Sign Up
Login
Try for Free
Login
Heidi Health and BastionGPT both offer HIPAA-compliant AI scribes that turn patient sessions into structured clinical notes. The overlap largely ends there. Heidi Health is an ambient scribe with a clinical evidence search, and full individual access costs $150 per user per month in 2026. BastionGPT pairs an unlimited AI scribe with a full healthcare AI assistant: it recognizes up to 10 speakers and labels each speaker's name and role automatically, drafts referral letters and insurance appeals, reads 10+ documents at once with 1,000+ pages of context, and runs on named frontier models (GPT-5.5, Claude, and Gemini 3 Pro), starting at $20 per user per month with a signed BAA on every plan.
This comparison covers the differences that matter when you choose: what each platform actually costs in 2026, what happens beyond the visit note, how document handling compares, what real users say on independent review sites, and what compliance coverage you get at each price. Heidi Health's pricing and limits were verified against heidihealth.com and its help center on July 2, 2026.
Heidi Health restructured its plans in early 2026, so older reviews citing a $99 Pro plan are out of date. Heidi's current US lineup: a free tier, Evidence Plus at $40 per user per month ($30 billed annually), Clinician at $150 per user per month ($110 billed annually), Practice at $180 per user per month (annual billing only), and custom Enterprise pricing. Full individual access, including unlimited Ask Heidi and advanced templates, starts at the Clinician plan.
BastionGPT Professional starts at $20 per user per month. Professional Plus, the closest match to Heidi's Clinician tier, costs $45 and includes the full AI assistant, multi-document analysis, image and spreadsheet reading, and manual model selection. Prices have held steady for over two years, and annual billing includes a free month.
The math for a five-clinician practice: Heidi Clinician runs $9,000 per year at monthly billing ($150 x 5 x 12). BastionGPT Professional Plus runs $2,700 ($45 x 5 x 12). That is a difference of $6,300 per year, or $3,900 if both are billed annually.
Ask Heidi works inside a session: it edits the note, creates session documents such as referral letters and discharge summaries, and answers clinical questions with citations. It is also metered. Free users get 10 credits per month across advanced features, Evidence Plus caps advanced queries at 10 per week, and unlimited access starts at the $150 Clinician plan, per Heidi's help center.
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 lab summaries and spreadsheets. BastionGPT cites 99.3% sentence-level accuracy on clinical documentation tasks from a peer-reviewed study by Baylor College of Medicine and Texas Children's Hospital researchers.
This is the widest gap between the two platforms.
On Professional Plus and Ultra plans, BastionGPT reads 10+ documents at once, up to 1,000+ pages of combined context. Supported formats include PDF, Word, Excel, CSV, PowerPoint, HTML, plain text, and JPG or PNG images, including scanned PDFs, charts, and graphs. A clinician can upload a full patient history, a psychological evaluation, and records from multiple providers, then query, summarize, and cross-reference all of it in one conversation. The Professional plan covers a single PDF, Word, or text document up to 30 pages.
Heidi accepts PDF, Word, JPG, and PNG attachments as session context. It publishes no page limit; the practical constraint is a per-file size cap of roughly 20MB, which clinicians on Heidi's public feature-request board report hitting with scanned records in the 20 to 25 page range, splitting 100+ page documents by hand to work around it. Spreadsheets are unsupported, template example uploads are capped at 5 files, and new sessions automatically link only the 3 most recent past sessions.
BastionGPT names its engines: licensed and 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. Model quality drives note quality, and naming the models lets you verify exactly what is reading your records.
Heidi Health does not disclose which foundation models power its product.
BastionGPT produces SOAP, Detailed SOAP, DAP, BIRP, H&P, and progress notes, and a Custom Note tab accepts any free-form prompt per recording: narrative formats, parent-friendly summaries, forensic documentation, and other specialty outputs. You can also upload example notes so BastionGPT matches your writing style and formatting.
Heidi generates notes from standard templates on every tier, with a community template library. On the free tier, custom templates draw from the same 10-credit monthly pool as documents and Ask Heidi.
BastionGPT includes a Saved Prompts library with folder organization and team sharing on every plan. A practice can standardize documentation by sharing one vetted prompt set across all providers and inserting any prompt into a chat with a slash command. Heidi offers snippets and templates, and gates team template sharing to its Practice and Enterprise plans.
BastionGPT enters a signed Business Associate Agreement with every customer on every plan, including the free trial, and supports HIPAA, 42 CFR Part 2, FERPA, PIPEDA, PHIPA, and Australian APP requirements. Data is encrypted with AES-256 at rest and TLS in transit, runs on HITRUST CSF certified and SOC 2 Type II attested Microsoft Azure infrastructure, and is independently penetration tested at least annually. In three years serving more than 10,000 healthcare organizations, BastionGPT has had zero breaches of protected health information.
Heidi states that it executes BAAs when it processes PHI on behalf of covered entities, and its help center lists an organization-wide BAA as an Enterprise plan feature. A self-serve BAA process for individual clinicians is not published. For a solo practitioner, that difference matters on day one.
BastionGPT holds a 4.8 out of 5 average across the three major verified B2B review directories: Capterra, Software Advice, and GetApp. Reviewers most often cite time saved on documentation and the freedom to use AI on real cases because data protection is built in.
Heidi Health holds a 3.3 out of 5 rating on Trustpilot across more than 480 reviews as of June 2026. Recent Trustpilot reviews most frequently report lost recordings, dropped sessions, and slow support responses, while positive reviews praise speed and reduced after-hours charting.
Ratings shift over time, so this page cites the source and date for each figure. The links in the sources section lead to the live numbers.
BastionGPT assists with documentation and analysis. Clinicians review and approve all AI-generated output; it does not replace professional judgment.
"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.
See how BastionGPT stacks up against other AI tools for healthcare:
