Scribeable vs Ambience Healthcare:
Ambience is built for health systems and is strong on coding at the point of care. Scribeable is an account a clinician can open today, with published prices, coding in the note, and an account that stays yours.
Why Physicians Switch from Ambience Healthcare
Ambience lists no prices on ambiencehealthcare.com and says its fees are tied to outcomes (Nov 2026)
There is no self-serve signup on ambiencehealthcare.com; the path is "Tell us about your system"
Ambience describes enterprise-wide health-system deployments, so access comes through an employer contract
Built for Health Systems
Ambience describes enterprise-wide deployments at large health systems and names Cleveland Clinic, UCSF Health, Houston Methodist, and Memorial Hermann. It integrates with Epic, Oracle Cerner, and athenahealth, and it announced a $243 million Series C in July 2025. Pricing is not published; the site says fees are tied to outcomes. Scribeable publishes a Free plan at $0 and Pro at $79 a month, and a clinician can start a 14-day Pro trial with no card.
Both Code the Visit
Ambience is serious about coding: ICD-10, HCC, MCC, CC, and E&M as care is delivered, with CDI gaps resolved at the point of care. Scribeable Pro codes in the note as well, with ICD-10 codes and their supporting text, the E&M level, HCC V28 capture, and a prompt when a code needs more documentation. It also scores 236 clinical calculators in code.
Same Patient. Same Encounter.
See why physicians say Scribeable notes are “actually usable” — with integrated risk scores, billing codes, and clinical reasoning that typical AI scribes simply don’t generate.
HPI
62 y/o male presents with chest pain for 2 hours. Substernal, pressure-like, radiating to left arm. Associated with diaphoresis and shortness of breath. Pain started while climbing stairs. Patient has history of HTN, DM2, and hyperlipidemia. Takes lisinopril, metformin, and atorvastatin. Denies recent illness or trauma.
Assessment & Plan
*Note examples are illustrative representations based on common AI documentation patterns. “Typical AI Scribe” represents composite characteristics of standard tools and does not depict any specific product. Patient scenarios are entirely fictional. Clinical notes should always be reviewed by a licensed provider.
AI Medical Scribe Note Quality Comparison
Scribeable produces clinically enriched notes with integrated risk calculators (HEART Score, CHA₂DS₂-VASc, Wells PE, PHQ-9, Caprini VTE), automated billing code optimization (E&M levels, HCC/RAF capture, CPT codes), dangerous diagnosis exclusion documentation, evidence-based prescribing citations, CMS compliance for operative reports, HEDIS care gap tracking, and MIPS quality measure documentation. Typical AI scribes produce basic notes without these advanced clinical features.
ED Chest Pain: 62-year-old male presenting with substernal chest pressure, diaphoresis, and exertional dyspnea
HPI: 62 y/o male presents with 2 hours of substernal chest pressure, rated 8/10, radiating to left arm and jaw. Onset during exertion (climbing stairs). Associated with diaphoresis and exertional dyspnea. Pressure-like quality, unrelieved by rest. No pleuritic component, no positional variation, no reproducibility with palpation. Risk factors: HTN (10 years), DM2 (8 years), hyperlipidemia, 30-pack-year smoking history (quit 5 years ago), family history of MI (father at age 58). Current medications: lisinopril 20mg daily, metformin 1000mg BID, atorvastatin 40mg daily. Denies cocaine use, recent immobilization, or prior VTE.
Assessment & Plan: 1. Acute Chest Pain — High-risk presentation HEART Score: 7 (High Risk) - History: moderately suspicious (2), EKG: non-specific ST changes (1), Age: >65 (2), Risk factors: ≥3 (2), Troponin: pending initial (0) - Risk stratification: >12% 6-week MACE event rate → full ACS workup - Serial troponins q3h, 12-lead EKG (initial + repeat at 60 min) - ASA 325mg PO administered, heparin drip per ACS protocol - Cardiology consulted for probable cath lab activation Dangerous Diagnosis Exclusion: - STEMI: No ST elevation on initial EKG — serial monitoring - Aortic dissection: No tearing quality, no pulse differential, no mediastinal widening on CXR - PE: Low pretest probability (Wells PE: 1.5) — no immobilization, no prior VTE, no hemoptysis 2. Hypertension — BP 168/94 on arrival, improved to 142/88 post-NTG - Continue home lisinopril, recheck prior to disposition 3. DM2 — Glucose 186 on arrival - Hold metformin (contrast exposure risk), sliding scale insulin PRN
Cardiology Consult: 71-year-old female with new-onset atrial fibrillation and decompensated heart failure
HPI: 71 y/o female with known HFrEF (EF 35% on TTE 6 months ago), HTN, DM2, and CKD Stage 3a (baseline Cr 1.4), consulted for new-onset atrial fibrillation with RVR. Progressive exertional dyspnea (NYHA II → IV over 2 weeks), 3-pillow orthopnea (new), PND, and 4+ pitting edema to knees bilaterally. Weight gain of 8 lbs over 2 weeks. Triggers explored: dietary indiscretion (holiday meals), medication non-adherence (ran out of furosemide 10 days ago). No prior AF history, no palpitations previously. Denies chest pain, syncope, or presyncope.
