4th Dimension EMR, Inc.

4D EMR (Version 6.0; ambulatory cloud EMR/practice-management platform for plastic surgery, cosmetic surgery, medical-spa and aesthetic practices)

4th Dimension EMR, Inc. · Review dated 2026-10-13

$750/month for the first provider; $325/month for each additional provider. The official page states unlimited staff, unlimited locations and unlimited devices, with no storage charges. Billing cadence is monthly and the service is month-to-month with no long-term contract. This is a first-party public amount and is not merely a third-party listing. No public annual rate, discount, minimum term or provider-count minimum was found.

Billing model

Per-provider monthly subscription: first provider $750/month, each additional provider $325/month; staff, locations, devices and storage are described as unlimited/included. Core scope shown on the official switch page includes scheduling, charting, photos, quoting, POS, inventory, messaging, patient portal, telehealth and billing. The official About page also lists ePrescribing and online scheduling. No separate base-plan/module rate card was found.

Fees and add-ons

Setup/implementation: a one-time implementation fee applies, but 4D EMR does not publish its amount; the vendor says it will provide an itemized quote. Migration: vendor handles migration of patient records, demographics, history and documents; no 4D migration amount is publicly disclosed. Training: free LMS is provided; live training beyond the LMS may be chargeable, but no amount or unit is published. Support: direct team support is described as included/available, with no separate support price disclosed. eRx/EPCS: the current ONC disclosure says all certified functionality, including e-prescribing through third-party DrFirst Rcopia, has no additional cost beyond the standard subscription; no separate EPCS price was found. Telehealth: built-in/included in the product description; no separate price found. Clearinghouse: no first-party public clearinghouse fee or rate found. RCM/billing: integrated billing is included in the advertised platform scope; no separate RCM percentage or fee found. Payment processing: 4D PAY powered by Stax is integrated, supports cards, ACH, wallets and recurring billing, but exact rates are quote-based by practice volume/transaction mix; no setup, monthly, minimum or transaction amount was published on the opened page. AI/Scribe: a separate Scribe feature page was opened, but its extracted official content did not state a price, so no amount is reported. No public numeric fees were found for other modules, integrations, SMS, fax or transaction charges.

Availability and public pricing

Confirmed current and commercially available for U.S. providers based on first-party evidence: the official site says 4D EMR runs over 200 aesthetic practices; the legal page identifies 4th Dimension EMR, Inc.; the ONC disclosure lists a Las Vegas, Nevada address, phone and support email and certifies 4D EMR Version 6.0 dated 04/16/2026. The product is a human-health ambulatory EMR, not billing-only software. Pricing is publicly disclosed for the subscription, while implementation/training/payment-processing terms remain quote-dependent.

Qualifications

The $750/$325 amounts and unlimited-inclusions statement are from the official Make the Switch page and should be confirmed in the itemized subscription/implementation quote. The same page explicitly says implementation is a one-time fee and live training beyond the free LMS may cost extra, but gives no amount. The Terms of Service says fees and payment terms are governed by a separate Subscription Agreement, so public marketing does not establish every contractual condition. The ONC disclosure states certified functionality is included at no extra cost, but this does not prove that every non-certified integration or optional service is free. Do not use third-party SoftwareAdvice pricing or search snippets: they were not used as evidence. No official procurement/contract rate sheet or public PDF with additional pricing was found.