Best Medical Dictation Software for Physicians
Which medical dictation software fits your practice? 11 options grouped by who they are built for, with published prices, platforms, EHR fit and BAA terms. Checked November 2026.
The Short Answer
There is no single best medical dictation software. Which one fits depends on who is buying and where you type your notes.
- A solo physician or a small group that wants to start this week by card: compare the self-serve products with published prices. In this guide those are Doximity Scribe (free for verified US clinicians), Freed, Heidi Health, Twofold Health, VoiceboxMD and Wispr Flow.
- A hospital or health system that wants dictation deployed and supported across its EHR: compare the products sold to organizations. In this guide those are Commure Ambient, Microsoft Dragon Medical One and Dragon Copilot, Solventum Fluency Direct and Suki.
- Trying dictation for free first: the dictation built into macOS and Windows costs nothing, but it is not sold for clinical use, so it comes with no medical vocabulary and no Business Associate Agreement.
Who wrote this guide: VoiceboxMD publishes it, and VoiceboxMD is one of the products in it. We do not rank the products. They are grouped by who they are built for and listed alphabetically inside each group. Every competitor fact comes from that vendor's own website, and we link the page we used so you can check it.
Updated November 6, 2026. Prices and features were checked on each vendor's website on that date.
Quick Comparison
Medical dictation software types what you say into your notes, with vocabulary for drug names, anatomy and procedures. Many products now also offer an ambient AI scribe, which records the visit and drafts the note for you; that is a different job, compared in our AI medical scribe buyer's guide.
| Product | Built for | Published price (per user, per month) | Where you dictate (per vendor site) | BAA on pricing page |
|---|---|---|---|---|
| Commure Ambient (Augmedix) | Enterprise health systems | Not published | "Voice-to-cursor dictation in any field" | No pricing page |
| Doximity Scribe | Verified US physicians, NPs and PAs | Free | Doximity app on phone and desktop; "simple dictation" template, then copy | Not stated |
| Freed | Individual clinicians and groups | Dictation on Premier: $119 ($104 billed annually) | "Dictation and saved phrases" | Organization-wide BAA listed |
| Heidi Health | Individual clinicians and teams | Free plan; Clinician $150 ($110 billed yearly) | Dictation listed with its ambient documentation | Not stated |
| macOS and Windows built-in dictation | Everyone; not sold for clinical use | Free with the operating system | Any text field | No |
| Microsoft Dragon Medical One and Dragon Copilot | Organizations buying through Microsoft | Not published | Windows apps, mobile microphone app, embedded in supported EHRs | No pricing page |
| Solventum Fluency Direct | Health systems | Not published | Inside the EHR, "integration with more than 250+ EHRs" | No pricing page |
| Suki | Health systems and partners | Not published | Integrations with Epic, Oracle Health, athenahealth and MEDITECH | No pricing page |
| Twofold Health | Individual clinicians and groups | Personal $69 ($49 billed annually); first month $19 | "Record, dictate, or upload" | Yes, every plan |
| VoiceboxMD (publisher of this guide) | Solo physicians to groups | $49 to $99 | At the cursor in any EHR field (Windows and Mac apps); iPhone, Android and web | Yes, every plan |
| Wispr Flow | Anyone who types; not medical-specific | Pro $15 ($12 billed annually); Growth $23 ($18 billed annually) | Mac, Windows, iPhone and Android | Signed BAA on Growth |
Prices in US dollars, per user per month, before tax, as shown on each vendor's website on November 6, 2026. "Not published" means the vendor asks you to contact sales instead of showing a price.
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Try it freeWhat to Check Before You Choose
Where the words land
Some dictation types at your cursor in any program, which works in any EHR field without IT setup. Some works inside a specific EHR through an integration, which can do more inside that EHR but needs your EHR team. If your EHR runs through Citrix or a remote desktop, ask the vendor whether dictation works there before you buy.
Medical vocabulary
General dictation is trained on everyday speech. Medical dictation should recognise drug names, anatomy and procedure terms without spelling them out, and let you add your own terms.
Mac, Windows and phone
Check that the product runs where you document. Some clinical dictation products are Windows-only; some use a phone as a wireless microphone for the desktop.
BAA and data handling
Under HIPAA, a vendor that handles patient information for you must sign a Business Associate Agreement. Check which plan includes one; on some products it is only on a higher plan.
