Hathr AI and BastionGPT both give healthcare professionals a HIPAA-compliant way to use generative AI, and both include a signed Business Associate Agreement on every plan. The overlap largely ends there. Hathr AI is a secure chat and document analysis tool built on Anthropic's Claude, hosted on AWS GovCloud, and priced at $47 per month. BastionGPT is a clinical AI platform: an AI scribe with unlimited transcription, structured clinical notes, a full AI assistant, 1,000+ pages of document analysis, and three named AI models, with plans from $20 per user per month.
This comparison covers the differences that matter when you choose: what each platform costs in 2026, whether it can document a spoken patient visit, how document handling compares, which AI models sit under the hood, what support you get, and where each platform's compliance posture fits. Hathr AI's pricing, plan, and feature details were verified July 2, 2026 against hathr.ai and its public directory listings.
The quick answer: Choose BastionGPT if you want a clinical AI platform: an AI scribe with unlimited transcription and 10-speaker recognition, structured SOAP, DAP, BIRP, and H&P notes, a full AI assistant, 1,000+ page document analysis, and named multi-model AI (GPT-5.5, Claude, and Gemini 3 Pro) from $20 per user per month. Choose Hathr AI if your organization requires AWS GovCloud hosting in a FedRAMP High environment for federal or defense work involving Controlled Unclassified Information. For private-sector US healthcare, BastionGPT delivers scribing plus a full assistant at a lower price than Hathr AI's chat-only subscription.
| Feature | BastionGPT | Hathr AI |
|---|---|---|
| Verified user ratings | 4.8/5 average across Capterra, Software Advice, and GetApp | 1 published Capterra review; 0 verified reviews on GetApp and SourceForge (July 2, 2026) |
| Entry paid plan | $20/user/month (Professional) | $47/month plan card price ($45 advertised in the site headline) |
| Full-featured individual plan | $45/user/month (Professional Plus) | $47/month (one tier: chat and document upload) |
| Free option | 7-day free full trial, plus a 45-day money-back guarantee | 7-day free trial; no free tier |
| Signed BAA | ✓ Every plan, including the free trial | ✓ Every plan; signed within 24 hours |
| HIPAA compliant | ✓ | ✓ |
| Additional compliance | 42 CFR Part 2, FERPA, PIPEDA, PHIPA, APP | 42 CFR Part 2, NIST 800-171, NIST 800-53 |
| Hosting and certifications | Microsoft Azure HIPAA-compliant infrastructure; HITRUST CSF certified, SOC 2 Type II attested | AWS GovCloud, FedRAMP High environment; FIPS 140-2 encryption, TLS 1.3 |
| AI models | GPT-5.5, Claude, Gemini 3 Pro (named and selectable) | Anthropic Claude only; directory listings cite Claude 3.5 Sonnet |
| Built-in AI scribe | ✓ Unlimited transcription on every plan, live or from uploaded audio | Not offered; API customers can build scribes from transcripts produced elsewhere |
| Multi-speaker recognition | ✓ Up to 10 speakers, with speaker diarization and automatic AI labeling of names and roles | N/A (no audio transcription product) |
| Max recording length | 240 minutes per session | N/A |
| Documents per upload | 10+ at once (Professional Plus and Ultra) | Unlimited file uploads advertised; no per-upload count published |
| Document capacity | 1,000+ pages of combined context | 500,000+ words per document |
| Supported upload types | PDF, Word, Excel, CSV, PowerPoint, HTML, text, JPG, PNG | Not published; marketing references medical records, lab results, and PDFs |
| Image, chart, and spreadsheet analysis | ✓ Professional Plus and above, including scanned PDFs and graphs | Not advertised |
| Note types | SOAP, Detailed SOAP, DAP, BIRP, H&P, progress, custom free-form prompt | Notes generated through chat prompting; no dedicated note formats published |
| Saved prompts with team sharing | ✓ All plans, with folder organization and slash commands | Data Library for repeatable document workflows; prompt coaching on Enterprise |
| EHR compatibility | Works alongside 50+ EMR/EHR systems (Epic, Oracle Health, Athenahealth, eClinicalWorks) | EHR/EMR integrations listed as an Enterprise feature (custom pricing) |
| SSO and provisioning | SSO on Ultra ($75/user/month, published price) | SSO, SAML, SCIM on Enterprise only (custom pricing) |
| Uptime guarantee | 99.90% | 99.9% SLA on Enterprise only |
| Support | Email, chat, phone, and video with real humans, on every plan | Email/help desk; site hours M-F 9am-5pm ET; real-time support on Enterprise |
| Languages | 15+ (transcription) | English (per SourceForge listing) |