Assessment & Plan: Reason for Consult: New-onset atrial fibrillation with RVR in setting of acute decompensated HFrEF. Requesting Service: Internal Medicine (Dr. Patel) 1. New-onset Atrial Fibrillation with RVR CHA₂DS₂-VASc Score: 5 (Female sex, age ≥75, HTN, DM, HF) - Stroke risk: 6.7%/year → strong anticoagulation indication - Rate control: avoid diltiazem (negative inotropy in HFrEF) → amiodarone 150mg IV bolus then 1mg/min × 6h - Anticoagulation: apixaban 5mg BID (preferred over warfarin given age + fall risk) - TEE prior to any cardioversion attempt if AF duration uncertain - HAS-BLED: 2 (HTN, age) — acceptable bleeding risk 2. Acute Decompensated Heart Failure (ADHF) NYHA Functional Class: IV (dyspnea at rest) - IV furosemide 80mg BID (2.5× home oral dose), net negative 1-1.5L/day - Carvedilol held (acute decompensation), restart when euvolemic - Add sacubitril/valsartan when stable (PARADIGM-HF indication: EF ≤40% on ACEi) - BNP trend: 1,840 → monitor for response to diuresis 3. CKD Stage 3a — Cr 1.4 (baseline), monitor with aggressive diuresis - KDIGO risk: moderate — monitor Cr/K daily with diuresis
Operative Note: Right total knee arthroplasty in 68-year-old male with severe tricompartmental osteoarthritis
Operative Note: Preoperative Diagnosis: Right knee severe tricompartmental osteoarthritis (Kellgren-Lawrence Grade IV) Postoperative Diagnosis: Same Procedure: Right total knee arthroplasty Surgeon: Dr. James Morrison (attending — present and scrubbed for entire case) Assistant: Dr. Chen (PGY-4) Anesthesia: Spinal with sedation (Dr. Rivera) Implants: Smith & Nephew Legion CR, Size 5 femoral / Size 4 tibial / 10mm poly insert EBL: 150 mL Tourniquet Time: 62 minutes (pneumatic, 275 mmHg) Specimens: Femoral and tibial bone cuts — to pathology Complications: None Findings: Severe tricompartmental degenerative changes with exposed subchondral bone medially, grade III chondromalacia laterally, intact PCL
Post-Operative Plan: 1. Weight Bearing: WBAT right LE with front-wheeled walker 2. DVT Prophylaxis: Enoxaparin 40mg SQ daily × 14 days + mechanical (SCDs while inpatient) 3. Pain: Multimodal — scheduled acetaminophen 1g Q6h, meloxicam 15mg daily, tramadol 50mg Q6h PRN (max 14 days) 4. Antibiotics: Ancef 2g IV × 24h post-op 5. PT: Initiate POD0 PM — CPM machine, active/passive ROM, gait training 6. Follow-up: 2 weeks (staple removal + wound check), 6 weeks (X-ray + ROM assessment) 7. VTE Risk: Caprini Score 7 (High Risk) — extended pharmacologic prophylaxis indicated
Primary Care: 55-year-old female Medicare Advantage patient with DM2, HTN, depression, and overdue preventive care
HPI: 55 y/o female Medicare Advantage patient presenting for chronic disease management follow-up. Last visit 3 months ago. Diabetes (DM2, 8 years): A1c 8.2% (up from 7.6%), reports adherence but dietary indiscretion during holidays. Home glucose logs show fasting 140-180 range. No hypoglycemic episodes. Denies polyuria, polydipsia, vision changes, or foot numbness. Last diabetic eye exam: 14 months ago (overdue). Last podiatry visit: never. Hypertension (12 years): Home BP readings averaging 135-145/85-90. Taking lisinopril 20mg daily consistently. Depression (MDD, recurrent): PHQ-9 score today: 14 (moderately severe). Persistent low mood, anhedonia, poor sleep (initial insomnia), decreased concentration. On sertraline 50mg × 6 months with partial response. Denies SI/HI, denies alcohol or substance use. Columbia Suicide Severity: negative for ideation and behavior.
