LucasAI vs Speke AI
A solo hospitalist comparing monthly cost finds Speke AI Express at $150 per month, billed monthly, against LucasAI Premium at $69.99 on a sale with no end date shown, so Speke falls behind. Premium's struck-through list price is $149.99, about Express's level (currency not stated on LucasAI's page). The LucasAI pricing page also lists medication reconciliation, Handoff AI and a billing query assistant.
Speke is a HealthChannels brand that grew out of ScribeAmerica's human scribing. Express is an AI draft only. Pro has custom pricing and adds QA and editing by trained specialists before the provider approves the note. The Express page states read-write integrations with Epic, Athena and eClinicalWorks, the homepage adds Veradigm and ModMed, and the vendor says visits marked Complete are deleted after 72 hours. A practice that wants a human on every note before approval starts with Speke Pro.
AI medical scribes · Reviewed November 2, 2026
When to pick each one
LucasAI
- Premium at $69.99 per month on sale
- Billing query assistant and Handoff AI
- Medication reconciliation in the platform
Speke AI
- Pro adds specialist QA before approval
- Read-write Epic, Athena and eClinicalWorks
- Express at $150 per month, billed monthly
Score
Each row shows points earned of points available under the published rubric.
LucasAI
45of 100
Speke AI
47of 100
| Dimension | LucasAI | Speke AI | Difference |
|---|---|---|---|
| HIPAA / SOC2 / BAA | 7.8 / 13 | 13 / 13 | -5.2 |
| EHR integrations (count) | 10.5 / 21 | 10.5 / 21 | 0 |
| Top-3 EHR coverage (Epic / Oracle / Athena) | 12 / 12 | 8.4 / 12 | +3.6 |
| 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 | 3 / 12 | 3 / 12 | 0 |
| Pricing transparency | 5 / 5 | 5 / 5 | 0 |
| Years in market | 0 / 6 | 0 / 6 | 0 |
Scroll horizontally to see every column.
Pricing
LucasAI
| Tier | Billing period | Price | Notes |
|---|---|---|---|
| Resident | per month | $39.99 | Carries an asterisk on the page; resident verification terms are not shown. Two trial terms are listed: No-Risk Trial: 10 Notes or 30 Days, and Try it risk-free for 7 days. No credit card needed. Currency not named; USD assumed. |
| Premium | per month | $69.99 | Sale banner Was $149.99, Save 53%. The struck-through $149.99 is the list price. No end date shown. Currency not named; USD assumed. |
| Pro | per month | $299 | Another render of the page shows $299.99. Currency not named; USD assumed. |
| Ultimate | per month | $499 | Labeled Custom with a Talk to Sales call to action. Another render of the page lists it as Enterprise at $499/m. Currency not named; USD assumed. |
Verified November 2, 2026 from lucashealth.ai (opens in new tab).
Speke AI
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Express | $150 | n/a | AI draft only. Billed monthly. No trial or minimum term stated. Pro adds QA and editing by trained specialists and is custom-priced, so it is not listed here |
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | LucasAI | Speke AI |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Epic, Oracle Health, athenahealth, eClinicalWorks, NextGen | Epic, Athena, eClinicalWorks, Veradigm, ModMed |
| Founded | n/a | n/a |
| HQ | US | US |
Scroll horizontally to see both columns.
Common questions
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.