CompliantChatGPT describes itself as "ChatGPT, but HIPAA-Compliant": a chat platform that tokenizes protected health information before sending it to GPT and Gemini models, adds prebuilt clinical modes and patient workspaces, and connects to the Healthie EHR, with plans from a limited free tier to $63.99 per user per month. BastionGPT is a HIPAA-compliant AI assistant built for healthcare professionals: it drafts referral letters, insurance appeals, and patient education, analyzes 1,000+ pages of records at once, includes the latest GPT, Claude, and Gemini models, and adds an unlimited ambient scribe for the days you record sessions, all starting at $20 per user per month with a signed BAA on every plan.
This comparison covers what each platform costs, what the entry price actually includes, which AI models you get, how recording and transcription work, how each vendor handles retention and your data, what each publishes about security and accuracy, and which buyers each one fits. CompliantChatGPT's pricing, plan limits, retention options, PHI Guard, file limits, and API pricing were verified against compliantchatgpt.com on July 18, 2026.
Most people searching for a CompliantChatGPT alternative started from the same place: consumer ChatGPT offers no BAA, so it cannot touch patient information, and our guide to whether ChatGPT is HIPAA compliant walks through that gap. Both of these products close it, but they close it differently. CompliantChatGPT wraps general chat models in PHI tokenization and meters usage by chat credits on its free and Starter tiers. BastionGPT was built as a healthcare AI platform from the start: no credit math on any plan, Claude alongside GPT and Gemini in the same subscription, and an unlimited scribe included at $20 for the days you need one.
Quick answer: CompliantChatGPT is the stronger choice if your practice runs on the Healthie EHR, wants optional PHI tokenization and team-enforced retention controls, or prefers a native macOS app. BastionGPT is the better CompliantChatGPT alternative for healthcare professionals who want a deeper AI assistant with no usage meter: $20 per user per month includes the full assistant with the latest GPT, Claude, and Gemini models, unlimited chat and 1,000+ page document analysis, an unlimited AI scribe and transcription included for the days you need them, and a signed BAA on every plan, including the free trial, backed by a peer-reviewed 99.3% accuracy study.
| Feature | BastionGPT | CompliantChatGPT |
|---|---|---|
| Best for | Healthcare professionals, small and independent practices, and mental health teams that want a full AI assistant with an unlimited scribe included | Teams that want a ChatGPT-style chat platform with PHI tokenization, prebuilt modes, and Healthie integration |
| Published pricing | $20 to $75/user/month, listed on the website | Free plan; Starter $19.99, Pro $35.99, Full $63.99/user/month; custom Enterprise |
| Verified user reviews | ✓ 5.0/5 on G2; 4.8/5 on Capterra | 0 reviews on its G2 listing and no Capterra listing (July 18, 2026); no Trustpilot profile |
| What the entry price includes | Full AI assistant, unlimited chat and document review, plus unlimited AI scribe and transcription at $20/month | Starter $19.99 is credit-metered chat (2,500 chat credits/month per its own published plan data) with 100-page uploads |
| Usage limits | None: unlimited chat and transcription on every plan, no credit system | Free plan lists 10 chat credits/day; Starter is credit-metered; unlimited credits marketed from Pro ($35.99) up |
| Free option | 7-day free full trial, no credit card, with a signed BAA | Limited free plan plus a 7-day free trial, no credit card |
| Signed BAA | ✓ Every plan, including the free trial | ✓ Standard BAA on paid plans |
| HIPAA compliant | ✓ | ✓ |
| AI models | Licensed, HIPAA-compliant versions of the latest GPT, Claude, and Gemini models | GPT and Gemini models; Claude is not offered |
| Model access by plan | Same model pool on every plan with automatic routing; manual model selection on Professional Plus and Ultra | Better models marketed as a higher-tier feature; pricing page currently lists conflicting model versions |
| General AI assistant | ✓ Drafts referral letters, appeals, and patient education; reviews records, spreadsheets, and labs on every plan | ✓ General chat with prebuilt clinical modes and custom modes |