Assessment & Plan: 1. DM2, Uncontrolled (A1c 8.2%) — HCC 19 - Add empagliflozin 10mg daily (SGLT2i — CV and renal benefit, EMPA-REG OUTCOME indication) - Continue metformin 500mg BID (not escalating given GI intolerance history) - Diabetic eye exam referral (overdue 2 months — HEDIS measure) - Podiatry referral for initial foot exam - Recheck A1c in 3 months, target <7% 2. Hypertension, Suboptimally Controlled — HCC (when with CKD/DM) - BP today 138/86 — above target of <130/80 (ACC/AHA for DM patients) - Increase lisinopril to 40mg daily - Home BP log review in 4 weeks 3. Major Depressive Disorder, Recurrent, Moderate — HCC 59 - PHQ-9: 14 (moderately severe) — partial response to sertraline 50mg - Increase sertraline to 100mg daily - Safety plan reviewed, crisis line provided (988) - Follow-up in 4 weeks, recheck PHQ-9 - If inadequate response → consider augmentation or psychiatry referral 4. Preventive Care Gaps Addressed: - Mammogram ordered (last: 26 months ago — HEDIS BCS measure) - Colonoscopy referral (age 55, average risk, never screened — HEDIS COL) - Tobacco screening: former smoker, quit 3 years — MIPS measure 226 - Annual flu vaccine administered today
Feature-by-Feature Comparison
Pricing & Access
| Feature | Scribeable | Ambience Healthcare |
|---|---|---|
| Published, self-serve pricing ambiencehealthcare.com lists no prices and says "Our fees tied to your outcomes," as of Nov 2026 | Yes | No |
| Sign up without a sales call ambiencehealthcare.com offers a contact path ("Tell us about your system"), not a self-serve signup, as of Nov 2026 | Yes | No |
| Clinician-owned, portable account Ambience describes enterprise-wide deployments at health systems | Yes | No |
Coding
| Feature | Scribeable | Ambience Healthcare |
|---|---|---|
| ICD-10 and E&M coding Ambience advertises ICD-10 and E&M levels as care is delivered, with the clinician attesting. Scribeable Pro puts ICD-10 codes in the note with their supporting text and sets the E&M level from MDM or attested time | Yes | Yes |
| HCC risk-adjustment coding Ambience advertises HCC, MCC, and CC classifications. Scribeable captures HCC V28 against an 8,000+ entry crosswalk | Yes | Yes |
| Documentation-improvement prompts Ambience advertises resolving CDI gaps at the point of care. Scribeable shows what documentation would make a weakly supported code more specific | Yes | Yes |
EHR & Clinical Tools
| Feature | Scribeable | Ambience Healthcare |
|---|---|---|
| Direct Epic integration Ambience names Epic, Oracle Cerner, and athenahealth as EHRs it works with. Scribeable inserts the note into web-based EHRs through its Chrome extension | No | Yes |
| Direct eClinicalWorks connection Not stated on ambiencehealthcare.com as of Nov 2026. Scribeable reads the eCW chart and sends the signed note into the eCW chart | Yes | Not stated |
| Clinical calculators (236, code-scored) Not stated on ambiencehealthcare.com as of Nov 2026 | Yes | Not stated |
Competitor facts on this page are sourced to each company's own public site and verified between 2026-11-08 and 2026-11-09; see page source for the full citation list. Competitor capabilities and pricing may change after that date.
Pricing Comparison
Ambience Healthcare
Not published; Ambience says its fees are tied to outcomes
Contact for pricing
Scribeable publishes individual pricing. Ambience lists no dollar amounts on ambiencehealthcare.com as of Nov 2026 and sells through a health-system conversation.
Each sentence drawn from the visit or the chart links back to where it came from, so you can check the note before you sign it.
Ratings and reviews
Which Should You Choose?
Choose Ambience Healthcare if you...
- Health systems on Epic, Oracle Cerner, or athenahealth buying enterprise-wide
- Organizations that want coding attested at the point of care across many specialties
- Buyers who want fees tied to measured outcomes
Frequently Asked Questions
Can an individual clinician sign up for Ambience?
How much does Ambience Healthcare cost?
Does Scribeable code the visit like Ambience?
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Start Your 14-Day Pro Trial
Compare Scribeable to Ambience Healthcare on your own terms. No sales call, no IT ticket.
14-day Pro trial, no credit card required. Everything in Pro, including Rounding, for up to 150 notes. To keep Pro after day 14, subscribe for $79/month plus applicable tax. If you don't, nothing is charged and your account moves to the Free plan once you add your NPI (until then it is read-only), with every note kept.