Ambient scribe as well?
If you would also like the visit recorded and the note drafted, check whether the dictation product includes an ambient scribe, and on which plan.
Self-Serve Dictation With Published Prices
These six sell or give access directly to individual clinicians, with the price on the website. Listed alphabetically.
Doximity Scribe
Price: free for "all U.S. physicians, NPs, PAs, and medical students with a verified Doximity account".
Doximity Scribe is mainly an ambient scribe, inside the Doximity app on phone and desktop. Its page says you can "capture dictations on the go" and lists a "simple dictation" template; the text is then copied into your EHR. It is listed as "HIPAA Compliant"; we did not find BAA terms on the page.
Fits: US clinicians who want free dictation and a scribe and do not mind copying text into the EHR. Source: Doximity Scribe.
Freed
Price: Starter $39/mo (up to 40 notes a month), Core $79/mo, Premier $119/mo or $104/mo billed annually, Groups custom. 7-day free trial.
Freed is mainly an ambient AI scribe. Its pricing page lists "Dictation and saved phrases" on the Premier plan, and an "Organization-wide BAA" among its admin features.
Fits: clinicians who mainly want an ambient scribe and occasional dictation. Source: Freed pricing.
Heidi Health
Price: Free plan $0; Clinician $150/mo, or $110/mo billed yearly; Teams custom. 14-day free trial on the Clinician plan.
Heidi's pricing page lists dictation alongside unlimited ambient documentation. We did not find a BAA mentioned on the pricing page; ask Heidi which plans include one.
Fits: clinicians who want to try dictation and a scribe free before paying. Source: Heidi Health pricing.
Twofold Health
Price: free for 7 days, then $19 for the first month; Personal $69/mo, or $49/mo billed annually; Group custom. Twofold's site says "BAA on every plan" and lists "Record, dictate, or upload".
Fits: individual clinicians, including therapists, who mainly want notes drafted and some dictation. Source: Twofold pricing.
VoiceboxMD (publisher of this guide)
Price: Essential $49/mo, Power $79/mo, Premium $99/mo. 7-day free trial on monthly plans, 14 days on annual. BAA included on every plan.
Live dictation and an ambient AI scribe are on every plan. The Windows and Mac apps type your dictation at the cursor in any EHR field, with custom vocabulary, macros and dictation templates, and an iPhone or Android phone can act as a wireless microphone for the desktop. You hold a key to dictate: Option on a Mac, F8 on Windows by default. Citrix Workspace on Windows is supported; browser-based Citrix, VMware Horizon and Remote Desktop are not yet.
Limits: there is no API integration with any EHR, so text is typed at the cursor and the app does not read the chart. The web and phone apps copy or share text rather than typing it into another program.
Fits: physicians who want dictation and a scribe in one subscription at a published price, in any EHR. Sources: VoiceboxMD pricing, medical dictation software.
Wispr Flow
Price: Free plan with a weekly word limit; Pro $15/mo ($12 billed annually); Growth $23/mo ($18 billed annually); Enterprise custom.
Wispr Flow is general-purpose dictation for Mac, Windows, iPhone and Android, not a medical product. Its pricing page lists "Org-wide HIPAA enforcement with a signed BAA" on the Growth plan, not on Free or Pro.
Fits: clinicians who want low-cost general dictation and will add their own medical terms. Source: Wispr Flow pricing.
Dictation Sold to Hospitals and Health Systems
These are sold to organizations through a sales team, with no per-user price on the website. Listed alphabetically.
Commure Ambient (Augmedix)
Price: not published ("Get in touch"). Described as "Built for Enterprise Health Systems", "deeply integrated with 60+ EHRs", with "voice-to-cursor dictation in any field" alongside its ambient scribe.
Fits: enterprise health systems. Source: Commure Ambient AI.
Microsoft Dragon Medical One and Dragon Copilot
Price: not published ("Contact Microsoft"). Dragon Medical One is Microsoft's cloud medical dictation. Its product page lists Windows 11 apps, PowerMic Mobile to use a smartphone "as a secure wireless microphone", EHR partners, and "Best in KLAS" for 2021 to 2026. Dragon Copilot is Microsoft's newer clinical assistant, which its licensing guidance describes as including dictation.
