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Cornerstone, ezyVet, AVImark, and RosaVet — every category, every line item, every hidden add-on that the sales team won't volunteer until you're already on the contract. We did the research so you can finish your coffee.
Pricing reflects publicly available info as of 2026. Verify with each vendor before signing. RosaVet pricing is set, public, and won't change at the contract stage.
| Cornerstone IDEXX | ezyVet IDEXX | AVImark Covetrus | RosaVet Husband + wife | |
|---|---|---|---|---|
| Pricing & Terms | ||||
| Per-DVM monthly cost (3-DVM clinic) | ~$300 | ~$250 | ~$180 | $249 |
| Per-DVM at 10+ DVMs | ~$280 | ~$220 | ~$160 | $199 |
| Setup / implementation fee | $5K–15K | $3K–8K | $1K–3K | $0 |
| Contract length minimum | 1–3 yrs | 1–2 yrs | 1+ yr | Monthly |
| Cancellation friction | Retention call + ETF | 90-day notice | 90-day notice | Email + we do it |
| All staff seats included | × | × | × | ✓ |
| Stripe processing markup | + ~0.5% | + ~0.3% | Pass-through | Pass-through |
| Annual prepay discount | Negotiated | 5% | ~5% | 10% |
| AI & Intelligence | ||||
| Voice → SOAP under 4 sec | 3rd-party add-on $ | 3rd-party add-on $ | × | ✓ |
| Native AI radiologist pre-read | 3rd-party $ | 3rd-party $ | × | ✓ |
| AI drug-interaction checker | Static lookup | Static lookup | Static lookup | Dr. Rosie AI |
| Hallucination protection | × | × | × | Source-cited only |
| DVM approves every AI suggestion | N/A | Auto-accept default | N/A | ✓ |
| Knowledge sources behind the AI | Vendor proprietary | Vendor proprietary | N/A | 787K+ peer-reviewed |
| Clinical Core | ||||
| SOAP note authoring | ✓ | ✓ | ✓ | ✓ |
| Prescriptions module | ✓ | ✓ | ✓ | ✓ |
| Live queue board with urgency colors | × | Partial | × | ✓ |
| Real-time patient triage colors | × | Partial | × | ✓ |
| Cmd+K global patient search | × | × | × | ✓ |
| Lab results viewer with reference ranges | ✓ | ✓ | ✓ | ✓ |
| AI lab result interpretation | × | 3rd-party | × | ✓ |
| Surgery & Procedures | ||||
| Surgery + anesthesia module | Add-on $ | Add-on $ | Partial | ✓ |
| Pre-op checklist + ASA classification | × | Partial | × | ✓ |
| Intra-op vital monitoring (q5min auto-prompt) | × | × | × | ✓ |
| Dental charting (Modified Triadan) | Manual | 3rd-party | × | ✓ |
| Cross-visit dental comparison | × | × | × | ✓ |
| AI post-op SOAP auto-generation | × | × | × | ✓ |
| Imaging & DICOM | ||||
| DICOM viewer (web-based) | 3rd-party $ | 3rd-party $ | 3rd-party $ | ✓ |
| Cloud PACS (storage included) | Add-on $ | Add-on $ | Add-on $ | 500GB included |
| Multi-modality (rad/dental/US/CT/MRI) | Per-modality $ | Per-modality $ | Limited | All included |
| In-platform measurement tools | 3rd-party | 3rd-party | 3rd-party | ✓ |
| Teleradiology referral one-click | External | External | × | ✓ |
| IDEXX imaging integration | Native | Native | Add-on | Native |
| AI Imaging & Vision | ||||
| AI radiograph abnormality detection | 3rd-party $$ | 3rd-party $$ | × | ✓ |
| AI dental X-ray analysis | 3rd-party | 3rd-party | × | ✓ |
| AI ultrasound interpretation | 3rd-party | 3rd-party | × | ✓ |
| AI CT/MRI assist | × | 3rd-party | × | ✓ |
| AI image measurement assist | × | × | × | ✓ |
| AI cross-visit imaging comparison | × | × | × | ✓ |
| AI photo review for client submissions | × | × | × | ✓ |
| AI body condition scoring | × | × | × | ✓ |
| Drug Safety & Inventory | ||||
| 500+ drug formulary built in | Add-on | Built-in | Built-in | Built-in |
| AI species-specific dosing calculator | × | Static | Static | AI-driven |
| 5-layer drug safety checks | 2-layer | 3-layer | 2-layer | 5-layer |
| Species-contraindication check | ✓ | ✓ | ✓ | ✓ |
