AI medical scribe pricing ranges from free access for eligible clinicians to public per-clinician subscriptions and custom enterprise quotes. The real comparison is dated price plus volume limit, required tier, EHR handoff, contract, and renewal. The rate card below was rechecked on August 11, 2026. It separates verified public numbers from unavailable ones instead of turning old screenshots into facts.
Key takeaways
- Doximity is free for eligible verified US clinicians. Freed’s annual equivalents run $39, $59, and $104 by tier. Sunoh shows $149 as a limited-time rate.
- A public price is not enough. Record caps, coding, EHR handoff, implementation, contract, and renewal beside it.
- Cost per note uses your completed reviewed-note count. Don’t treat a busy-clinic example as a guaranteed return.
- Patient Square’s annual plans are about 20% below month to month; prove workflow fit before taking the term discount.
What do AI medical scribes actually cost in 2026?
These are the public US numbers we could verify from first-party pages on August 11, 2026. A promotion is labelled as a promotion. An inaccessible or ambiguous price stays out.
| Vendor | Current public price | Annualized amount | Limit or tier fact that changes the comparison | Verification |
|---|---|---|---|---|
| Doximity Scribe | $0 for eligible verified US physicians, NPs, PAs, CRNAs, and listed students | $0 | Requires a verified account; notes and transcripts are available for 29 days; vendor says review every note | Doximity Help Center, rechecked Aug 11 |
| Freed Starter | $59 monthly or $39 monthly equivalent annually | $468 on annual billing | 40 notes per month | Freed pricing, rechecked Aug 11 |
| Freed Core | $79 monthly or $59 monthly equivalent annually | $708 on annual billing | Unlimited note generation | Freed pricing, rechecked Aug 11 |
| Freed Premier | $119 monthly or $104 monthly equivalent annually | $1,248 on annual billing | Adds EHR push and ICD-10/CPT coding | Freed pricing, rechecked Aug 11 |
| Twofold Personal | $69 list price; page also shows a limited first-month promotion | Use the written renewal quote, not the promotion, before annualizing | Page names unlimited notes, templates, and CPT/ICD coding; group price is custom | Twofold first-party page, rechecked Aug 11 |
| Sunoh | $149 per user per month, labelled limited time; $199 crossed out | $1,788 if the $149 rate lasts 12 months | Ask when the promotion ends and what renewal costs | Sunoh pricing, rechecked Aug 11 |
| Patient Square Assist | $99 monthly or $79 monthly equivalent annually | $948 on annual billing | Unlimited visits and notes; documentation tier | Live Patient Square pricing, rechecked Aug 11 |
| Patient Square Copilot | $149 monthly or $119 monthly equivalent annually | $1,428 on annual billing | Adds bundled AI Copilot EHR and WhatsApp messaging | Live Patient Square pricing, rechecked Aug 11 |
| Patient Square Autopilot | $249 monthly or $199 monthly equivalent annually | $2,388 on annual billing | Adds named receptionist, follow-up, support, and analytics modules | Live Patient Square pricing, rechecked Aug 11 |
This isn’t the whole market. It is a dated, reproducible set of public rates. Quote-only products belong in the same table only after you have a written quote with term, seats, implementation, limits, add-ons, and renewal.
Patient Square publishes both billing paths in the table. If the Assist scope fits your work, Start your 7-day free trial before choosing the annual commitment. Review the same real visits you would use to compare any other finalist.
Why is the cheapest tier rarely the real price?
Because the cheap tier may have a volume, eligibility, term, or feature condition. Freed Starter is $39 a month on annual billing but caps use at 40 notes per month. Doximity is free only for the eligible roles it lists and requires a verified account. A limited-time promotion may renew at another number. The price that matters is the one for your role, completed-note volume, required handoff, and contract.
The second condition is scope. Freed’s page places EHR push and ICD-10/CPT coding in Premier. Patient Square includes ICD-10 suggestions and EHR-ready export (PDF · HL7 · FHIR) on every plan, while the bundled AI Copilot EHR begins on Copilot. Export isn’t native write-back into every EHR. Two products with the same headline can therefore buy different handoffs.
Twofold’s current page names CPT and ICD coding in Personal but also shows a first-month promotion. Ask for the post-promotion and renewal price in writing before calling it cheaper. Doximity’s free tier may be the honest better fit for an eligible clinician who only needs a portable note. We’d rather say that plainly than make a paid tier win every row.