| Additional compliance and attestations | 42 CFR Part 2, FERPA, PIPEDA, PHIPA, APP; runs exclusively on HITRUST CSF certified and SOC 2 Type II attested infrastructure | Advertises HIPAA compliance and ISO 27001; a SOC 2 Type II audit or HITRUST certification is not published on its website |
| Data residency | US, Canada, or Australia, based on billing geography | Not published on its public site |
| Use of your data for AI training | Never; inputs, documents, and audio are not used to train models | States customer data is not used to train models |
| Data retention | User-controlled: chats persist until you delete them; transcript retention configurable from 1 to 365 days | ✓ Granular plan-based menu: no server retention, 24 hours, 7 days, 30 days, or unlimited, with team-level controls |
| PHI tokenization | Not needed: full PHI stays inside one BAA-covered, tenant-segregated environment | ✓ Optional PHI Guard replaces identifiers with tokens before model processing; vendor notes it is not required for HIPAA compliance |
| Session recording | ✓ Included ambient scribe captures sessions up to 240 minutes | Live dictation-style transcription; uploaded audio files up to 1 hour or 10 MB; no ambient session length published |
| Multi-speaker recognition | ✓ Up to 10 speakers, with automatic labeling of names and roles | Not published |
| Telehealth capture | Works with Zoom, Microsoft Teams, and Google Meet with no bot joining the call | Zoom integration on the Full plan |
| Note formats | SOAP, Detailed SOAP, DAP, BIRP, H&P, progress, custom free-form prompt, with writing-style matching from your sample notes | Prebuilt modes such as SOAP notes and bloodwork analysis, plus custom modes |
| Document upload and analysis | 10+ documents at once, 1,000+ pages of combined context (Professional Plus and Ultra); single documents up to 30 pages on Professional | 100 pages/10 MB per PDF on Starter, 200 pages on Pro and Full; 500 pages or 50 MB total per conversation on all plans |
| EHR workflow | Works alongside 50+ EMR/EHR systems; you review and edit each note before it enters the chart; custom connections via API | ✓ Native Healthie integration; other EHRs are not listed |
| Workspaces and reuse | Saved prompts, writing styles, and reusable templates | ✓ Patients & Projects workspaces organize patient context, documents, and chats |
| Native apps | Browser-based on any device, nothing to install; scribe records from a phone or tablet browser | ✓ Native macOS desktop app |
| API | $45/month with $45 in usage credits; published token rates, 500K context, 99.9% SLA; US, Canada, and Australia regions | $500/month including 15,000 calls, then $0.01 per additional call |
| Independent validation | 99.3% sentence-level accuracy in a peer-reviewed study by Baylor College of Medicine and Texas Children's Hospital researchers | None published; reports 7,000+ clinicians and 565,000+ clinical conversations (vendor figures) |
| Company profile | Bootstrapped healthcare AI and security company, founded 2018 in Dallas, Texas; BastionGPT on the market since 2023, serving more than 10,000 healthcare professionals | CompliantAI, LLC, founded by the CEO of digital health studio Light-it |
| Support | Email, chat, phone, and video with real humans on every plan, plus free 30-minute one-on-one training | Published contact email; dedicated customer support on the Enterprise plan |

Both platforms exist to let healthcare teams use modern AI on patient information legally and safely. Both sign Business Associate Agreements, both state that customer data is not used to train AI models, both publish their pricing in full, both transcribe audio and analyze uploaded documents, both support custom prompts or modes for repeatable work, and both offer 7-day free trials with entry pricing within a penny of each other: $20 for BastionGPT, $19.99 for CompliantChatGPT. The overlap ends at what those entry dollars buy. CompliantChatGPT's $19.99 Starter is a credit-metered chat plan: the vendor's own published plan data lists 2,500 chat credits per month, with unlimited credits starting at $35.99, and its transcription is live dictation plus one-hour audio uploads. BastionGPT's $20 includes an unmetered assistant with Claude alongside GPT and Gemini, plus an ambient scribe that captures four-hour multi-speaker sessions whenever you need it. The rest of this page walks through what that difference means in practice.
