BastionGPT vs Suki AI: AI Medical Scribe Comparison for 2026

Price you can see, at a fraction of the cost

Suki does not publish pricing. Its Capterra listing reads "Contact vendor for pricing," and buying requires a demo and an enterprise contract. Industry reporting from 2025 and 2026 consistently places Suki Compose at roughly $299 per user per month and Suki Assistant at roughly $399, with enterprise contracts reported at $350 to $500+ depending on EHR integration depth. Independent reviews also report setup fees of $500 to $2,000 per practice and one-year minimum commitments.

BastionGPT posts its prices publicly: Professional starts at $20 per user per month, and Professional Plus, which includes the full AI assistant, multi-document analysis, image and spreadsheet reading, and manual model selection, costs $45. Annual billing includes a free month, and the organizational Ultra tier is published at $75 per user per month.

The math for a five-clinician practice: Suki Assistant at its reported rate runs $23,940 per year ($399 x 5 x 12). BastionGPT Professional Plus runs $2,700 ($45 x 5 x 12). That is a difference of $21,240 per year. Even against Suki Compose's reported $299 entry point, a practice on BastionGPT Professional ($1,200 per year for five users) keeps $16,740 that would otherwise go to documentation software.

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Signing up takes minutes, not a procurement cycle

Suki is built and sold for enterprise deployment. Independent reviews describe implementation timelines that range from minutes on athenahealth to several weeks on Epic, a learning curve of one to two weeks to master voice commands, and a sales process involving demos, negotiation, and annual contracts. For a hospital IT department, that is normal. For a solo practitioner or a five-provider clinic, it is a barrier.

BastionGPT deploys the day you sign up. There is no integration project, no implementation fee, and no sales call required: start a 7-day free trial, record your first session, and paste the note into the EHR you already use. Every paid plan carries a 45-day money-back guarantee.

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Your data trains nothing

This difference is easy to miss on a features page and matters more than most features. BastionGPT states that customer data is never sold or used to train AI models: prompts, uploaded documents, session audio, and outputs are not retained for model training on any plan.

Suki's policy is different. Its developer security FAQ states that Suki uses de-identified and anonymized data for model training purposes, breaking audio into isolated chunks and removing PII from transcripts before training. De-identification is a recognized HIPAA practice, and Suki documents its method openly. It still means patient encounters contribute to model training under Suki's process. Some organizations accept that tradeoff; others want the simpler answer. With BastionGPT, the answer to "does our data train the AI" is one word: no.

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Document analysis Suki does not offer

Suki reads patient data from the EHR chart on its four integrated systems. It does not offer document upload and analysis: there is no way to hand it a 300-page records dump, a psychological evaluation, a scanned fax, or an insurance denial letter and ask questions about it.

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, records from multiple providers, and a lab spreadsheet, 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.

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A full healthcare assistant, not only a visit workflow

Suki's assistant capabilities are anchored to the encounter and the EHR: it drafts the note, generates patient instructions, answers questions about chart data, and stages orders. That is real value inside the visit, and it is where Suki has focused.

BastionGPT includes an unlimited general AI assistant on every plan that covers the desk work around the visit too. 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. The scribe also captures telehealth visits through Zoom, Teams, and Google Meet with no visible bot in the meeting. BastionGPT earned 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.

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AI models you can see and choose

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.

Suki does not disclose which foundation models generate its notes. It has announced that patient summaries and clinical Q&A are built on Google Cloud's Vertex AI platform, and it describes its stack as medically tuned ASR, NLU, and LLMs, without naming the models behind them.

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Note flexibility for mental health and beyond

BastionGPT produces SOAP, Detailed SOAP, DAP, BIRP, H&P, intake assessments, treatment plans, and progress notes, plus specialty outputs such as group therapy summaries, neuropsychological evaluation write-ups, and safety plans. 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.

Suki generates SOAP, H&P, progress, and custom-template notes across 100+ specialties, with strong depth in physician workflows. Behavioral health formats such as DAP and BIRP are not part of its marketed template set, which matters for therapists, counselors, and group mental health practices that document in those structures every day.

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A signed BAA on every plan, including the trial

BastionGPT enters a signed Business Associate Agreement with every customer on every plan, including the free trial, with countersigned and custom BAAs available for larger organizations. The platform supports HIPAA, 42 CFR Part 2, FERPA, PIPEDA, PHIPA, and Australian APP requirements, and data for US, Canada, and Australia customers defaults to storage in the customer's own country. 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.

Suki is HIPAA compliant and SOC 2 Type II certified, and it provides BAAs to customers through its standard enterprise contracting. Because there is no self-serve plan, there is no self-serve BAA: the agreement arrives with the contract, after the sales process. Coverage for 42 CFR Part 2 or FERPA is not published in Suki's public trust materials.

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User ratings on independent review sites

BastionGPT holds a 4.8 out of 5 average across the three major verified B2B review directories: Capterra, Software Advice, and GetApp. It is used by 10,000+ healthcare organizations, processes 1.3 million clinical documents each month, and saves clinicians a reported 15,000 hours every day. Reviewers most often cite time saved on documentation and the freedom to use AI on real cases because data protection is built in.

Suki's public review footprint is thin for a company of its size. Its Capterra listing shows a 2.0 out of 5 overall rating from its single posted review, which describes glitchy dictation behavior; with one review, that number says less about the product than about how few individual buyers reach Suki through self-serve channels. On the Apple App Store, Suki holds a 4.2 out of 5 rating across 63 reviews, mixing praise for fast note generation with complaints about generic notes and missed medication names. Suki's strongest independent validation comes from KLAS, where it scores 93.8/100 among surveyed healthcare organizations.

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.

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