For the individual radiologist - the moonlighter, the per-click reader, the teleradiologist, the doctor doing legal and PI reads at the kitchen table. Your hospital's dictation license stays at the hospital. This is the report tool you own, on the phone that's already in your pocket.
If every one of your reads happened inside one hospital, you would never need this page. But independent radiology does not work that way. The per-click contract, the overflow list, the second teleradiology client, the medico-legal and PI reads that pay you personally: those studies arrive with no dictation software attached. The enterprise reporting stack you use at your main site is licensed to the institution, not to you. It does not follow you home.
That is the gap this page is about. Doctilio is a report engine for your own voice: you dictate your findings and impression, every word and every comma, on your iPhone, and it structures them into your specialty's report (Findings / Impression, organ-system order) for you to review and sign. It is not an ambient scribe; it never records a patient. It is the dictation layer for the reads your platform does not cover.
1. PowerScribe 360 is being retired. Renewals and maintenance end August 31, 2026, with full support ceasing August 31, 2027. Microsoft is retiring the on-prem PowerScribe 360 and moving customers onto PowerScribe One, its cloud subscription. (The Imaging Wire announced the retirement, 2026-03-01; the exact Aug 31, 2026 renewals-end date is confirmed by radai.com, re-checked August 2026. Sources at the bottom of this page.)
2. There has never been a version of PowerScribe you, personally, could buy. PowerScribe One/360 is sold only to hospitals and organizations, as a quote-only enterprise subscription: there is no self-serve purchase path and no published price at which an individual radiologist can buy it. We could not find one, and the two industry write-ups we checked say the same. Both are published by competing radiology-AI vendors (radwiz.ai and radmyk.com, linked in Sources), so weigh them accordingly. If Nuance or Microsoft publishes an individual tier, tell us and we will correct this page. Any specific dollar figure you see quoted online is a third-party estimate, not an official Nuance or Microsoft price.
So the migration everyone is talking about is a hospital's decision. If you read outside one institution, the honest question was never "which enterprise platform". It is "what do I dictate into for the reads that come with nothing?" That question was already being asked in February 2025, and the answers it got were a Windows install, a hospital licence, or a workaround.
"I'd like something similar to Powerscribe without the backend functionality. Basically dictation, templates and basic word processing with ability to save each dictation as a file. Does this exist? I've tried Dragon for Windows and it was very difficult to use"
The suggestion that thread got, verbatim:
"have you considered dictating into a dummy report in powerscribe and then copy pasting lol"
(Neither poster has seen Doctilio. We are quoting the problem, not an endorsement: these are the market's own words about the gap, not statements about our product.)
That suggestion, joke or not, is what "no tool follows you home" looks like. Doctilio is built to be the thing that thread was asking whether it existed.
Competitor facts in this table are date-stamped as of August 2026 and re-checked before every content flight; the Mobius figure below the table carries its own July 2026 stamp. The dollar figures here are US reseller pricing and apply to US readers; see the UK note below the table.
| PowerScribe One / 360Nuance / Microsoft | Dragon Medical OneNuance / Microsoft | Doctilio | |
|---|---|---|---|
| Can an individual buy it? | No. Hospitals and organizations only - no self-serve path, no published individual price | Reseller-gated - a sales call, no self-serve since 2025 | Yes - download it yourself from the App Store |
| Platform | Windows workstation, PACS/RIS-integrated | Windows-only desktop client | Native iPhone app |
| Price (as of August 2026) | Quote-only enterprise; any figure online is a third-party estimate, not official | $99/user/mo (1-yr term), $89 (2-yr), $79 (3-yr), plus a one-time $525/user setup and implementation fee, about $1,713 in year one (1-yr term; about $1,473 on a 3-yr term) | 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 |
| Contract | Enterprise agreement | 12-month term commitments (1-year to 3-year terms), priced per term | Monthly, cancel anytime, no lock-in |
| Audio handling | Cloud (PowerScribe One); on-prem server (360) | Cloud | 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 |
| Report output | Enterprise radiology reporting, PACS-bound | Generic medical dictation, no report structuring | Specialty-structured report - Findings / Impression, organ-system order |
| Does it follow you home? | No - institution-bound; the enterprise stack stays at the hospital | Tied to the reseller contract | Yes - owned by the doctor, travels across every contract and client |
PowerScribe One is Nuance/Microsoft's current cloud product; PowerScribe 360 is the legacy product being retired.
One more receipt, because individual doctors clearly do pay for iPhone dictation: Mobius Conveyor AI lists an in-app "Conveyor Plus" at $149.99/month on the US App Store (checked July 2026). It types into an EMR but produces no specialty-structured report. The market pays for phone dictation; the open question was always structure and price.
UK note: the dollar figures above are US reseller prices. Doctilio's free period applies in the UK too, and UK pricing is set in pounds on the UK App Store; when pricing returns we will announce it at least two weeks ahead.
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.
You will get asked this, by your own risk-management instinct and maybe by your own lawyer. So here is the whole flow, in the same words we use everywhere:
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.
Three things follow from that, plainly:
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.
There is no published price. PowerScribe 360 and PowerScribe One are sold to hospitals and imaging groups as quote-only enterprise subscriptions, priced per contract on seat count and term, and no list price is published. Any specific dollar figure you find online is a third-party estimate rather than an official one, and the estimates in circulation disagree with each other by orders of magnitude, so we will not repeat any of them. Two facts are more useful than a number. First, there has never been a tier an individual radiologist could buy: the purchase path runs through your institution, not through you. Second, PowerScribe 360 is being retired on a published schedule: renewals and maintenance end August 31, 2026, and full support ends August 31, 2027.
For an individual radiologist or small practice that wants mobile dictation without an integration project, yes. For a hospital department that depends on deep PACS/RIS integration and enterprise reporting workflows, PowerScribe remains more tightly integrated. Doctilio is the lightweight, mobile-first option, and it is the one you can actually buy yourself.
No, and that is by design. Doctilio runs as a standalone iPhone app with no PACS/RIS/EHR integration project. You dictate, review the formatted report, and export it as PDF or Word, or copy the text out, to drop into whatever system you already use.
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. There is no third-party ad tracking, and we never sell your data. See the Privacy Policy for full details.
While the PowerScribe churn has you thinking about your tooling anyway, settle the part that actually affects your independent reads: whether a phone can turn your dictated findings into a report you would sign.
Get Doctilio free on the App Store and read a real list with it.
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. Every report exports as PDF or Word (or copies out as text), so your work is never hostage.
Questions before you trust it with a read? Email support@doctilio.com, answered by one of the two founders, within two days.
Related comparisons: Dragon Anywhere alternative · Dragon Medical One alternative. And if you read independently, see the radiology dictation app for individual radiologists.
Last verified: August 2026. Competitor prices, end-of-life dates, and App Store facts age. We re-verify every figure on this page before each content flight.