CompliantChatGPT's published plans offer GPT and Gemini models; Claude is not available on any tier. BastionGPT includes licensed, HIPAA-compliant versions of the latest GPT, Claude, and Gemini models in every subscription, and many healthcare professionals find Claude's writing voice the best fit for narrative notes, patient communication, and sensitive clinical topics. Model breadth is not cosmetic: running the same prompt through a second frontier model is often the fastest way to catch a weak answer before it matters. If Claude access is anywhere on your list, only one of these platforms has it.
CompliantChatGPT markets better models as an upgrade: its pricing page sells higher tiers partly on access to stronger model versions, and at the time of this review that page listed conflicting model versions in different sections, so check the vendor's current page for exactly which models each tier carries. BastionGPT does not tier intelligence. Every plan draws on the same model pool with automatic routing to the best model for the request, and Professional Plus and Ultra add manual model selection. A $20 BastionGPT user and a $75 user get the same quality answer to the same clinical question.
CompliantChatGPT meters its lower tiers: the free plan lists 10 chat credits per day and Starter lists 2,500 chat credits per month in the vendor's own published plan data, with unlimited credits marketed from the $35.99 Pro plan up. BastionGPT has no credit system on any plan: unlimited chat and unlimited transcription are included at $20. One pricing note worth checking before an annual purchase: CompliantChatGPT advertises yearly billing at 20% off, but at the time of this review the displayed Pro and Full annual totals equaled 12 monthly payments, so confirm current annual pricing with the vendor. BastionGPT's annual billing simply adds a free month, and every paid plan carries a 45-day money-back guarantee.
CompliantChatGPT's published limits are 100 pages per PDF on Starter and 200 pages on Pro and Full, with a ceiling of 500 pages or 50 MB per conversation on every plan. BastionGPT Professional Plus and Ultra read 10+ documents at once with 1,000+ pages of combined context: three years of records, a neuropsychological evaluation, and an insurance denial in a single conversation, across PDF, Word, Excel, CSV, PowerPoint, HTML, and scanned images with OCR. One honest caveat: at the entry tier the advantage flips, since CompliantChatGPT's Starter accepts 100-page files while BastionGPT Professional handles a single document of roughly 30 pages.
CompliantChatGPT's API is an enterprise line item: $500 per month including 15,000 calls, then $0.01 per additional call. BastionGPT's API starts at $45 per month including $45 in usage credits, with published unit economics: $0.018 per 1,000 input tokens, $0.045 per 1,000 output tokens, $0.73 per hour of audio, a 500K-token context window, 800 requests per minute, a 99.9% uptime SLA, and deployment regions in the United States, Canada, and Australia. That is a 91% lower starting subscription, and the billing units differ (tokens versus calls), so model your own workload; still, for a developer validating a healthcare AI product, one platform costs a lunch to try and the other costs a hire.
CompliantChatGPT advertises HIPAA compliance, a standard BAA on paid plans, and ISO 27001 certification; a SOC 2 Type II audit or HITRUST certification is not published on its website. BastionGPT runs exclusively on HITRUST CSF certified and SOC 2 Type II attested infrastructure, is pursuing its own SOC 2 Type II attestation and HITRUST CSF certification, and extends coverage past HIPAA to 42 CFR Part 2 substance use records, FERPA-covered school records, PIPEDA and PHIPA in Canada, and the Australian Privacy Principles, with data residency in the US, Canada, or Australia based on billing geography. Practices outside the United States, school-based providers, and substance use programs are covered on every plan.
BastionGPT is an assistant first, and session documentation comes included rather than sold as the product. Every plan adds an ambient scribe that captures sessions up to 240 minutes, identifies up to 10 speakers with automatic name and role labeling, works with Zoom, Microsoft Teams, and Google Meet with no bot joining the call, and turns the transcript into SOAP, Detailed SOAP, DAP, BIRP, H&P, or custom-format notes that match your writing style. CompliantChatGPT's transcription is built around live speak-and-it-types dictation and uploaded audio files of up to one hour or 10 MB. Group therapy, family sessions, long intakes, and multi-provider visits are exactly where a one-hour upload cap runs out.
