How much does Dragon Medical One cost?

Dragon Medical One costs about $79 to $99 per user per month, depending on the contract term, according to reseller quotes. Nuance does not publish a price, so you will not find one on its product pages. Budget for the subscription, a one-time setup fee and the microphone, and get an itemized quote before you commit.

Our guide to medical dictation covers the workflow and the other costs, and this question covers the price.

Nuance does not publish a price, so the quotes come from resellers

Dragon Medical One is sold per user per month through resellers, and Nuance publishes no price for it ¹. The rates below come from a competing dictation vendor's pricing guide ².

The one-year total is $99 times twelve months, which comes to $1,188 per user ³. The three-year total is $79 times 36 months, or $2,844 per user before setup ⁴. Both totals exclude sales tax or VAT.

The three-year rate is the lowest per month, but it locks in the cost for the full term. Compare the total for the term you would actually sign.

The setup fee and the annual figure change the total

Expect a one-time implementation fee on top of the subscription. One medical software vendor's guide gives it as $525, added at setup ⁵.

Not every source agrees on the annual figure. Another vendor's blog says Dragon Medical One costs "$99 per user per month or $990 per user annually" ⁶. Twelve monthly payments at $99 come to more than $990, so the annual figure probably assumes a different term, a prepayment or a different price. Ask the reseller which one applies to your quote.

The name on the quote can point to a different product

Microsoft's Dragon Copilot combines and extends Dragon Medical One and DAX Copilot ⁷. A quote may use the older or the newer name, and the two can cover different features. Ask which product, and which features, the price includes.

Do not compare the subscription with the general Dragon license line by line. That is a different product for different work, sold as a one-user license. For the difference, see the question on Dragon Medical One vs Dragon NaturallySpeaking.

The microphone is an extra cost

Microphone hardware is a separate purchase from the software subscription. One US reseller lists the Philips SpeechMike Premium Touch at $369 ⁸. Prices vary by seller and model, so compare before you buy. The question on the best microphone for medical dictation covers the choice.

What the price depends on

• The contract term. A longer term lowers the monthly rate and raises the total you commit to.
• The setup and support terms. A quote with no setup fee may still charge for support or onboarding, so read the whole quote.
• The product name. The subscription covers the product named on the contract, so confirm that it includes the record integration you need.
• Your number of users. Each clinician is priced separately, so the total grows with every user.

What to do

1. Ask for an itemized quote that shows the monthly rate, the term, the setup fee and any support tier.
2. Compare the totals, not the monthly rates, across the terms you could sign.
3. Confirm the product name and what it includes, including record integration.
4. Ask for a business associate agreement in writing before any patient data goes in. Our guide to HIPAA-compliant dictation explains what to ask for.
5. Budget for the microphone separately from the subscription.

For more on the software categories, see our guide to dictation software. For the term, see our glossary entry on Dragon Medical One.