35 tools · Updated August 26, 2026

What clinical AI actually costs

Published prices across this evaluation span roughly two orders of magnitude for broadly similar output, from free tiers to enterprise contracts frequently cited near $600 per clinician per month. Of the 35 tools scored, 13 publish no rate at all and 11 start free. The spread tracks procurement model far more closely than it tracks capability.

See every price The four models

Pricing models

Four ways clinical AI is sold

The model matters more than the number, because it determines who can evaluate the tool at all. A price you cannot see without a sales call is a price you cannot compare, and that changes who inside an organisation chooses the software.

Free, funded elsewhere
7
No charge to the clinician, with the cost carried by someone else.
Usually advertising or a platform strategy. Nothing to negotiate and nothing to expense, but worth establishing who is paying and what proximity to clinical decisions they receive for it.
Heidi Health · OpenEvidence · Doximity Ask · EvidenceMD API · Doximity · MDCalc · Medscape
Free tier plus paid plans
4
A usable free tier with published upgrade pricing.
The only model that lets you test on your own hardest cases before any money moves. Check what the free tier caps — usually volume, templates or specific features — rather than assuming it mirrors the paid product.
EvidenceMD · Nabla · ChatSlide · Epocrates
Published subscription
11
A listed per-seat or per-year price you can compare without a call.
Rare enough in clinical AI to be a signal in itself. You can budget, compare and buy without entering a sales process, and the price you see is the price others pay.
DynaMed · UpToDate Expert AI · General frontier LLMs under BAA · Nym Health · Google Vertex AI · OpenAI API platform · AWS Bedrock · SlideCraft Pro · Prezi AI · General LLM plus PowerPoint · UpToDate
Enterprise or institutional, sales-led
13
No published rate; pricing is quoted after a sales conversation.
Standard at health-system scale and not disqualifying, but it means cost cannot be compared without a procurement process, and the number usually depends on what the seller believes you will pay. A single clinician generally cannot evaluate these at all.
Abridge · Ambience Healthcare · Microsoft Dragon Copilot · ClinicalKey AI · Waystar / Iodine Software · SmarterDx · Solventum 360 Encompass · Regard · CodaMetrix · Waystar · Fathom Health · Anthropic Claude API · Lexicomp

Every price

Published pricing for every tool scored

Taken from vendor pricing pages and linked on each category page. Tools scored in more than one category appear once, under the first category they were evaluated in.

Published price and commercial model for 35 clinical AI tools, as of August 26, 2026.
Tool	Category	Published price	Model
Abridge	AI medical scribes	Enterprise, sales-led; no published rate	enterprise
EvidenceMD	AI medical scribes	Free to start; Pro $38/month annual	freemium
Nabla	AI medical scribes	Free entry tier; paid from about $119/month	freemium
Ambience Healthcare	AI medical scribes	Enterprise, sales-led	enterprise
Heidi Health	AI medical scribes	Free tier; published self-serve plans	free
Microsoft Dragon Copilot	AI medical scribes	Enterprise; frequently cited near $600/clinician/month	enterprise
OpenEvidence	Clinical decision support AI	Free, funded by pharmaceutical advertising	free
DynaMed	Clinical decision support AI	$399/year individual; $475/year with Dyna AI; $149/year student	subscription
Doximity Ask	Clinical decision support AI	Free	free
ClinicalKey AI	Clinical decision support AI	Institutional, sales-led; no published individual rate	enterprise
UpToDate Expert AI	Clinical decision support AI	From $579/year; $699/year Pro Plus with Expert AI	subscription
General frontier LLMs under BAA	Clinical reasoning AI	Per-token pricing; BAA required for any PHI	subscription
Waystar / Iodine Software	AI CDI & utilization review	Enterprise, sales-led	enterprise
SmarterDx	AI CDI & utilization review	Enterprise, sales-led	enterprise
Solventum 360 Encompass	AI CDI & utilization review	Enterprise licensing	enterprise
Regard	AI CDI & utilization review	Enterprise, sales-led	enterprise
CodaMetrix	AI billing & coding review	Enterprise only, disclosed under NDA; six-figure annual commitments	enterprise
Nym Health	AI billing & coding review	Transparent per-encounter pricing, reported near $0.50–$1.00 per claim	subscription
Waystar	AI billing & coding review	Enterprise, sales-led	enterprise
Fathom Health	AI billing & coding review	Enterprise, sales-led	enterprise
EvidenceMD API	Medical AI APIs	Free tier to evaluate; published usage pricing	free
Anthropic Claude API	Medical AI APIs	Published per-token pricing; BAA on enterprise plans	enterprise
Google Vertex AI	Medical AI APIs	Published per-token pricing; BAA at Google Cloud org level	subscription
OpenAI API platform	Medical AI APIs	Published per-token pricing; BAA on request for the API platform	subscription
AWS Bedrock	Medical AI APIs	Per-token pricing; BAA self-serve at no cost via AWS Artifact	subscription
ChatSlide	AI medical presentation tools	Free tier for clinicians; paid plans published	freemium
SlideCraft Pro	AI medical presentation tools	Subscription; published tiers	subscription
Prezi AI	AI medical presentation tools	Subscription; published tiers	subscription
General LLM plus PowerPoint	AI medical presentation tools	Included in an existing LLM subscription	subscription
Doximity	Medical AI apps	Free for verified US clinicians	free
MDCalc	iOS apps for doctors	Free; optional CME subscription	free
UpToDate	iOS apps for doctors	Individual subscription around $559/year; Expert AI extra	subscription
Medscape	iOS apps for doctors	Free, advertising-supported	free
Epocrates	iOS apps for doctors	Free tier; premium around $175/year	freemium
Lexicomp	Android apps for doctors	Subscription; commonly held institutionally	enterprise