BastionGPT achieved 99.3% sentence-level accuracy on clinical documentation in a peer-reviewed study by Baylor College of Medicine and Texas Children's Hospital researchers, published in Critical Care Explorations in 2026. CompliantChatGPT publishes no independent accuracy study; its reported 7,000+ clinicians, 565,000+ clinical conversations, and 139,000+ hours returned to patient care are the vendor's own figures. If you need to justify an AI tool to a compliance officer, a group practice owner, or a hospital committee, a citable study carries different weight than a marketing counter.
CompliantChatGPT's prebuilt modes lean medical: SOAP notes and bloodwork analysis, plus custom modes you write yourself. BastionGPT's center of gravity is the mental health professional: DAP, BIRP, and detailed SOAP formats out of the box, 10-speaker labeling for couples, family, and group sessions, 42 CFR Part 2 and FERPA coverage on every plan, and grounded handling of 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 is shaped around their daily work.
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, has recorded zero reportable PHI breaches, and backs a 99.90% uptime guarantee with support by email, chat, phone, and video from real humans on every plan, plus a free 30-minute one-on-one training session. Verified users rate BastionGPT 5.0/5 on G2 and 4.8/5 on Capterra; one G2 reviewer calls it "like ChatGPT but with the privacy controls that we need." CompliantChatGPT is built by CompliantAI, LLC, founded by the CEO of the digital health studio Light-it; as of July 18, 2026 its G2 listing showed 0 reviews and it had no Capterra listing, and it publishes a contact email, with dedicated support reserved for its Enterprise plan.
CompliantChatGPT has genuine strengths that matter to specific buyers. Its native Healthie integration reads and structures records from the EHR and layers AI notes and workflows on top, something BastionGPT does not offer. PHI Guard adds an optional tokenization layer that replaces identifiers before model processing, and the vendor is straightforward that it is optional and not required for HIPAA compliance. Its retention menu is the most granular in this comparison: no server retention, 24 hours, 7 days, 30 days, or unlimited depending on plan, applied with team-level controls. It ships prebuilt clinical modes and Patients & Projects workspaces, offers a native macOS desktop app, accepts 100-page PDFs at the entry tier where BastionGPT Professional handles about 30, and its $35.99 Pro tier undercuts BastionGPT Professional Plus at $45. If your practice runs on Healthie, your security team requires configurable zero retention, or a native Mac app is a hard requirement, CompliantChatGPT is a genuine contender. If your daily load is clinical work and the writing that comes with it, BastionGPT gives you the deeper assistant: Claude alongside GPT and Gemini, unlimited chat and 1,000+ page document analysis, and an included ambient scribe with four-hour multi-speaker capture, for $20 per user per month.

"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."
Full access to the AI scribe and AI assistant. You won't be charged today, you can cancel anytime, and every plan includes a 45-day money-back guarantee.
Yes, for healthcare professionals who want more than a credit-metered chat platform. BastionGPT costs $20 per user per month and includes the full AI assistant with the latest GPT, Claude, and Gemini models, unlimited chat, an unlimited AI scribe with transcription, and a signed BAA on every plan, including the 7-day free trial. CompliantChatGPT starts at $19.99 with 2,500 monthly chat credits and dictation-style transcription.
CompliantChatGPT lists a limited free plan, Starter at $19.99, Pro at $35.99, and Full at $63.99 per user per month, with unlimited chat credits starting at Pro. BastionGPT lists Professional at $20, Professional Plus at $45, and Ultra at $75; the $20 plan already includes the full AI assistant, unlimited chat, and the unlimited scribe with no credit system.
CompliantChatGPT is a HIPAA-focused chat platform: it tokenizes PHI before sending text to GPT and Gemini models, adds prebuilt modes and patient workspaces, and integrates with the Healthie EHR. BastionGPT is a healthcare AI assistant plus unlimited ambient scribe: 240-minute session capture with 10-speaker labeling, referral letters and appeals, 1,000+ page document analysis, and GPT, Claude, and Gemini in one subscription.
