Now Microsoft Dragon Copilot: ambient notes plus orders, coding suggestions, and after-visit summaries.
Embedded in supported EHRs such as Epic. Physician, nurse, and radiologist (PowerScribe) role paths.
Enterprise quote via Microsoft. No self-serve plan and no public per-provider price on the product page.

Pros

The vendor that already sits in most US hospital speech stacks: DAX ambient plus Dragon Medical One dictation under one Copilot brand.
Ambient capture of multi-party, multilingual conversations and orders, with specialty-specific customizable notes.
Epic-embedded physician workflow. Nurse path via Epic Rover in the US. Radiology companion for PowerScribe One (US preview).
Goes past prose: coding suggestions, cited medical-reference answers, referral letters, after-visit summaries.

Cons

No self-serve plan. The official page is contact-sales. Third-party reseller ranges are not a Microsoft price list.
A health-system project: EHR version pin, specialty templates, and change management. Wrong motion for a three-provider clinic.
Nurse and radiologist coverage is narrower than the physician SKU (US-only nurse; radiology in preview).

What is Nuance DAX?

Nuance DAX is now Microsoft Dragon Copilot, the ambient clinical assistant that absorbed DAX listening and Dragon Medical One dictation. It captures multi-party, multilingual conversations and orders at the point of care, or from an on-demand recording, and drafts specialty-specific notes for the clinician to sign. Microsoft also lists information lookup from the transcript with citations, coding suggestions, referral letters, and after-visit summaries. Physicians can use it in a browser, mobile app, desktop app, or embedded in supported EHRs such as Epic. Nurses have a US-only path (Epic Rover and desktop). Radiologists get a US preview next to PowerScribe One. Physician availability listed for the US, Canada, UK, Ireland, France, Germany, Austria, Belgium, the Netherlands, and Switzerland. Pricing is through Microsoft sales. There is no self-serve checkout on the product page.

Available on: Web

Data compiled by Toolradar Pricing checked Sep 29, 2026 · How we evaluate

Source nuance.com

Ratings Across the Web

2.8 (10 reviews)

Nuance DAX holds an aggregate rating of 2.8 out of 5 from 10 reviews across G2, last checked May 29, 2026.

G2 10 reviews

2.8/5

Ratings aggregated from independent review platforms. Learn more

Key Features

Ambient multi-party, multilingual capture
Specialty-specific customizable notes
Order capture from the visit
Coding suggestions and after-visit summaries
Cited answers from transcripts and medical references
Epic embed; PowerScribe companion for radiology

Pricing Plans

Free Trial

Pricing checked Sep 29, 2026. Source: microsoft.com/en-us/health-solutions/clinical-w…, read Sep 29, 2026

Nuance DAX plans and prices, checked September 2026
Plan	Price	Details
DAX Copilot	$600/user/month	$650 setup (first user) $250 setup (additional users) AI clinical documentation +2 more Show less EHR integration 7 min saved per encounter

View full pricing

Hidden Costs & Gotchas

Enterprise deployments take 3-6 months including IT approvals, EHR integration, and workflow training -- factor in internal IT staff time

iPhone-only recording app (no Android support) -- clinicians without iPhones need a device

Requires 12-month minimum contract with no month-to-month option

No self-service signup -- sales consultation required, which delays onboarding by weeks

Dragon Medical One subscription is bundled, but legacy Dragon licenses are separate

Full Nuance DAX pricing: every plan, hidden costs and alternatives

How Nuance DAX's pricing compares

At $600/user/mo, billed monthly, Nuance DAX is the most premium of its 4 comparable direct competitors.

$10

$18

$18

$149

Nuance DAX

$600

Not ranked, different unit or currency: Otter.ai $8.33/mo, billed yearly; ParakeetAI 2.0 $43.33/mo, billed yearly.

Entry paid plan, monthly price, per user, billed monthly. Pricing checked Sep 29, 2026.

Nuance DAX by the numbers

Toolradar data: Nuance DAX's entry paid plan ($600/user/mo, billed monthly) ranks #20 of 20 for price among the Transcription tools with a verified entry price per user, where the median is $14.50/user/mo. Its head-to-head comparison pages had 54 visits in the last 30 days, ranking #8 of 41 tools with 20+ compare-page visits in Transcription. As of Oct 2026.

