Original study · Prices checked 3 Nov 2026
What 1,000 pages of medical record review costs in 2026
Reviewing a 1,000-page medical record costs $19 to $299 with the 10 AI vendors whose public prices we could convert, checked 3 Nov 2026. The median is $154.50. Medrecords AI bills $100, down to $50 at volume.
What does it cost to review a 1,000-page record?
$154.50 is the median price of reviewing 1 file of 1,000 pages across the 10 AI vendors whose public prices we could convert. The cheapest is $19 (MedLegal AI, per case) and the most expensive is $299 (Legalyze.ai, per case). 6 of the 10 cost between $100 and $200.
The number is what a physician reviewer or a hospital risk team would pay for 1 record of 1,000 pages, buying the smallest option each vendor publishes, with no free trial counted. Medrecords AI is our product: it bills $100 for the same file and is left out of the median. With it included, the median is $150.
26 of the 42 AI record review vendors in our 2026 software dataset publish no price at all. They quote on request, so they are not in this study.
Cost per 1,000 pages, vendor by vendor
Sorted by the cost of 1 file. Each price is as the vendor published it on its own price page, checked 3 Nov 2026. The full data is in the CSV file.
| Vendor | Pricing model | 1 file of 1,000 pages | Lowest published rate per 1,000 pages | As published | Free option | Source |
|---|---|---|---|---|---|---|
| MedLegal AI | Per case or subscription | $191 case on pay-per-case. MedLegal AI states a 14,000-page record set costs the same as a 200-page one. | $9.80Pro plan, $49 a month at its 5,000-page fair-use limit: $9.80 per 1,000 pages | $19 a case; Pro $49 a month (1 user, fair use 5,000 pages a month); Professional $249 a month (up to 5 users); Firm $499 a month.Its $1,400 physician review is a separate service, listed under prices we could not compare. | Free account with 3 case analyses; 14-day trial | Price pageChecked 3 Nov 2026 |
| Abstractive Health | Flat subscription | $991 user, 1 month of the Standalone plan, which includes unlimited record summaries | Flat fee, falls with volumeFlat fee, so the cost per page falls as volume grows | Standalone plan $99 a user a month: unlimited patient searches, record summaries and scan summaries. Organizations over 5 users quote.Built for clinical chart summaries, not medico-legal chronologies. | Free Limited Use plan (5 patient searches with summaries and 5 PDF uploads a month); 15-day trial | Price pageChecked 3 Nov 2026 |
| Medilenz | Per page | $10010 cents a page for the AI medical chronology, times 1,000 pages | $100No volume rate published; 10 cents a page | AI medical chronology at 10 cents a page; $25 an hour for other work. | None found | Price pageChecked 3 Nov 2026 |
| OctopusLM | Per page (credits) | $100Standard rate, 10 cents a page, times 1,000 pages. No minimum. | $404 cents a page with a $4,000 top-up (100,000 pages) | 10 cents a page standard; 5 cents with a $300 top-up; 4 cents with a $4,000 top-up. Bills every page uploaded, duplicates included. | First 1,000 pages free | Price pageChecked 3 Nov 2026 |
| InPractice AI | Per page (prepaid packs) | $150Smallest pack: $150 buys 1,000 pages at 15 cents a page | $70Largest pack: 7 cents a page ($7,000 pack) | 15 cents a page ($150 pack), 12 cents ($600), 10 cents ($2,000), 7 cents ($7,000). Credits never expire. | Free trial with 500 pages | Price pageChecked 3 Nov 2026 |
| Chronos AI | Per case | $159Smallest purchase that covers 1 case: the $159 monthly plan with 3 case credits. Chronos states unlimited pages per case. | $4030-credit pack, $1,200 for 30 cases: $40 a case | $159 a month plan with 3 case credits; 20 credits for $940 ($47 a case); 30 credits for $1,200 ($40 a case). Unlimited pages per case. | None found | Price pageChecked 3 Nov 2026 |
| MediScan AI | Monthly plan with a page allowance | $1691 month of the smallest plan that covers 1,000 pages: Starter, $169 for 1,200 pages | $66.50Largest plan used in full: $665 for 10,000 pages, or $66.50 per 1,000. Pages past the allowance bill 5 cents. | $169 a month for 1,200 pages, then 10 cents a page; $445 for 3,500, then 7 cents; $665 for 10,000, then 5 cents. | 15-day trial | Price pageChecked 3 Nov 2026 |
| CaseFrame AI | Flat subscription | $2001 user, 1 month of the Monthly plan, which has no per-case or per-page charges | Flat fee, falls with volumeFlat fee, so the cost per page falls as volume grows | Monthly plan $200 a user a month, no per-case or per-page charges. A usage-based per-page plan is quoted on request. | None found | Price pageChecked 3 Nov 2026 |
| Superinsight AI | Flat subscription | $2501 month of the paid plan, from $250, with no limit on cases or records | Flat fee, falls with volumeFlat fee, so the cost per page falls as volume grows | Free chronology for every case; paid monthly plan from $250 with no limit on cases or records.We priced the paid plan. Its site says the chronology itself is free. | Free chronology for every case, per its site | Price pageChecked 3 Nov 2026 |
| Legalyze.ai | Per case | $2991 case at the list price. Legalyze states no page limit per case and says it has handled cases up to 18,000 pages. | $299No volume rate published; the list price per case | $299 a case list price, with chronologies, billing summaries, demand letters and unlimited users included. Fall sale: $199 a case for firms that start by 30 Nov 2026.We used the $299 list price. At the $199 sale price, the median does not change. | Money-back guarantee on the first case | Price pageChecked 3 Nov 2026 |
| Medrecords AI (our product) | Per deduplicated page | $10010 cents a deduplicated page, times 1,000 unique pages | $505 cents a page at volume, as /pricing/ publishes it | 10 cents a deduplicated page, down to 5 cents at volume. Duplicates never billed. No setup fee, seats or minimum.Our product. Shown for reference, left out of the median. | First case is free on us. | /pricing/Checked 3 Nov 2026 |
Medrecords AI is shaded and not counted in any median. Free trials and free tiers are listed but not priced.
