Commure Alternative: BastionGPT vs Commure (2026)

Published pricing without a procurement cycle

Commure does not publish pricing for its platform; the enterprise products are quoted through sales. Its self-serve Commure Scribe lists Scribe Pro at $89 per month, or $59 per month billed annually as a $708 upfront payment, and gates capabilities by tier: automated coding and custom templates arrive at Pro, while direct EHR sync, custom AI workflows, and ROI analytics require the custom-quoted Scribe Enterprise plan.

BastionGPT publishes every plan on its website: Professional at $20 per user per month, Professional Plus at $45, and Ultra at $75. The $20 plan includes the unlimited AI scribe, unlimited transcription, and the full AI assistant. There is no contract, no implementation fee, and no feature ladder for the core product, and annual billing adds a free month. A solo practice pays $240 a year instead of $708 to $1,068, and a group pays the same published rate at any size.

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A signed BAA on every plan, including the free trial

BastionGPT executes a Business Associate Agreement automatically at signup on every plan, including the 7-day free trial, so PHI is covered from the first note. Commure signs BAAs on paid plans, and its free Scribe Core tier is where most self-serve evaluations start: if you trial Commure Scribe, confirm your BAA status before recording real patient encounters. BastionGPT also backs every paid plan with a 45-day money-back guarantee.

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A full healthcare AI assistant alongside the unlimited scribe

Commure Scribe is documentation-focused: notes, coding suggestions, and an AI copilot for clinical decision support, with broader automation reserved for enterprise modules. BastionGPT includes an unlimited AI assistant on every plan alongside the scribe. Healthcare professionals use it to draft referral letters, insurance appeal letters, treatment plans, and patient education materials; review documentation for vague language and suspected under- or over-coding; and analyze lab summaries and spreadsheets. BastionGPT achieved 99.3% sentence-level accuracy on clinical documentation tasks in a peer-reviewed study by Baylor College of Medicine and Texas Children's Hospital researchers, and reports that AI scribe users reclaim an average of 90 minutes per day.

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Depth in mental and behavioral health

Commure's platform language is the language of health systems: wRVUs, denials, throughput, and revenue integrity. BastionGPT's center of gravity is the mental health professional. It drafts DAP, BIRP, and detailed SOAP notes; separates and labels up to 10 speakers for couples, family, and group sessions; supports 42 CFR Part 2 substance use records and FERPA-covered school records on every plan; and handles sensitive clinical topics such as self-harm and abuse that consumer AI tools often refuse. Therapists, psychologists, counselors, and psychiatric providers make up the largest share of BastionGPT's user base, and the product reflects it.

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Reads the records your practice receives

Clinical work involves documents that never came from a recorded visit: prior treatment records, evaluations, discharge paperwork, insurance denials, and faxed outside records. Commure's document automation lives in its enterprise revenue cycle pipeline rather than in the self-serve scribe. BastionGPT reads 10+ documents at once with 1,000+ pages of combined context on Professional Plus and Ultra, covering PDF, Word, Excel, CSV, PowerPoint, HTML, plain text, and scanned images with OCR. Upload three years of records, an evaluation, and a denial letter, then query, summarize, and cross-reference all of it in one conversation. The Professional plan covers a single document up to 30 pages.

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Your data is never used to train AI models

BastionGPT's policy is unambiguous: inputs, documents, and audio are never used to train AI models, never shared with model providers for training, and never sold. Retention stays under your control: chats persist until you delete them, and transcript retention is configurable from 1 to 365 days. Commure Scribe's own FAQ answers the training question differently, stating that its "proprietary large language models (LLMs) continuously enhance their performance with each use." That approach can be engineered in privacy-protective ways, so ask Commure exactly what is retained, for how long, and how model improvement works, in writing, before onboarding. With BastionGPT there is nothing to clarify.

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Self-serve today instead of an implementation project

Commure's enterprise deployments are genuine projects: sales, contracting, workflow configuration, and rollout support from forward-deployed engineers. That model makes sense at hospital scale. BastionGPT runs in the browser and is producing notes within minutes: sign up, record or upload a session, and review the finished note before you place it in your chart. There is nothing for IT to install and no minimum seat count, and the free 30-minute one-on-one training is optional rather than required. BastionGPT works alongside 50+ EMR/EHR systems, including Epic, Oracle Health, Athenahealth, and SimplePractice.

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AI models you can see, from vendors you know

BastionGPT names its engines: licensed, HIPAA-compliant versions of the latest GPT, Claude, and Gemini models, with the platform selecting the best model for each task and Professional Plus adding manual model selection plus early access to new models as they ship. Commure runs proprietary fine-tuned models and does not disclose the providers or versions underneath. Model quality drives note quality, and naming the models lets you verify exactly what is reading your patient records.

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A focused vendor without roll-up turbulence

BastionGPT is built by Bastion Intelligence, a bootstrapped healthcare AI and security company founded in Dallas, Texas in 2018 by a former academic medical center CISO and CTO. The product has been on the market since 2023, serves more than 10,000 healthcare professionals, and has recorded zero reportable PHI breaches. Commure has grown by merger: Athelas, Augmedix, Memora Health, and PatientKeeper in roughly two years, with about $750 million raised and a $7 billion valuation as of May 2026. Scale brings resources, and it has also brought turbulence: Business Insider reported staff cuts shortly after the 2023 Athelas merger, and in April 2025 a federal court barred new sales of Commure's Strongline Pro staff-safety product while a trade secrets case proceeds (Commure disputes the ruling and is appealing). None of that touches the quality of Commure's scribe directly; it is context worth weighing when you choose the vendor that will hold your documentation workflow for years.

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Human support on every plan

BastionGPT provides support by email, chat, phone, and video with real humans on every plan, plus a free 30-minute one-on-one training session and team lunch-and-learns, backed by a 99.90% uptime guarantee. Commure provides enterprise implementation and customer success teams for platform customers, and KLAS interviewees grade its executive involvement A+. For a self-serve Commure Scribe user, support runs through the product's help resources.

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