Freed vs Microsoft Dragon Copilot (2026)
Few buyers choose between these two, and the gap between them describes the buyer rather than the products. Freed is $39 to $119 a month, published on the website, self serve, with a business associate agreement included by default on every tier. Dragon Copilot is an enterprise agreement quoted through Microsoft sales or a partner, with no published price. The real dividing line is the record system. Freed pushes the note through a browser extension and writes no discrete data into the chart; Dragon Copilot is embedded natively in Epic with structured capture and role based editions. If you are one clinician or a small practice that needs a note today, Freed. If discrete data has to land in the record and the deployment covers nurses and radiologists, this is not a contest.
- Pricing is fully published and so is the trial. Starter at $39 a month for up to 40 notes, Core at 79 unlimited, Premier at 119 or 104 billed annually adding EHR push and coding, with a seven day trial that takes no credit card. You can establish the cost and test the product without speaking to anyone.
- A business associate agreement comes by default rather than gated behind an upper tier, which means the $39 plan is genuinely usable by a United States clinician handling protected health information, not just an evaluation sandbox.
- The security disclosure is unusually specific for a self serve product: SOC 2 Type 1 and Type 2 described as independent third party audits, cryptographic modules following the federal standard, and all data processed and stored in United States Azure data centers under a business associate agreement with Microsoft.
- Discrete data in the chart. Freed pastes a note through a Chrome extension with no native API and no structured write back, so coded data never populates the record. Dragon Copilot is embedded natively with flowsheet capture and structured output, which is the difference between a document and data.
- Specialty and role range. Freed centers on primary care and general practice and states that it is not made for large health systems. Dragon Copilot ships specialty templates and separate physician, nursing and radiology experiences.
- An organization wide deployment with a governance file behind it: transparency, privacy and security white papers, a sub processor list, a named regulatory registration in the United Kingdom and an enterprise contracting path your compliance team already recognizes.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. Freed and Microsoft Dragon Copilot are each graded against the same capability taxonomy, from each vendor's own public materials and the regulatory record, under the AI Health Index verification standard. No vendor pays for placement, and no vendor has reviewed this page. How this evidence is graded
Plain facts
| Fact | Freed | Microsoft Dragon Copilot |
|---|---|---|
| Primary category | Ambient Scribes | Ambient Scribes |
| Founded | Not recorded | 2025 |
| Headquarters | San Francisco, California | Redmond, Washington, United States |
| Website | getfreed.ai | microsoft.com |
Side by Side
Select any grade to read the note behind it.
Product updates
The latest logged changes from each vendor, newest first, each linked to its source.
Freed
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Product / capability
Freed has released Knowledge Base 2.0 for its Front Desk AI receptionist product.
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Product / capability
Freed has launched a new Dictation feature for its AI Scribe product.
Source
Microsoft Dragon Copilot
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Safety / governance
Microsoft's October release of Dragon Copilot for radiologists moves feature control into Dragon admin center, where admins can switch Chat, AI Draft and Optimization on or off and manage who has access.
Source
Each vendor in one paragraph
Written to be quoted whole. Each paragraph opens the AI Health Index profile of the vendor: what the product is, who buys it and what it does.
Freed is a self serve ambient scribe: a clinician can sign up and generate notes the same day with no sales call, no IT deployment and no annual contract. It reports more than 26,000 clinicians, more than 1,300 clinics and more than 32 million patient visits transcribed. It records on phone, desktop or tablet, returns a structured SOAP note within a minute or two, and publishes its pricing in full.
Source: AI Health Index, August 2026
Microsoft Dragon Copilot is the ambient clinical documentation assistant Microsoft created in March 2025 by merging DAX Copilot with Dragon Medical One, both from its 2022 acquisition of Nuance. It captures multi party, multilingual encounters and returns specialty specific draft notes, coding suggestions, clinical evidence summaries, referral letters and after visit summaries for clinician review inside the EHR.
Source: AI Health Index, August 2026
Questions buyers ask
How do Freed and Microsoft Dragon Copilot work with the EHR?
Freed says it works with dozens of browser based systems and works best on SimplePractice, PracticeFusion, Tebra, Elation, Therapy Notes, Athena, Optimantra, Kipu, Aarista and DrChrono, with support for new EHRs added monthly. Installing it takes less than a minute and needs no IT support, and it is part of the Premier plan.
With Microsoft Dragon Copilot, the product is embedded natively there, with Android and iOS parity and an Epic nursing app path for flowsheet capture, and the web application launches through SMART on FHIR R4. A partner Developer Kit lets a record system vendor embed the whole workflow, so recording is captured and the summary delivered without clinical content leaving the EHR. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
How are Freed and Microsoft Dragon Copilot priced and sold?
In Freed's case, a seven day free trial opens the Premier features with no credit card needed. Eligible students, residents, trainees and fellows can get 12 months of Core at no cost, or up to 50 percent off monthly Premier for 24 months.
Microsoft sells Dragon Copilot through its direct sales team and through Cloud Solution Provider partners, and quotes each deal individually, with a customer's existing Microsoft agreements bearing on the price. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
How do Freed and Microsoft Dragon Copilot handle patient data?
With Freed, audio is held until the note and its quality checks are complete, then deleted automatically. Clinicians can edit or delete notes at any time, or set them to delete automatically after 30 days.
Microsoft says the process meets the HIPAA deidentification standard, the GDPR standard for anonymization and Canadian guidance under PIPEDA and Quebec Law 25. The resulting data is used to improve Dragon Copilot's models, which Microsoft says are trained solely on anonymized data. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
Which settings and specialties do Freed and Microsoft Dragon Copilot cover?
Freed's site has specialty pages for nurse practitioners, family medicine, internal medicine, psychiatry, mental health, pediatrics, functional medicine and OB/GYN. Every plan includes specialty specific templates, and the homepage claims 98 percent recall on medical terms across more than 30 specialties.
With Microsoft Dragon Copilot, language support follows the product documentation. Only languages listed there are supported for speech to text and ambient summarization in a given locale, and multilingual mode must be enabled by an organization administrator before clinicians can use it. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
Related comparisons
Other published head to head assessments involving these vendors or their closest peers.
Freed states that its models are trained only on de identified notes and that protected health information is never used for training, which means customer content does train the model after de identification, a different commitment from not training on customer data at all. Microsoft publishes no rate card and quotes each deal individually. Neither vendor publishes a note accuracy figure.