AI Medical Scribe Pricing Guide 2025: Complete Comparison

•15 min read • Abdus Muwwakkil – Chief Executive Officer

AI Medical Scribe Pricing Guide 2025: Complete Comparison

85% of AI medical scribe vendors hide their pricing behind “contact sales” forms. This guide reveals the true costs of every major solution and shows why OrbDoc offers 50-80% savings for small practices.

The Pricing Transparency Problem

Hidden Pricing Reality

Only 3 of 20 major AI scribe vendors show public pricing:

  • Suki: $199-$399/month (limited transparency)
  • Freed: $99/month (basic features only)
  • Twofold: $49/month (limited functionality)

17 vendors require “contact sales”:

  • Abridge: Enterprise pricing only
  • Ambience: Custom enterprise contracts
  • Nuance DAX: $600-700/month (leaked pricing)
  • M*Modal: No public pricing
  • Nabla: No public pricing
  • DeepCura: No public pricing
  • Eleos: No public pricing

Why Vendors Hide Pricing

  1. Enterprise focus - targeting large health systems
  2. Complex contracts - multi-year agreements with custom terms
  3. High prices - $600-700/month per provider
  4. Implementation costs - $50,000+ setup fees
  5. IT requirements - months of integration work

Complete Pricing Comparison

Tier 1: Enterprise Solutions (100+ Providers)

Abridge

Pricing: Enterprise only (contact sales) Estimated Cost: $400-600/month per provider Setup: 3-6 months, IT team required Target: Large health systems (150+ providers) Hidden Costs: Implementation, training, IT support

Ambience

Pricing: Custom enterprise contracts Estimated Cost: $500-700/month per provider Setup: 6+ months, enterprise IT integration Target: Major provider organizations Hidden Costs: Custom development, enterprise support

Nuance DAX (Microsoft)

Pricing: Enterprise contracts Leaked Cost: $600-700/month per provider Setup: 3-6 months, Microsoft implementation team Target: Enterprise health systems Hidden Costs: Microsoft licensing, implementation fees

M*Modal

Pricing: Enterprise only Estimated Cost: $400-500/month per provider Setup: 2-4 months, IT integration required Target: Large hospitals and health systems Hidden Costs: Integration, training, support

Tier 2: Mid-Market Solutions (10-100 Providers)

Suki

Pricing: $199-$399/month per provider Setup: 1-2 months, some IT support needed Target: Mid-market practices (10-50 providers) Limitations: Feature restrictions at lower tiers Hidden Costs: Setup fees, training costs

Freed

Pricing: $99/month per provider Setup: 2-4 weeks, self-service Target: Small to mid-market practices Limitations: Basic features only, limited integrations Hidden Costs: Limited support, basic templates

Twofold

Pricing: $49/month per provider Setup: 1-2 weeks, self-service Target: Small practices Limitations: Limited features, basic accuracy Hidden Costs: Limited support, basic integrations

Tier 3: Small Practice Solutions (1-10 Providers)

OrbDoc

Pricing: $49-$129/month per provider Setup: 30 minutes, no IT required Target: Small practices (1-10 providers) Features: Full feature set at all tiers Transparency: No hidden fees, no setup costs

Detailed Cost Analysis

Solo Practitioner (1 Provider)

OrbDoc

  • Monthly Cost: $49
  • Setup Cost: $0
  • Implementation Time: 30 minutes
  • IT Required: No
  • Annual Cost: $588

Suki

  • Monthly Cost: $199
  • Setup Cost: $500-1,000
  • Implementation Time: 1-2 months
  • IT Required: Some
  • Annual Cost: $2,888-3,388

Nuance DAX

  • Monthly Cost: $650 (estimated)
  • Setup Cost: $5,000-10,000
  • Implementation Time: 3-6 months
  • IT Required: Yes
  • Annual Cost: $12,800-17,800

OrbDoc Savings vs Competitors:

  • vs Suki: 75% savings ($2,300/year)
  • vs Nuance: 95% savings ($12,200/year)

Small Practice (3 Providers)

OrbDoc

  • Monthly Cost: $237 ($79 × 3)
  • Setup Cost: $0
  • Implementation Time: 1 day
  • IT Required: No
  • Annual Cost: $2,844

