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Side-by-side comparison · Productivity & Notes

Abridge vs Fathom vs Granola

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

Best overall

Granola

4.4

From $14/user/mo

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.

Best overallEasiest to use

Pick it if: Founders, consultants and managers who sit in back-to-back calls and hate the awkward recording bot.

Granola scores highest overall, but Fathom gives you more for your money. Which one is right comes down to what you value most.

Overview

AttributeAbridgeFathomGranola
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.Takes meeting notes from your computer's audio, so no bot ever joins the call.
Pricing modelPaidFreemiumFreemium
Starting priceSee website$20/mo$14/user/mo
Free plan No Yes Yes
Works with Claude Code No Yes Yes

Rating breakdown

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

AttributeAbridgeFathomGranola
Overall rating4.24.24.4Winner
Ease of useHow quickly someone non-technical gets value from it.
4.5
4.5
5.0
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
4.5
Value for moneyWhat you get for the price, including the free plan.
3.5
4.5
4.0
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.

AttributeAbridgeFathomGranola
Access & platform
Free plan No Yes Yes
Mobile app Yes– Yes
Desktop app– Yes Yes
Browser extension No– No
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 No
Understands images– No No
Makes images No No No
Makes video No No No
Writes code No No No
Runs agents or automations– No No
Learns your brand or style– No No
Works in many languages Yes Yes Yes
Capabilities score5/ 177/ 178/ 17

Pricing

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

AttributeAbridgeFathomGranola
Plans

EnterpriseOur pick

Custom

Health systems rolling it out across many clinicians.

FreeOur pick

Free

Anyone who wants every call recorded without paying.

Basic

Free

Trying it, or anyone who only needs the last month of notes.

Premium

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

One person who wants the fuller summaries every time.

BusinessOur pick

$14/user/mo

Anyone in regular client or sales calls.

Team

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

Small teams sharing calls with each other.

Enterprise

$35/user/mo

Companies that need admin control over who records what.

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.Start on Basic and see how it fits your week. If you find yourself wanting a call from six weeks ago, that's your signal to move to Business. Enterprise is only for IT-managed rollouts.

Key features

AttributeAbridgeFathomGranola
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
  • Bot-free capture
  • Notes built on yours
  • Ask across meetings
  • Templates
  • Phone apps
  • Claude connection

Pros and cons

AttributeAbridgeFathomGranola
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
  • No bot in the call keeps clients and candidates relaxed
  • Notes read like something you wrote, not a wall of transcript
  • Quick to set up and almost nothing to learn
  • Cross-meeting chat is genuinely useful for follow-ups
  • Phone apps cover in-person meetings
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 video recording or shareable clips
  • The free plan locks notes older than 30 days
  • No annual discount shown, so $14 a user adds up for a team
  • Needs the desktop app running; it won't record from a phone call on your laptop if the app is closed

Who each one is for

AttributeAbridgeFathomGranola
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
  • Client and sales calls
  • Interviews and one-on-ones
  • Bot-free recording
  • Asking questions across past meetings
You'll find it used by
  • Hospital physicians
  • Nurses
  • Health systems
  • Clinical documentation teams
  • Sales teams
  • Customer success
  • Agencies
  • Coaches
  • Founders
  • Consultants
  • Managers
  • Sales teams
  • Recruiters

Questions people ask

Which is better, Abridge, Fathom or Granola?

Granola scores highest overall in our ratings (Abridge 4.2/5, Fathom 4.2/5 and Granola 4.4/5). 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. Granola is best for client and sales calls and interviews and one-on-ones.

Which is cheaper, Abridge, Fathom or Granola?

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. Granola: There's a free plan, and paid plans start at $14/user/mo.

Which is easier to use, Abridge, Fathom or Granola?

Granola rates highest for ease of use in our scores. Founders, consultants and managers who sit in back-to-back calls and hate the awkward recording bot.

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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