Dragon Medical One is a Windows desktop application, sold through resellers on annual contracts, built to dictate into an EHR. Doctilio takes the opposite shape. It is a medical dictation app for iPhone that turns your spoken findings into a specialty-structured report: radiology, nuclear medicine, pathology, and cardiology. You dictate every word, including the punctuation. The app applies your specialty’s structure and composes nothing. It is free right now, no card required.
Your voice never leaves your phone - speech-to-text runs on-device. The draft report text is sent encrypted to Doctilio servers and processed by a third-party AI provider for formatting. Doctilio never records patients - it is not an ambient scribe.
Dragon Medical One is a serious product with a large install base, and for a hospitalist dictating into Epic all day it is hard to beat. But if you write diagnostic reports, three things tend to push you elsewhere.
| Doctilio | Dragon Medical One | |
|---|---|---|
| Can you buy it yourself? | Yes. Self-serve from the App Store | No. Reseller-gated, a sales call before you dictate a line |
| Platform | Native iPhone app (Android coming soon) | Windows desktop client only |
| Price (as of August 2026) | Free right now, no card required. Regular price $19.99 per month per doctor, billed through the App Store; it returns with at least two weeks' notice | $99 per user per month on a 1-year term, $89 on 2 years, $79 on 3 years, plus a one-time $525 per-user setup and implementation fee charged by Dragon Medical One. US reseller pricing |
| First-year cost | $0 during the free period; $239.88 per doctor at the regular price | About $1,713 per doctor on a 1-year term (about $1,473 on a 3-year term) |
| Contract | None. Free right now, no card. When pricing returns it is monthly through the App Store, cancel anytime, no lock-in, no setup fee | Annual terms, 1 to 3 years, priced per term |
| Audio handling | Your voice never leaves your phone - report text syncs encrypted to our servers and a third-party AI provider. Never records patients, not an ambient scribe | Cloud speech recognition |
| Output | A specialty-structured report: Findings and Impression, organ-system order | Transcribed text into whatever field your cursor is in |
| Setup | Sign in with Google or Apple and start dictating | Reseller onboarding, IT involvement, Windows deployment |
| How you start | Free right now, self-serve, no card required | Sales-assisted only in the US, no self-serve trial |
Competitor facts date-stamped as of August 2026 and re-verified before each content flight. Dollar figures are US reseller pricing, shown for US readers. The Doctilio iPhone app is available now on the App Store. There is no Android app yet; join the waitlist from the contact page to be notified if that changes.
This is the comparison most doctors have never seen laid out, because Dragon Medical One’s price is not published where you can find it.
On a one-year term, Dragon Medical One runs $99 per user per month, and Dragon Medical One charges a one-time $525 per-user setup and implementation fee on top. That is about $1,713 in the first year, per doctor, before anyone has agreed to anything about your report format. Committing to three years lowers the monthly rate to $79 and the first-year total to roughly $1,473, in exchange for a longer lock-in. US reseller pricing, as of August 2026.
Doctilio’s regular price is $19.99 per month, which is $239.88 over a full year, with no setup fee, no reseller, and no annual term. And right now it is in a free period: the full app, no card required, with at least two weeks’ notice before pricing returns.
We are not claiming these are the same product. Dragon Medical One does things Doctilio does not, and the next section says exactly what those are. The point is narrower: if what you need is a structured diagnostic report from your own dictated findings, you should know that the gap between those two numbers exists.
We would rather you switch for the right reason than churn in a month.
Doctilio is for the reads that come with no software attached: the second contract, the teleradiology list, the per-click and medico-legal work, the report you are writing on your phone because you are not at the workstation.
Ambient scribes sit in the room and record the patient encounter, then draft a note from the conversation. Doctilio does none of that. It never listens to or records a patient conversation. There is no patient encounter captured anywhere in the product, so there is nothing to consent to, retain, or produce later. You dictate your own findings, the way you always have, and Doctilio formats them.
Your voice never leaves your phone - speech-to-text runs on-device. The draft report text is sent encrypted to Doctilio servers and processed by a third-party AI provider for formatting. Doctilio never records patients - it is not an ambient scribe.
For exactly how your report data is handled, end to end, read our Privacy Policy. We would rather send you to the full document than paraphrase it into something friendlier than it is.
Every product in this category leads with an accuracy number. We do not publish one, because you cannot check ours and we will not ask you to take it on faith.
The proof that counts is the one you run yourself: read tomorrow’s list with it, free right now, in your own accent, with your own terminology, on your own cases. If it does not hold up on your reads, no percentage on a website was ever going to change that.
That depends on your reads, so test it rather than take our word. Doctilio is built for doctors who dictate diagnostic findings and want a structured report back rather than transcribed text: radiology, nuclear medicine, pathology, and cardiology. It runs on iPhone, and it is free right now with no card required, so you can try it on your own list.
Yes. Dragon Medical One itself is a Windows desktop application, and Nuance's standalone phone app, Dragon Anywhere, went end-of-sale on July 1, 2026. Doctilio is a native iPhone app you can download yourself from the App Store, with on-device speech recognition and no desktop client.
No. Doctilio is mobile-first and runs natively on iPhone, with Android coming soon. Running on the device is what lets speech-to-text happen on-device rather than in the cloud. Your voice never leaves your phone - report text syncs encrypted to our servers and a third-party AI provider.
No, and that is intentional. Doctilio is a standalone iPhone app with no EHR, PACS, or RIS integration. You dictate, review the formatted report, and export it as PDF or Word, or copy the text out into any system. That is why there is nothing to install on a locked-down hospital PC and no integration project to schedule.
Dragon Medical One is not sold self-serve; pricing runs through authorized resellers on annual terms of one to three years, with a one-time per-user setup and implementation fee on top of the monthly rate. The current US reseller figures, date-stamped, are in the comparison table and cost breakdown on this page.
Right now, nothing. Doctilio is in its free period: the full app, no card required, no trial clock. When pricing returns we will announce it at least two weeks ahead, in the app and on doctilio.com.
No. There is no contract at any point. Doctilio is free right now, with no card and nothing to cancel. When pricing returns it is monthly billing through the App Store, cancel anytime, with no annual term, no reseller contract, and no setup fee. Every report exports as PDF or Word, or copies out as text, so your work is never locked in.
No. Doctilio is not an ambient scribe. It never records patient conversations. You dictate your own findings, so there is no patient encounter being captured.
Yes. You can build a custom vocabulary of the terms you use, such as drug names, referring physicians, and abbreviations, and Doctilio recognizes them in your dictation. Your custom vocabulary is stored on your device.
Comparing reporting tools too? See Doctilio vs PowerScribe. If you can no longer renew Dragon Anywhere, see the Dragon Anywhere alternative. And if you read independently, see the radiology dictation app for individual radiologists.
Last verified: August 2026. Competitor prices, contract terms, and end-of-sale dates are re-verified before every content flight. They age, and we date-stamp them so you can tell how fresh they are.
Dictate a real report from tomorrow’s list: a negation, the anatomy legacy engines mangle, the terms only your specialty uses. See the structured report come back with every word you said.
Doctilio is free right now. The full app, no card required, no trial clock. The regular price is $19.99 per month, and when pricing returns we will announce it at least two weeks ahead. No email, no phone call, no “contact sales”. Questions go to support@doctilio.com, answered by the team that builds the app, within two days.