Scribeable vs Ambience Healthcare - AI Medical Scribe Comparison
Ambience is built for health systems and is strong on coding at the point of care. Scribeable is an account a clinician can open today, with published prices, coding in the note, and an account that stays yours.
Why Physicians Switch from Ambience Healthcare
- Ambience lists no prices on ambiencehealthcare.com and says its fees are tied to outcomes (Nov 2026)
- There is no self-serve signup on ambiencehealthcare.com; the path is "Tell us about your system"
- Ambience describes enterprise-wide health-system deployments, so access comes through an employer contract
Why Choose Scribeable Over Ambience Healthcare
- Published, self-serve pricing: a Free plan at $0 and Pro at $79/month
- Clinician-owned account that moves with you across employers
- 14-day free trial of full Pro, up to 150 notes, with no credit card required
- 236 clinical calculators computed in code, not recalled by the model
- Each sentence drawn from the visit or the chart links back to its source; a sentence you edit no longer carries a link
Built for Health Systems
Ambience describes enterprise-wide deployments at large health systems and names Cleveland Clinic, UCSF Health, Houston Methodist, and Memorial Hermann. It integrates with Epic, Oracle Cerner, and athenahealth, and it announced a $243 million Series C in July 2025. Pricing is not published; the site says fees are tied to outcomes. Scribeable publishes a Free plan at $0 and Pro at $79 a month, and a clinician can start a 14-day Pro trial with no card.
Both Code the Visit
Ambience is serious about coding: ICD-10, HCC, MCC, CC, and E&M as care is delivered, with CDI gaps resolved at the point of care. Scribeable Pro codes in the note as well, with ICD-10 codes and their supporting text, the E&M level, HCC V28 capture, and a prompt when a code needs more documentation. It also scores 236 clinical calculators in code.
Feature Comparison: Scribeable vs Ambience Healthcare
Pricing & Access
| Feature | Scribeable | Ambience Healthcare |
|---|---|---|
| Published, self-serve pricing | Yes | No |
| Sign up without a sales call | Yes | No |
| Clinician-owned, portable account | Yes | No |
Coding
| Feature | Scribeable | Ambience Healthcare |
|---|---|---|
| ICD-10 and E&M coding | Yes | Yes |
| HCC risk-adjustment coding | Yes | Yes |
| Documentation-improvement prompts | Yes | Yes |
EHR & Clinical Tools
| Feature | Scribeable | Ambience Healthcare |
|---|---|---|
| Direct Epic integration | No | Yes |
| Direct eClinicalWorks connection | Yes | Not stated |
| Clinical calculators (236, code-scored) | Yes | Not stated |
Pricing Comparison
Scribeable: Free plan $0, Pro $79/month, published
Ambience Healthcare: Not published; Ambience says its fees are tied to outcomes
Scribeable publishes individual pricing. Ambience lists no dollar amounts on ambiencehealthcare.com as of Nov 2026 and sells through a health-system conversation.
Which Should You Choose?
If your health system has bought Ambience and wants coding attested at the point of care inside Epic, Oracle Cerner, or athenahealth, that is what Ambience is built for. If you are an independent clinician or a small practice that wants to start today at a published price, with an account that is yours, Scribeable fits that.
Frequently Asked Questions
Can an individual clinician sign up for Ambience?
ambiencehealthcare.com offers no self-serve signup as of November 2026. Its contact path asks you to tell them about your system. Scribeable is self-serve: start a 14-day Pro trial with no card, then Pro is $79 a month.
How much does Ambience Healthcare cost?
Ambience does not publish prices. Its site says its fees are tied to your outcomes. Scribeable publishes a Free plan at $0 and Pro at $79/month.
Does Scribeable code the visit like Ambience?
Yes. Scribeable Pro puts ICD-10 codes in the note with the text that supports each one, sets the E&M level, captures HCC V28, and shows a documentation prompt when a code is weakly supported.
Sources
Ambience describes enterprise-wide health-system deployments, lists no prices ("Our fees tied to your outcomes"), offers a contact path rather than a self-serve signup, and advertises ICD-10, HCC, MCC, CC, and E&M coding as care is delivered, with CDI gaps resolved at the point of care.
Ambience announced a $243 million Series C co-led by Oak HC/FT and Andreessen Horowitz on July 29, 2025, says it integrates with Epic, Oracle Cerner, and athenahealth, and names Cleveland Clinic, UCSF Health, Houston Methodist, and Memorial Hermann.
Scribeable pricing: Free plan $0, Pro $79/mo.
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