What should you do with a quote-only price?
Don’t call it hidden and stop there. A custom quote can price integration, implementation, governance, support, and scale that self-serve software does not include. The mistake is comparing that quote with a monthly sticker before normalizing scope.
Ask for a line-item quote with billable unit, clinician count, usage limit, required tier, interfaces, implementation, training, support, contract length, renewal rule, overage, seat reduction, cancellation, export, and taxes. Annualize it. Then compare it with the same rows for public plans. Our opinion: a blank renewal rule is a bigger warning than a missing website price.
What does an AI scribe cost per completed reviewed note?
Use completed, reviewed notes as the denominator, not booked visits. As a worked example only, take a clinician who finishes 440 reviewed notes in a month. At the $79 annual Assist rate:
$79 ÷ 440 completed reviewed notes ≈ $0.18 per note.
Buyer-entered completed and reviewed notes
At the $79 annual Assist rate
Rounded at the $99 month-to-month Assist rate
At that volume, the subscription works out to about 18 cents per completed note on annual Assist or 23 cents month to month. Patient Square’s output is a structured SOAP note, ICD-10 suggestions, and a prescription draft for clinician review. The arithmetic says nothing about note quality, review time, consent, or EHR handoff. Those are separate trial measures.
Now run your own denominator. A therapist with 80 reviewed notes and an urgent-care clinician with 500 have different unit costs. Add any mandatory implementation, interface, support, or add-on amount before dividing. A free product also has a workflow cost if its handoff or corrections consume staff time.
One more honest caveat, because it changes how you should read every ROI pitch in this category, ours included. When the Peterson Health Technology Institute reviewed early scribe deployments in March 2025, it reported that health systems had not yet established a clear financial impact on measures such as visit capacity or billing-code accuracy. The independent case for a universal dollars-in, dollars-out return is still thin. That is an argument for a published price you can reason about, not against it. If the returns are not established, the last thing you want is a subscription whose cost you cannot see until a sales call and a renewal number you learn later. A number on the page lets you size the bet honestly.
What changes your bill after year one?
Four things, and you should get all four in writing during the trial:
- The month-to-month versus annual gap. Ask what the price becomes at renewal and what the annual commitment saves. Patient Square publishes both: $79 versus $99 for Assist, $119 versus $149 for Copilot, and $199 versus $249 for Autopilot.
- Per-seat creep in a group. A solo price times ten is not a group price, and a “custom” group quote can drift up at renewal if it was never anchored. Get the per-seat number and the renewal terms together.
- Feature upsell once you’re dependent. The cheap tier that gets you hooked may not include the coding or integration you’ll want by month three. Price the tier you’ll actually live on, not the one in the ad.
- Promotion expiry. A crossed-out rate or first-month offer needs a written start date, end date, renewal rate, and eligibility rule.
Which AI scribe is the best value?
It depends on your volume and what you need the note to do. For some clinicians, the honest answer is not us:
- Eligible clinician who needs a portable note at $0: Doximity may be the better narrow fit. Verify its role eligibility, 29-day note retention, and copy-to-EHR workflow.
- Low volume with predictable limits: Freed Starter is $39 monthly equivalent on annual billing with a 40-note cap.
- Coding-first: Twofold names CPT and ICD coding in Personal, but confirm the post-promotion and renewal price before comparing.
- Busy primary care or specialty, wants codes plus an Rx draft: every plan includes ICD-10 suggestions and a prescription draft you review and sign, from $79/mo on the annual Assist plan. Move up to Copilot for a bundled AI EHR and WhatsApp, or Autopilot for an AI receptionist and follow-ups. The draft never goes to a pharmacy, and the sign-off stays yours, the way it is today.
- Large health system needing deep EHR integration: a sales-led enterprise vendor may be the right conversation. Expect a scoped quote, not a self-serve rate.
The cheapest way to find your answer is to stop reading price tables and run the same real-workflow test on two finalists. Start your 7-day free trial and read every draft, measure review time, test the handoff, and keep a failure log. The honest roundup of the leading scribes supplies the trial scorecard; the EMR cost guide shows how to annualize implementation and staff work beside the subscription.
How Patient Square fits your existing record system
In the US, an established practice can keep its current EHR as the system of record while Practice Copilot works alongside it. A new practice can instead use the bundled Patient Square EHR, available from the Copilot tier, as its system of record. Neither path promises automatic filing or write-back into a named third-party EHR.