An ambient AI medical scribe with a published India price costs ₹1,499–1,599 per doctor per month in 2026, but the headline number hides what’s inside it. EkaScribe Pro is ₹1,499, billed monthly, and that buys the scribe alone. AI Medical Scribe by Patient Square is ₹1,599 on annual billing (Assist tier, ex-GST), so ₹1,887 on the invoice once 18% GST is added, and that one price carries the scribe plus practice tools. Pair EkaScribe with an EMR to reach the same job and the eka stack runs ₹2,600–3,000 a month. Augnito publishes no price at all. US tools bought from India convert to roughly ₹7,500–14,200 a month.
That paragraph is, as far as we could verify, the entire published market. Search this exact question and you’ll get cost guides in dollars, written for clinics that bill Medicare. This page is the rupee version. Every number is one we could verify first-party in June 2026, computed conversions are labelled as computed, and the GST arithmetic is done in the open.
Key takeaways
- India-native published prices: EkaScribe Pro ₹1,499/doctor/month scribe-only; AI Medical Scribe by Patient Square ₹1,599/doctor/month on annual billing, Assist tier (ex-GST, or ₹1,887 with 18% GST), bundling scribe plus practice tools.
- Compare the full stack, not just the scribe row: EkaScribe ₹1,499 plus an EMR (~₹1,562/mo) puts the eka stack at ₹2,600–3,000/mo, above our bundled entry price of ₹1,599.
- Augnito publishes no price. Its India App Store listing shows purchases of ₹1,199, ₹3,299, and ₹11,900 with billing periods not labelled.
- US imports convert to ₹7,500–14,200 a month at June-2026 rates (₹95 to the dollar), which is five to nine times the India-native price.
- Healthcare services are GST-exempt, so most clinics can’t claim back the 18% GST on software. Budget the with-GST number, always.
EkaScribe Pro scribe-only, the India-native published price, per doctor per month billed monthly.
AI Medical Scribe by Patient Square, Assist annual, scribe plus practice tools, ex-GST, per doctor per month.
How much US imports cost versus the India-native price at June-2026 rates.
The 2026 rate card: every price you can verify in rupees
The rate card below covers the scribes Indian doctors actually shortlist, plus our own ladder as a normal row. “Published” means the vendor prints the number where anyone can read it. “Computed” means we did arithmetic on something the vendor printed, and we show the arithmetic. Nothing here is an estimate.
| Tool | ₹ / doctor / month | What that number is | Free tier / trial |
|---|---|---|---|
| EkaScribe Pro (eka.care) | ₹1,499 billed monthly · ≈ ₹1,244 on annual billing (computed from the published “save 17%“) | Scribe only; published on ekascribe.ai, marketed as “₹50 a day”; EMR is a separate eka plan | Free tier: 5 consultations/day; paid Pro above that |
| Augnito | Not published. India App Store purchases: ₹1,199 · ₹3,299 · ₹11,900 (billing periods not labelled) | augnito.ai/pricing redirects to a contact-sales form; the App Store figures are the only verifiable rupee numbers | 7-day free trial |
| Freed (US import) | ≈ ₹7,500 (Core, $79) · ≈ ₹11,300 (Premier, $119) | Computed from published USD at ₹95 per dollar; Freed publishes no India price | 7-day trial, no card |
| Sunoh.ai (US import) | ≈ ₹14,200 ($149 promotional; $199 list ≈ ₹18,900) | Computed from published USD at ₹95 per dollar; no India price | Free trial, length unstated |
| AI Medical Scribe by Patient Square: Assist | ₹1,599 annual · ₹1,999 monthly · ₹1,999 list | Scribe plus scheduling and practice tools; published, ex-GST, ”+ 18% GST” disclosed beside every number | 7-day free trial |
| AI Medical Scribe by Patient Square: Copilot | ₹2,399 annual · ₹2,999 monthly · ₹2,999 list | Assist plus WhatsApp messaging and AI Copilot EHR; published, ex-GST, ”+ 18% GST” disclosed | 7-day free trial |
| AI Medical Scribe by Patient Square: Autopilot | ₹3,999 annual · ₹4,999 monthly · ₹4,999 list | Copilot plus AI Receptionist, AI Follow-ups, priority support; hospitals custom | 7-day free trial |
Last verified: June 11–12, 2026, against each vendor’s own page. Conversions use ₹95 to the US dollar, the early-June 2026 rate. Recheck the rate before you budget, because it moves.
Three rows deserve a closer look.
