Honest comparison

OpenVPM vs IDEXX Neo

IDEXX Neo is an easy, affordable cloud PIMS for practices already in the IDEXX world. OpenVPM is the open option that does not tie you to one lab vendor.

IDEXX Neo is the entry-level cloud system in the IDEXX lineup, liked for being easy to learn and well integrated with IDEXX analyzers and reference labs. It is affordable for smaller practices and closed by design, with a curated partner list rather than an open API. OpenVPM offers a simple cloud experience too, plus an open API and freedom from any single diagnostics vendor.

License
OpenVPM: Open source (AGPLv3)
IDEXX Neo: Proprietary, closed
Hosting
OpenVPM: Self-host free, or managed Cloud
IDEXX Neo: Cloud
Pricing
OpenVPM: Free to self-host. Cloud $79/location/mo
IDEXX Neo: From about $199 to $290/mo, publicly reported
Per-user fees
OpenVPM: None. Unlimited staff
IDEXX Neo: Tiered by users
Open API
OpenVPM: 150+ endpoints, public docs, webhooks
IDEXX Neo: Partner-gated
Your data
OpenVPM: Public schema. Export anytime
IDEXX Neo: Proprietary format. Limited record sharing reported
Best for
OpenVPM: Independent practices that want to own their stack
IDEXX Neo: Smaller practices already using IDEXX diagnostics

Pricing for other systems is publicly reported by third parties, not official rate cards. We aim to be fair. If something here is out of date, tell us and we will fix it.

What about your data?

Neo keeps data in a proprietary format with a curated integration list, and some reviewers note limited record sharing. OpenVPM keeps a public schema and full export, so your records move with you and connect to whatever you choose.

Read: who owns your practice data

When IDEXX Neo is the better fit

If you are a smaller practice already invested in IDEXX diagnostics and you want simple, affordable cloud software that connects to them, Neo is a sensible fit.

When OpenVPM is the better fit

If you want simple and affordable but also open, with no single-vendor diagnostics tie-in and an API you can build on, OpenVPM is the open choice.

Use OpenVPM your way.

Self-host the full open-source PIMS for free, or let us run it for you. Same software, your choice.

FreeAGPLv3, forever

Run OpenVPM on your own infrastructure. No billing gates, no feature limits, no hosted metering.

  • Full source under the AGPLv3 license
  • Every module and the complete API
  • Docker or Vercel deployment paths
  • Bring your own database, email, SMS, and AI keys
Read the install guide

Common questions

Is OpenVPM tied to a lab company like IDEXX Neo?

No. OpenVPM is independent and open source, so you can connect the labs and tools you choose through the open API. Neo is built around the IDEXX ecosystem.

What does IDEXX Neo cost?

IDEXX markets single-doctor plans from around $199 per month, while third-party listings show about $290 per month for the first users. OpenVPM is free to self-host and priced per location for Cloud.

Does IDEXX Neo have an open API?

Neo uses a curated, partner-gated integration approach rather than a fully open API. OpenVPM publishes 150+ open REST endpoints with webhooks.

See OpenVPM for yourself.

The demo is live and loaded with real-looking data. No sales call. Click around, then self-host it free or let us run it for you.