- Not disclosed
- Not disclosed
- —
- 2017
- US
AI medical scribes
Dragon Medical One
by Microsoft (Nuance) · founded 2017 · US
Cloud speech-recognition dictation for clinicians, not an ambient scribe. Microsoft now promotes migration to Dragon Copilot.
On this page
17/100Tracked
- Regulatory & Compliance0/25
No FDA clearance listed
- Clinical Integration0/38.2
No EHR integrations listed
- Evidence Strength0/10
No peer-reviewed coverage
- Vendor & Market14.4/18
Mid-tier funding and adoption
- Sentiment & Transparency3.8/14
Sentiment 42/100 across 6 mentions
▸ Show all 11 dimensions▾ Hide dimension detail
- FDA clearance0/12
No FDA clearance listed
- HIPAA / SOC2 / BAA0/13
No public HIPAA/SOC2/BAA attestation
- EHR integrations (count)0/21
No EHR integrations listed
- Top-3 EHR coverage (Epic / Oracle / Athena)0/12
None of the top-3 EHRs covered
- Bidirectional write-back0/5
No bidirectional write-back documented
- Peer-reviewed papers0/7
No peer-reviewed coverage
- RCT / meta-analysis / systematic review0/3
No RCT, meta-analysis, or systematic review
- Funding & adoption signal8/12
Mid-tier funding and adoption
- Years in market6/6
Founded 2017 (9 years)
- Clinician sentiment (Reddit)4/9
Sentiment 42/100 across 6 mentions
- Pricing transparency0/5
No public pricing
Cloud speech-recognition dictation for clinicians, not an ambient scribe. Microsoft now promotes migration to Dragon Copilot.
Pricing from from USD 79/mo.
Bottom line
Dragon Medical One is cloud speech recognition for clinical dictation. A physician talks, and the text lands in the EHR. It is not an ambient scribe and does not listen to a visit and write the note. Microsoft, which owns it through the Nuance acquisition, now directs customers toward Dragon Copilot, so a new buyer is choosing a product on a migration path. It still fits a clinician who dictates in Epic, Oracle Cerner or MEDITECH. Someone who wants a note written for them should look at an ambient scribe instead.
Dragon Medical One pricing in 2026: what it actually costs
Microsoft and Nuance publish no price for Dragon Medical One (as of October 2026). It is sold through resellers. A reseller lists $99 per user per month on a 1-year term, and third-party blogs report $89 for 2 years and $79 for 3 years plus about $525 onboarding. A marketplace listing reportedly shows $123. Dragon Medical One is dictation, not an ambient scribe.
| Tier | Billing period | Price | Notes |
|---|---|---|---|
| Microsoft | n/a | n/a | No Microsoft list price is published. It is sold through Microsoft healthcare resellers. The rows below are reseller or third-party figures. |
| Reseller listing, 1-year term | per user per month, 12-month term, auto-renews unless cancelled 30 days before term end | $99 | reseller price (Zephyr-tec), not a Microsoft price |
| Third-party report, 2-year term | per user per month, 2-year term | $89 | reported by third-party blogs (spokenly.app, patientnotes.ai), both from competing vendors, not on a vendor page. Plus about $525 one-time onboarding per user |
| Third-party report, 3-year term | per user per month, 3-year term | $79 | reported by third-party blogs from competing vendors, not on a vendor page. Plus about $525 one-time onboarding per user. About $3,369 per user over three years |
| Marketplace listing, 1-year term | per user per month, 1-year term ($1,476 per year) | $123 | reported by getvoibe.com about a Microsoft Marketplace listing. Conflicts with reseller prices |
What is not in the Dragon Medical One list price?
Microsoft and Nuance publish no price. The product page offers none, and Dragon Medical One is sold through Microsoft healthcare resellers. The clearest figure is a reseller's: the Zephyr-tec listing for a "Monthly Subscription - 1 Year Term" at $99 per user per month, on a 12-month term that auto-renews unless cancelled 30 days before the term ends.
Third-party blogs report $99 for a 1-year term, $89 for 2 years and $79 for 3 years per user per month, plus about $525 one-time onboarding per user, or about $3,369 per user over three years. Those blogs are published by competing scribe vendors. A source dated five days before our check says the Microsoft Marketplace listing shows $123 per user per month on a 1-year term ($1,476 a year), which conflicts with the reseller prices. Commure's roundup says "roughly $99/month via authorized reseller partners".
Microsoft reportedly cut Dragon Copilot per-user pricing from May 1, 2026 without publishing a dollar figure. The best labelled range for Dragon Medical One is $79 to $123 per user per month plus about $525 setup.
Is Dragon Medical One worth it?
Dragon Medical One is dictation, so it addresses typing and not whole-visit capture. DAX Copilot and Freed are different products for that job. Prices here are reseller and third-party figures, and Microsoft publishes none.
Verified October 14, 2026 from nuance.com.
What is Dragon Medical One and who sells it?
Microsoft describes Dragon Medical One as speech-driven clinical documentation from pre-charting to post-encounter (microsoft.com). Microsoft announced the Nuance acquisition in April 2021 and completed it in March 2022 for about $19.7 billion, according to press coverage. Third-party summaries say Dragon Copilot was formed in March 2025 by merging DAX Copilot and Dragon Medical One.
