Freed vs Microsoft Dragon Copilot (2026)

AI Health Index verifiedAugust 4, 2026
Verdict

Almost nobody is genuinely choosing between these two, and the gap between them describes the buyer rather than the products. Freed is 39 to 119 dollars a month, published on the website, self serve, with a business associate agreement included by default on every tier so the cheapest plan is a viable production configuration. Dragon Copilot is an enterprise agreement quoted through Microsoft sales or a partner, with third party estimates ranging from roughly 150 to 830 dollars per provider per month. 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.

The case for Freed
  • Pricing is fully published and so is the trial. Starter at 39 dollars 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 dollar 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 centres under a business associate agreement with Microsoft.
The case for Microsoft Dragon Copilot
  • 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 is strongest in primary care and documented as needing more editing in procedure heavy and subspecialty work. Dragon Copilot ships specialty templates and separate physician, nursing and radiology experiences.
  • An organisation 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 recognises.

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

At a Glance

Plain facts

Fact Freed Microsoft Dragon Copilot
Primary category Ambient Scribes Ambient Scribes
Founded 2022 2025
Headquarters San Francisco, California Redmond, Washington, United States
Website getfreed.ai microsoft.com
Attribute Matrix

Side by Side

Axis
F
Freed
M
Microsoft Dragon Copilot
AI Centrality
Autonomy and Oversight Model
Model and Technology Transparency
Model Supply Chain Disclosure
Clinical and Operational Evidence
AI Safety and PHI Stewardship
HIPAA and BAA Posture
Security Certifications and Trust Center
FDA and Regulatory Status
AI Governance and Bias Disclosure
AI Liability and Recourse
EHR and Interoperability Depth
Deployment Model and Data Residency
Commercial Transparency
Setting and Specialty Coverage
Citable Summaries

Each record in one paragraph

Written to be quoted whole. Each paragraph states what the AI Health Index verified about the vendor, with the caveats attached. Generated from this pair’s live capability grades, so it moves when a grade moves.

Freed

The AI Health Index awards Freed its top capability grade on several axes, including AI Centrality, HIPAA and BAA Posture and Security Certifications and Trust Center. Set against Microsoft Dragon Copilot, Freed grades higher on HIPAA and BAA Posture, Security Certifications and Trust Center and Commercial Transparency. Grades reflect evidence the AI Health Index could verify at the last review, so a low grade records disclosure the vendor has not published rather than a capability it has been shown to lack.

Source: AI Health Index, August 2026

Microsoft Dragon Copilot

The AI Health Index awards Microsoft Dragon Copilot its top capability grade on several axes, including AI Centrality, Model Supply Chain Disclosure and FDA and Regulatory Status. Set against Freed, Microsoft Dragon Copilot grades higher on several axes, including Model and Technology Transparency, Model Supply Chain Disclosure and Clinical and Operational Evidence. Grades reflect evidence the AI Health Index could verify at the last review, so a low grade records disclosure the vendor has not published rather than a capability it has been shown to lack.

Source: AI Health Index, August 2026

FAQ

Questions buyers ask

Should we choose Freed or Microsoft Dragon Copilot?

On the axes where the AI Health Index separates them, Freed grades higher on HIPAA and BAA Posture, Security Certifications and Trust Center and Commercial Transparency, and Microsoft Dragon Copilot grades higher on several axes, including Model and Technology Transparency, Model Supply Chain Disclosure and Clinical and Operational Evidence. Microsoft Dragon Copilot leads on the greater share of scored axes, but the split means the decision turns on which constraint is binding rather than on an overall winner.

Where do Freed and Microsoft Dragon Copilot differ most?

The widest separation the AI Health Index records between Freed and Microsoft Dragon Copilot is on Commercial Transparency, where Freed grades A and Microsoft Dragon Copilot grades C. That axis sits in the Commercial group, so it should carry the most weight for a buyer whose binding constraint is contracting, scope and what the price actually covers.

Where do Freed and Microsoft Dragon Copilot grade the same?

The AI Health Index grades Freed and Microsoft Dragon Copilot the same on several axes, including AI Centrality, Autonomy and Oversight Model and AI Safety and PHI Stewardship. Neither holds an advantage the index can evidence on those axes, so they should not carry weight in a selection between these two.

Keep Comparing

Related comparisons

Other published head to head assessments involving these vendors or their closest peers. The full set for this category is on the Ambient Scribes page.

Disclosure

Freed states that its models are trained only on de identified notes and that protected health information is never used for training. Read carefully, that means customer content does train the model after de identification, which is a different commitment from not training on customer data at all, and worth confirming in contract.

Microsoft publishes no rate card; the 150 to 830 dollar range cited here is partner and third party reported and is recorded as an estimate rather than vendor pricing. Neither vendor publishes a note accuracy figure.