OneCity
COMPARISON

OneCity vs KareXpert: Which Hospital Software Fits Your Hospital?

A fair, sourced comparison of OneCity and KareXpert hospital software. We use the NABH list, news reports, KareXpert's own pages and listing sites, put KareXpert's strengths first and mark anything we could not find as not stated.

Short answer: KareXpert is a larger, better funded and better certified company than OneCity, and it has proof you can check. The NABH list shows Advanced level certificates for its HIS and EMR, valid from 27 May 2026 to 26 May 2028. Its home page claims ABDM M1, M2 and M3 certification, it says it serves more than 500 hospitals and 30,000 beds, and it says it has the backing of Reliance Jio. Its public pages do not show a price, name individual department modules, or say whether it can run on premise or without internet. OneCity is narrower: a free plan for up to 5 doctors, a published Starter price, and documented modules for blood bank, dialysis, insurance and TPA, HR and payroll and NABH audit, built for tier 2 and tier 3 hospitals. OneCity is cloud only and does not appear on the NABH software list. Choose KareXpert if certified software and a large vendor matter and you accept a custom quote. Choose OneCity if you want a visible starting price and modules you can read about before a call. Either way, ask for the certificate, the price basis and the data exit terms in writing.

General information for hospital buyers. It is not legal, tax or medical advice. Verify regulatory points with the relevant authority or a qualified professional. We are OneCity, so we are a competitor, and this page says so on purpose.

Who KareXpert is, from public sources

KareXpert Technologies Private Limited is based in Gurugram, Haryana. Its About page says it has operated since 2018 and is backed by Reliance Jio and other investors. A 2021 YourStory article reported a Reliance investment of ₹30 crore in 2018 and named the founder as Nidhi Jain, who is also quoted as founder and chief executive in a news report on its ABDM certification from around September 2023.

Its home page describes a cloud platform with EMR, revenue cycle, pharmacy and diagnostics, and lists HIMS, EMR and EHR, virtual care, LIMS, RIS and PACS, pharmacy, connected ambulance, homecare, medical IoT and business intelligence. It claims more than 60 integrated modules while the NABH listing says more than 50, a small difference that shows how often a vendor's numbers move between pages.

The scale claims are large: more than 500 hospitals, more than 30,000 beds and six countries on the home page, and the About page names India, the USA, the UAE, Saudi Arabia, Oman, South Africa and other parts of Asia. Its pages give two different patient totals, 27 million on the home page and 15 million on the About page. These are the vendor's claims, and we could not check them independently.

We have not used KareXpert. Every statement about it here comes from its public pages, the NABH website, news reports and listing sites, all read on 2 October 2026. Vendors change pages, so confirm each point with the vendor. If a line is out of date, tell us and we will correct it.

Side by side, on the points that matter to a hospital

The table separates what is documented from what we did not find. "Not stated" means we did not find it on the pages we read. It does not mean the feature does not exist.

Two column overview comparing OneCity, a cloud hospital ERP with a free plan and published Starter price, and KareXpert, a Gurugram cloud platform with NABH Advanced certificates, claimed ABDM M1 to M3 and custom pricing
Two cloud products with different strengths: scale and independent certificates for KareXpert, an open starting price and named department modules for OneCity.
PointOneCityKareXpert (public sources)
Built forTier 2 and tier 3 hospitals and growing clinicsHospitals, hospital chains, clinic chains, diagnostic centres and government institutions, per its About page
DeploymentCloud, in the browser. The pricing page lists an on premise or edge option under EnterpriseFully managed cloud. On premise not stated
Works without internetNot as standard cloud useNot stated
NABH certificate for the softwareNot on the NABH certified software list at the time of writingAdvanced level for HIS and EMR, valid 27 May 2026 to 26 May 2028, per the NABH list
ABDMABDM ready, not certified. ABHA is in the Free planHome page claims M1, M2 and M3 certified. A news report from around September 2023 describes ABDM certification
Published pricingFree up to 5 doctors, Starter ₹999 a month, Growth and Enterprise custom, taxes extra under GSTNot published. A 2021 interview described a monthly charge per bed or patient plus modules. A listing site says custom
Modules namedSeparate pages for IPD, OT, ICU, emergency, lab, radiology, pharmacy and morePlatform level names such as HIMS, EMR, pharmacy, LIMS, RIS and PACS. Individual department modules not named on the pages we read
Insurance and TPA claimsInsurance and TPA moduleElectronic claims and insurance named in a 2021 interview. Not named on its current pages
Blood bank and dialysisBlood bank and dialysis unit modulesNot named on the pages we read
HR and payrollHR and payroll moduleNot named on the pages we read
NABH audit and biomedical wasteCompliance and quality module with NABH audit, biomedical waste moduleNot named as modules
Patient appsPatient portal modulePatient portal and mobile apps per a listing site, and hospital branded apps per a 2021 interview
Scale claimsNot published as a customer count hereMore than 500 hospitals and 30,000 beds, as a vendor claim
SupportCommunity support on Free. Email and WhatsApp on Starter. Priority support on GrowthDescribed as a fully managed service. Hours not stated
Data exportAsk us in writingNot stated

Where KareXpert genuinely has an advantage

A fair comparison has to say where the other side is stronger. On several points, KareXpert is.