Start with Augnito’s missing number. The pricing page redirects to a contact-sales form, so the only rupee figures anyone can verify are the in-app purchases on its App Store (India) listing: ₹1,199, ₹3,299, ₹11,900. The 1× / roughly-3× / roughly-10× spacing looks like monthly, quarterly, and annual, but the listing doesn’t label the periods, so that mapping is our inference, not their price. If ₹11,900 really is a year, it computes to about ₹992 a month, which would be competitive. An unpublished price isn’t really a price. It’s an opening position, and those move once the vendor hears your clinic size. The listing tells you one more thing. It’s titled “Augnito Medical Dictation App”. Dictation means you speak the note. An ambient scribe listens to the consultation itself. Different categories, frequently confused.
Then the eka math: ₹1,499 billed monthly, framed by eka as ₹50 a day. The published 17% annual saving computes to roughly ₹1,244 a month. The free tier is real, 5 consultations a day, every day, and there’s a section below on when that free tier is honestly the right answer.
Last, our own rows. AI Medical Scribe by Patient Square is an ambient AI medical scribe that builds a live transcript as you speak and hands back a structured SOAP note, ICD-10 suggestions, and a prescription draft the moment the visit ends, ready to review and sign. (New to the category? Here’s how an ambient scribe actually works.) The Assist tier at ₹1,599 is also doing more than the EkaScribe row beside it: EkaScribe ₹1,499 is scribe-only, while our entry price bundles the scribe with scheduling and practice tools that eka sells as a separate EMR plan. The Copilot and Autopilot tiers add WhatsApp messaging, the AI Copilot EHR, AI Receptionist, and follow-ups — all built on the same core scribe. No per-note metering at any tier, and the Assist-to-Autopilot ladder differs only in what each tier adds, not in the underlying product.
The India pricing page shows the whole ladder with the + 18% GST note beside every number, and every plan starts with a 7-day free trial. Run it against a real clinic week, not a demo script.
Why do US scribes cost five to nine times more in India?
US scribes cost five to nine times more here because they were priced for a different healthcare economy and never re-priced for this one. Freed’s Core plan is $79 a month; Sunoh’s single plan is $149 promotional ($199 list). At ₹95 to the dollar that’s ₹7,500 and ₹14,200. Against EkaScribe’s ₹1,499, those are multiples of 5× and 9.5×. Freed’s $59 Starter does convert to a friendlier ₹5,600, but it caps you at 40 notes a month, which a busy OPD exhausts in days.
Three structural reasons sit underneath that.
The first is that they price against US alternatives. A US clinic weighs $79 against a human scribe’s salary or another hour of after-hours charting at US wages. Indian OPD economics never entered that spreadsheet: 60-patient mornings, consultations a BMJ Open review of 67 countries clocked at about two minutes.
Second, you carry the exchange-rate risk. A dollar subscription floats. At ₹95, Sunoh’s $149 is about ₹14,200; if the rupee moves five rupees, your software bill moves about ₹750 a month and nobody emails you about it. A rupee price holds still. A dollar price rides the currency market.
Third, the product wasn’t built for your consult. Freed’s own multilingual page claims 90+ languages and names 15, none of them an Indian language. For a Hinglish OPD, the language column disqualifies a tool before the price column gets a vote.
For context, here’s what Indian clinics already pay for practice software. This is the budget any scribe actually competes with:
| Clinic software (context, not scribes) | Published price | Monthly equivalent |
|---|---|---|
| Practo Ray | ₹11,988 + GST/yr (Atom) · ₹17,988 + GST/yr (Clinic Management); third-party listing, and Practo’s own plan pages weren’t reachable for first-party verification | ≈ ₹999–1,499 + GST (computed) |
| HealthPlix EMR | ₹11,999/yr (Pro) · ₹17,999/yr (Elite), published | ≈ ₹1,000–1,500 (computed) |
The Indian clinic-software wallet runs about ₹1,000–1,500 per doctor per month. Sunoh’s converted monthly price (≈ ₹14,200) is more than HealthPlix’s published price for an entire year (₹11,999). The India-native scribes, eka’s and ours, were built to sit inside the existing wallet, not to replace it with a new one.
What does 18% GST mean when a clinic buys software?
GST on a software subscription is 18%, and Indian B2B pricing is conventionally displayed ex-GST. Practo Ray’s plans, for instance, are listed ”+ GST”. So the number on the pricing page is not the number on the invoice. Here’s ours, worked once in the open: Assist annual is ₹1,599 + 18% = ₹1,887 a month on the invoice; Copilot annual is ₹2,399 + 18% = ₹2,831. Same product family, GST on top, no per-note meter underneath.