At volume: 7 vendors publish a lower rate
7 of the 10 vendors bill by the page or the case, so their price has a floor you can read off the price page. At each vendor's lowest published rate, 1,000 pages cost $9.80 to $299, with a median of $66.50. Medrecords AI's volume rate is $50 per 1,000 pages.
The other 3 charge a flat monthly fee, so there is no floor: the more you run, the less each page costs. A $200 monthly plan used for 5 files of 1,000 pages works out to $40 per 1,000 pages. Used for 1 file, it is $200.
8 published prices we could not compare
A price goes here when we could not turn it into a cost for 1,000 pages without guessing. Each row says why.
| Vendor | As published | Why not comparable | Source |
|---|---|---|---|
| CaseFleet | $30 a user a month (Starter), $140 (Advanced AI), Enterprise quoted. AI credits past the included amount cost $0.001 each. | A seat price for case management. AI work runs on credits, and CaseFleet does not say how many credits a page uses. | Price pageChecked 3 Nov 2026 |
| CaseMark AI | $20 (Standard) or $100 (Pro) a seat a month, credited to a usage wallet. | Usage rates per page are not published, so the seat fee cannot be turned into pages. | Price pageChecked 3 Nov 2026 |
| CoCounsel (Thomson Reuters) | Plans and prices shown only after a form asking about your organization. | No public price on 3 Nov 2026. The earlier record had $4,500 a user a year plus a Westlaw subscription, a seat price with no page terms. | Price pageChecked 3 Nov 2026 |
| Dodonai | 6.3 cents to 0.8 cents a billable page on annual plans of $300 to $1,000 (standard summaries). | A billable page is about 400 tokens of text and can differ from a PDF page. Advanced runs use up to 3 credits a page. We do not know how many billable pages a 1,000-page record makes. | Price pageChecked 3 Nov 2026 |
| MedLegal AI physician review | $1,400 a civil case or $1,000 a workers' compensation case for a physician-signed summary. | A physician service, a different deliverable from software output. No page limit per case is stated. | Price pageChecked 3 Nov 2026 |
| Tavrn | The earlier record had about $40 a record request plus provider fees. | Record retrieval fees, not review. No review price found on its site on 3 Nov 2026. | Price pageChecked 3 Nov 2026 |
| ChartInsight | The earlier record had "from $0 to $7.50" with no unit. | No unit was ever stated, and no price was found on its site on 3 Nov 2026. | Price pageChecked 3 Nov 2026 |
| Medrecords AI Enterprise On-Prem | Annual license, uncapped pages, quoted on a call. | No public price. Our own plan, listed so nothing of ours is hidden. | /pricing/Checked 3 Nov 2026 |
7 of 16 prices changed since August
We first recorded these prices between 2026-08-15 and 2026-10-20. On 3 Nov 2026, 7 of the 16 vendors that had published a price showed different terms, and 2 no longer showed a price we could find. 7 were unchanged. A price page is a snapshot, so check the date before you rely on any number here.
| Vendor | Earlier record | What changed by 3 Nov 2026 |
|---|---|---|
| CaseFrame AI | $200/month or $2,200/year; no usage or setup feesChecked 2026-08-15 | the earlier record had $200 a month or $2,200 a year; the 3 Nov page shows a monthly plan and a quoted per-page plan |
| Chronos AI | 5 credits $245 ($49/case) to 50 credits $1,950 ($39/case); first case freeChecked 2026-08-15 | the earlier record had 5 credits for $245 ($49 a case) to 50 credits for $1,950 ($39 a case) |
| Legalyze.ai | Starting at $150/month for 1,000 pages, with enterprise rates as low as $0.05/page (its FAQ)Checked 2026-08-15 | the earlier record had $150 a month for 1,000 pages |
| MediScan AI | Starter: $169/mo, 1,200 pages/mo included, overage 10¢/page. Pro: $445/mo, 3,500 pages/mo included, overage 7¢/page (labeled "Most popular").Checked 2026-08-15 | a $665 plan for 10,000 pages was added; the earlier record listed the $169 and $445 plans only |
| OctopusLM | $0.10/page pay-as-you-go; $250/month unlimitedChecked 2026-08-15 | the earlier record had 10 cents a page or $250 a month unlimited; the unlimited plan is gone |
| Superinsight AI | $25-$80 per credit; $28-$54 per medical chronologyChecked 2026-08-15 | the earlier record had $25 to $80 a credit and $28 to $54 a chronology |
| CoCounsel (Thomson Reuters) | Core from $4,500/user/year (requires separate Westlaw subscription)Checked 2026-08-15 | the price now sits behind a form |
| Tavrn | ~$40 per record request plus provider feesChecked 2026-10-20 | Not found on 3 Nov 2026 |
| ChartInsight | Listed from $0 to $7.50 on its product pageChecked 2026-08-15 | Not found on 3 Nov 2026 |
3 questions to ask any vendor before you compare
- What counts as a page? Medrecords AI bills deduplicated pages. OctopusLM bills every page uploaded, duplicates included. Dodonai bills a "billable page" of about 400 tokens of text. The same record can bill 3 different page counts.