Microsoft's own Dragon Medical One page now carries a section titled "Migrate from Dragon Medical One to Dragon Copilot," described as taking the Dragon Medical One experience "to the next level." The old nuance.com address now serves the Microsoft page. One Substack source says Dragon Medical One is in maintenance mode and not officially discontinued. Microsoft has not published an end-of-sale date.
What does it do?
Microsoft lists dictation with no voice profile training, automatic accent detection, select-and-say editing, auto-punctuation, dictation anchored across apps, and PowerMic Mobile, which turns a smartphone into a microphone. It adds AutoText for templates and voice skills to navigate charts, place orders and sign notes. Named integrations include Epic Haiku, Canto and Rover, Oracle Cerner PowerChart Touch, and MEDITECH Expanse and MConnect (microsoft.com).
Microsoft's customer statistics say 92% of customers agree it makes clinicians more efficient, two-thirds report a significant effect on burnout, and 92% would recommend it. These come from surveys of Microsoft's customers.
What do users say?
Six Reddit threads from 2018 to 2024 mention it, a small sample. A user on r/medicine in November 2023 wrote that Dragon Medical One became glitchy after a hardware upgrade and that "accuracy is adequate at best. It will randomly skip about 5-10% of the words I dictate." On r/healthIT in February 2020 a user had to disable the Chrome extension because of high CPU load in a Horizon View environment. A poster on r/medicine in December 2018 called the cloud version "far superior" to retail Dragon Medical. The other three threads are questions: Dragon Anywhere versus Dragon Medical One for a small pediatrics practice, how to use variables with multiple values, and a laptop recommendation for Epic.
How much does it cost?
Microsoft publishes no price as of October 2026, and the product sells through healthcare resellers. The reseller Zephyr-tec lists $99 per user per month on a 12-month term that auto-renews unless cancelled 30 days before the end. Third-party blogs, written by competing vendors, report $89 on a 2-year term and $79 on a 3-year term, plus about $525 one-time onboarding. One source claims a Microsoft Marketplace listing at $123 per user per month on a 1-year term, which conflicts with the reseller. Microsoft reportedly cut Dragon Copilot per-user pricing from May 2026, with no dollar figure published.
What about security and regulation?
HIPAA, BAA, HITRUST and SOC 2 details are not stated on Microsoft's Dragon Medical One page. Competitor blogs say the product is hosted on Azure and ships with a BAA, and that Dragon Copilot carries HITRUST CSF and SOC 2 Type II controls. The product has no FDA clearance.
How does it compare?
Dragon Copilot is Microsoft's own successor product. A randomized trial in NEJM AI (Vangala and colleagues, December 2025) compared DAX Copilot, which third-party summaries place inside Dragon Copilot, with Nabla and usual care. Nabla users spent 9.5% less time in notes than the control group, and DAX Copilot's 1.7% reduction was not statistically significant.
Who is it for?
A hospitalist or specialist who already dictates and wants a tool that edits by voice in the EHR is the clearest fit. An IT team that is standardizing on Microsoft can plan the move to Dragon Copilot. A primary care clinician who wants the visit documented without typing or dictating needs an ambient scribe instead.
The verdict
Dragon Medical One works for dictation, and Microsoft is steering customers toward Dragon Copilot. Buy it only on a term short enough to survive the migration, and skip it if you want the note written for you.
Editorial review last generated October 15, 2026. Synthesized from clinician sentiment, peer-reviewed coverage, and our editorial silo picks. Refined by hand where vendor facts change.
Who builds it
Dragon Medical One (Microsoft (Nuance)) was founded in 2017 in US, putting it 9 years into market.
What clinicians say about Dragon Medical One
Aggregated from 6 public clinician mentions. We quote with attribution under fair-use commentary.
Aggregated sentiment from 6 public mentions
- leaning negative
- 17%
- -0.18
- Reddit·6
- ehr-integration2
- training1
- pricing1
- ease-of-use1
- performance1
- chrome-extension1
- cpu-usage1
- stability1
- 01far superior than retail dragon medical
- 01new chrome extension version causes high cpu
- 02had to disable extension
- 03brought horizon view environment to its knees
- 04glitchy/buggy after hardware upgrade
- 05skips 5-10% of dictated words
“Dragon dictation I want to use Dragon with my EMR (Cerbo). I see 2 options for Dragon, Dragon Anywhere (app on phone), and Dragon Medical One. Can I click into a text box on Cerbo (on my laptop) and use Dragon Anywhere from my phone? Online it only shows that it will dictate onto my actual phone, not on my computer. With Dragon Medical One, do I need a headset or microphone, or…”
“Which dictation software you guys use on your everyday practice? I tried Dragon products. Obviously Dragon MEDICAL ONE (cloud based) is far superior than retail Dragon medical. Wonder what other providers who used both DMO and MMODAL think? My program is switching MMODAL and I wanted to see if its worth the switch.”
“Dragon Medical One Chrome Extension Has anyone else seen an issue today with the new version of DMO's Chrome extension causing high CPU? We had to disable it as it brought our Horizon View environment to it's knees. All hosts were maxed out on CPU.”
Summarized from 6 public clinician mentions. We quote with attribution under fair-use commentary and never republish full reviews. See our editorial methodology for source weights.
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Common questions about Dragon Medical One
Answers below cover the most-searched clinician questions for Dragon Medical One in 2026. Updated as vendor docs and pricing change.