| MDR1 breed-specific gating | × | Partial | × | ✓ |
| Concurrent-medication conflict check | × | Partial | × | ✓ |
| DEA append-only controlled-substance log | Manual | Manual | Manual | Built-in |
| Food-animal withdrawal time tracking (FARAD) | Manual | Manual | Manual | ✓ |
| Inventory management | ✓ | ✓ | ✓ | ✓ |
| Auto-reorder thresholds | Premium tier | Premium tier | × | ✓ |
| Client Engagement | ||||
| Client portal (web app) | $99-199/mo add-on | Tier-gated | Add-on | ✓ |
| Multi-language client comms (4+) | EN + limited | EN + limited | EN only | EN·ES·PT·DE |
| Auto-translated discharge instructions | × | × | × | ✓ |
| Online booking (real-time slots) | Add-on | ✓ | Add-on | ✓ |
| Photo Review billing ($29.99/each) | × | × | × | ✓ |
| Vaccine reminder automation | ✓ | ✓ | Manual | ✓ |
| Vaccine certificate auto-generation | Manual | Partial | Manual | ✓ |
| Recall rules engine (auto-trigger) | Add-on | ✓ | Manual | ✓ |
| AI symptom triage in client portal | × | × | × | ✓ |
| VetTools (chocolate calc, QoL, body cond.) | × | × | × | All built in |
| Wellness score dashboard for owner | × | × | × | ✓ |
| Annual wellness PDF for owner | × | × | × | ✓ |
| Marketing & Branded Content | ||||
| 500+ branded handouts auto-customized | × | × | × | ✓ |
| 30+ branded PDF books (resale rights) | × | × | × | ✓ |
| Branded videos for exam rooms | × | × | × | ✓ |
| In-room display auto-activation | × | × | × | ✓ |
| Online shop (e-commerce) | 3rd-party $ | 3rd-party $ | × | ✓ |
| Clinic website included | 3rd-party $ | 3rd-party $ | × | ✓ |
| Social media management tools | × | × | × | ✓ |
| Boarding & Grooming | ||||
| Boarding module | Add-on $$ | Add-on $$ | Add-on | ✓ |
| Grooming bookings + records | × | 3rd-party | × | ✓ |
| Daily kennel logs (eat/drink/meds/play) | Manual | Manual | Manual | ✓ |
| Per-day auto-charges | Manual | Partial | Manual | ✓ |
| Vaccine compliance gating at booking | Manual | Partial | × | ✓ |
| Photo updates to anxious owners | × | × | × | ✓ |
| Multi-Location & Groups | ||||
| Multi-location support | Premium tier | Premium tier | Limited | Up to 5 (Practice tier) |
| Cross-location patient lookup | Add-on $$ | Add-on | × | ✓ |
| Per-location revenue dashboard | Premium tier | Add-on | × | ✓ |
| Stripe Connect partnership/contractor split | × | × | × | ✓ |
| Float-pool staff scheduling | × | Partial | × | ✓ |
| Compliance & Regulatory | ||||
| DEA append-only log (audit-clean) | Manual | Manual | Manual | ✓ |
| GDPR-compliant data residency (EU) | Limited | ✓ | × | ✓ |
| LGPD-compliant data residency (Brazil) | × | × | × | ✓ |
| Append-only AI audit log | N/A | N/A | N/A | ✓ |
| USDA accredited workflow (CVI/health certs) | × | × | Partial | ✓ |
| Coggins / equine health cert auto-fill | × | × | Manual | ✓ |
| Offline & Sync | ||||
| Full offline workflow (no signal req'd) | × | Partial | Partial | ✓ |
| Local SQLite per-device (PowerSync) | × | × | × | ✓ |
| Conflict resolution surfaces to DVM | N/A | Last-writer-wins | Last-writer-wins | DVM resolves |
| Offline payment processing | × | × | × | Stripe Tap-to-Pay |
| Team & Roles | ||||
| Distinct staff role types | 5 | 8 | 6 | 12 |
| Row-level security (RLS) at DB level | × | × | × | ✓ |
| MFA required for DVM | Optional | Optional | Optional | Required |
| Idle screen lock | Optional | Optional | × | ✓ |
| Staff scheduling included | Add-on | Add-on | Add-on | ✓ |
| Special Workflows | ||||
| Euthanasia mode (no billing in room) | × | × | × | ✓ |
| RFID room/doctor/patient detection | × | × | × | ✓ |
| Bulk herd-treatment workflow | × | × | Partial | ✓ |
| Insurance claim prep assistant | × | × | × | ✓ |
| Telemedicine consults | 3rd-party | 3rd-party | 3rd-party | ✓ |
