · 2 Oct 2026 |
| Setup | Advanced | Moderate ✓ |
| Official Docker image | Yes | Yes |
| License | GPL-3.0 | MIT |
| Main language | PHP | PHP |

## Which one should you pick?

OpenEMR scores 72/100 against 69/100 for paymenter, so it is the safer default.

paymenter ships more often: 14 stable releases in the past year, against 6 for OpenEMR.

If you want the quickest setup, paymenter is easier to run; OpenEMR needs more configuration.

paymenter is growing faster right now (+499 stars in 30 days).

## Details

- [OpenEMR](https://selfhost.directory/project/openemr) (markdown: https://selfhost.directory/project/openemr.md)
- [paymenter](https://selfhost.directory/project/paymenter) (markdown: https://selfhost.directory/project/paymenter.md)

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Source: https://selfhost.directory/compare/openemr-vs-paymenter