AI Medical Scribe Pricing: What an Ambient Scribe Should Cost (2026)

Nearly every ambient scribe is sold per provider per month. Published and quoted pricing in 2026 generally lands in three bands:

• $99–$149 per provider/month — entry tiers from standalone scribe apps, usually annual commitment, often with a visit cap.
• $150–$299 per provider/month — the mainstream band for scribes with EHR write-back, specialty templates and coding suggestions.
• $300–$399+ per provider/month — enterprise ambient platforms, typically with implementation fees and multi-year terms.

Human and offshore virtual scribe services still sit far above all of this, in the $1,500–$3,000 per provider per month range, which is the comparison that made ambient AI spread so quickly in the first place.

Moxcares includes ambient scribing at $69 per provider per month, month to month, with no visit cap and no implementation fee.

Here is where multi-location groups get quietly overcharged. Many vendors license by seat, by site, or by “active location,” which means one physician who covers three clinics in the same group is billed as three providers. At $199 a seat, that physician costs $597 a month instead of $199 — and nothing about their documentation volume changed.

Moxcares scopes ambient scribing to the provider, not the building. A clinician licensed once at $69 uses the scribe at every clinic in the group, across every schedule they appear on. For a ten-provider group where four clinicians float between two sites, that single difference is roughly $9,500 a year.

When you compare quotes, ask each vendor the same question in writing: “If Dr. Patel sees patients at two of our locations, how many licenses do we buy?” The answers diverge more than the headline prices do.

• Implementation and onboarding. Common at the enterprise tier, $1,000–$5,000 per practice. Ask whether it is waivable.
• EHR integration fees. Some scribes are free to run and expensive to connect; the note is useless if it lives outside the chart.
• Visit or minute caps. A “$99” tier capped at 200 encounters is a different product from an uncapped one.
• Annual lock-in. Most discounted pricing assumes a twelve-month term paid up front.
• Specialty templates as an add-on. Charged separately more often than you would expect.
• Retention and storage. Some vendors store audio and transcripts for months — a cost you pay in risk rather than dollars.

At $69 per provider per month the break-even is close to trivial. A clinician billing at a conservative $150 an hour needs to recover about 28 minutes a month to cover the cost. Ambient documentation typically returns one to two hours a day.

Two ways clinics realize that. The first is time: the after-hours charting window — “pajama time” — shrinks or disappears, which is the reason most physicians ask for a scribe in the first place. The second is capacity: fifteen minutes recovered per session is one or two more visits a day, which on a $150 average visit is $30,000 to $60,000 a year per provider.

Either framing beats the line item by an order of magnitude, which is why ambient scribing tends to be the fastest-payback software a small practice buys.

A cheap scribe that produces text you have to copy and paste into a chart is not cheap. The value only lands when the summary arrives as part of the chart itself.

Because Moxcares runs intake, scheduling, messaging, charts, payments and insurance on one spine, the scribe summary is written straight into the encounter for the provider to review, edit and sign. It arrives alongside the patient's conversational intake answers, so the note starts from the reason for the visit rather than a blank template. Nothing is exported, re-imported, or pasted.

You can see how the documentation side works on the charts page.

We are not sentimental about model choice. Moxcares uses leading models from Google and Anthropic to power transcription and clinical summarization, and we route work to whichever performs best on the task — long-form conversation, medication and dosage accuracy, structured summarization — rather than betting the product on a single vendor.

That is a deliberate architectural decision, not a procurement one. A platform built for AI agents from day one can swap and combine models as they improve; a platform that bolted a scribe on top of a 2010-era chart cannot. We made that argument at length in why bolting AI onto old software doesn't work.

Ask any scribe vendor how long they keep the recording. The honest answers range from “thirty days” to “indefinitely, for model improvement.” A stored recording of a clinical conversation is the most sensitive artifact in your practice, and every day it exists is a day it can be breached, subpoenaed or mishandled.

Moxcares purges the audio immediately after transcription. The recording exists only while it is being processed and then it is gone — what remains is the note in the chart, which is the thing the visit was for. We explained the reasoning, and what “immediately” means technically, in why we purge the audio.

Patient recordings are also never used to train models, access is logged in an append-only audit trail, and we sign a BAA. The details are on the security page.

• What is the price per provider per month, month to month, with no annual term?
• If a provider works at multiple locations, how many licenses do we pay for?
• Is there a visit, minute or encounter cap?
• What are the implementation and EHR integration fees?
• Does the note land in the chart as a draft to sign, or as text to copy?
• How long is audio retained, and is it used for training?
• Will you sign a BAA, and is access to notes audit-logged?
• What happens to our notes if we leave?

Our answers, in order: $69, one, no, none, a draft in the chart, purged immediately and never used for training, yes and yes, and you export everything.