AI Medical Scribe
Medical Scribe vs Stream
Scores are legacy evidence and documentation scores, not product-performance ratings. How it is computed
A practice manager who needs a firm monthly price starts with Stream. Its Pro tier is $99 per clinician per month billed annually or $149 on monthly billing, the scribe-only Lite plan is $59 per month with audio, transcript and note deleted after 48 hours, and a BAA comes with every plan, trials included. Medical Scribe's figures disagree. Its pricing page says $42 per user per month, the annual toggle says $499 per year, and the press page says $49 a month for unlimited use, with no currency stated. For that buyer Medical Scribe loses.
Medical Scribe suits a solo clinician who wants notes in 57 languages across web, iPhone, iPad, Apple Watch and Android, with a free tier of 10 visits and no card. Its pages state no EHR integration, and Stream moves notes out by clipboard.
Stream suits independent practices, typically one to twenty clinicians per the vendor, that want each visit filed by medical problem, with a pre-visit view and fax intake from $89 per month.
AI medical scribes · Reviewed November 2, 2026
On this page
Medical Scribe
by Leveled Platforms, Inc.
AI scribe that turns visit recordings and dictation into SOAP notes for clinicians and clinics.
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
Medical Scribe
- Listed at $42 per user monthly, pages conflict, currency not stated
- 57 languages on web, iOS and Android
Stream
- Problem-based notes plus fax intake
- Pro $149 monthly or $99 billed annually
- BAA on every plan, trials included
Score
Each row shows points earned of points available under the published rubric.
Medical Scribe
Stream
| Dimension | Medical Scribe | Stream | Difference |
|---|---|---|---|
| HIPAA / SOC2 / BAA | 7.8 / 13 | 7.8 / 13 | 0 |
| EHR integrations (count) | 0 / 21 | 0 / 21 | 0 |
| Top-3 EHR coverage (Epic / Oracle / Athena) | 0 / 12 | 0 / 12 | 0 |
| Bidirectional write-back | 0 / 5.2 | 0 / 5.2 | 0 |
| Peer-reviewed papers | 0 / 7 | 0 / 7 | 0 |
| RCT / meta-analysis / systematic review | 0 / 3 | 0 / 3 | 0 |
| Funding & adoption signal | 3 / 12 | 3 / 12 | 0 |
| Pricing transparency | 5 / 5 | 5 / 5 | 0 |
Scroll horizontally to see every column.
Pricing
Medical Scribe
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Free | Not stated | Not stated | 10 visits in total, no credit card. The page does not label its currency; USD is assumed from the "$" signs. |
| Professional | $42 | Not stated | Per user. The annual toggle shows "billed at $499 per year" and "Save $100", but 12 x $42 = $504, so the page figures do not reconcile. The press page says "$49/month for unlimited use". Trial length not stated. |
| Enterprise | Not stated | Not stated | No public price. Custom, "volume pricing for teams". |
Stream
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Stream Lite | $59 | Not stated | Scribe only. Audio, transcript and note are deleted after 48 hours. |
| Stream Pro, monthly billing | $149 | Not stated | 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 | Not stated | Per clinician, billed annually at $1,188 a year. Same tier as Stream Pro on monthly billing. |
| Stream Inlet Starter | $89 | Not stated | Optional fax intake add-on. 500 pages per month, extra pages $0.14 each, one-time $299 fax number setup. |
| Stream Inlet Practice | $199 | Not stated | Optional fax intake add-on. 1,500 pages per month. |
| Stream Inlet Practice+ | $349 | Not stated | Optional fax intake add-on. 3,000 pages per month. |
| Clinic | Not stated | Not stated | No public price. Clinic plan for 3 or more clinicians, quoted with volume discounts. |
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | Medical Scribe | Stream |
|---|---|---|
| Free tier | Yes | Yes |
| HIPAA | Yes | Yes |
| SOC 2 Type II | No / unverified | No / unverified |
| EHR integrations | Not stated | Not stated |
| Founded | Not stated | Not stated |
| HQ | Not stated | Not stated |
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.
See all AI medical scribes