Ambience Healthcare vs Stream
Stream is written for independent practices of one to twenty clinicians. It costs $149 per clinician per month, or $99 billed annually, with a 30-day free trial and a BAA on every plan. It organizes each visit by medical problem, and the vendor says there is no EHR write-back and none planned this year, so notes move by clipboard. It also states that it is not SOC 2 certified. Ambience's pricing language is written for health systems. The vendor says it is built into Epic Hyperspace and Haiku and states SOC 2 Type I and Type II. A health-system IT team and an independent five-clinician practice are not weighing these two against each other. Stream is the only one of the pair that posts a per-clinician price.
AI medical scribes · Reviewed November 2, 2026
Ambience Healthcare
by Ambience Healthcare · founded 2020
Ambient clinical documentation, documentation-gap checks and coding for health systems.
Stream
by River Records, Inc.
AI scribe that files each visit under the patient's medical problems, for independent practices.
When to pick each one
Ambience Healthcare
- Vendor says built into Epic Hyperspace and Haiku
- Vendor states SOC 2 Type I and Type II
Stream
- $149 per clinician monthly, $99 billed annually
- 30-day free trial, BAA on every plan
- Notes organized by medical problem
Score
Each row shows points earned of points available under the published rubric.
Ambience Healthcare
30of 100
Stream
19of 100
| Dimension | Ambience Healthcare | Stream | Difference |
|---|---|---|---|
| HIPAA / SOC2 / BAA | 13 / 13 | 7.8 / 13 | +5.2 |
| EHR integrations (count) | 0 / 21 | 0 / 21 | 0 |
| Top-3 EHR coverage (Epic / Oracle / Athena) | 0 / 12 | 0 / 12 | 0 |
| Bidirectional write-back | 0 / 5.2 | 0 / 5.2 | 0 |
| Peer-reviewed papers | 0 / 7 | 0 / 7 | 0 |
| RCT / meta-analysis / systematic review | 0 / 3 | 0 / 3 | 0 |
| Funding & adoption signal | 8.4 / 12 | 3 / 12 | +5.4 |
| Pricing transparency | 0 / 5 | 5 / 5 | -5 |
| Years in market | 4.2 / 6 | 0 / 6 | +4.2 |
Scroll horizontally to see every column.
Pricing
Ambience Healthcare
Quote only, no public price.
Stream
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Stream Lite | $59 | n/a | Scribe only. Audio, transcript and note are deleted after 48 hours. |
| Stream Pro, monthly billing | $149 | n/a | Per clinician. Unlimited visits, 30 day free trial with no card, BAA included. First non-clinician seat free, extra staff $25 per month. No contract or minimum term. |
| Stream Pro, annual billing | $99 | n/a | Per clinician, billed annually at $1,188 a year. Same tier as Stream Pro on monthly billing. |
| Stream Inlet Starter | $89 | n/a | Optional fax intake add-on. 500 pages per month, extra pages $0.14 each, one-time $299 fax number setup. |
| Stream Inlet Practice | $199 | n/a | Optional fax intake add-on. 1,500 pages per month. |
| Stream Inlet Practice+ | $349 | n/a | Optional fax intake add-on. 3,000 pages per month. |
| Clinic | n/a | n/a | No public price. Clinic plan for 3 or more clinicians, quoted with volume discounts. |
Evidence
Ambience Healthcare
Community
1 post sourced: 0 positive, 1 neutral, 0 negative.
Stream
No FDA decision, peer-reviewed study or community post in our record.
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | Ambience Healthcare | Stream |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Not specified | Not specified |
| Founded | 2020 | n/a |
| HQ | US | n/a |
Scroll horizontally to see both columns.
Open the full ai medical scribes comparison
The best AI medical scribe for most US physicians is Abridge for hospital systems, Freed AI for solo practice (plans from $39 to $119 per month as of October 2026), Heidi Health for multilingual capture, and DAX Copilot for Microsoft-shop hospitals. Each pick below names its primary EHR integration, pricing model, and the clinician communities that surface it most often. Enterprise scribes are quote-based, with third-party estimates of roughly $208 to $600 per provider per month as of October 2026.