Nuance DAX compared with 171 Transcription tools on Toolradar, as of Oct 2026
Metric	Nuance DAX	Peer median	Position (1 is best)
Entry paid plan	$600/user/mo, billed monthly	$14.50/user/mo	#20 of 20 tools priced per user, verified price
Free plan	No	71% have one	n/a
Listed as an alternative to	33 tools	1	#8 of 171 (joint)
Compare-page visits, last 30 days	54 visits	31	#8 of 41 tools with 20+ compare-page visits

Each position is counted among the tools that have data for that row, as noted under it. A lower entry price ranks higher; prices are read on vendor pages and compared only with tools priced on the same basis. All Transcription data · How we compute this. Advertising and placement fees are not inputs to any position. Visit counts include visits from every source.

Cite this: Toolradar, “Nuance DAX by the numbers”, Oct 2026.

Reviews

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2.8/5

Across 10 verified user reviews on G2

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Best Nuance DAX Alternatives

Top alternatives based on features, pricing, and user needs.

View full list →

Fathom Free

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4.9

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Fireflies.ai Freemium

AI meeting transcription and search

4.7

Otter.ai Freemium

AI meeting notes and transcription

4.4

tl;dv Freemium

AI meeting recorder for sales and product

4.7

ParakeetAI 2.0 Freemium

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Sunoh Paid

AI medical scribe that drafts notes and assists with orders

Sayble Freemium

Your AI copilot for winning high-stakes conversations in real-time

See all transcription tools →

Still deciding?

Most buyers shortlist 2 or 3 tools before committing. Pull a side-by-side comparison or browse the full alternatives shortlist below.

All Nuance DAX alternatives 8+ tools ranked, pricing + verdict per pick Nuance DAX vs Fathom Head-to-head: features, pricing, who wins Nuance DAX vs Chorus by ZoomInfo Head-to-head: features, pricing, who wins Nuance DAX vs Fireflies.ai Head-to-head: features, pricing, who wins

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Nuance DAX FAQ

How does Nuance DAX streamline clinical documentation?

Nuance DAX captures multi-party, multilingual conversations and orders at the point of care, then drafts specialty-specific notes for the clinician to sign. It also provides coding suggestions, cited medical-reference answers, referral letters, and after-visit summaries, all within a single ambient assistant.

How does Nuance DAX compare to Fathom?

Unlike Fathom, Nuance DAX is now Microsoft Dragon Copilot, combining ambient listening with Dragon Medical One dictation under one brand. It offers embedded workflows in Epic and other supported EHRs, and goes beyond transcription to include coding suggestions and cited medical-reference answers.

What are the main trade-offs of adopting Nuance DAX?

Nuance DAX requires a health-system project with EHR version pin, specialty templates, and change management, making it less suitable for a three-provider clinic. There is no self-serve plan; pricing is through Microsoft sales, and nurse and radiologist coverage is narrower than the physician SKU (US-only nurse; radiology in preview).

Which teams benefit most from Nuance DAX?

Physicians in multi-specialty practices within health systems that use Epic are the primary fit. Nurses in the US can use it via Epic Rover and desktop, and radiologists in the US have a preview alongside PowerScribe One.

How is Nuance DAX priced?

Nuance DAX is a paid product with no permanently free tier. Pricing is obtained through Microsoft sales; there is no self-serve checkout on the product page.

Can Nuance DAX generate coding suggestions and referral letters?

Yes, Nuance DAX goes beyond note drafting to provide coding suggestions, cited medical-reference answers, referral letters, and after-visit summaries. These outputs are derived from the captured conversation and orders.

Does Nuance DAX integrate with Epic?

Yes, Nuance DAX offers an Epic-embedded physician workflow. For nurses in the US, it integrates with Epic Rover and desktop, and for radiologists it works alongside PowerScribe One in a US preview.

How does Nuance DAX pricing compare with other Transcription tools?

Nuance DAX's entry paid plan ($600/user/mo, billed monthly) ranks #20 of 20 for price among the Transcription tools with a verified entry price per user, where the median is $14.50/user/mo. Prices are read on each vendor's own pricing page and compared only with tools priced on the same basis. Source: Toolradar, Oct 2026.

Source: nuance.com

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