Paid

BastionGPT

HIPAA-compliant AI medical scribe and ChatGPT alternative built for healthcare documentation.

4.1 Healthcare AI
4.1 Very good 4.1

Bottom line: BastionGPT is a strong healthcare ai tool, best known for HIPAA-compliant AI Medical Scribe with up to 4-hour recordings. Paid from $20/mo.

BAA included on every tier, not gated behind an enterprise plan No free tier; every plan carries a per-user monthly cost
Reviewed by Challenging Voice Editorial · Updated Jul 2026 How we rate
PricingFrom $20/mo
Free planNo
CompanyFortaTech Security
PlatformsWeb
Best forHealthcare AI
Founded2023
Last reviewedJul 2026
UpdatedJul 2026
Ask AI about BastionGPT ChatGPT Claude Perplexity

Overview

BastionGPT is a HIPAA-compliant AI platform for healthcare professionals, built by FortaTech Security, a Dallas-based company founded in 2018. BastionGPT itself launched as a distinct product in 2023 under Josh Spencer, positioned as a compliant alternative to consumer ChatGPT for clinicians handling protected health information.

The platform records clinical visits live or from uploaded audio up to four hours long, recognizes up to 10 speakers per session, and generates structured notes in formats clinicians already use, such as SOAP, DAP, and BIRP, while automatically routing tasks across GPT-5.5, Claude, and Gemini 3 Pro depending on the job. Every plan includes a signed Business Associate Agreement (BAA), and the company states patient data is never shared with third-party AI providers for model training.

BastionGPT is built for solo clinicians up to integrated delivery networks, with more than 10,000 healthcare organizations reportedly using it. Professional starts at $20 per user per month for single documents up to 30 pages, Professional Plus runs $45 per user per month for larger documents and image analysis, and Ultra starts at $75 per user per month for organizations needing custom security configuration and dedicated support.

Key features

  • HIPAA-compliant AI Medical Scribe with up to 4-hour recordings
  • Speaker recognition for up to 10 participants per session
  • Structured note generation (SOAP, DAP, BIRP, H&P formats)
  • Automatic routing across GPT-5.5, Claude, and Gemini 3 Pro
  • Signed BAA included on every plan
  • Integration with 50+ EMR/EHR systems

Screenshots & demo

Demo video

Screenshots

BastionGPT screenshot 1

Pricing

BastionGPT is a paid tool, with plans that start at $20/mo.

  • Pricing modelPaid
  • Starting priceFrom $20/mo
  • Free planNo
Visit BastionGPT

Pricing is provided as a guide. Check the official site for the latest plans.

Pros & cons

Pros

  • BAA included on every tier, not gated behind an enterprise plan
  • Model routing across multiple frontier LLMs instead of a single vendor
  • Long recording support (up to 4 hours) suits therapy and long-form sessions
  • Broad EMR/EHR integration footprint (50+ systems)

Cons

  • No free tier; every plan carries a per-user monthly cost
  • Entry tier caps documents at 30 pages, pushing most clinicians toward Professional Plus
  • Ultra tier pricing requires a sales conversation for organizations over 100 users
  • Company founding history is split across two entities (FortaTech Security, 2018; BastionGPT product, 2023), making the timeline less transparent than a single-entity startup

How it compares

ToolRatingFreeFromBest known for
BastionGPT (this tool)4.1No$20/moHIPAA-compliant AI Medical Scribe with up to 4-hour recordings
Paige4.1NoPaige Alba AI co-pilot for digital pathology tissue-slide analysis
PathAI4.3NoAISight Dx analyzes digital pathology slide images to assist diagnosis
Viz.ai4.4NoFirst FDA-cleared AI platform for stroke triage and large vessel occlusion detection

Our verdict

4.1 / 5 4.1

BastionGPT is a strong healthcare ai tool, best known for HIPAA-compliant AI Medical Scribe with up to 4-hour recordings. Paid plans start at $20/mo.

What makes it different: BastionGPT stands out for HIPAA-compliant AI Medical Scribe with up to 4-hour recordings.

How we score it
Overall 4.1
Value for money 3.9
Feature depth 4.9
Popularity 3.7
Best for ProfessionalsTeamsCreatorsCurious learners

Frequently asked questions

What is BastionGPT?
BastionGPT is a healthcare ai tool listed in the Challenging Voice directory. HIPAA-compliant AI medical scribe and ChatGPT alternative built for healthcare documentation.
Is BastionGPT free?
BastionGPT does not offer a free plan; paid pricing starts at $20 per month.
How much does BastionGPT cost?
BastionGPT starts at $20 per month. See the pricing plans above for full details.
What are the best BastionGPT alternatives?
Popular alternatives to BastionGPT include Arini, KindredMind, and Luminai. Browse them all in the Healthcare AI category.
Is BastionGPT any good?
BastionGPT scores 4.1 out of 5 based on our editorial review.

Reviews

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