Medical record review software pricing models, compared
Short answer: there are 7 pricing models: per page, monthly page allowance, annual credits, per case, per seat, service per page, and an enterprise license. Pick the model that matches how your volume moves: uneven volume favors prepaid per-page credits that don't expire; steady high volume favors an allowance or a license; a few huge files favor per case.
Limits: Vendor facts come from each vendor's own website, read on 2026-11-12; we haven't run every product, and prices, terms and security claims change, so get them in writing before you sign.
The 7 models, and the usage each one punishes
| Model | How the bill is built | Fits | Punishes |
|---|---|---|---|
| Per page, prepaid | Buy page credits; each case draws down what it uses; bigger packs cost less per page | Uneven or growing volume | Billing of duplicate pages; credits that expire |
| Monthly page allowance plus overage | A monthly fee includes a set number of pages; extra pages cost a rate | Steady volume close to the allowance | Quiet months (you pay for unused pages) and spikes (overage) |
| Annual credit subscription | Pay once a year for a fixed credit pool; heavier processing uses more credits per page | Known, steady annual volume | Overbuying, and runs that cost several credits per page |
| Per case or per summary | A flat price per file, sometimes plus a small per-page fee, often with a cap | Few, very large files | Many small files |
| Per user seat | A monthly fee per person, with use limits per document or per month | Many short documents, several users | Large record sets past the document limit; months you don't use it |
| Service, per page or per case | People, often helped by AI, return a summary in days | No time to check drafts yourself | Rush fees, minimums, and paying for review you then repeat |
| Enterprise license | A flat annual fee, sometimes with a setup fee, often for on-premise or private cloud | Hospitals and large programs with strict data rules | Small or uncertain volume |
Where each model sits: predictable versus idle cost
2 questions sort the models for most buyers. How predictable is the monthly bill? And what do you pay in a month when you review nothing?
Per-page prepaid and per-case billing cost nothing in a quiet month, but the bill moves with your caseload. Allowance plans, seats and licenses are predictable, but you pay them whether or not files arrive. A hospital budgeting a fixed line may prefer predictable; a physician with 3 files one month and 12 the next usually does better paying as files come in.
Published prices, vendor by vendor
Read from each vendor's own pricing page on 2026-11-12. "Not published" means we couldn't find a price; ask for a written quote.
| Product | Model | Published price | Trial | Source, captured |
|---|---|---|---|---|
| InPractice | Per page, prepaid credit packs | $0.15/page (1,000 pages, $150) down to $0.07/page (100,000 pages, $7,000) | 500 pages, no card | inpractice.ai/pricing, inpractice.ai/security, inpractice.ai/free-trial-inpractice, 2026-11-12 |
| Dodonai | Annual credit subscription | $300, $600 or $1,000 a year for 4,800, 24,000 or 120,000 credits; standard summary 1 credit/page, advanced up to 3 | 7 days, 100 pages | dodon.ai/pricing, 2026-11-12 |
| MediScan | Monthly page allowance plus overage | $169/mo for 1,200 pages then 10 cents; $445 for 3,500 then 7 cents; $665 for 10,000 then 5 cents | 15 days | mediscan.ai/pricing, mediscan.ai/security, 2026-11-12 |
| OctopusLM | Per page, prepaid credits | $0.10/page; $0.05 with a $300 top-up; $0.04 with a $4,000 top-up; $0.04 custom with 1,000,000-page minimum plus setup fee | 1,000 pages | octopuslm.co/pricing.html, 2026-11-12 |
| CaseMark | Per summary plus per page | $25 + $0.01/page, capped at $100 for up to 25,000 pages | Not stated | casemark.com/pricing, 2026-11-12 |
| Legalyze | Per case | $199 per case to 2026-11-30 (regular $299), unlimited users | Money-back guarantee on first case | legalyze.ai/pricing, 2026-11-12 |
| Superinsight | Monthly subscription | From $250 a month, no stated limit on cases or records | Free case evaluation | superinsight.ai/pricing, 2026-11-12 |
| BastionGPT | Per user seat | $20, $45 or $75 per user a month | 7 days | bastiongpt.com/pricing, 2026-11-12 |
| Hathr AI | Per account, monthly | From $47 a month | 7 days | hathr.ai/pricing, 2026-11-12 |
| Casefleet | Per user seat plus AI credits | $30 or $140 per user a month; AI credit overage $0.001/credit | 14 days, no card, 50 documents per case | casefleet.com/pricing, 2026-11-12 |
