Aidoc vs EchoNous
Less than $20k with a five-year warranty is what the vendor says Kosmos Plus costs. Kosmos is a handheld ultrasound for cardiac, lung, abdominal, bladder and FAST exams, with AI ejection fraction, bladder volume, Auto Doppler gate placement and FAST view labeling. The FAQ supports Modality Worklist through a DICOM profile, the home page claims HIPAA and SOC2 compliance, and openFDA lists four Kosmos clearances, the latest K242321 in April 2025. Kosmos suits a clinician who wants a probe at the bedside. Aidoc is CT software priced for hospital sites, a different line item from a device carried between patients. For a hospital CT service, CMS set a maximum add-on payment of $137.53 per eligible inpatient case for BriefCase-Triage CT Body, billable from October 1, 2026 according to MarketScale.
Radiology · Reviewed November 2, 2026

Aidoc
by Aidoc · founded 2016
Clinical AI platform (aiOS) with FDA-cleared triage, notification and quantification algorithms for radiology and neurovascular care.

EchoNous
by EchoNous Inc. · founded 2016
Kosmos handheld ultrasound with AI bladder volume, ejection fraction, Doppler gate and FAST view guidance.
When to pick each one
Aidoc
- Medicare add-on $137.53 per inpatient case, per MarketScale
- Quoted per module for hospital sites
EchoNous
- Kosmos Plus under $20k, vendor says
- AI ejection fraction, Doppler gate and FAST labels
- Modality Worklist via a DICOM profile
Score
Each row shows points earned of points available under the published rubric.
Aidoc
71of 100
EchoNous
78of 100
| Dimension | Aidoc | EchoNous | Difference |
|---|---|---|---|
| FDA clearance | 18 / 18 | 18 / 18 | 0 |
| HIPAA / SOC2 / BAA | 0 / 10 | 10 / 10 | -10 |
| EHR integrations (count) | 0 / 4.2 | 0 / 4.2 | 0 |
| Top-3 EHR coverage (Epic / Oracle / Athena) | 0 / 2.4 | 0 / 2.4 | 0 |
| Peer-reviewed papers | 12.7 / 18.2 | 18.2 / 18.2 | -5.5 |
| RCT / meta-analysis / systematic review | 7.8 / 7.8 | 7.8 / 7.8 | 0 |
| Funding & adoption signal | 12 / 12 | 3 / 12 | +9 |
| Pricing transparency | 2.5 / 5 | 2.5 / 5 | 0 |
| Years in market | 6 / 6 | 6 / 6 | 0 |
Scroll horizontally to see every column.
Pricing
Aidoc
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Clinical AI Starter (AWS Marketplace) | n/a | n/a | Private offer only. No trial is stated. |
| Enterprise | n/a | n/a | No public price on aidoc.com. Quoted per module. |
EchoNous
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No public price. The vendor says Kosmos Plus costs less than $20k. |
Evidence
Aidoc
FDA decisions
K261317 (opens in new tab)510(k)2026-05-14
K253578 (opens in new tab)510(k)2026-02-26
CARE Multi-Triage CT
K251195 (opens in new tab)510(k)2026-01-27
K252970 (opens in new tab)510(k)2026-01-07
BriefCase-Triage: CARE Multi-triage CT Body
K253265 (opens in new tab)510(k)2025-11-06
Show 30 more
K251406 (opens in new tab)510(k)2025-05-30
K250248 (opens in new tab)510(k)2025-02-14
K243548 (opens in new tab)510(k)2024-12-11
K242203 (opens in new tab)510(k)2024-11-22
K242837 (opens in new tab)510(k)2024-10-18
K241727 (opens in new tab)510(k)2024-07-12
K241112 (opens in new tab)510(k)2024-05-15
K231631 (opens in new tab)510(k)2023-11-28
Quantification
K232083 (opens in new tab)510(k)2023-11-13
K230534 (opens in new tab)510(k)2023-11-08
K232751 (opens in new tab)510(k)2023-10-30
BriefCase-Triage
K230020 (opens in new tab)510(k)2023-02-01
K222692 (opens in new tab)510(k)2022-12-05
K221330 (opens in new tab)510(k)2022-11-18
K220709 (opens in new tab)510(k)2022-10-07
K222329 (opens in new tab)510(k)2022-09-28
K222277 (opens in new tab)510(k)2022-08-26
K221314 (opens in new tab)510(k)2022-06-03
K221240 (opens in new tab)510(k)2022-05-17
K213886 (opens in new tab)510(k)2022-04-26
K213721 (opens in new tab)510(k)2022-03-21
K214043 (opens in new tab)510(k)2022-03-14
K202992 (opens in new tab)510(k)2021-04-14
BriefCase RibFx
K203508 (opens in new tab)510(k)2020-12-29
K201020 (opens in new tab)510(k)2020-08-26
K193298 (opens in new tab)510(k)2020-06-19
K192383 (opens in new tab)510(k)2019-12-20
K190896 (opens in new tab)510(k)2019-05-31
K190072 (opens in new tab)510(k)2019-04-15
K180647 (opens in new tab)510(k)2018-08-01
BriefCase
Peer-reviewed
4 PubMed records name Aidoc.
- Transforming Stroke Diagnosis with Artificial Intelligence: A Scoping Review of Brainomix e-Stroke, Aidoc, RapidAI, and Viz.ai. (opens in new tab)
- Performance of FDA-Approved AI Algorithms in Detecting Acute Pulmonary Embolism on Computed Tomographic Pulmonary Angiography (CTPA): A Meta-Analysis of Real-World Retrospective Studies. (opens in new tab)
- Real-world performance evaluation of a commercial deep learning model for intracranial hemorrhage detection. (opens in new tab)
EchoNous
FDA decisions
K242321 (opens in new tab)510(k)2025-04-25
Kosmos
K233826 (opens in new tab)510(k)2024-08-29
Kosmos
K212100 (opens in new tab)510(k)2021-08-06
Kosmos
K193518 (opens in new tab)510(k)2020-03-26
KOSMOS
Peer-reviewed
5 PubMed records name EchoNous.
- Army Medic Performance in Trauma Sonography: The Impact of Artificial Intelligence Assistance in Focused Assessments With Sonography in Trauma-A Prospective Randomized Controlled Trial. (opens in new tab)
- Point-of-care AI-enhanced novice echocardiography for screening heart failure (PANES-HF). (opens in new tab)
- Validation of a hand-held ultrasound device in the evaluation of aortic stenosis. (opens in new tab)
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | Aidoc | EchoNous |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Not specified | Not specified |
| Founded | 2016 | 2016 |
| HQ | IL | US |
Scroll horizontally to see both columns.
Common questions
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