Sunoh.ai is a solid scribe if you live inside eClinicalWorks. It’s also $149 per user per month and tied to that ecosystem, sold as an add-on rather than a standalone tool. If you want a lower published price, EHR flexibility, or a bundled chart, the alternative worth naming isn’t locked to one vendor. Patient Square’s scribe is $79 per clinician per month on annual billing, undercutting Sunoh’s rate, exports to any EHR, and bundles an AI EHR from $119/mo at the Copilot tier. See the ladder on our pricing page, or book a demo.
This isn’t a Sunoh takedown. For an eCW shop, it’s a good fit. Below: the price and ecosystem tradeoffs, a side-by-side, and when staying in eCW’s world is the right call.
Key takeaways
- Sunoh.ai publishes $149 per user per month, a limited-time rate down from $199, as an eClinicalWorks add-on with a free trial.
- Patient Square’s scribe starts at $79 per clinician per month on annual billing, below Sunoh’s published rate, with unlimited notes.
- Sunoh is built for the eCW ecosystem. Patient Square’s note exports EHR-ready (PDF, HL7, FHIR) and the Copilot tier bundles its own AI EHR.
- Both are flat monthly, not per encounter. Sunoh’s older per-visit pricing no longer appears on its site.
- When you’re staying on eClinicalWorks, Sunoh’s native fit is a real edge. We say so below.
How does Sunoh.ai compare to Patient Square?
Here’s the side-by-side. Sunoh’s price is published, so this is a clean comparison, not an estimate.
| Sunoh.ai | Patient Square | |
|---|---|---|
| Published price | $149/user/mo (limited-time, from $199) | $79 / $119 / $199 per clinician/mo, annual |
| Entry price | $149/mo | $79/mo (Assist) |
| Ecosystem | eClinicalWorks add-on | EHR-agnostic; exports to any EHR |
| Bundled EHR | No; extends eCW | Yes, AI Copilot EHR from $119/mo |
| Clinical output | SOAP note, ambient capture | SOAP note, ICD-10 suggestions, Rx draft |
| Best fit | Practices committed to eCW | Practices wanting a lower price or EHR flexibility |
If you’re not locked to eCW, book a demo and see an EHR-agnostic scribe on your own visits before you buy into one ecosystem.
Price and ecosystem: what’s the real tradeoff?
Two things separate these tools: the number and the lock-in.
On price, this is a rare clean comparison, because both vendors publish. Sunoh.ai lists $149 per user per month on its site, a limited-time rate down from $199, with a free trial. That’s transparent, and we’ll give it credit for that. Patient Square’s scribe starts at $79 per clinician per month on annual billing, below Sunoh’s published rate, with unlimited visits and notes. One older wrinkle: Sunoh’s 2024 marketing referenced a per-visit rate, but the current site shows the flat monthly figure, so treat it as flat monthly today.
On ecosystem, Sunoh is built and sold within eClinicalWorks. It’s a paid add-on, not a bundled feature, and its tightest fit is for eCW practices. That’s an advantage if you run eCW and you’re staying. It’s a risk if you don’t, or if you might switch EHRs later, because your scribe is tied to a system you may leave.
Patient Square stays EHR-agnostic. The note exports EHR-ready (PDF, HL7, FHIR), so it works with whatever chart you keep, and the Copilot tier bundles its own AI Copilot EHR from $119/mo if you’d rather have the record system in the same subscription. Read the whole ladder on the pricing page.
What do you keep leaving Sunoh for an EHR-agnostic scribe?
The trade is native fit versus flexibility.
You give up eCW-native workflow depth. Sunoh lives inside eClinicalWorks, so for an eCW practice, the integration is tighter than a general-purpose tool will match. If eCW is your permanent home, that fit is worth something.
What you keep is portability and a lower entry price. The AI Medical Scribe by Patient Square is one module inside Practice Copilot, and it listens during the visit and hands back a structured SOAP note, ICD-10 suggestions, and a prescription draft, ready to review and sign about two minutes after the visit. The note exports EHR-ready (PDF, HL7, FHIR), so switching EHRs doesn’t strand your scribe, and the Copilot tier bundles a chart if you want one. Audio is processed in memory and discarded once the note drafts. A BAA is available for every customer.
If you’re comparing more scribes, DeepScribe alternatives covers the enterprise, sales-led end, and Nabla alternatives covers the free-tier-and-caps end. If the eClinicalWorks total cost is the question behind the Sunoh question, eClinicalWorks cost breaks down what eCW plus its add-ons actually runs per month.
When is Sunoh.ai the better choice?
It’s about your EHR commitment.
Choose Sunoh.ai if you’re already on eClinicalWorks and staying. A scribe built for your exact ecosystem fits the workflow more natively than a general-purpose tool can, and that native fit is a real reason to keep it inside the eCW stack.
Choose an EHR-agnostic scribe if you want a lower published price, the freedom to change EHRs without losing your scribe, or a bundled record system in one subscription. If you’re not permanently married to eCW, that flexibility is worth more than ecosystem-native depth you may not keep. And at $79 to start, the entry price is lower too.
How to decide in a week
Run the real test.
- Decide how committed you are to eClinicalWorks. If it’s your permanent EHR, Sunoh’s native fit is a strong reason to stay in the ecosystem.
- If you’re EHR-flexible or price-sensitive, shortlist EHR-agnostic tools with published prices.
- Compare the published numbers directly. Both vendors publish, so there’s no estimate to hedge here.
- Check EHR export: PDF, HL7, FHIR, so your scribe survives an EHR change.
- Settle the audio question: stored or not, and for how long. Ours is never stored.
The receipts behind our claims are on the security page, and the full price ladder with no asterisks is on the pricing page. Book a short demo to see the note against your own visit type, then run the 7-day trial on a real clinic week. If eCW is your home for good, Sunoh’s native fit is your edge. If you want a lower price and EHR freedom, the EHR-agnostic route is what you’re shopping for.