Nuance DAX

Name: Nuance DAX
Brand: Nuance
Price: 600 USD
Rating: 3.3 (15 reviews)

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Ambient clinical assistant for multi-party, multilingual conversations and note drafting

EHR/EMR AI Assistants Transcription Writing & Content

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3.3(15 across the web)

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Reviews onG2Capterra

15 reviews tracked

The Bottom Line

Entry price

Paid plans only

Biggest pro

The vendor that already sits in most US hospital speech stacks: DAX ambient plus Dragon Medical One dictation under one Copilot brand.

Biggest con

No self-serve plan. The official page is contact-sales. Third-party reseller ranges are not a Microsoft price list.

TL;DR - Nuance DAX

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.

Pricing: Paid only

Best for: Enterprises & pros

3.3/5 across review platforms

What is Nuance DAX?

Editorial review

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

LCLouis CorneloupUpdated Aug 26, 2026 · how we evaluateSourcenuance.com ↗

Pros & Cons

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).

Ratings Across the Web

3.3(15 reviews)

Nuance DAX holds an aggregate rating of 3.3 out of 5 from 15 reviews across G2 and Capterra, last checked May 29, 2026.

Ratings aggregated from independent review platforms. Learn more

Key Features

Ambient multi-party, multilingual captureSpecialty-specific customizable notesOrder capture from the visitCoding suggestions and after-visit summariesCited answers from transcripts and medical referencesEpic embed; PowerScribe companion for radiology

Pricing Plans

Free Trial

Pricing checked Aug 29, 2026

DAX Copilot

$600/user/month

$650 setup (first user)
$250 setup (additional users)
AI clinical documentation
EHR integration
7 min saved per encounter

Calculate your cost View full pricing

Is Nuance DAX worth the price?

55/100

Nuance DAX Copilot costs $369-$600/provider/month depending on volume and reseller, with a $650-$700 one-time implementation fee per provider.

At $4,428-$7,200/year per clinician, it is the most expensive AI medical scribe on the market -- but still 90% cheaper than a human scribe at ~$45,000/year. Volume discounts kick in above 10 providers, dropping the rate to $444-$534/month.

The real question is whether the premium over competitors like Suki ($299/month) or Freed ($149/month) is justified by deeper Epic EHR integration and 37+ specialty coverage.

Hidden Costs & Gotchas

Implementation fee of $650-$700 per provider is one-time but adds up at scale -- a 50-provider rollout costs $32,500+ in setup alone

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

Large health systems like Providence reportedly pay $8,000-$10,000 per doctor per year -- well above the list rate

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

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

How Nuance DAX's pricing compares

At $600/mo, Nuance DAX is the most premium of its 5 direct competitors.

$8.33

$10

$18

$18

$149

Nuance DAX

$600

Entry paid plan, monthly. Pricing checked Aug 29, 2026.

Reviews

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3.3/5

Across 15 verified user reviews on G2, Capterra

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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.

Source: nuance.com

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