| Federal/CUI posture | Not targeted; built for HIPAA-governed private healthcare | States CUI handling at Impact Levels 2, 4, 5; approved for the Military-Civilian Health Ecosystem |

Both platforms include a signed BAA on every plan, support HIPAA and 42 CFR Part 2 environments, state that customer data is never used to train AI models, encrypt data in transit and at rest, store US customer data inside the United States, and offer a 7-day free trial. Both accept document uploads and can draft clinical and administrative documents such as record summaries, pre-authorization requests, and appeal letters. Both also serve adjacent regulated professions, including legal, insurance, and government teams. If your entire requirement is typing questions into a secure chat window and uploading records for summarization, both tools cover that core workflow. The differences appear the moment you need to document a spoken visit, produce a structured clinical note, analyze a spreadsheet or scanned image, choose an AI model, or reach support by phone.
Hathr AI sells one plan for individuals: the Single Subscription Webapp. The pricing page headline advertises $45 per month, and the plan card on the same page lists $47 per month as of July 2, 2026; Hathr's GetApp listing also shows $47 per user per month. The subscription covers secure chat, unlimited document uploads, and a data library. SSO, EHR integrations, real-time support, and the 99.9% SLA require a custom-priced Enterprise plan.
BastionGPT Professional starts at $20 per user per month and already includes unlimited AI scribe transcription. Professional Plus, at $45, adds multi-document analysis up to 1,000+ pages, image and spreadsheet reading, manual model selection, and early access to new models. At two dollars under Hathr AI's card price, Professional Plus includes an entire scribing product that Hathr does not sell at any price.
The math for a five-clinician practice: Hathr AI runs $2,820 per year ($47 x 5 x 12). BastionGPT Professional runs $1,200 per year ($20 x 5 x 12) with unlimited transcription included, and Professional Plus runs $2,700. Every BastionGPT tier priced below Hathr's single plan includes the scribe.
This is the widest gap between the two platforms.
BastionGPT includes an AI Scribe with unlimited transcription on every plan. It captures visits live or from uploaded audio for sessions up to 240 minutes, recognizes up to 10 speakers, and uses speaker diarization plus automatic AI labeling so the transcript attributes each statement to the right person by name and role (for example, clinician, patient, or parent). Group therapy, family sessions, and care conferences produce a transcript that reads like a script. The scribe works with Zoom, Teams, and Google Meet with no visible bot in the meeting, and BastionGPT reports 99.3% accuracy in a study by Baylor College of Medicine and Texas Children's Hospital researchers.
Hathr AI has no scribe. The platform accepts typed prompts and uploaded documents; it does not record, transcribe, or diarize audio. Hathr's own API page lists "Digital Medical Scribes" as an application developers can build by automating "SOAP note generation from transcripts or bullet points," which means the transcript must come from a separate tool. A clinician who wants visit documentation from Hathr AI must transcribe the session elsewhere and paste the text in.
BastionGPT produces SOAP, Detailed SOAP, DAP, BIRP, H&P, and progress notes as first-class output formats, and a Custom Note option accepts any free-form prompt per recording: narrative formats, parent-friendly summaries, and other specialty outputs. You can upload example notes so BastionGPT matches your writing style.
Hathr AI generates notes through open prompting: you upload or paste text and describe what you want. Its marketing highlights chart summarization, pre-authorization drafting, and billing code suggestions, and those work well as chat tasks. It publishes no structured note templates, so the user carries the formatting burden on every request.
BastionGPT includes an unlimited general AI assistant on every plan. Clinicians use it to draft referral letters, insurance appeal letters, treatment plans, and patient education materials; review documentation for incorrect names, pronouns, vague language, and suspected under- or over-coding; and analyze uploaded records. A Saved Prompts library with folder organization and team sharing ships on every plan, so a practice can standardize documentation by sharing one vetted prompt set and inserting any prompt with a slash command.