It holds NABH certificates that you can look up

The NABH page for KareXpert shows two Advanced level certificates, one for EMR and one for HIS, valid from 27 May 2026 to 26 May 2028. It also lists a document labelled WASA with a validity that ended on 17 September 2026, which the page does not explain. OneCity does not appear on the NABH list of certified software at the time of writing. This is independent evidence, not a claim made by the vendor alone. Our comparison with Medixcel explains how to read a software certificate.

It claims all three ABDM milestones

Its home page says KareXpert is now ABDM M1, M2 and M3 certified. A news report from around September 2023 quotes its chief executive on completing ABDM certification and describes a standard ABDM connector. Its own ABDM blog post describes a consent based workflow that follows ABDM guidelines. We could not find the certificate itself, so treat this as a strong claim to verify rather than a confirmed record. OneCity is ABDM ready and is not certified. The ABDM and ABHA integration guide explains what the milestones involve.

It has scale and funding

A 2021 article put it at about 100 hospitals, including Reliance Foundation Hospitals and Paras Hospitals. Its home page now claims more than 500. A vendor that has grown in that way and is backed by a large investor is less likely to disappear, and it has more reference customers to call. That is a real advantage for a buyer who worries about vendor survival.

It sells a managed platform with fast go live claims

Its home page describes fully managed cloud services, and its platform page says a hospital can go live in a day or two. That is a claim to test against your own scope, but a managed service means less for your own staff to run.

What the scale claims mean for a hospital of your size

KareXpert's listing on SoftwareFinder describes it as a cloud EMR for large hospitals and chains, and its About page names enterprise hospitals first. A tier 2 or tier 3 hospital might therefore assume it is out of reach. The vendor's own numbers suggest otherwise. If 500 hospitals share 30,000 beds, the average is about 60 beds per hospital. That is a rough figure from two claims on one page, and averages hide a few large customers. It does mean KareXpert probably has customers of your size, and you should ask to speak to them.

Three reference checks to make before you buy hospital software: a customer with a similar bed count, a customer in the same state or with the same insurance mix, and a customer who went live with the same modules you need
Ask any vendor for three kinds of reference and call each one.

Do the same with us. Ask OneCity for references from hospitals of your size, and ask what went wrong during go live as well as what went right. Our guide on how to choose hospital management software in India lists the questions.

What each system covers in a real admission

Feature lists tell you less than a patient's path through the hospital. Follow one inpatient from the front desk to the final bill and ask each vendor to show every step on your own case.

Registration to discharge

KareXpert's NABH listing says its modules cover the patient paths labelled OP, IP, ER and DC. Its public pages do not name the individual modules, so the only way to see them is a demo. OneCity publishes a page for each department, from registration through IPD and discharge, and you can read them before a call.

Insurance claims

For a hospital where many patients are insured, claims handling decides cash flow. OneCity has an insurance and TPA claims module. KareXpert described electronic claims and insurance in a 2021 interview, but we did not find it named on its current pages. Ask both vendors to process a real preauthorisation and a real claim in the demo.

Specialised departments

If you run a blood bank, a dialysis unit or a biomedical waste register, ask each vendor to show it working. OneCity documents blood bank, dialysis and biomedical waste modules. KareXpert may well cover them inside its platform, and we could not see them named, so do not assume either way.

Accreditation

Both products help a hospital keep records, but neither gives the hospital accreditation. Our NABH accreditation software page explains how software supports the records NABH assessors look at.

Total cost: reading a per bed quote

KareXpert does not publish a price. A 2021 YourStory interview described a monthly subscription charged per bed or per patient, with the cost also depending on the applications a hospital chooses. A listing site says the price varies with the platforms chosen and calls it custom. That is five years old and may have changed, so treat it as a clue, not a rate card.

If a vendor quotes per bed, turn the quote into a yearly figure yourself: the monthly rate per bed, times the number of beds you will pay for, times twelve, plus every module you add, plus GST, plus the one time costs for setup, training and data migration. Ask whether you pay for licensed beds or occupied beds, because the two can differ a lot in a hospital that fills up only part of the year.

Formula for a yearly hospital software cost under per bed pricing: monthly rate per bed times beds times twelve, plus modules, plus GST, plus one time setup, training and migration costs
Turn a per bed quote into a yearly cost, then compare over three years.

OneCity's side is simpler to state. The Free plan covers up to 5 doctors, with OPD, billing, pharmacy basics, one location and ABHA. Starter is ₹999 a month and adds IPD and wards, lab and radiology orders and a biomedical waste manifest. Growth and Enterprise are custom, and taxes are extra under GST. There is no setup fee on Free and Starter. Convert both vendors' quotes into a three year cost before you compare them. Our hospital software pricing guide shows how, and our pricing page has the current plans.