Now the part most pricing pages skip: you probably can’t claim that 18% back. Healthcare services provided by clinical establishments and authorised medical practitioners are exempt from GST (the 2017 exemption notification), and a practice supplying only exempt services can’t take input tax credit on what it buys. The 18% on your software is a final cost, not a pass-through. If your clinic also has taxable revenue, say a retail pharmacy counter or aesthetic procedures, registration and partial credit may be in play, and that’s a conversation for your CA, not a blog.
Two practical rules fall out of this. Budget every software quote at price × 1.18. And ask any vendor whose page doesn’t mention GST whether the number is ex- or inclusive. That’s five seconds now versus an argument with your accountant in March. The converted US prices above carry a third question: how a US vendor handles Indian GST on a card payment is one more thing their pricing page doesn’t answer.
On the same 30-day arithmetic eka uses for its ₹50-a-day framing, our Assist annual price lands at about ₹53 a day ex-GST, or ₹63 a day with GST counted (₹1,887 ÷ 30). That day’s rate carries the scribe and practice tools bundled.
Assist annual, the entry price on the pricing page, scribe plus practice tools.
The same plan once 18% GST is added, what the clinic actually pays.
The with-GST monthly cost on the same 30-day basis eka uses (₹1,887 divided by 30).
What will you pay in year two?
Every intro price implies a regular price somewhere; the year-two question is whether you can read it. Our ladder is printed: Assist ₹1,999 list / ₹1,999 monthly / ₹1,599 annual; Copilot ₹2,999 / ₹2,999 / ₹2,399; Autopilot ₹4,999 / ₹4,999 / ₹3,999 — all ex-GST, same product family at every rung. Budget against the published number and treat any promotion as the bonus, not the baseline. EkaScribe handles this cleanly too: ₹1,499 is its standing scribe price, not a teaser. The pattern to be wary of, anywhere in software, is a discount hanging off an unpublished list price. There’s no way to know what you’ll renew at, and the vendor knows that.
Three questions worth putting to any scribe vendor in writing, before the first invoice:
- “What is the renewal price after the intro period?” If the regular ladder isn’t published, this answer IS the price.
- “Is the discount conditional on an annual lock-in?” Month-to-month exists on our ladder (₹1,999 Assist, ₹2,999 Copilot). Paying a bit more to stay free to leave is a legitimate choice, and a vendor with no monthly option is telling you something about renewals.
- “What happens to my notes if I stop paying?” Ours belong to the practice. Export or delete any visit, any time, and we never sell or share clinical data. That’s the real lock-in answer. Everything else is contract language.
When is EkaScribe’s free tier the right answer?
Sometimes it just is. Five consultations a day, free, indefinitely, is the cheapest legitimate way for an Indian doctor to learn what an AI scribe does to their documentation. Take the free tier when:
- Your documented volume is genuinely small. A part-time practice, a second-opinion clinic, or a new practice still filling its appointment book. Under 5 consults a day, a paid ₹1,499–1,599 subscription buys you little the free tier doesn’t.
- You already live in eka’s ecosystem. If eka’s doctor-side apps run your day, one more eka surface is low friction.
- ABHA-linked workflows matter to you today. eka.care’s platform has live ABDM integration; our ABDM integration is on the roadmap, not live. If that’s a today-requirement, eka is ahead of us on this axis, full stop.
Past 5 consultations a day the free tier becomes a ceiling, and the comparison turns into EkaScribe Pro ₹1,499 scribe-only against our Assist tier at ₹1,599 annual — scribe plus practice tools. If you already run an EMR you’re happy with and need only the scribe, EkaScribe’s standalone price is lower, and that’s the honest call; if you’d otherwise be buying an EMR too, our bundle is the cheaper way to reach the same stack. At that point the deciding axes usually aren’t price at all. For ours, a Hinglish OPD is the design case, not an edge case: English, Hindi, and 20+ Indian languages, code-mixing included, with the note always returned in clean clinical English. Prescriptions come back as a draft only, one you review, adjust, and sign, and the scribe never sends anything to a pharmacy; the safety check on interactions and dosing stays with you, exactly as it is today. And visit audio is never stored: processed in memory, discarded the moment the note drafts, with the full posture on our security page. We’ve written the longer three-way match-up, concessions included, in our EkaScribe vs Augnito comparison.
The rate card above is the post. Whatever you shortlist, make the vendor put their number in writing before the demo, GST treatment included, then make the tool earn the subscription on your own patients: start the 7-day free trial, run a real Tuesday OPD through it, and read every draft before you sign.
7-day free trial · month-to-month available · audio never stored. DPDP-aligned · No audio stored · SOC 2 in progress.