Comparison
The comparison German hospitals make most often. Both are finished dictation programs for doctors. They differ by a factor of seven on price, and on whether dictation keeps working when the network does not.
As of 19.09.2026
Dragon Medical One is the incumbent: a cloud service for Windows, licensed per speaker, sold through resellers, listed by one of them at €70 net a month on a twelve-month term. MediSync Dictate is the same tool for the same doctor: text at the caret in any program, at €10 net per user a month, with a free plan, on Windows and on the Mac, and with a local mode that keeps dictating with no internet at all. It imports your Dragon word lists and MyCommands when you move.
Price is the most visible difference but not the most important one. €70 against €10 net per user a month mainly decides how many doctors get a licence at all. At €70 most hospitals pick who is allowed to dictate; at €10, with a free plan underneath it, that argument goes away.
What matters more is what happens when the network goes. Dragon Medical One is a cloud service and requires a Windows PC with an internet connection. MediSync Dictate has MediSync Local, a mode where recognition and formatting run on the machine itself, with no audio leaving the building, and where dictation carries on when the cloud is unreachable.
The third is the move itself. A doctor who has maintained a wordbook for ten years does not switch over a price. Dictate imports Dragon word lists as TXT and MyCommands as XML, along with Wispr Flow dictionaries and Office CUSTOM.DIC, so the vocabulary survives the change.
€10 net a month, €8.33 net billed yearly, cancel monthly. Dragon is listed by one reseller at €70 net on a twelve-month term.
Dictate Free dictates into any program permanently, with unlimited MediSync Local and 100 cloud minutes a month. Any doctor can try it before anybody starts a procurement.
MediSync Local runs recognition and formatting on the machine. No audio on our servers, and dictation continues through a cloud outage. Dragon Medical One needs the connection.
Windows 10 from 1809 and Windows 11, plus macOS on Apple Silicon. Dragon Medical One requires a Windows PC.
Dictate imports Dragon word lists (TXT) and MyCommands (XML), Wispr Flow dictionaries and Office CUSTOM.DIC. That is the difference between a migration and starting over.
The content guard rejects any result that adds words or loses numbers. Dictate writes what was said, and the doctor reads it and releases it.
The Enterprise plan adds campus licensing, licence keys for machines with no internet at all, a private tenant or fully local operation, plus the processor agreement, the technical measures and the operating concept.
MediSync Scribe records the conversation and turns it into a note, MediSync Connect hangs that off the PVS or KIS, and if you build your own, the same models are available as an API.
| Feature | MediSync | Dragon Medical One |
|---|---|---|
| Price per user | €10 net a month, €8.33 net billed yearlyBoth net of VAT. Our beta price list is provisional. | €70 net a month per speaker |
| Term | Cancel monthly | 12 months |
| Free plan | Dictate Free, permanent, with unlimited MediSync Local | Not published |
| Works offline | Yes, MediSync Local on the machine | No, a cloud service needing an internet connection |
| Operating systems | Windows 10 from 1809, Windows 11, macOS on Apple Silicon | Windows PC |
| Moving from Dragon | Imports Dragon word lists (TXT) and MyCommands (XML) | — |
| Languages | 25 European languages, Smart Dictation trained on German | German, as the German-hosted edition |
| Sales | Direct, download and subscribe | Through resellers, no public price list |
| Hosting | Germany, your own tenant, or fully local | Microsoft data centres in Germany |
| Closed networks | Licence keys on the Enterprise plan | Not published |
| Note and coding | MediSync Scribe, Notes API and Coding API | Other products in the family |
| As an API | The same models through the MediSync API | Not published |
Every price is in the currency the vendor publishes it in. We do not convert dollars into euro: the rate moves, the table does not.
You want to give speech recognition to more doctors than €70 a head allows; dictation has to work when the network is down; there are Macs in the building; you want to test before buying anything; or the note, the coding and the connection to your KIS should follow later.
Yes. Both are finished dictation programs that put text at the caret in any application, including the PVS, the KIS, Outlook and Teams. Dictate costs €10 net per user a month instead of €70, has a free plan, runs on the Mac as well, and keeps dictating without an internet connection.
Yes. Dictate imports Dragon word lists as TXT and MyCommands as XML, along with Wispr Flow dictionaries (CSV), snippets (JSON), Office CUSTOM.DIC and plain text lists.
There is no public price list. Dragon is sold through resellers and the price depends on the term, the number of users and the reseller. One reseller lists €70 net a month per speaker on a twelve-month term, read on 19.09.2026; the source is below.
Yes. After a one-off model download, recognition and formatting run on the machine through MediSync Local. The sign-in lasts seven days offline, and there are licence keys for machines with no internet at all. Dragon Medical One is a cloud service.
Yes, on macOS with Apple Silicon, and on Windows 10 from version 1809 as well as Windows 11. Dragon Medical One requires a Windows PC.
In Germany, in your own tenant, or nowhere at all: with MediSync Local the audio stays on the machine. In the cloud, audio and text are processed and not stored, and they train no models.
Every figure about the other vendor comes from their own page or from a reseller's. Next to each one is the date we read it.