Deployment, uptime and your data

Both products run in the cloud, so the offline question does not separate them. KareXpert describes fully managed cloud services, and we did not find on premise or offline use stated. If your hospital has unreliable connectivity, ask both vendors what happens to a ward when the connection drops. Our guide to cloud based hospital software covers outages and how to prepare for them.

We did not find a data hosting location, uptime figure or security certificate on the KareXpert pages we read. It mentions a national cloud in Egypt for one partnership, which says nothing about where an Indian hospital's data sits. Ask where patient data is stored, which security certificates apply and what the written uptime commitment is. For patient data under the Digital Personal Data Protection Act, 2023, failing to take reasonable security safeguards can attract a penalty of up to ₹250 crore. Our DPDP Act guide for hospitals lists the questions.

On exit, neither vendor's public pages that we read state the terms. The day you leave a vendor is the day its contract matters most. Ask each one: can you export all records in a documented format, how long does it take, is there a fee, and what is deleted and when. Our guide on vendor lock in and data ownership lists the clauses.

Which one fits which hospital

A hospital whose tender or TPA asks for NABH certified software

KareXpert holds current Advanced certificates and OneCity does not. If certified software is a written requirement, that decides the shortlist. If it is only a preference, weigh it against price and fit.

A hospital that wants the lowest vendor risk

A larger, funded vendor with hundreds of customers is the safer choice on survival, and KareXpert fits that. Ask for a financial summary or customer references either way.

A 20 to 100 bed hospital in a tier 2 or tier 3 city watching its budget

OneCity publishes a starting price and offers a free plan, so you can see the cost before a sales call. KareXpert may still fit if its quote is reasonable. Ask both for a written quote for your bed count and modules.

A hospital that wants to read about each module before talking to sales

OneCity publishes a page for each module. KareXpert's public pages stay at the platform level, so you will need a demo to see the detail.

What to check if you are evaluating both

Our guide on how to choose hospital management software in India turns this list into a scored shortlist.

A note on fairness

We are a competitor, so treat this page with the care you would give any vendor's comparison. We have tried to write it the way we would want a rival to write about us: quote their own words, name what is independently confirmed, say what is missing from public pages, and put their strengths first. On certificates, ABDM claims, scale and backing, KareXpert is ahead and the page says so. Everything about KareXpert comes from its public pages, the NABH website, news reports and listing sites, read on 2 October 2026. We have not tested its software or spoken to its customers. Claims we cannot confirm are labelled as claims.

If you work at KareXpert and a line is wrong, write to sales@onecity.co.in and we will correct it. If you are a buyer, the fastest check is a live demo on your own cases from both vendors.

Frequently asked questions

Is KareXpert NABH certified?

The NABH list of certified healthcare software shows KareXpert Technologies at the Advanced level for both HIS and EMR, valid from 27 May 2026 to 26 May 2028. Check the current status and product edition on the NABH website before you buy.

Is KareXpert ABDM certified?

Its home page says it is ABDM M1, M2 and M3 certified, and a news report from around September 2023 describes it completing ABDM certification. We could not find the certificate itself, so ask for it and for the milestones complete on your version.

How much does KareXpert cost?

KareXpert does not publish a price. A 2021 interview described a monthly charge per bed or patient plus modules, and a listing site calls the price custom. Ask for a written quote with GST, training, migration and add ons.

Is KareXpert only for large hospitals?

It describes itself as serving hospitals, hospital chains, clinic chains, diagnostic centres and government institutions. Its claim of more than 500 hospitals and 30,000 beds suggests an average of about 60 beds, so it probably has customers of your size. Ask for references at your bed count.

Does KareXpert work offline or on premise?

Its pages describe fully managed cloud services. We did not find on premise or offline use stated, so confirm with the vendor if connectivity is a concern.

Is OneCity NABH certified software?

No. OneCity does not appear on the NABH list of certified healthcare software at the time of writing. OneCity has a compliance and quality module with NABH audit tools that helps a hospital keep records for accreditation, which is not the same as a certificate for the software.

Which is better for a tier 2 or tier 3 hospital?

It depends on your requirements. If a tender or TPA needs NABH certified software, or you want a large funded vendor, KareXpert has the stronger public record. If you want a published starting price, a free plan and department modules you can read about first, OneCity fits. Run an admission to discharge demo on both.

Sources

NABH page for KareXpert (nabh.co). The YourStory article on KareXpert from August 2021 (yourstory.com). The Digital Health News report on its ABDM integration (digitalhealthnews.com). The KareXpert home page, platform page, About page and ABDM blog post, and its listing on SoftwareFinder, were also read. All were read on 2 October 2026. OneCity plans and module names come from the OneCity pricing and module pages. This page is for general buying information only. It does not give legal, tax or medical advice, and it is not a compliance opinion. Vendors change prices, features, certificates and pages, so confirm every point with the vendor and the relevant authority before you act on it.

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