Hathr AI's chat covers general drafting within its Claude-only architecture, and its Data Library stores documents for repeatable workflows so you avoid re-uploading records for each conversation. Team-level prompt standardization is not a published feature; prompt development and AI coaching appear on Hathr's Enterprise plan.
BastionGPT names its engines: licensed, HIPAA-compliant versions of GPT-5.5, Claude, and Gemini 3 Pro. Every plan selects the best model for each task automatically, and Professional Plus adds manual model selection plus early access to new models as they ship.
Hathr AI runs exclusively on Anthropic's Claude, hosted on AWS GovCloud; its SourceForge listing cites Claude 3.5 Sonnet. Claude is a strong model, and for plain document summarization the two platforms perform comparably. A single-model architecture still ties every task to one vendor's strengths, weaknesses, and release schedule. Model leadership shifts month to month, and a multi-model platform keeps output quality steady across note drafting, data analysis, and complex reasoning.
Both platforms handle long records, and document capacity is Hathr AI's strongest product feature: it advertises single documents of more than 500,000 words and unlimited uploads.
BastionGPT publishes the specifics. Professional Plus and Ultra read 10+ documents at once with 1,000+ pages of combined context, across PDF, Word, Excel, CSV, PowerPoint, HTML, plain text, and JPG or PNG images, including scanned PDFs, charts, and graphs. Hathr AI publishes no supported-format list and does not advertise spreadsheet, image, or chart analysis. A clinician who needs to read a lab spreadsheet, a scanned fax, or a growth chart gets a published answer from BastionGPT and an open question from Hathr AI.
BastionGPT provides US-based human support by email, chat, phone, and video on every plan, backed by a 99.90% uptime guarantee.
Hathr AI's pricing FAQ advertises 24/7 support, while its site footer lists business hours of Monday through Friday, 9am to 5pm ET, and its Capterra and GetApp profiles list email/help desk as the support channel. Real-time support and a 99.9% SLA appear as Enterprise plan features. For a solo practitioner whose scribe or chat tool fails mid-clinic, the difference between a phone call and an email queue matters the same day.
BastionGPT holds a 4.8 out of 5 average across the three major verified B2B review directories: Capterra, Software Advice, and GetApp, plus a 5-star Google Business Profile rating, and is used by 10,000+ healthcare organizations. Reviewers most often cite time saved on documentation and the freedom to use AI on real cases because data protection is built in.
Hathr AI is listed on Capterra, GetApp, and SourceForge. As of July 2, 2026, its Capterra listing shows a single published review, and its GetApp and SourceForge profiles show zero verified user reviews. That is not evidence the product performs poorly; it means a buyer has little independent user feedback to check the marketing against. Ratings shift over time, so this page cites the source and date for each figure; check each directory for the live numbers.
Hathr AI gates SSO, SAML, SCIM provisioning, EHR/EMR integrations, real-time support, and its SLA behind a custom-priced Enterprise plan, so a practice cannot budget those features from the website. BastionGPT publishes its organizational tier: Ultra at $75 per user per month with SSO, customizable security policies, and deployment inside your existing enterprise cloud. On every plan, BastionGPT works alongside 50+ EMR/EHR systems, including Epic, Oracle Health, Athenahealth, and eClinicalWorks, through simple copy-paste workflows with no IT project.
BastionGPT assists with documentation and analysis. Clinicians review and approve all AI-generated output; it does not replace professional judgment.