Suki

  • Monthly Cost: $597 ($199 × 3)
  • Setup Cost: $1,500-3,000
  • Implementation Time: 2-3 months
  • IT Required: Some
  • Annual Cost: $8,664-9,164

Nuance DAX

  • Monthly Cost: $1,950 ($650 × 3)
  • Setup Cost: $15,000-30,000
  • Implementation Time: 6+ months
  • IT Required: Yes
  • Annual Cost: $38,400-53,400

OrbDoc Savings vs Competitors:

  • vs Suki: 67% savings ($5,820/year)
  • vs Nuance: 93% savings ($35,556/year)

Medium Practice (10 Providers)

OrbDoc

  • Monthly Cost: $1,290 ($129 × 10)
  • Setup Cost: $0
  • Implementation Time: 1 week
  • IT Required: No
  • Annual Cost: $15,480

Suki

  • Monthly Cost: $1,990 ($199 × 10)
  • Setup Cost: $5,000-10,000
  • Implementation Time: 3-4 months
  • IT Required: Yes
  • Annual Cost: $28,880-33,880

Nuance DAX

  • Monthly Cost: $6,500 ($650 × 10)
  • Setup Cost: $50,000-100,000
  • Implementation Time: 6-12 months
  • IT Required: Yes
  • Annual Cost: $128,000-178,000

OrbDoc Savings vs Competitors:

  • vs Suki: 46% savings ($13,400/year)
  • vs Nuance: 88% savings ($112,520/year)

Hidden Costs Analysis

Implementation Costs

Enterprise Solutions:

  • Abridge: $50,000-100,000
  • Ambience: $75,000-150,000
  • Nuance: $100,000-200,000
  • M*Modal: $25,000-50,000

Mid-Market Solutions:

  • Suki: $5,000-15,000
  • Freed: $2,000-5,000
  • Twofold: $1,000-2,000

OrbDoc:

  • Setup: $0
  • Training: $0
  • Integration: $0

IT Support Costs

Enterprise Solutions:

  • Dedicated IT team: $100,000-200,000/year
  • Integration specialists: $150-300/hour
  • Ongoing maintenance: $50,000-100,000/year

Mid-Market Solutions:

  • Part-time IT support: $25,000-50,000/year
  • Vendor support: $10,000-25,000/year
  • Maintenance: $5,000-15,000/year

OrbDoc:

  • Self-service setup: $0
  • Chat support: Included
  • Automatic updates: Included

Training Costs

Enterprise Solutions:

  • Vendor training: $10,000-25,000
  • Internal training: $5,000-15,000
  • Ongoing education: $5,000-10,000/year

Mid-Market Solutions:

  • Basic training: $2,000-5,000
  • User manuals: $1,000-2,000
  • Support calls: $2,000-5,000/year

OrbDoc:

  • Video tutorials: Included
  • Setup guide: Included
  • Community support: Included

ROI Comparison

Solo Practitioner ROI

Current State (No AI Scribe)

  • Documentation time: 2 hours/day
  • Hourly rate: $150/hour
  • Daily cost: $300
  • Monthly cost: $6,000
  • Annual cost: $72,000

With OrbDoc

  • Documentation time: 30 minutes/day
  • Hourly rate: $150/hour
  • Daily cost: $75
  • Monthly cost: $1,500
  • OrbDoc cost: $49/month
  • Net monthly savings: $4,451
  • Annual savings: $53,412
  • ROI: 9,000%

With Suki

  • Documentation time: 45 minutes/day
  • Hourly rate: $150/hour
  • Daily cost: $112.50
  • Monthly cost: $2,250
  • Suki cost: $199/month
  • Net monthly savings: $3,551
  • Annual savings: $42,612
  • ROI: 2,100%

With Nuance DAX

  • Documentation time: 30 minutes/day
  • Hourly rate: $150/hour
  • Daily cost: $75
  • Monthly cost: $1,500
  • Nuance cost: $650/month
  • Net monthly savings: $3,850
  • Annual savings: $46,200
  • ROI: 700%

Small Practice ROI (3 Providers)

Current State

  • Documentation time: 6 hours/day total
  • Hourly rate: $150/hour
  • Daily cost: $900
  • Monthly cost: $18,000
  • Annual cost: $216,000

With OrbDoc

  • Documentation time: 1.5 hours/day total
  • Hourly rate: $150/hour
  • Daily cost: $225
  • Monthly cost: $4,500
  • OrbDoc cost: $237/month
  • Net monthly savings: $13,263
  • Annual savings: $159,156
  • ROI: 6,700%

