Top 4 POS & Payment Systems for Medspas in theU.S.

Medical spas need point-of-sale and payment platforms that handle not only transactions but also appointment scheduling, client records, memberships, and more. Below are the top four systems widely used by U.S. medspas—a mix of industry-specific software and general POS solutions—along with their features, costs, and suitability.

1) Vagaro

Overview
Vagaro is an all-in-one spa and salon management platform that many medspas use. It includes appointment scheduling, client management (with intake forms and SOAP notes via an add-on), built-in POS and payment processing, inventory, marketing tools, and membership/loyalty features. It’s known for robust features at a relatively accessible price point.

Services & Features

• Online booking and marketplace listing

• Calendar and resource/room scheduling

• Staff payroll, email/SMS reminders

• Loyalty points, gift cards, packages, and memberships

• Forms add-on for custom intake and SOAP notes

• HIPAA-friendly forms options for storing client health data

All-in-One vs. Integrations
Largely all-in-one: POS, payments, scheduling, and basic CRM/marketing are native. Accounting and similar systems can be integrated. You use Vagaro’s built-in merchant services (no external processors).

Costs

• Software: Starts around $30/month for one user/location; +$10/month per additional bookable staff user. Month-to-month (no long-term contract).

• Processing: Tiered. Smaller volumes see flat card-present pricing around 2.6–2.75%. Higher-volume merchants can qualify for lower rates (around 2.2% + a small per-transaction fee). Keyed or card-on-file transactions are higher.

• ACH & Financing: No native ACH. No built-in patient financing; external options like Cherry or CareCredit can be recorded as a custom tender.

Membership & Recurring
Strong membership and package management, auto-pay on cards, and recurring invoices.

Key Benefits
Comprehensive for the price, fast to deploy, effective membership and package tools, fewer vendors to manage.

Drawbacks
Card-only focus (no native ACH), can’t bring your own processor, medical charting is basic versus a dedicated EMR, add-ons can increase monthly cost.

Best For
Small to mid-sized medspas and single-location practices seeking a practical all-in-one without a big software budget.

2) Mindbody (Booker)

Overview
Mindbody is a veteran platform in fitness, salon, and spa management (including Booker for spa/salon). It’s a comprehensive, enterprise-grade system covering online scheduling, POS, client management, marketing, and more. Common with larger medspas and wellness centers; broad functionality at a higher price point and complexity.

Services & Features

• Online appointment/class booking, staff and room scheduling

• Client profiles with notes, inventory and retail POS

• Marketing tools, client mobile app, advanced reporting

• Strong membership/contracts, credits, and multi-location support

• Intake forms and image attachments (not a full EMR)

All-in-One vs. Integrations
Mostly all-in-one with an integrations marketplace and open API. Requires contract and onboarding and is a heavier lift to implement.

Costs

• Software: Typically mid-to-high hundreds per month depending on tier and add-ons; annual contracts are standard.

• Processing: Requires Mindbody Payments at fixed, published rates (e.g., ~2.75% card-present; ~3.5% + $0.15 card-not-present). You generally cannot use your own merchant account.

• ACH & Financing: No native ACH for client purchases. Patient financing (CareCredit, Cherry) is handled outside the system.

Membership & Recurring
Very strong. Built for recurring memberships, contracts, and packages with auto-billing and credit tracking. Multi-location membership access options.

Key Benefits
Feature-rich and scalable: robust scheduling, reporting/analytics, add-ons, and multi-site support. Well suited for high-volume operations.

Drawbacks
Higher software cost and contract commitment, steeper learning curve, limited medical charting, and locked-in processing rates.

Best For
Established or multi-location medspas that will use the breadth of features and can budget for it.

3) Square (Square Appointments)

Overview
Square combines a modern POS with an appointments module. It’s not medspa-specific but is very popular with newer or smaller medspas for its simplicity, low startup cost, and integrated ecosystem.

Services & Features

• Online booking site or widget, calendar management

• POS for services and retail, inventory, client profiles

• Card on file, automated reminders, gift cards

• Optional email marketing and loyalty add-ons

All-in-One vs. Integrations
Quasi all-in-one for scheduling and payments, very easy to set up on iPad/phone. Medspas often add a separate EMR or forms tool. APIs and an app marketplace are available.

Costs

• Software: Free single-staff plan; paid tiers per location add more features. No contract.

• Processing: Transparent flat rates: in-person typically ~2.6% + per-transaction fee; online 2.9% + $0.30; keyed/card-on-file ~3.5% + $0.15. High-volume custom pricing possible.

• ACH & Financing: ACH via Square Invoices at a low percentage fee, useful for high-ticket packages. Installments available through built-in buy-now-pay-later (Afterpay).

Membership & Recurring
Can run recurring charges and sell packages, but membership management is basic (no automatic entitlement tracking).

Key Benefits
Fast to launch, minimal overhead, intuitive UI, broad add-on ecosystem, ACH invoices can cut fees on large tickets, built-in BNPL.

Drawbacks
Not medspa-specific, no EMR, limited membership tooling, flat card pricing can be expensive at scale.

Best For
New, small, or budget-conscious medspas and solo injectors that need speed and simplicity and can manage clinical documentation separately.

4) Clover

Overview
Clover is a hardware-forward POS from Fiserv with an app marketplace. Medspas choose it when they want dedicated terminals and a traditional merchant account with negotiable pricing.

Services & Features

• Countertop and handheld terminals, POS and inventory

• Customer database, virtual terminal, invoices/payment links

• Appointment scheduling via third-party apps from the Clover App Market

• Add-ons for loyalty, feedback, and marketing

All-in-One vs. Integrations
Hardware-centered and modular. Core payments and POS are native; scheduling and some CRM needs are added via apps. Plays well with accounting/payroll integrations.

Costs

• Software & Hardware: One-time hardware purchase or lease; monthly software plans range from basic payments to full service/appointments bundles.

• Processing: Traditional merchant account (Fiserv or bank). Rates vary: interchange-plus or packaged flat rates; high-volume merchants can negotiate.

• ACH & Financing: No standard ACH in POS flow; patient financing handled outside the system.

Membership & Recurring
Cards on file and recurring charges via virtual terminal or apps. Full membership entitlement tracking typically requires an add-on.

Key Benefits
Durable, professional hardware; potential for lower effective rates at volume; modular add-ons; more control over the payments stack.

Drawbacks
Scheduling requires third-party apps, more moving parts and possible contracts, not medspa-specific, and setup can be more involved.

Best For
Growing medspas that want negotiable processing, dedicated front-desk hardware, and are comfortable assembling scheduling and other needs via apps.

Bottom Line

There’s no single best choice.

• Vagaro and Mindbody minimize vendor sprawl and cover most workflows end-to-end.

• Square minimizes cost and friction to launch.

• Clover can reduce card costs at volume and deliver a robust front-desk experience.

Choose based on your service mix, average ticket size, membership model, number of providers and rooms, and how much control you want over processing versus the convenience of an all-in-one.