OneCity vs Medixcel: Which Hospital Software Fits Your Hospital?

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 Medixcel is, from public sources

Medixcel is a product of Plus91 Technologies Private Limited. The NABH listing gives its address as Viman Nagar, Pune, and the company says it has been building healthcare software since 2009, with offices in Pune, Patna, Agartala and Chandigarh. TechJockey also shows Pune and 2009. Its own site sells a family of products: MediXcel HMIS and EMR, a laboratory system called MediXcel LIMS, RIS, PACS and VNA imaging software, telehealth, public health surveillance and a clinical decision support product it calls BHAIRAV AI.

The company's numbers are large: more than 110 million patient records, 16,842 active facility nodes and deployments in 26 countries. These are the vendor's claims, and we could not check them independently. Its clinic product and its hospital product share the Medixcel name, so read carefully which one a price or a review is about.

One practical trap. When we opened medixcel.com, it showed a medical distribution business based in Riyadh, not the hospital software. The Indian software is described on plus91.in, and its help centre sits on help.medixcel.in. Make sure you are reading the right company before you trust any page.

We have not used Medixcel. Every statement about it here comes from public pages, the NABH website, an NHA release on the ABDM website, listing sites and its own help centre, all read on 30 September 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 If a line is out of date, tell us and we will correct it.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 seen" means we did not find it in the pages or menus we read. It does not mean the feature does not exist.

Where Medixcel genuinely has an advantage

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

It holds NABH certificates that you can look up

The NABH page for Medixcel HMIS shows Plus91 Technologies with certificates for HIS and for EMR at the Advanced level, valid from 13 May 2025 to 12 May 2027. It also lists a third document labelled WASA, valid from 25 March 2026 to 25 March 2027, 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 MocDoc explains what a software certificate does and does not prove, and the same reading applies here.

It is on the regulator's own list for ABDM

A release from the National Health Authority dated 8 February 2022, hosted on the ABDM website, announced ABDM integrated certificates and logos for 27 products. It names MediXcel by Plus91 Technologies Private Limited. The release also says each certificate mentions the levels of integration completed by the product. That is stronger evidence than a vendor's own page, and the next section explains why the exact level still matters.

It documents a wide clinical module set

Its help centre lists appointments, OPD, IPD, antenatal care, paediatrics, oncology, dialysis, accident and emergency, day observation, surgery recommendation, laboratory, transfusion medicine, pharmacy, inventory, linen and laundry, mortuary, biomedical waste, accounts, management reports, an NABH dashboard with checklists and an ABDM workflow. Some of these are departments that many hospital systems handle thinly. If your hospital runs oncology, a mortuary or a transfusion service, this list deserves a demo.

It publishes security documents

Its compliance FAQ shows ISO 27001, ISO 9001:2015, CMMI Level 5 and OWASP certificates, states that data on its AWS instances is encrypted at rest, and claims 99.95 percent server uptime. Publishing these is useful to a buyer even when the claims still need to be checked against the certificate scope.

It offers a choice of cloud or on premise

Its site lists cloud and on premise deployment, and the FAQ says that if the software is installed on the client's local server, the client owns the responsibility for the EMR. Some hospitals want a server in the building. OneCity is cloud first, with an on premise or edge option only on Enterprise, so Medixcel is more flexible here.

How to read compliance claims that do not agree with each other

Medixcel is a good example of a problem you will meet with several vendors: the same product described in different words on different pages. Here is what we found for ABDM.

• The NHA release of 8 February 2022 lists MediXcel among products with ABDM integrated certificates.
• A press release by Plus91 dated 31 January 2023 says its platform passed QCI and NABH audits for all modules and has been approved for all 3 ABDM milestones.
• A compliance FAQ on its help site says MediXcel is now an ABDM certified HMIS, EMR and LIS, and says it is integrated for Health ID creation, health information provider services and health information user services.
• The current Plus91 home page calls its platforms ABDM aligned and mentions ABDM compliance for its inpatient and outpatient records.

These are not necessarily in conflict. A product can hold a certificate at one level, complete more milestones later and describe itself loosely in marketing. But a buyer cannot tell which is true today from the wording alone. The ABDM and ABHA integration guide explains the milestones. Ask any vendor, in writing, for the certificate showing which levels are complete, for which product version, and whether those features are part of your quoted price. Do the same with us: OneCity is ABDM ready and is not certified.

The same test applies to NABH. A certificate on the NABH website is stronger than a line that says software is compliant with NABH. Medixcel's FAQ says its software is NABL and NABH compliant and is run by compliant labs and hospitals. The certificate on the NABH list is the better proof, and it is the one to ask for.

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 admission

Both products cover appointments and registration. OneCity registers the patient with an ABHA and a UHID and moves them into IPD and admissions with bed allocation and nursing orders. Medixcel documents OPD, IPD, antenatal care and day observation, with a Health ID link inside its ABDM workflow.