| Memorial record + grief workflow | × | × | × | ✓ |
| Integrations | ||||
| IDEXX lab integration | ✓ | ✓ | Add-on | ✓ |
| Antech / Heska lab integration | Add-on | ✓ | Add-on | ✓ |
| CE Broker auto-submit (CE) | × | × | × | ✓ |
| Stripe payment processing native | Worldpay | Stripe + others | Worldpay | Stripe (pass-through) |
| Twilio SMS in client locale | EN only | Limited | EN only | 4 languages |
| SAML SSO (universities/enterprise) | Enterprise tier | Enterprise tier | × | ✓ |
| Reporting & Analytics | ||||
| Revenue + utilization dashboards | Premium tier | ✓ | Add-on | ✓ |
| Missed-charge detection (AI) | × | × | × | ✓ |
| Auto-generated weekly board pack | × | × | × | ✓ |
| Recall compliance tracking | Manual | ✓ | Manual | ✓ |
| Custom CSV export | ✓ | ✓ | ✓ | ✓ |
| Education & CE for Staff | ||||
| RACE-approved CE built in | × | × | × | RosaCE included |
| Vet tech CE track | × | × | × | ✓ |
| Manager / staff training included | × | × | × | Free w/ PMS |
| Owner business education (Forge Academy) | × | × | × | Free for owner |
| Certificate generation + storage | × | × | × | ✓ |
| Support & Onboarding | ||||
| Phone support | Premium tier | Business hrs | Business hrs | Practice + tier |
| In-platform live chat | × | ✓ | × | ✓ |
| Free data migration (under 5 DVMs) | × | × | × | ✓ |
| On-site training (per day) | $1,500/day + | $1,200/day + | $900/day + | $1,500/day (Enterprise) |
| Dedicated CSM | Enterprise tier | Enterprise tier | Enterprise tier | Practice + tier |
| Ownership & Values | ||||
| Owned by | IDEXX (NASDAQ) | IDEXX (NASDAQ) | Covetrus (PE) | A working DVM + her husband |
| Investor-funded | Public shareholders | Public shareholders | Private equity | Self-funded |
| Sales team commission-driven | ✓ | ✓ | ✓ | No sales team |
| Built by an actively practicing DVM | × | × | × | 25 years clinical practice |
| Line item | Cornerstone | ezyVet | AVImark | RosaVet |
|---|---|---|---|---|
| Base PMS (3 DVMs) | $900 | $750 | $540 | $747 |
| Staff seats (8 staff @ $25 avg) | $200 | $200 | $200 | Included |
| Voice→SOAP add-on (per DVM) | $300 | $300 | Not offered | Included |
| AI radiologist pre-read | $500 | $500 | Not offered | Included |
| Marketing agency / handouts / videos | $1,200 | $1,200 | $1,200 | Included |
| Website + booking platform | $300 | $300 | $300 | Included |
| Online shop / e-commerce | $200 | $200 | $200 | Included |
| Boarding/grooming module | $150 | $150 | $100 | Included |
| Client portal | $150 | Tier-gated | $100 | Included |
| Multi-language SMS | Not offered | $50 | Not offered | Included |
| Setup fee (amortized over 24 mo) | ~$420 | ~$230 | ~$80 | $0 |
| Total per month | ~$4,320 | ~$3,880 | ~$2,720 | $747 |
| Total over 24 months (a typical contract length) | ~$103,680 | ~$93,120 | ~$65,280 | $17,928 |
| You save with RosaVet | $85,752 | $75,192 | $47,352 | OVER 24 MONTHS |
RosaVet saves the average 3-DVM clinic $3,400+ per month.
That's $80,000+ over a typical 24-month contract.
The math isn't subtle.
Even compared to the cheapest competitor on this list, you'd save $47,352 over 24 months— enough to fund a new exam-room build-out, an associate vet's signing bonus, or a year of mortgage payments on a small clinic property.
It's not just about money
When the table shows Not offered next to a competitor, it doesn't mean they include it free. It means no amount of money buys you that capability on their platform. You'd have to do without — or hire a third party, train your team to switch tools mid-workflow, and reconcile the data manually.
With RosaVet you're not just saving $47K-$85K over 24 months. You're getting an entire stack of capabilities the incumbents can't even quote a price on.
