Dragon Copilot Alternatives and Pricing
What Microsoft publishes about Dragon Copilot pricing and how it is sold, plus six AI scribes one clinician can start alone at a published price. Checked November 2026.
The Short Answer
Microsoft Dragon Copilot is the product that combines Dragon Medical One dictation with the DAX ambient scribe. It is sold to healthcare organizations. Clinicians who look for an alternative usually have one of four reasons.
- There is no price on the product page. The page's button is "Contact us".
- It is bought through a Microsoft agreement or a partner. We did not find a way to sign up with a card or start a free trial on the product page.
- The pay-as-you-go license needs an Azure subscription. Someone has to link it in the Dragon admin center.
- They are one clinician or a small practice. They want a scribe they can start this week without a contract or an IT project.
The six alternatives on this page are Doximity Scribe, Freed, Heidi Health, Sunoh.ai, Twofold Health and VoiceboxMD. Each one is free or publishes its price.
Who wrote this page: VoiceboxMD publishes it, and VoiceboxMD is one of the six alternatives. We do not rank them; they are listed alphabetically. Every fact about Dragon Copilot and the other products comes from that vendor's own website, and we link the page we used so you can check it. We also say where Dragon Copilot is the better choice.
Every price and quote on this page was checked on the vendor's own website on November 10, 2026.
What Dragon Copilot Costs
Microsoft does not publish one per-user price for Dragon Copilot. This is what its own pages say.
| What Microsoft publishes | Where |
|---|---|
| No price. The button is "Contact us". | Dragon Copilot product page |
| Two physician licenses: Per User ("one monthly fee, without additional charges") and Flex (dictation for a monthly fee, ambient and AI on pay-as-you-go). | Dragon Copilot licensing guidance |
| Flex includes 10 AI-Assisted Sessions per month per license. Extra sessions are 25 consumption units at $0.01 each, which is $0.25 a session. | Licensing guidance, rate "as of May 4th, 2026" |
| A listing named "Dax Copilot per user - US", by Nuance, "Starting at $7,200.00/user/year". | Microsoft Marketplace |
Three things to know before you use these numbers.
- The monthly fee for either license is not on the pages we checked. The $0.25 is only the per-session charge on the Flex license, on top of its monthly fee.
- The Marketplace listing is not a checkout. It says "Pre-purchase coordination with DragonMarketplace@microsoft.com is required." $7,200 a year works out to $600 a month for each user.
- We do not know what your organization would pay. Microsoft sells Dragon Copilot through its customer agreements and partners, so the real number is a quote.
How it is bought
Microsoft's licensing guidance says you acquire Dragon Copilot licenses through a Microsoft Customer Agreement or a Microsoft Cloud Solution Provider. When that is not an option, it lists the Enterprise Agreement and similar programs. On the Flex license, "An Azure subscription is required and must be linked to the Dragon admin center."
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Try it freeDragon Copilot Alternatives at a Glance
| AI scribe | Published price (per clinician, per month) | How you start | Dictation (per vendor site) | BAA (per vendor site) | Free trial |
|---|---|---|---|---|---|
| Microsoft Dragon Copilot (reference) | Not published | Contact Microsoft or a partner | Yes | Not stated | Not listed |
| Doximity Scribe | Free for verified US clinicians | Verified Doximity account | "Simple dictation" template | Not stated | Free |
| Freed | Starter $39 (40 notes), Core $79, Premier $119 | Sign up online | Premier plan | Listed under Groups | 7 days, no card |
| Heidi Health | Free plan; Clinician $150 ($110 billed yearly) | Sign up online | Yes, limited on Free | Available to covered entities | 14 days on Clinician |
| Sunoh.ai | From $149 ("for a limited time") | Account form on its pricing page | Voice recognition listed | Yes, included | Offered, length not stated |
| Twofold Health | Personal $69 ($49 billed annually); first month $19 | Sign up online | Yes | Yes, every plan | 7 days, no card |
| VoiceboxMD (publisher of this page) | Essential $49, Power $79, Premium $99 | Sign up online, card at checkout | Yes, every plan | Yes, every plan | 7 days (monthly), 14 days (annual) |
Prices in US dollars, per clinician per month, before tax. "Not stated" and "Not listed" mean we did not find it on the vendor's page; they do not mean the product lacks it.
The Six Alternatives
Listed alphabetically. Each entry says who the product fits and links the page we used.
Doximity Scribe
Price: free for "all U.S. physicians, NPs, PAs, and medical students with a verified Doximity account".
Doximity Scribe runs inside the Doximity app on phone and desktop. Its page lists SOAP, H&P, consult and "simple dictation" templates, your own templates, and "HIPAA Compliant". We did not find BAA terms on the page; ask Doximity before you record patients.
