BastionGPT is a HIPAA-compliant clinical AI assistant and medical scribe for healthcare teams that want ChatGPT-style workflows with full PHI protection. It routes each request to models like GPT-5.5, Claude Sonnet, or Gemini 3 Pro, tuned for clinical use. Clinicians use it to transcribe visits, draft SOAP and therapy notes, summarize long reports, and handle sensitive topics that consumer chatbots often block or mishandle.
Key Features:
Healthcare-grade privacy and compliance: Includes a signed HIPAA Business Associate Agreement on every plan, with controls aligned to HIPAA, PIPEDA, APP, and FERPA and strong encryption by default.
Multi-model clinical assistant: Automatically picks the best-performing large language model for each task, with one-click manual selection of models like GPT-5.5, Claude Sonnet, and Gemini 3 Pro.
AI medical scribe and transcription: Records or ingests audio up to 240 minutes with up to 10 speakers, then generates structured notes (SOAP, DAP, BIRP, H&P, progress notes) and custom templates.
Long-document and EMR-friendly workflow: Handles multi-document cases up to 1,000+ pages, supports PDFs, Word, spreadsheets, slides, and images on higher tiers, and is designed for copy-paste use with more than 50 EMR and EHR systems.
Pros
True PHI support: PHI stays in an isolated environment, is never sent to OpenAI, and is not used to train public models.
Unlimited transcription: All seat-based plans include unlimited AI scribe minutes, avoiding per-minute overage fees.
Clinician-focused behavior: Tuning favors evidence-based recommendations and reduces pseudoscientific answers common in general-purpose chatbots.
Strong security posture: Independent third-party testing, continuous vulnerability scanning, and an option for enterprise customers to deploy in their own cloud.
Cons
Manual EMR integration: Workflow relies on copying notes in and out of existing systems rather than deep, native EHR integrations.
Not intended for laypeople: The company explicitly warns that non-clinicians should not use it for self-directed medical decisions.
Paid-only beyond trial: There is a 7-day free trial, but no ongoing free tier for individual clinicians.
Who is Using BastionGPT?
Physicians and advanced practice providers: Use it as an AI scribe and assistant for visit notes, discharge summaries, and referral letters.
Psychologists and therapists: Generate therapy notes, school and neuropsych reports, treatment plans, and parent-facing summaries.
Allied health and rehab clinicians: Draft documentation for PT, OT, speech, and sports medicine, often across multi-document cases.
Billing, coding, and admin staff: Review documentation for errors, under- or over-coding, and craft insurance letters and appeals.
Uncommon Use Cases: Compliance and legal teams using it to review policy language for privacy gaps; healthtech startups embedding the BastionGPT API to add HIPAA-compliant chat and transcription to their apps.
Pricing:
Professional: $20 per user per month. Includes support for single documents up to 30 pages. Includes a free trial.
Professional Plus: $45 per user per month. Includes unlimited AI assistant chat, early access to the latest AI models, unlimited AI scribe and transcription, saved prompts and writing styles, HIPAA compliance with a signed BAA, support for multiple documents up to 1,000 pages, and a 7-day free trial.
Ultra: $75 per user per month. Designed for 100+ user subscriptions. Includes custom security configurations, tailored legal terms, and a dedicated support representative. Contact sales.
Disclaimer: Please note that pricing information may not be up to date. For the most accurate and current pricing details, refer to the official BastionGPT website.
What Makes BastionGPT Unique?
BastionGPT combines a multi-model clinical chatbot, long-context document engine, and full ambient scribe in a single product that treats HIPAA compliance as the default, not an add-on. Every plan, including trials, ships with a BAA, unlimited transcription, and an evidence-focused tuning strategy that actively suppresses pseudoscience. That mix of frontier models, strict privacy posture, and end-to-end clinical documentation tooling is rare in a single, off-the-shelf service.
How We Rated It:
Accuracy and Reliability: 4.6/5
Ease of Use: 4.4/5
Functionality and Features: 4.7/5
Performance and Speed: 4.3/5
Customization and Flexibility: 4.1/5
Data Privacy and Security: 4.9/5
Support and Resources: 4.5/5
Cost-Efficiency: 4.0/5
Integration Capabilities: 3.8/5
Overall Score: 4.4/5
Healthcare-Only GPT For Secure Notes:
BastionGPT is best for clinicians and health organizations that want modern ChatGPT-style workflows without risking PHI in consumer tools. It trades deep native EHR integrations for a simpler, copy-paste model and focuses hard on privacy, clinical accuracy, and unlimited scribe usage. Solo practitioners, group practices, and health systems that prioritize compliance and documentation quality over rock-bottom pricing are likely to get strong value from it.
