What AI for medical records costs: per page, per seat or per month
Answer in brief: record AI is priced per page (published medical-legal rates run from $0.15 to $0.05 a page), per seat ($20 to $99 per user a month for the tools that publish it), or as a monthly page allowance with overage. Per page is cheapest for occasional large files, a page allowance pays off only if you use most of it every month, and EHR, coding and abstraction tools rarely publish a price at all.
Limits: Vendor facts come from each vendor's own website, read 2026-11-12, and we haven't tested every tool; prices and features change, so check the vendor before you buy.
The 3 pricing models
- Per page. You buy pages or credits and use them as files arrive. Check what counts as a page: some vendors bill every uploaded page, and some bill only pages left after exact duplicates are removed. On an outside production with the same records from 3 sources, that difference can be large.
- Per seat. A flat monthly fee per user, with unlimited or high use. Common for clinician apps, scribes and general AI workspaces that sign a BAA. Predictable, but you pay in months you don't use it.
- Page allowance with overage. A monthly fee that includes a set number of pages, plus a per-page rate after that. Cheaper than per page only when you use most of the allowance every month.
Enterprise deals (EHR features, autonomous coding, registry abstraction, on-premise installs) are quoted, not published. Ask for the price per unit you care about: per chart coded, per registry case, per page or per user.
Published prices, captured 2026-11-12
| Tool | Model | Published price | Counts | Source, date |
|---|---|---|---|---|
| InPractice | Per page, prepaid | $0.15 a page (1,000 pages, $150) down to $0.07 (100,000 pages, $7,000); credits never expire | Pages | inpractice.ai/pricing, 2026-11-12 |
| Medrecords AI (ours) | Per page, prepaid | 10 cents a page, 8 cents at 100,000 credits, 5 cents at 500,000; a report is $10; credits never expire | Pages after exact duplicates are removed | medrecords.ai/pricing.md, 2026-11-12 |
| CaseMark | Per summary plus per page | $25 + $0.01 a page, capped at $100 for up to 25,000 pages | Pages | casemark.com, 2026-11-12 |
| Dodon | Credit subscription, billed yearly | $25, $50 or $83.33 a month for 4,800, 24,000 or 120,000 credits a year | Credits | dodon.ai/pricing, 2026-11-12 |
| MediScan | Page allowance plus overage | $169 a month for 1,200 pages (then 10 cents), $445 for 3,500 (then 7 cents), $665 for 10,000 (then 5 cents) | Pages | mediscan.ai/pricing, 2026-11-12 |
| Superinsight | Monthly subscription | From $250 a month, no limit on cases or records stated | Month | superinsight.ai/pricing, 2026-11-12 |
| Abstractive Health | Per seat | $99 per user a month, up to 5 users (Standard Business) | Users | abstractivehealth.com, 2026-11-12 |
| BastionGPT | Per seat | $20, $45 or $75 per user a month | Users | bastiongpt.com/pricing, 2026-11-12 |
| Hathr AI | Per account | From $47 a month, unlimited use stated | Accounts | hathr.ai, 2026-11-12 |
| Freed (scribe) | Per clinician | From $39 a month (Starter, 40 notes a month) | Clinicians | getfreed.ai/pricing, 2026-11-12 |
These tools don't do the same job, so the cheapest row is not the best buy. A $20 general AI seat with a BAA won't build a cited chronology of a 3,000-page file; a per-page chronology tool won't write your clinic notes. Compare prices only within a task.
How the models compare as volume grows
3 things the chart shows. A $169 plan with 1,200 included pages beats 15 cents a page only above about 1,127 pages a month. Above its allowance it runs exactly $49 a month more than a flat 10-cent rate, because both then charge 10 cents a page. And seat pricing looks cheap until you check what the seat can actually do with a 3,000-page file.
Calculator: your file, 3 pricing models
Enter your own numbers. Defaults are illustrative, taken from the published prices above; replace them with the quotes you get. It runs in your browser and sends nothing.
Costs that don't show on the price page
- Your checking time. Every tool needs a physician to verify what the opinion rests on. A tool with page links you can click cuts that time; a tool without them can cost more time than it saves.
- Re-runs. Ask whether adding 200 late pages to a case bills the whole file again or only the new pages.
- Exports. Some tools charge for editable exports or limit downloads; check the plan.
- Minimums and expiry. Prepaid credits that expire, seat minimums and annual-only billing all change the real price per file.
- Setup. Enterprise tools may carry deployment fees and IT time; self-serve tools usually don't.
For a fair comparison, run the same file through each shortlisted tool during its trial, note the real bill, and add your checking time at your own hourly rate. The evaluation page covers the trial itself.