Fits: verified US clinicians who want an ambient scribe at no cost. Source: Doximity Scribe.
Freed
Price: Starter $39 a month for up to 40 notes; Core $79 a month with unlimited notes; Premier $119 a month, or $104 billed annually. 7-day free trial with no credit card.
Freed lists dictation, ICD-10 and CPT coding, letters and its EHR push on Premier. The EHR push is for browser-based EHRs.
Fits: clinicians who want a low entry price and chart in a browser-based EHR. Source: Freed pricing. More detail: Freed vs VoiceboxMD.
Heidi Health
Price: Free plan $0; Clinician $150 a month, or $110 a month billed yearly; Teams custom. "Try 14 days free" on the Clinician plan.
Heidi's free plan lists "Unlimited ambient AI documentation". Custom templates are listed on the Clinician plan and EHR integration on Teams. Its HIPAA page says "We make a BAA available to every covered entity we work with".
Fits: clinicians who want to use an ambient scribe free before paying for more. Sources: Heidi pricing, Heidi HIPAA page.
Sunoh.ai
Price: "Starting at $149 per user per month for a limited time." Its pricing page lists "Business Associate Agreement (BAA) included" and "Implementation services included".
Sunoh's website says it integrates with athenahealth, Cerner, eClinicalWorks, Epic, ModMed, Practice Fusion and Tebra, and offers an EHR Sync browser extension for browser-based EHRs.
Fits: practices on one of the EHRs Sunoh names that are comfortable at the higher price. Sources: Sunoh pricing, sunoh.ai.
Twofold Health
Price: free for 7 days, then $19 for the first month; Personal $69 a month, or $49 a month billed annually.
Twofold's site says "BAA on every plan", lists "Record, dictate, or upload", and says the trial needs no credit card.
Fits: individual clinicians who want a low first month. Source: Twofold pricing.
VoiceboxMD (publisher of this page)
Price: Essential $49 a month, Power $79 a month, Premium $99 a month. 7-day free trial on monthly plans, 14 days on annual plans. A card is collected at checkout and is not charged during the trial.
Like Dragon Copilot, VoiceboxMD gives you both ways to document: an ambient AI scribe and live dictation, on every plan, with no monthly note cap. It runs on Windows, Mac, iPhone, Android and the web. A BAA is included on every plan. The Windows and Mac apps type dictation at your cursor in any EHR field, and place a finished note whole or one section at a time into the field you are in. Power adds ICD-10 and CPT code suggestions, letters and pre-recorded audio upload. Premium adds a writing style learned from your own edits.
Limits: there is no API integration or browser extension for any EHR, and nothing is embedded in Epic. Notes are placed at your cursor, and the app does not pull your schedule, patient details or prior notes. The ambient scribe works in English only, does not label who is speaking, and records from your microphone, so it does not capture telehealth call audio. It does not capture orders. The web and phone apps copy or share the note. VoiceboxMD is not SOC 2 certified.
Fits: one clinician or a small practice that wants dictation and an ambient scribe together at a published price, without a Microsoft agreement. Sources: VoiceboxMD pricing, VoiceboxMD AI medical scribe.
When Dragon Copilot Is the Better Choice
An alternative is not always better. From Microsoft's own pages, Dragon Copilot fits better than VoiceboxMD when:
- Your organization already licenses it. If your hospital or group has Dragon Copilot, ask for a seat before you pay for anything else.
- You want the scribe inside Epic. Microsoft says Dragon Copilot is available "embedded within supported EHRs such as Epic". VoiceboxMD is not embedded in any EHR.
- Your visits are not in English. Microsoft says it can "ambiently capture multi-party, multilingual conversations". VoiceboxMD's ambient scribe is English only.
- You want orders captured. Microsoft lists capturing "conversations and orders at the point of care". VoiceboxMD places note text only.
- You need it for nurses or radiologists. Microsoft describes separate experiences for nurses and for radiologists. VoiceboxMD is built for the clinician writing the visit note.
- Your organization buys through Microsoft. Dragon Copilot comes through the same agreements and support plans as other Microsoft products.
If You Use Dragon Medical One Today
Microsoft's product page has a section titled "Migrate from Dragon Medical One to Dragon Copilot". If you dictate with Dragon Medical One and are deciding whether to move, the question is mostly about dictation, not the ambient scribe. We compare dictation, Mac support and contracts on a separate page: Dragon Medical alternative.
How to Test an Alternative in One Week
- Ask your organization first. If Dragon Copilot or your EHR's own scribe is already licensed, start there.
- List what you need besides the ambient note. Dictation, codes and letters sit on different plans at different vendors.
- Check how the note reaches your EHR. Copy and paste, a browser extension, typing at your cursor, or an integration built with your EHR team.