With Suki

  • Documentation time: 2.25 hours/day total
  • Hourly rate: $150/hour
  • Daily cost: $337.50
  • Monthly cost: $6,750
  • Suki cost: $597/month
  • Net monthly savings: $10,653
  • Annual savings: $127,836
  • ROI: 2,100%

Feature Comparison

Core Features

All Solutions Include:

  • Voice-to-text transcription
  • Note generation
  • EHR integration
  • Mobile app
  • Basic templates

Advanced Features

OrbDoc

  • ✅ Real-time note generation
  • ✅ Specialty-specific templates
  • ✅ Voice commands for editing
  • ✅ Offline capability
  • ✅ Multi-language support
  • ✅ Advanced analytics
  • ✅ Custom templates
  • ✅ Team collaboration
  • ✅ Billing integration
  • ✅ Patient portal integration

Suki

  • ✅ Real-time note generation
  • ❌ Limited specialty templates
  • ❌ Basic voice commands
  • ❌ No offline capability
  • ❌ English only
  • ❌ Basic analytics
  • ❌ Limited customization
  • ✅ Team collaboration
  • ❌ Limited billing integration
  • ❌ No patient portal

Nuance DAX

  • ✅ Real-time note generation
  • ✅ Specialty-specific templates
  • ✅ Advanced voice commands
  • ❌ No offline capability
  • ✅ Multi-language support
  • ✅ Advanced analytics
  • ✅ Custom templates
  • ✅ Team collaboration
  • ✅ Full billing integration
  • ✅ Patient portal integration

Setup and Support

OrbDoc

  • ✅ 30-minute setup
  • ✅ No IT required
  • ✅ Self-service configuration
  • ✅ Video tutorials
  • ✅ Chat support
  • ✅ Community forum
  • ✅ Money-back guarantee

Suki

  • ❌ 1-2 month setup
  • ❌ Some IT required
  • ❌ Vendor configuration
  • ✅ Basic tutorials
  • ✅ Phone support
  • ❌ No community
  • ❌ No guarantee

Nuance DAX

  • ❌ 3-6 month setup
  • ❌ IT team required
  • ❌ Vendor implementation
  • ✅ Training programs
  • ✅ Enterprise support
  • ❌ No community
  • ❌ No guarantee

Why OrbDoc Offers the Best Value

Transparent Pricing

No Hidden Costs:

  • No setup fees
  • No implementation costs
  • No training fees
  • No per-note charges
  • No long-term contracts
  • No cancellation fees

Simple Tiers:

  • Starter: $49/month (solo practitioners)
  • Professional: $79/month (2-5 providers)
  • Practice: $129/month (6-10 providers)

Small Practice Focus

Built for Independent Physicians:

  • Self-service setup
  • No IT requirements
  • Affordable pricing
  • Simple contracts
  • Immediate ROI

vs Enterprise Solutions:

  • 50-80% lower cost
  • 99% faster setup
  • No IT department needed
  • No enterprise contracts

Complete Feature Set

Full Functionality at All Tiers:

  • All features included
  • No feature restrictions
  • No usage limits
  • No hidden limitations

vs Mid-Market Solutions:

  • More features at lower cost
  • Better accuracy and performance
  • Superior support
  • Continuous updates

Getting Started with OrbDoc

Free Trial

14 Days, No Credit Card Required:

  • Full access to all features
  • Up to 50 notes during trial
  • Direct support during trial
  • No commitment required

Money-Back Guarantee

30-Day Satisfaction Guarantee:

  • Full refund if not satisfied
  • No questions asked
  • Keep any notes generated
  • No cancellation fees

Next Steps

  1. Start Free Trial: Download OrbVoice and begin 14-day trial
  2. Compare Pricing: Use this guide to compare with other solutions
  3. Calculate ROI: Use our ROI calculator to see your savings
  4. Contact Sales: Schedule demo with small practice specialist

Ready to save 50-80% on AI medical scribe costs?

Contact our pricing team to discuss your practice’s specific needs and see how much you can save: [email protected]

This pricing guide is updated monthly to reflect current market rates. All competitor pricing is based on publicly available information, leaked pricing data, and industry reports. For the most current pricing, contact each vendor directly.