CompliantChatGPT advertises HIPAA compliance, includes a standard BAA on paid plans, and offers optional PHI Guard tokenization, which the vendor notes is not required for HIPAA compliance. BastionGPT is also HIPAA compliant and signs a BAA on every plan including the free trial, and it adds 42 CFR Part 2, FERPA, PIPEDA, PHIPA, and Australian Privacy Principles coverage.
BastionGPT. It drafts DAP, BIRP, and detailed SOAP notes out of the box, labels up to 10 speakers for couples, family, and group sessions, covers 42 CFR Part 2 and FERPA records on every plan, and handles sensitive topics that consumer AI tools often refuse. CompliantChatGPT's prebuilt modes center on SOAP notes and bloodwork analysis, with a one-hour cap on uploaded audio.
BastionGPT is rated 5.0/5 on G2 and 4.8/5 on Capterra by verified users; one G2 reviewer describes it as "like ChatGPT but with the privacy controls that we need." CompliantChatGPT's G2 listing showed 0 reviews as of July 18, 2026, and it has no Capterra listing or Trustpilot profile, so its own website testimonials are the main user evidence available. Review bases for newer healthcare AI tools run small, so weigh them alongside the published pricing and feature facts.
No. CompliantChatGPT's published plans list GPT and Gemini models only. BastionGPT includes licensed, HIPAA-compliant versions of the latest GPT, Claude, and Gemini models on every plan, so you can run the same clinical question through a second frontier model before relying on the answer.
CompliantChatGPT meters lower tiers by chat credits: its own published plan data lists 10 credits per day on the free plan and 2,500 per month on the $19.99 Starter, with unlimited credits marketed from the $35.99 Pro plan up. BastionGPT has no credit system on any plan: chat and transcription are unlimited at $20 per user per month.
PHI Guard is an optional CompliantChatGPT feature that detects protected health information and replaces it with temporary tokens before the text reaches the AI model, then restores it in the response. The vendor states it is optional, can be managed by team policy, and is not required to maintain HIPAA compliance. BastionGPT takes a different approach: full PHI stays inside one BAA-covered, tenant-segregated environment that is never used for model training.
CompliantChatGPT integrates natively with Healthie, reading and structuring records and layering AI workflows on top; other EHRs are not listed. BastionGPT offers no native EHR integration: it works alongside 50+ EMR/EHR systems in the browser, you review and edit each note before it enters the chart, and its API supports custom-built connections.
Differently. CompliantChatGPT offers live speak-and-it-types transcription and accepts uploaded audio files up to one hour or 10 MB; it publishes no ambient session length or speaker maximum. BastionGPT includes an ambient scribe on every plan that records sessions up to 240 minutes, identifies up to 10 speakers with automatic labeling, and works with Zoom, Microsoft Teams, and Google Meet without a bot joining the call.
CompliantChatGPT's API costs $500 per month including 15,000 calls, then $0.01 per additional call. BastionGPT's API starts at $45 per month with $45 in usage credits, published token rates, a 500K-token context window, a 99.9% uptime SLA, and US, Canada, and Australia deployment regions. The starting subscription is 91% lower; billing units differ, so model your own workload.
CompliantChatGPT accepts PDFs up to 100 pages on Starter and 200 pages on Pro and Full, with a 500-page or 50 MB total limit per conversation on all plans. BastionGPT Professional handles a single document of about 30 pages, while Professional Plus and Ultra read 10+ documents at once with 1,000+ pages of combined context, including spreadsheets, slides, and scanned images with OCR.
Choose CompliantChatGPT if your practice runs on the Healthie EHR, you want optional PHI tokenization or team-enforced retention windows down to zero server retention, you prefer prebuilt clinical modes and patient workspaces, or you want a native macOS app. For healthcare professionals whose core need is a full AI assistant with Claude, GPT, and Gemini plus unlimited documentation, BastionGPT delivers more per dollar at $20 per user per month.
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