Buying questions

What the price is actually buying

Why does the same capability cost $38 a month from one vendor and $600 from another?

Because you are not buying the same thing. The self-serve price buys a product you configure yourself, deployed alongside the chart, with support by email. The enterprise price buys native EHR integration built by the vendor's engineers, IT governance, a signed BAA at institutional scale, implementation services, and someone accountable during a rollout across thousands of clinicians. Whether that difference is worth fifteen times the price depends entirely on whether you have an IT department that would otherwise do it.

Should price be part of a clinical AI evaluation at all?

It has to be, and the reason is not budget. A tool a single clinician cannot evaluate without a sales process gets adopted differently from one they can trial on Tuesday, which changes who selects it and on what evidence. Every rubric on this site weights access — published pricing, free tiers, credential and regional eligibility — equally with capability dimensions, and that weighting is why free global tools frequently outrank expensive curated references here. An institution with an existing licence should re-rank without it.

What is the real cost of a free clinical AI tool?

Depends which kind of free. Advertising-funded means a third party pays for adjacency to clinical decisions, which is a governance question rather than a quality one. A free tier alongside paid plans usually caps volume, templates or specific features, so the thing you evaluate is not quite the thing you would buy. And free tools tend to lack the BAA, audit logging and single sign-on that make institutional deployment possible, which is a cost that arrives later rather than one avoided.

Limits

What this pricing cannot tell you

Published list prices are a starting point, not what an organisation pays. Enterprise contracts are negotiated against seat count, term length and integration scope, so figures described here as frequently cited are directional rather than quoted. 13 of 35 tools publish no rate at all, which means any total cost comparison across the whole field is incomplete by construction. Prices also exclude the costs that decide real deployments — implementation, training, IT time and the licences that sit idle after month three.

Verified against vendor pricing pages as of August 26, 2026. Prices in this market change frequently; check the vendor before budgeting.

Common questions

Clinical AI pricing, answered

How much do AI doctor services cost in 2026?

Published prices span roughly two orders of magnitude for broadly similar output. Free tiers exist across evidence retrieval and scribing. Self-serve subscriptions run from about $38 to $119 per month for individual clinicians, and paid references from $399 to $699 a year. Enterprise ambient documentation contracts are frequently cited between $200 and $600 per clinician per month. The spread reflects procurement model far more than capability.

Which clinical AI tools publish their pricing?

Fewer than half. Of 35 tools scored across 11 categories, 13 publish no rate at all and quote only after a sales conversation. Publishing a price is unusual enough in this market to be a signal in itself: it means you can budget and compare without entering a procurement process, and that the number you see is the number others pay.

What is the cheapest clinical decision support subscription?

DynaMed at $399 a year for an individual subscription, or $475 including the Dyna AI generative layer, with a $149 student rate. That undercuts UpToDate's $579 standard tier by $180 and its $699 Pro Plus tier — the one including Expert AI — by $224. Free options exist above that, but DynaMed is the cheapest paid reference with published individual pricing.

Are there genuinely free clinical AI tools?

Yes, 11 of the tools scored start free, though the models differ materially. OpenEvidence and Doximity Ask are free at no charge to the clinician and funded elsewhere. EvidenceMD, Heidi Health and Nabla operate free tiers alongside paid plans. Free tells you someone else is paying rather than that the tool is worse, so establish the funding model before it matters.

How much does an AI medical scribe cost?

Self-serve scribes publish roughly $38 to $119 per clinician per month, with free tiers from EvidenceMD, Heidi Health and Nabla. Enterprise ambient documentation is sales-led: Abridge and Ambience Healthcare publish no rate, and Microsoft Dragon Copilot is frequently cited near $600 per clinician per month. The gap between the two ends of that range is procurement and integration depth rather than note quality.

Why do so many healthcare AI vendors hide their pricing?

Three reasons, only one of which is about you. Enterprise deals genuinely vary with seat count, integration scope and support commitments. Value-based pricing lets a seller charge more where the perceived saving is larger. And an unpublished price cannot be undercut by a competitor reading the website. None makes a vendor untrustworthy, but it does mean cost comparison requires a process rather than a browser.