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Side-by-side comparison · Productivity & Notes

Abridge vs Fathom vs Glean

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

Glean

4.0

Free to start

Comparing 3 tools, the maximum.

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.

Pick it if: Mid-size and large companies whose knowledge is scattered across many apps and teams.

Overview

AttributeAbridgeFathomGlean
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.Searches and answers questions across all your company's apps, with agents on top.
Pricing modelPaidFreemiumPaid
Starting priceSee website$20/moSee website
Free plan No Yes No
Works with Claude Code No Yes Yes

Rating breakdown

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

AttributeAbridgeFathomGlean
Overall rating4.24.24.0
Ease of useHow quickly someone non-technical gets value from it.
4.5
4.5
4.5
FeaturesHow completely it covers its own job, and how well the pieces fit together.
4.5
4.5
4.5
Output qualityHow good the results are before you fix them.
4.5
3.5
4.0
Value for moneyWhat you get for the price, including the free plan.
3.5
4.5
3.0
Speed & reliabilityHow fast it is and how often it falls over.
4.0
4.0
4.0

Feature comparison

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

AttributeAbridgeFathomGlean
Access & platform
Free plan No Yes No
Mobile app Yes– Yes
Desktop app– Yes–
Browser extension No– Yes
API access– Yes Yes
Teams & business
Team workspace Yes Yes Yes
Enterprise plan or SSO Yes Yes Yes
Connects to other apps Yes Yes Yes
Open source or self-hosted No No No
AI abilities
Works with your files– No Yes
Understands images– No–
Makes images No No No
Makes video No No No
Writes code No No–
Runs agents or automations– No Yes
Learns your brand or style– No–
Works in many languages Yes Yes Yes
Capabilities score5/ 177/ 179/ 17

Pricing

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

AttributeAbridgeFathomGlean
Plans

EnterpriseOur pick

Custom

Health systems rolling it out across many clinicians.

FreeOur pick

Free

Anyone who wants every call recorded without paying.

EnterpriseOur pick

Custom

Companies with roughly 100 or more staff.

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.There is only a quoted enterprise contract. Ask for a pilot on your own data before committing, and compare the quote against Microsoft 365 Copilot or Gemini if you already pay for one of them.

Key features

AttributeAbridgeFathomGlean
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
  • Search across every app
  • Assistant with sources
  • Permission-aware
  • Agents
  • Choice of models
  • API and MCP

Pros and cons

AttributeAbridgeFathomGlean
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
  • Very broad set of connectors across vendors
  • Keeps each app's access rights
  • Answers link back to sources so people can check them
  • Agents work on real company data
  • Strong security and compliance credentials
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
  • No public pricing, no small-team plan and high reported minimums
  • Long sales and setup process before staff see value
  • Answer quality depends on tidy, current documents
  • Overlaps heavily with Microsoft 365 Copilot or Gemini if you already pay for one

Who each one is for

AttributeAbridgeFathomGlean
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
  • Finding information across many company apps
  • Onboarding new staff faster
  • Support and sales teams answering questions
  • Building internal agents on company data
You'll find it used by
  • Hospital physicians
  • Nurses
  • Health systems
  • Clinical documentation teams
  • Sales teams
  • Customer success
  • Agencies
  • Coaches
  • IT teams
  • Support teams
  • Sales teams
  • Engineering teams
  • HR and people teams

Questions people ask

Which is better, Abridge, Fathom or Glean?

They tie on our overall rating (Abridge 4.2/5, Fathom 4.2/5 and Glean 4.0/5). 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. Glean is best for finding information across many company apps and onboarding new staff faster.

Which is cheaper, Abridge, Fathom or Glean?

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. Glean: Pricing isn't published; check the vendor's site for a quote.

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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