| InjuryMgmt | Monthly page allowance plus overage | $99/mo for 1,500 pages; $249/mo for 5,000 pages; extra pages $0.05 | 200 pages | injurymgmt.com/pricing, 2026-11-12 |
| Wisedocs | Quote only | Not published | Not stated | wisedocs.ai/product/medical-record-review, 2026-11-12 |
| DigitalOwl | Quote only | Not published | Not stated | digitalowl.com/trust, 2026-11-12 |
| Filevine MedChron | Quote only (part of a legal platform) | Not published on page read | Free trial of its LOIS product, no card | filevine.com/platform/medical-record-chronology-tool, 2026-11-12 |
| Supio | Quote only | Not published | Not stated | supio.com, 2026-11-12 |
| Medical Insightz | Service, per page | From $0.15/page, flat | First case free, 500 pages | medicalinsightz.com/ai-powered-review, 2026-11-12 |
| Medrecords AI (ours) | Per deduplicated page, prepaid credits | 10 cents/page; 8 cents at 100,000 credits; 5 cents at 500,000; report $10 | 7 days, 1 case, up to 1,000 pages, no card, after a demo | medrecords.ai/pricing.md, 2026-11-12 |
Products in this table do different jobs. A $20 seat on a general HIPAA AI workspace with a 30-page document limit is not comparable to a per-page tool built for 3,000-page files. Compare price only between products that pass the same must-have features.
8 cost lines that hide behind the headline rate
Each of these appeared on at least 1 vendor page we read. Ask about all 8 before comparing totals.
- Duplicate pages. OctopusLM's pricing page says duplicate pages are still billed as pages; Medrecords AI (ours) doesn't bill exact duplicates. On a file assembled from several sources, this can move the bill more than the rate does.
- Credits per page above 1. Dodonai lists advanced analysis at up to 3 credits per page, so the per-page price triples for that work.
- Overage. MediScan and InjuryMgmt publish allowance plans with a per-page rate after the allowance. Check how quiet months and spikes average out over a year.
- Per-file limits. InjuryMgmt states a limit of 3,000 pages and 100 MB per case; BastionGPT lists document limits of 30 pages and up to 1,000 pages by plan. A file past the limit means splitting it, which weakens cross-references.
- BAA fees. Casefleet says a BAA is available for annual accounts with an additional fee; CaseMark offers a BAA on monthly plans. Price the plan you are allowed to use with patient records, not the cheapest plan.
- Minimums and setup fees. OctopusLM's custom tier lists a 1,000,000-page minimum and a separate setup fee. Enterprise licenses often carry a setup fee too.
- Expiry. Ask whether unused credits or pages expire. InPractice and Medrecords AI state theirs don't; allowance plans reset monthly by design.
- Your own time. The largest line for most physicians. A cheaper tool you check slowly costs more over a year; see the calculator.
How to ask for a quote you can compare
Vendors that don't publish prices will quote whatever unit suits them. Ask every vendor to price the same thing, in writing:
- 12 months at your expected volume: number of files and average pages per file.
- The same 12 months at half and at double that volume.
- Your largest file from last year, priced on its own.
- Every fee outside the unit price: setup, BAA, SSO, support tier, rush, storage, extra users.
- What happens to unused credits or allowance at renewal, and the notice period to cancel.
Put the answers into the total cost calculator side by side. The pricing section of the RFP list has the same questions ready to paste.
Questions about pricing models
Is per-page pricing always cheapest?
No. Per-page prepaid is usually cheapest for uneven volume and for files with many duplicates when duplicates aren't billed. For a few very large files a year, a capped per-case price such as CaseMark's $100 cap for up to 25,000 pages can be lower.
Why do some vendors only quote?
Vendors selling to insurers, law firms and hospitals often price by contract size, data rules and integration work. That is normal for enterprise deals, but ask for a 12-month total at your volume so you can compare.
What is a fair price per page in 2026?
Among the self-serve tools in our table, published per-page rates run from $0.04 to $0.15, with lower rates tied to large prepaid packs or minimums. A service that puts people on the review starts at about $0.15 a page in our table and rises with rush and depth.
Should I sign an annual contract?
Only after a trial and a month of real use show the numbers hold. Ask for monthly or prepaid terms first, and check the cancellation notice and auto-renewal clause before you sign anything longer.