Fits: organizations buying through Microsoft, often already on Dragon. Sources: Dragon Medical One, Dragon Copilot. For a closer look, see our Dragon Medical alternative page.
Solventum Fluency Direct
Price: not published ("Contact us"). Solventum, formerly 3M Health Information Systems, describes Fluency Direct as real-time speech recognition to "create, review, edit and sign clinical notes directly within the electronic health record", with "integration with more than 250+ EHRs".
Fits: health systems that want dictation inside the EHR. Source: Solventum Fluency Direct.
Suki
Price: not published ("Contact Us"). Suki lists integrations with "Epic, Oracle Health, athenahealth, and MEDITECH" and offers a dictation product alongside ambient notes.
Fits: health systems on those EHRs. Source: suki.ai.
Free: macOS and Windows Built-In Dictation
Both operating systems include dictation at no cost: Dictation on a Mac, and voice typing on Windows. They work in any text field. They are not sold for clinical use, so there is no medical vocabulary and no Business Associate Agreement. They are a reasonable way to find out whether you like speaking your notes before paying for a clinical product, using test text rather than patient information.
How We Built This Guide
- One source per fact. Every competitor price and feature comes from that vendor's own website, linked next to it. We did not use review sites, press coverage or sales calls.
- Grouped, not ranked. Products are grouped by who they are sold to and listed alphabetically inside each group. VoiceboxMD is labelled as the publisher wherever it appears.
- What we did not test. We did not dictate the same notes into every product, so this guide does not score accuracy. Try two or three on your own notes during their free trials.
- 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
What is the best medical dictation software for physicians?
It depends on who is buying. For a solo physician or small group starting by card, compare the self-serve products with published prices: Doximity Scribe (free for verified US clinicians), Freed, Heidi Health, Twofold Health, VoiceboxMD and Wispr Flow. For a hospital that wants dictation deployed inside its EHR, compare Commure Ambient, Microsoft Dragon Medical One and Dragon Copilot, Solventum Fluency Direct and Suki. VoiceboxMD publishes this guide and is one of the self-serve products in it.
How much does medical dictation software cost?
Published prices on November 6, 2026 run from free (Doximity Scribe for verified US clinicians, and the dictation built into macOS and Windows, which is not sold for clinical use) and $15 a month (Wispr Flow Pro, general-purpose) to $150 a month (Heidi Health Clinician, billed monthly). VoiceboxMD is $49, $79 or $99 a month with dictation and an ambient scribe on every plan. Microsoft, Solventum, Suki and Commure do not publish prices.
Is Dragon Medical One still available?
Yes. Microsoft's Dragon Medical One page is live and asks buyers to contact Microsoft. Microsoft also sells Dragon Copilot, its newer clinical assistant, which its licensing guidance says includes dictation.
Does medical dictation software work on a Mac?
Some does. On their own websites, VoiceboxMD and Wispr Flow list Mac apps that type into other programs. Dragon Medical One's product page lists Windows 11 apps. Check the vendor's system requirements before you buy.
Do I need a BAA for dictation software?
If the software handles patient information for you, HIPAA requires a Business Associate Agreement. VoiceboxMD and Twofold include one on every plan; Wispr Flow includes one on its Growth plan; Freed lists an organization-wide BAA. The dictation built into macOS and Windows comes with none.
What is the difference between dictation and an AI scribe?
Dictation types the words you say. An AI scribe records the visit conversation and drafts a structured note, such as a SOAP note, for you to review. Some products do both. See ambient scribe or dictation: which mode, when and our AI medical scribe buyer's guide.
Try VoiceboxMD on Your Own Notes
The quickest test is a week of your own dictation. VoiceboxMD includes live dictation and an ambient AI scribe on every plan, with a BAA.
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 guide was last updated November 6, 2026. VoiceboxMD is the publisher of this guide and one of the products compared. Competitor prices and features come from each vendor's own website on that date and can change; check the linked page before you buy. All trademarks belong to their respective owners. Doximity® is a trademark of Doximity, Inc.; Dragon®, Dragon Medical One™ and Dragon Copilot™ are trademarks of Microsoft; Fluency Direct™ and Solventum™ of Solventum; Suki®, Freed™, Heidi Health™, Twofold™, Commure™, Augmedix® and Wispr Flow™ of their respective companies.
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