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Heidi Health and BastionGPT are both HIPAA-compliant AI medical scribes with strong compliance credentials and fast setup. Heidi built its reputation on multilingual support and a generous free tier. BastionGPT is built around a broader platform — combining a full AI assistant with the scribe so clinicians can handle documentation end-to-end in one place.
This comparison breaks down the real differences: pricing at scale, what happens beyond the visit note, document handling, and the compliance depth that matters for different practice types.
Heidi Health's paid plan starts at $99/user/month. BastionGPT Professional starts at $20/user/month with unlimited transcription and full AI assistant access included. For a five-provider practice, that difference is roughly $4,700 per year. Heidi's free tier covers basic dictation, but most clinical workflows quickly require the paid features.
Heidi offers "Ask Heidi," a clinical Q&A feature for on-demand reference questions. BastionGPT includes a full generative AI assistant capable of drafting referral letters, insurance appeal letters, treatment plans, patient education materials, and clinical reports — all with healthcare-appropriate content handling. These are fundamentally different capabilities. Ask Heidi answers questions; BastionGPT's assistant produces finished clinical documents.
Heidi offers limited document upload. BastionGPT supports PDF, Word, Excel, PowerPoint, and images, with capacity up to 150,000 words on Professional Plus. Clinicians can upload full patient histories, psychological evaluation reports, and multi-provider records and work with them directly in the AI assistant — not just the scribe interface.
BastionGPT produces SOAP, Detailed SOAP, DAP, BIRP, and Summary notes, plus a Custom Note tab that accepts any free-form prompt per recording. Heidi supports SOAP and customizable templates. For behavioral health and mental health providers who need BIRP notes as a standard output, or for any specialty requiring non-standard documentation formats, the Custom Note tab is a meaningful differentiator.
BastionGPT includes a Saved Prompts library with folder organization and team sharing. Practices can standardize documentation across providers by sharing prompts — something Heidi does not currently offer. For group practices, this turns individual efficiency into team-wide consistency.
"BastionGPT has a lot more capabilities [than ChatGPT] with data protection, so clinicians can more freely use AI."
"People compliment the quality and clarity of my documentation all the time now. I can't imagine working without Bastion!"
"BastionGPT has reshaped the way I practice medicine, teach, and manage day-to-day operations."
Every tool here does one thing well. No clutter, no confusion, just what works.
Heidi Health offers a free tier with basic dictation. The paid plan is $99/user/month. BastionGPT offers a 7-day free trial and starts at $20/user/month with unlimited transcription and full AI assistant access included.
Yes. Heidi Health supports 110+ languages for transcription and note generation. BastionGPT supports 15+ languages. If multilingual transcription is a primary requirement, Heidi has a broader language library.
Heidi Health offers limited document upload. BastionGPT supports PDF, Word, Excel, PowerPoint, and image uploads — up to 150,000 words on Professional Plus — with full AI analysis and summarization.
BastionGPT is built for the US healthcare market with HIPAA and FERPA compliance, a 99.90% uptime guarantee, and US-based support via phone, email, and live chat. Both platforms support HIPAA, but BastionGPT's broader AI capabilities and lower pricing make it a stronger fit for most US practices.
BastionGPT offers a 7-day free trial with full access to all features — scribe and AI assistant — rather than a permanently limited free tier. After the trial, plans start at $20/user/month with a 45-day satisfaction guarantee.