Hathr AI's clearest advantage is its federal compliance posture. The platform is hosted on AWS GovCloud in a FedRAMP High environment, conforms to NIST 800-171 and NIST 800-53 controls, uses FIPS 140-2 encryption with TLS 1.3, and states it can handle Controlled Unclassified Information at Impact Levels 2, 4, and 5. Hathr has been approved to join the Military-Civilian Health Ecosystem, is registered in SAM.gov, and was founded by a former military officer who advised national security organizations on AI deployment. Hathr AI also commits to signing BAAs within 24 hours, lets customers delete all their data immediately, and handles single documents beyond 500,000 words, a genuinely large ceiling for contract packages and policy libraries. If your procurement team requires FedRAMP High hosting or Impact Level 4 and 5 CUI handling (federal agencies, DoD contractors, VA-adjacent programs), Hathr AI is most often the appropriate platform between the two. BastionGPT runs on Microsoft Azure's HIPAA-compliant infrastructure, HITRUST CSF certified and SOC 2 Type II attested, which fits private practices, clinics, mental health groups, and health systems where HIPAA is the governing standard. For US healthcare professionals outside federal contracting, weigh the GovCloud hosting against what daily documentation requires. Audio scribing, structured notes, spreadsheet and image analysis, named AI models, and human support are the features a practice touches every day, and they are the features where BastionGPT leads at a lower price.
"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.
Hathr AI sells one individual plan, the Single Subscription Webapp. The pricing page headline advertises $45 per month, while the plan card on hathr.ai/pricing and Hathr's GetApp listing both show $47 per month as of July 2, 2026. API access is priced separately: Base at $45 per month (listed as non-HIPAA-compliant API access), Starter at $225, Professional at $700, and Enterprise at $1,200 per month. SSO, EHR integrations, and real-time support require a custom-priced Enterprise plan.
No. Hathr AI offers a 7-day free trial but no permanent free tier. BastionGPT also offers a 7-day free trial; paid plans start at $20 per user per month and carry a 45-day money-back guarantee.
Yes. Hathr AI includes a signed Business Associate Agreement with every plan and commits to signing within 24 hours. BastionGPT also includes a signed BAA on every plan, including the free trial.
No. Hathr AI is a chat and document analysis platform; it does not record, transcribe, or diarize audio. Its API page lists digital medical scribes as an application developers can build from transcripts produced elsewhere. BastionGPT includes an AI Scribe with unlimited transcription on every plan, recognizing up to 10 speakers in sessions up to 240 minutes.
BastionGPT uses licensed, HIPAA-compliant versions of GPT-5.5, Claude, and Gemini 3 Pro, selecting the best model for each task automatically; Professional Plus adds manual model selection and early access to new models. Hathr AI runs exclusively on Anthropic's Claude, hosted on AWS GovCloud; its SourceForge listing cites Claude 3.5 Sonnet.
BastionGPT reads 10+ documents at once with 1,000+ pages of combined context on Professional Plus and Ultra; the Professional plan covers a single document up to 30 pages. Hathr AI advertises single documents of more than 500,000 words and unlimited uploads, but does not publish a supported file format list.
BastionGPT reads Excel, CSV, PowerPoint, HTML, PDF, Word, text, and JPG or PNG images, including scanned PDFs, charts, and graphs, on Professional Plus and above. Hathr AI does not advertise spreadsheet or image analysis and does not publish supported upload formats.
Hathr AI is hosted on AWS GovCloud in a FedRAMP High environment, conforms to NIST 800-171 and NIST 800-53 controls, and states it can handle Controlled Unclassified Information at Impact Levels 2, 4, and 5. Hosting in an authorized environment is different from a product holding its own FedRAMP authorization, so federal buyers should confirm authorization status during procurement.
BastionGPT holds a 4.8 out of 5 average across the verified review directories Capterra, Software Advice, and GetApp. Hathr AI's Capterra listing shows a single published review, and its GetApp and SourceForge profiles show zero verified user reviews as of July 2, 2026. Ratings change over time, so check each directory listing for current figures.
BastionGPT. It includes an unlimited AI scribe, structured SOAP, DAP, BIRP, and H&P notes, three named AI models, image and spreadsheet analysis, and US-based phone, chat, email, and video support on plans from $20 per user per month, versus $47 per month for Hathr AI's chat-only subscription.
Hathr AI. Its AWS GovCloud hosting in a FedRAMP High environment, NIST 800-171 and 800-53 conformance, and stated CUI Impact Level 2, 4, and 5 handling fit federal agencies, DoD contractors, and VA-adjacent work in a way most commercial healthcare AI tools do not. That recommendation is unqualified.
Hathr AI's SourceForge listing states English language support. BastionGPT supports transcription in 15+ languages.