The earlier table only counted features competitors actually sell. To truly match RosaVet's feature set on Cornerstone, ezyVet, or AVImark, you'd have to bolt on third-party vendors for every "Not offered" cell — AI radiology services, branded-content libraries, translation tools, compliance trackers, telemedicine, RFID hardware, in-room display systems. Add it all up and the comparison gets ugly fast.
| To match RosaVet's feature set, you'd need | Cornerstone | ezyVet | AVImark | RosaVet |
|---|---|---|---|---|
| Base PMS (3 DVMs) | $900 | $750 | $540 | $747 |
| Staff seats (8 staff) | $200 | $200 | $200 | Included |
| Voice→SOAP for 3 DVMs | $300 | $300 | $350* | Included |
| AI Radiologist pre-read service | $500 | $500 | $700* | Included |
| Marketing agency | $1,200 | $1,200 | $1,200 | Included |
| Website + booking platform | $300 | $300 | $300 | Included |
| 500+ branded handouts library | $300* | $300* | $300* | Included |
| Branded video library for exam rooms | $400* | $400* | $400* | Included |
| In-room display hardware/software | $500* | $500* | $500* | Included |
| RFID auto-detection system | $1,000* | $1,000* | $1,000* | Included |
| Online shop / e-commerce | $200 | $200 | $200 | Included |
| Boarding/grooming module | $150 | $150 | $100 | Included |
| Client portal | $150 | Tier-gated | $100 | Included |
| Multi-language client comms (4 langs) | $300* | $50 | $300* | Included |
| AI lab result interpretation | $200* | $200* | $200* | Included |
| 5-layer AI drug-safety service | $150* | $150* | $150* | Included |
| DEA append-only compliance tool | $200* | $200* | $200* | Included |
| Telemedicine consult tool | $300* | $300* | $300* | Included |
| Annual wellness PDF tool | $150* | $150* | $150* | Included |
| Auto-reorder inventory | $100* | $100* | $100* | Included |
| Float-pool staff scheduling | $75* | $75* | $75* | Included |
| Setup fee (amortized 24 mo) | $420 | $230 | $80 | $0 |
| Total per month | ~$7,995 | ~$7,255 | ~$7,445 | $747 |
| Total over 24 months (a typical contract length) | ~$191,880 | ~$174,120 | ~$178,680 | $17,928 |
| You save with RosaVet | $173,952 | $156,192 | $160,752 | OVER 24 MONTHS |
* Indicates a third-party vendor required because the platform doesn't natively offer the feature. Estimates based on typical mid-market pricing for each category. Actual third-party costs vary by vendor and deal.
$156,000–$174,000.
That's what it really costs to almostmatch RosaVet on a competitor's platform.
Almost.
Even if you bolt on every third-party tool money can buy, you still don't get RFID auto-SOAP-start integrated with the chart, in-room AI displays driven by patient context, euthanasia-mode billing suppression, or 12-role row-level security — capabilities that simply don't exist outside RosaVet at any price.
Every hour you and your team spend wrestling software is an hour you don't spend with patients, with families, or with your own kids. Here's what RosaVet gives back to a typical 3-DVM clinic every year — and what it would actually be worth to your life.
12 hours back every working day. Across the whole team.
Not hired. Not paid. Just freed up from the people you already have.
At a $50/hr blended team rate. On top of dollar savings.
| What we do that they don't | Today's cost in time | Hours/year recovered |
|---|---|---|
| Voice→SOAP under 4 sec vs 5–8 minutes typing per note | ~6 min × 14 SOAPs × 3 DVMs × 250 days | ~1,050 hrs |
| Cmd+K global patient search vs Cornerstone navigation | ~30 sec × 30 lookups × 8 staff × 250 days | ~500 hrs |
| Branded handouts auto-attach vs printing & customizing each time | ~3 min × 50 appts × 250 days | ~625 hrs |
| AI radiologist pre-read vs reading every study cold | ~4 min × 5 studies × 3 DVMs × 250 days | ~250 hrs |
| Auto-translated discharge instructions vs Google Translate by hand | ~10 min × 5 non-EN discharges × 250 days | ~208 hrs |
| Annual wellness PDF auto-generation vs hand-compiling year-end summaries | ~20 min × 500 pets/yr | ~167 hrs |
| Auto-reorder inventory thresholds vs manual stock check by practice manager | ~1.5 hr/wk × 50 weeks | ~75 hrs |
| Per-day boarding auto-charges vs manual reconciliation at checkout | ~20 min × 200 stays/yr | ~67 hrs |
| Cross-location patient lookup vs faxing/calling between clinics | ~5 min × 10 transfers/wk × 50 weeks | ~43 hrs |
| Vaccine reminder automation vs manual quarterly recall reports | ~9 hrs × 4 quarters/yr | ~35 hrs |
| DEA append-only log vs paper clipboard | ~90 sec × 10 doses × 250 days | ~10 hrs |
| Total time recovered, annually | Hours that used to belong to software | ~3,030 hrs |
Estimates based on a typical 3-DVM general-practice clinic with 8 support staff and 50 daily appointments. Conservative — multiplier features (e.g., AI imaging on a specialty practice) push the number higher.
