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Side-by-side comparison · Productivity & Notes

Abridge vs Fathom

Everything that matters when choosing between them, in one place: our rating, what each can do, what they cost, and the trade-offs.

Abridge

4.2

Free to start

Fathom

4.2

From $20/mo

Comparing 2 tools. Add one more if you like.

At a glance

Pick it if: Hospital and health-system leaders choosing an AI scribe for their doctors and nurses.

Best value

Pick it if: Sales and customer-facing teams who want every call recorded and summarised without paying per seat to start.

Overview

AttributeAbridgeFathom
In one lineTurns doctor–patient conversations into notes inside the hospital EHR.Records your video calls and sends you a summary, action items and transcript.
Pricing modelPaidFreemium
Starting priceSee website$20/mo
Free plan No Yes
Works with Claude Code No Yes

Rating breakdown

Our scores out of 5. The higher bar in each row is highlighted.

AttributeAbridgeFathom
Overall rating4.24.2
Ease of useHow quickly someone non-technical gets value from it.
4.5
4.5
FeaturesHow completely it covers its own job, and how well the pieces fit together.
4.5
4.5
Output qualityHow good the results are before you fix them.
4.5
3.5
Value for moneyWhat you get for the price, including the free plan.
3.5
4.5
Speed & reliabilityHow fast it is and how often it falls over.
4.0
4.0

Feature comparison

A tick means it does this today. A dash means we haven't checked.

AttributeAbridgeFathom
Access & platform
Free plan No Yes
Mobile app Yes–
Desktop app– Yes
Browser extension No–
API access– Yes
Teams & business
Team workspace Yes Yes
Enterprise plan or SSO Yes Yes
Connects to other apps Yes Yes
Open source or self-hosted No No
AI abilities
Works with your files– No
Understands images– No
Makes images No No
Makes video No No
Writes code No No
Runs agents or automations– No
Learns your brand or style– No
Works in many languages Yes Yes
Capabilities score5/ 177/ 17

Pricing

Plans as listed on each vendor's site when we last checked. Confirm before you buy.

AttributeAbridgeFathom
Plans

EnterpriseOur pick

Custom

Health systems rolling it out across many clinicians.

FreeOur pick

Free

Anyone who wants every call recorded without paying.

Premium

$20/mo, or $16/mo billed yearly

One person who wants the fuller summaries every time.

Team

$19/user/mo, or $15/user/mo billed yearly

Small teams sharing calls with each other.

Business

$34/user/mo, or $25/user/mo billed yearly

Sales teams living in a CRM.

Enterprise

Custom

Larger organisations needing SSO and rollout help.

Which plan to pickThere is only one way to buy it: a contract between your organisation and Abridge. If you are a single clinician or small practice, look at Heidi instead.Most people should simply use Free; it covers more than the paid tiers of its rivals. Only move to Team or Business when several people need to search each other's calls or you want notes landing in HubSpot or Salesforce without lifting a finger.

Key features

AttributeAbridgeFathom
Standout features
  • Ambient documentation
  • Linked evidence
  • Inside Epic
  • Abridge for Nurses
  • Revenue cycle support
  • Many languages
  • Unlimited free recording
  • Summaries and action items
  • Clips and playlists
  • Ask Fathom
  • CRM sync
  • Claude connection

Pros and cons

AttributeAbridgeFathom
Pros
  • Deep Epic integration, so there is no copying notes between systems
  • Linked evidence makes notes faster to check
  • Strong independent evidence on reducing after-hours documentation
  • Covers doctors, nurses and inpatient care in one platform
  • Unlimited free recordings and transcripts, no catch
  • Video means you can replay and clip moments, not just read about them
  • Summaries arrive almost instantly after the call
  • CRM sync is the real thing for sales teams
  • Official Claude connection
Cons
  • Only sold to organisations; individuals and small practices cannot buy it
  • No public pricing, and analyst estimates put it at the expensive end
  • Roll-out is a long integration project, not a same-day sign-up
  • Notes still need careful review, especially exam findings
  • A recording bot joins most calls and some clients find it off-putting
  • Built for video calls; in-person meetings are not its strength
  • The fuller AI summaries are capped unless you pay
  • Pricing tiers are confusing, with Premium costing more than Team

Who each one is for

AttributeAbridgeFathom
Best for
  • Large health systems on Epic
  • Cutting after-hours note writing
  • Nursing and inpatient documentation
  • Notes that link back to the source conversation
  • Recording sales and client calls
  • Sharing call clips with the team
  • Pushing notes into a CRM
  • Free unlimited transcripts
You'll find it used by
  • Hospital physicians
  • Nurses
  • Health systems
  • Clinical documentation teams
  • Sales teams
  • Customer success
  • Agencies
  • Coaches

Questions people ask

Which is better, Abridge or Fathom?

They tie on our overall rating (Abridge 4.2/5 and Fathom 4.2/5). Abridge is best for large health systems on Epic and cutting after-hours note writing. Fathom is best for recording sales and client calls and sharing call clips with the team.

Which is cheaper, Abridge or Fathom?

Abridge: Pricing isn't published; check the vendor's site for a quote. Fathom: There's a free plan, and paid plans start at $20/mo.

How we compare

Ratings are our own, from using each tool, across ease of use, features, output quality, value for money, speed & reliability.

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