Ward, theatre and critical care

This is where the documented lists differ most. OneCity documents operating theatre, nursing and ICU and critical care modules. In the Medixcel help centre we saw surgery recommendation and accident and emergency, but did not see OT, nursing or ICU as separate menus. That may only mean the help centre groups them differently, so ask Medixcel to show an operation, a nursing round and an ICU chart.

Lab, pharmacy and stores

Both cover a laboratory information system, pharmacy and inventory. Medixcel's pharmacy help page shows bill status and dispense status filters and an Excel export, which is a good sign of working reports. Its imaging is a separate product, so ask whether the price you are quoted includes it.

Billing, insurance and the final bill

OneCity has an insurance and TPA module for cashless claims. We did not find a TPA or insurance claims menu in the Medixcel help centre. For a hospital where a large share of patients are insured, this is one of the first things to test in a demo, using a real preauthorisation.

People and accounts

OneCity documents a HR and payroll module with attendance, EPF, ESI and TDS. We did not find HR and payroll in Medixcel's documentation. Medixcel does list accounts management and management reports, so ask both vendors how a month end close works.

Deployment, backups and your data

The two products handle hosting differently. OneCity runs in the cloud, and a hospital that needs to run without internet should not pick it. Our guide to cloud based hospital software covers what an outage means and how to prepare for one. Medixcel says it hosts on Amazon AWS and also lists an on premise option, where the hospital carries the responsibility for its own server.

Two lines in Medixcel's compliance FAQ deserve a question. It says a weekly data backup is taken by default, with more frequent options available. For a hospital, a weekly backup could mean losing days of records after a failure. Ask what backup frequency and recovery time are in your contract, and what they cost. The FAQ also says SSL encryption can be enabled on request. Ask for it to be on by default in your agreement. The same questions apply to OneCity, and you should put them to us in writing.

On exit, Medixcel's FAQ states that information can be provided in XML and that JSON and REST APIs are supported. That is more than many vendors say in public. Whether your whole record set can be exported, how long it takes and what it costs are still contract questions. Our guide on vendor lock in and data ownership lists the clauses to ask for.

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, so ask both vendors about access control, audit trails, encryption and breach handling. Our DPDP Act guide for hospitals lists the questions.

Total cost, not the list price

Medixcel does not publish a hospital price on the pages we read. Capterra shows no price and no user ratings for it. TechJockey lists ₹24,000 a year for Medixcel EMR, with 3 reviews averaging 4.6 out of 5. That is the clinic EMR product, and it says nothing about what a 50 bed hospital would pay for the full hospital system with lab, pharmacy and billing. We do not build a total from it.

Ask for a written quote that names the price basis, the users or beds covered, GST, implementation, training, data migration and every add on such as imaging, LIMS or telehealth, which Medixcel sells as separate products.

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.

Which one fits which hospital

A hospital whose tender or TPA asks for NABH certified software

Medixcel holds the certificate today 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 with oncology, a mortuary, a transfusion service or a laundry to manage

Medixcel documents these areas in its help centre. Ask OneCity to show how it would cover the ones you run. It has blood bank and dialysis modules but we do not claim the same depth in every specialty.

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. Medixcel may still fit if its quote is reasonable and its certificates matter to you. Get a written quote from each for your bed count and modules.

A hospital with a large insured patient share or an in house HR team

OneCity documents insurance and TPA claims and HR and payroll modules. Ask Medixcel whether it covers them and at what price.

A hospital that wants its own server

Medixcel lists an on premise option. OneCity is cloud first, so this is a point in Medixcel's favour.

What to check if you are evaluating both

• Get the price basis in writing: subscription or licence, per user, bed or branch, with GST shown.
• Ask which modules you need, and get each vendor to name the module for each line, including imaging, LIMS and telehealth.
• Run one real admission to discharge, including an insurance bill, live on your own cases.
• Ask for the NABH certificate number, product name and edition, and check them on the NABH website.
• Ask which ABDM levels are complete, on which version, and whether they are in your quoted price.
• Ask for the backup frequency, recovery time and uptime terms in the contract, not only on the website.
• Ask for a sample export of your own test data in a structured format.
• Ask for two references from hospitals of your size and call them.

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 the certificates, the ABDM listing, the security documents and the range of clinical modules, Medixcel is ahead on public evidence and the page says so. Everything about Medixcel comes from its public pages, its help centre, the NABH website, an NHA release on the ABDM website and a listing site, read on 30 September 2026. We have not tested its software or spoken to its customers. Claims we cannot confirm are labelled as claims.

If you work at Plus91 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

Sources

NABH page for Medixcel HMIS (nabh.co). National Health Authority release of 8 February 2022 on ABDM integrated certificates (abdm.gov.in). The TechJockey listing for Plus91 Technologies (techjockey.com). The Plus91 home page, the MediXcel help centre and its Security and Compliance FAQ PDF on help.medixcel.in, a Plus91 press release on pr.com dated 31 January 2023, the LIMSwiki vendor page and the Capterra listing were also read. All were read on 30 September 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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