The retention math
Cutting 60% of a DVM's charting time isn't a productivity feature. It's a retention feature. Replacing one burnt-out vet costs $80,000–$150,000 in recruiting, signing bonus, training, and lost productivity. RosaVet pays for itself the first time it stops one of your associates from quitting.
$156K-$174K saved. ~3,000 hours back.
That's not a price difference. That's a different way of practicing medicine.
Path 1 — For good
Path 2 — For evil
We built this for Path 1.
Choose Path 2 and we'll charge you double. 😉
(That last part is a joke. Sort of. If you need Path 2, we'd suggest Cornerstone — they've been optimizing for it for 30 years.)
That $85,752 number was for a single 3-DVM clinic. Here's what happens when the math scales to mid-size hospitals, multi-location groups, and corporate chains. Sit down before you read the last row.
| Clinic profile | Cornerstone (24 mo) | RosaVet (24 mo) | You save |
|---|---|---|---|
| Solo doctor · 1 DVM · 1 location | ~$37,200 | $5,976 | ~$31,200 |
| Small clinic · 3 DVMs · 1 location | ~$103,680 | $17,928 | ~$85,752 |
| Mid hospital · 10 DVMs · 1 location | ~$175,680 | $47,760 | ~$128,000 |
| Large hospital · 25 DVMs · 1 location typical regional ER | ~$349,200 | $89,400 | ~$259,800 |
| Multi-location chain · 15 DVMs · 5 locations | ~$514,800 | $71,640 | ~$443,000 |
| Corporate group · 50 DVMs · 10 locations small chain or aggregated practice group | ~$1,300,800 | $178,800 | ~$1,122,000 |
Estimates based on per-DVM volume tiers and per-location fixed costs (each location adds its own website, marketing, branded handouts, online shop, etc.). Multi-location and corporate numbers approximated; actual savings vary based on contract terms negotiated with incumbent vendors.
For corporate & chain operators
That money isn't going to your DVMs. It isn't going to your techs. It isn't going to your equipment budget, your facility upgrades, or your client retention. It's going to a publicly traded vendor's quarterly earnings report.
The next time IDEXX or Covetrus reports a "great quarter," look at your monthly software invoice. That's where the great quarter came from.
Talk to us about Enterprise →Don't tell corporate how much they save. Just send them the link.
Cornerstone's $5K-15K setup is non-negotiable. ezyVet's $3K-8K is "tiered." AVImark's $1K-3K is "data conversion." All call it implementation. RosaVet calls it $0.
Buried in ezyVet and AVImark contracts. Three more months of fees after you decide to leave. RosaVet: email today, done tomorrow.
Cornerstone marks up your card processing 0.3-0.5% above the underlying processor's rate. On $100K/month volume, that's $300-500/mo extra. RosaVet: pure pass-through Stripe.
Multi-location? Premium tier. Advanced analytics? Premium tier. Online booking? Premium tier. RosaVet: solo doc gets every feature. 25-DVM hospital gets every feature. Same software.
Hire a kennel tech: $25/mo. Hire a receptionist: $25/mo. Hire a groomer: $25/mo. RosaVet: pay per DVM, every other seat free.
IDEXX raises Cornerstone 6-9%/yr. ezyVet 5-7%. AVImark 5%. Compound 5 years and your "$300/DVM" is "$400+." RosaVet pricing stays public — you'll know in advance.
Software that doesn't grow, dies. Every quarter we ship new features, new integrations, new species support, new clinical workflows. That's the deal.
Public companies like IDEXX have to optimize for shareholder returns. That means cutting features that don't drive ARR, sunsetting clinics whose contracts aren't profitable enough, raising prices to hit Q3 targets. We don't have shareholders. We don't have a Q3 target. We have customers, and we have time.
Every new feature lands on your existing plan. Same price, more value, every quarter.
No annual surprise increase. When pricing changes, you'll see it on this page first.
Every quarter, we make this software better.
Every quarter, you get the new features for free.
Every quarter. Forever. That's the deal.
We compared every feature publicly because we want clinic owners to evaluate this honestly, not on a sales call where the rep controls the narrative. Some cells say "RosaVet wins." Some say "we tied." A few say "we have it; they have it too." That's how this is supposed to work.
If you find a row where we got the competitor's feature wrong, tell us — we'll update it. Our reputation is built on being the company that doesn't bullshit its customers.
The last software you will ever purchase. Period.
Join the RosaVet waitlist. Migration support included for clinics under 5 DVMs.