- What does 1 file cost if it is my only file this month? A flat plan or a credit pack can cost more than a per-page rate for a single record, and less at volume.
- What does the price include? A chronology, a narrative summary and a physician-signed review are different products, even when they are sold in the same unit.
Method
Sample. The 42 vendors in our 2026 AI medical record review software dataset, last recorded between 2026-08-15 and 2026-10-20. 16 had published a price. On 3 Nov 2026 we opened each of those 16 price pages again and used what they said that day. Only vendors with a public price are included. Nothing here comes from a private quote or a sales call.
The test file. 1 record of 1,000 unique pages, 1 user, 1 month, no duplicates. We assume 1 file is 1 case.
Converting each price to 1 file of 1,000 pages.
- Per page: the entry rate times 1,000.
- Prepaid packs: the smallest pack that covers 1,000 pages.
- Monthly plans with a page allowance: 1 month of the smallest plan whose allowance covers 1,000 pages.
- Per case: the price of the smallest purchase that covers 1 case. We counted a per-case price only when the vendor states no page limit per case or says large files cost the same.
- Flat subscriptions: 1 user for 1 month.
Lowest published rate. The lowest per-page or per-case rate on the price page, times 1,000 pages, or the largest plan used to its full allowance. Flat subscriptions have no floor and are left out of this median.
Left out of every number. Free trials and free tiers, temporary sale prices, add-ons, taxes, record retrieval fees and any price behind a form or a call. Medrecords AI is shown for reference and left out of every median.
Median. The middle value of the 10 costs. With an even count, the average of the 2 middle values.
Limitations
- No hands-on test. We did not run a file through any of these products, so the study says nothing about output quality or accuracy.
- Public data only, as published on 3 Nov 2026. Vendors change prices often: 7 of 16 did between our 2 checks. A quote may be lower than the list price.
- Deliverables differ. Some vendors sell a chronology, some a summary, and Abstractive Health sells clinical chart summaries. A lower price can buy a different product.
- Page definitions differ, as the 3 questions above show. We did not adjust for duplicates or token counts.
- The 1-file cost assumes 1 user and 1 month. A team with 5 users or 20 files a month pays a different amount.
- Medrecords AI sells a competing product and wrote this study. Our own price is shown on the same terms as everyone else's and kept out of the medians.
- Not legal or clinical guidance. This page compares published prices. It does not tell you how to handle a case or a patient.
Sources
Each vendor's own price page, read on the date shown. Our own prices come from /pricing/.
- MedLegal AI price page, checked 2026-11-03
- Abstractive Health price page, checked 2026-11-03
- Medilenz price page, checked 2026-11-03
- OctopusLM price page, checked 2026-11-03
- InPractice AI price page, checked 2026-11-03
- Chronos AI price page, checked 2026-11-03
- MediScan AI price page, checked 2026-11-03
- CaseFrame AI price page, checked 2026-11-03
- Superinsight AI price page, checked 2026-11-03
- Legalyze.ai price page, checked 2026-11-03
- CaseFleet price page, checked 2026-11-03
- CaseMark AI price page, checked 2026-11-03
- CoCounsel (Thomson Reuters) price page, checked 2026-11-03
- Dodonai price page, checked 2026-11-03
- MedLegal AI physician review price page, checked 2026-11-03
- Tavrn price page, checked 2026-11-03
- ChartInsight price page, checked 2026-11-03
Download the data
1 row per price: 11 we could convert, including Medrecords AI, and 8 we could not. Columns: vendor, comparable, in median, pricing model, cost of 1 file of 1,000 pages, lowest published rate per 1,000 pages, how each number was computed, terms as published, free option, why not comparable, source URL, date checked, the earlier record and its date, and what changed.
For every published price, by billing unit, across 120 record review vendors and services, see what medical record review costs in 2026. Our own rates are on the pricing page.
How to cite this study
Jemaa, A. (2026, November 3). What 1,000 pages of medical record review costs in 2026. Medrecords AI. https://medrecords.ai/content-hub/reports/vendor-cost-per-1000-pages-2026/
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