If you’re comparing Heidi Health, you’re comparing an ambient AI scribe: it listens, it drafts a note, you paste that note into whatever EHR you already run. That’s a clean, focused tool. Patient Square answers the same job from a different angle. It’s a scribe too, but the Copilot plan bundles a real EHR and front-office automation, so the note lands in a chart instead of your clipboard, and the front desk runs itself a little. Published pricing starts at $79/mo for the scribe, and the EHR is bundled from $119/mo on annual billing. The full ladder is on our pricing page.
So which one fits? It depends on whether you want a note drafter bolted onto your current stack, or one tool that does the note, the chart, and the front office together. Below: what Heidi is genuinely good at, where Patient Square pulls ahead, the price math, and the honest case for staying with Heidi.
Key takeaways
- Heidi is an ambient AI scribe: EHR-agnostic, specialty-flexible, with a free individual tier as of 2026.
- Patient Square is a scribe plus a bundled EHR (AI Copilot EHR) plus front-office automation, so the note has somewhere to go.
- Patient Square US pricing: Assist $99/mo ($79 annual, no EHR), Copilot $149/mo ($119 annual, EHR bundled), Autopilot $249/mo ($199 annual).
- The trade is scope. Heidi does one thing; Patient Square does three. If you love your current EHR, one thing may be all you want.
- Both draft solid notes. The split is how much of the visit you want automated, not note quality.
What Heidi Health is good at
Give Heidi its due. It’s a focused ambient scribe that does the core job well: it captures the conversation and hands back a structured note, fast, without asking you to change the EHR you already know. It’s EHR-agnostic by design, which is exactly what a clinician wants who has no intention of switching charts. And the free individual tier means a doctor can try it on a Tuesday afternoon without a contract or a card.
That’s a real product with a clear point of view. A solo clinician who’s happy with their current chart and just wants to stop typing at 9pm can pick Heidi up and feel the benefit the same day. Nothing here argues against that.
The question is whether a note drafter is the whole job you’re solving. If your evenings go to charting and your front desk is buried in intake and follow-up, one tool that does both might be worth a look. You can book a demo and see the note quality against your own visits before deciding.
Where Patient Square is different
Here’s the honest split. Heidi ends at the note. Patient Square keeps going.
Patient Square is an ambient AI clinical platform, live now, built around Practice Copilot. The scribe layer works like Heidi’s: it listens during the visit and drafts a structured SOAP note with ICD-10 suggestions and a prescription draft you review and sign. But the Copilot plan bundles AI Copilot EHR, a real electronic health record, so the note isn’t something you copy anywhere. It’s already in the chart. On the same plan, the front office gets automated too: intake, scheduling, and the follow-up busywork a scribe never touches.
That’s the difference in one line. A scribe gives you a note and a clipboard. Patient Square gives you a note, a chart it lives in, and a front desk that runs a little on its own.
If you already have an EHR you love and won’t leave, that bundle is more than you need, and we’ll say so plainly below. But if you’re shopping for a scribe because your whole workflow is a mess, the wider tool is the point. Book a demo and check whether the EHR and front-office pieces solve problems you actually have.
What Patient Square costs
We publish the price. No sales cycle to learn what you’ll pay.
Three US tiers, per clinician:
| Tier | Monthly | Annual (per mo) | What you get |
|---|---|---|---|
| Assist | $99 | $79 | Documentation essentials, no EHR |
| Copilot | $149 | $119 | Scribe plus AI Copilot EHR bundled, front-office automation |
| Autopilot | $249 | $199 | Everything, deepest automation |
The scribe starts from $79 a month on annual billing. The bundled EHR starts from $119 a month on annual billing, which is the Copilot tier. A 7-day free trial runs on the scribe, so you can test note quality on a real clinic week before committing.
Heidi’s free individual tier is genuinely cheaper for a solo clinician who wants documentation and nothing else, and we won’t pretend otherwise. What $119 a month buys that free doesn’t is the EHR the note lands in and the front-office automation around it. Don’t want those? Don’t pay for them. Do want them? One bundled price is simpler than a scribe subscription plus a separate EHR bill. The full ladder with no asterisks sits on the pricing page.
When Heidi is the better choice
There’s a clean case for staying with Heidi, and it’s worth stating.
Choose Heidi if you already run an EHR you’re happy with and have no plans to move. Its EHR-agnostic design and free tier are built for exactly that clinician: someone who wants a note drafter on top of a stack that already works, not a new platform. Buying a bundled EHR you’ll never switch to is money spent on a feature you leave idle. In that situation, a focused standalone scribe is the right call.
Choose Patient Square if the scribe is only half your problem. If your charting and your front office both eat time, and you’d rather buy one tool than wire a scribe to a separate EHR and a separate scheduling system, the bundle earns its price. The Copilot plan puts the note in a chart and automates the desk in one subscription.
The split is scope, not quality. Both tools draft good notes. Heidi assumes you have the rest of your stack sorted. We assume you might not.
Want to see the rest of this market? Freed alternatives covers the solo-clinician scribe incumbent, and Suki alternatives looks at the voice-assistant angle.
How to decide in a week
Skip the feature-grid staring contest and run the real test:
- Name your actual problem. Just charting? A scribe alone fits, and Heidi’s free tier is easy to try. Charting plus front-office chaos? Weigh the bundle.
- Count what you’d have to buy separately. If a Heidi-style scribe means also paying for an EHR and scheduling tools, add those bills before you compare.
- Trial on real visits. Run Patient Square’s 7-day scribe trial across your busiest clinic days and judge note quality against your own edits.
- Settle the audio question with every vendor: stored or not, and for how long.
- Check EHR fit. Keeping your chart? Confirm the scribe drops in cleanly. Open to switching? Look hard at the bundled EHR on the demo.
The price ladder with no fine print is on the pricing page. Book a short demo to see the note against your own visit type, then run the trial on a real week. If a note drafter is the whole job, a focused scribe wins. If the note is only part of the mess, the bundle is what you’re actually shopping for.