- Ask for the BAA before you record a real patient. Ask which plans include one and whether the trial does.
- Run the same five visits through each product you are testing. Judge the notes you would actually sign.
For other products sold to health systems, such as Abridge and Suki, see the AI medical scribe buyer's guide. If your question is which scribe fits one EHR, see the guides for Epic, athenahealth, eClinicalWorks, MEDITECH and Cerner.
Looking at a different scribe? See Freed alternatives, Heidi Health alternatives, Sunoh.ai alternatives and DeepScribe alternatives.
How We Built This Page
- One source per fact. Every Microsoft statement and every competitor price comes from that vendor's own website, linked next to it. We did not use review sites, press coverage or sales calls.
- Listed, not ranked. The six alternatives are in alphabetical order. VoiceboxMD is one of them and is labelled as the publisher wherever it appears.
- What we did not test. We did not run the same patient visits through all seven products, so this page does not score note accuracy.
- Dated. Prices change often, so the date of the check is at the top of the page. If you find something out of date, write to support@voiceboxmd.com and we will correct it.
Frequently Asked Questions About Dragon Copilot Alternatives
How much does Dragon Copilot cost?
Microsoft does not publish a per-user price on the Dragon Copilot product page. Its licensing guidance describes a Per User license for "one monthly fee" and a Flex license that adds ambient and AI features at 25 consumption units a session, with a unit priced at $0.01, which is $0.25 a session. The monthly fees are not on the pages we checked. Microsoft Marketplace carries a listing named "Dax Copilot per user - US" that starts at $7,200.00 per user per year and requires contact with Microsoft before purchase. We checked these pages on November 10, 2026.
Is DAX Copilot the same as Dragon Copilot?
Dragon Copilot is the newer product. Microsoft's announcement of March 3, 2025 says Dragon Copilot "brings together the trusted natural language voice dictation capabilities of DMO with the ambient listening capabilities of DAX". DMO is Dragon Medical One. Microsoft Marketplace still shows a listing under the DAX Copilot name.
Can a solo clinician buy Dragon Copilot?
Microsoft's licensing guidance says licenses are acquired through a Microsoft Customer Agreement or a Microsoft Cloud Solution Provider. We did not find a way to sign up with a card or start a free trial on the product page; its button is "Contact us". A solo clinician can ask Microsoft or a partner for a quote.
What is the best alternative to Dragon Copilot?
It depends on why you are looking. For a free scribe, look at Doximity Scribe (verified US clinicians) or Heidi Health's free plan. For dictation and an ambient scribe together at a published price, VoiceboxMD starts at $49 a month. For a named EHR integration at a published price, Sunoh.ai lists seven EHRs it integrates with. If you want the scribe built into Epic, ask your organization about Dragon Copilot or Epic's own AI first. VoiceboxMD publishes this page and is one of the six alternatives on it.
Is there a free alternative to Dragon Copilot?
Yes. Doximity Scribe is free for US physicians, NPs, PAs and medical students with a verified Doximity account. Heidi Health has a free plan that lists unlimited ambient documentation. Ask each vendor how the note reaches your EHR before you rely on it.
Which Dragon Copilot alternatives include dictation?
On their own websites, VoiceboxMD lists live dictation on every plan, Twofold lists "Record, dictate, or upload", Heidi lists dictation with limited use on its free plan, Doximity Scribe lists a "simple dictation" template, Sunoh lists a voice recognition system, and Freed lists "Dictation and saved phrases" on its Premier plan.
Does VoiceboxMD work inside Epic like Dragon Copilot?
No. VoiceboxMD is not embedded in Epic and has no Epic integration. The Mac or Windows app places the finished note at your cursor in Hyperspace or Hyperdrive, the same way typing would, and you review and sign it in Epic. See AI scribe for Epic for the details and the limits.
Try VoiceboxMD on Your Own Visits
The fastest way to compare scribes is a week of your own visits. VoiceboxMD includes the ambient AI scribe and live dictation on every plan, with a BAA and no monthly note cap.
Monthly plans start with a 7-day free trial and annual plans with 14 days, on the plan you choose. A card is collected at checkout and is not charged during the trial. No setup fees.
This page was last updated November 10, 2026. VoiceboxMD is the publisher of this page and one of the products compared. Competitor prices and features come from each vendor's own website on the date above and can change; check the linked page before you buy. VoiceboxMD is not affiliated with Microsoft or Nuance. All trademarks belong to their respective owners. Microsoft®, Dragon® and DAX™ are trademarks of the Microsoft group of companies. Epic® is a trademark of Epic Systems Corporation. Doximity® is a trademark of Doximity, Inc. Freed™, Heidi Health™, Sunoh™ and Twofold™ are trademarks of their respective companies.
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