Comparison
Two good dictation apps with the same gesture: hold a key, speak, the text lands at the caret. They are built for different jobs, and that decides almost everything.
As of 19.09.2026
Wispr Flow is a dictation tool for working at a computer: more than 100 languages, Mac, Windows, iOS and Android, $15 per user a month, and a HIPAA commitment with a signed BAA from the Growth plan at $23. MediSync Dictate makes the same gesture, but for the German practice and hospital: €10 net per user, a mode that runs on the machine with no internet at all, foot pedal and dictation microphone support, a guard that throws away invented words, and a processor agreement under Art. 28 GDPR on every plan. It imports your Wispr Flow dictionaries when you move.
The most important difference is in the compliance small print. Wispr Flow offers HIPAA with a BAA, from the Growth plan upwards. HIPAA is US law. A German practice needs a processor agreement under Art. 28 GDPR, and the doctor is bound by § 203 of the German criminal code. These are not variants of the same thing, and a commitment under one does not satisfy the other.
The second is what happens with no network. MediSync Local runs recognition and formatting on the workstation, with no account and no connection, and never writes audio to disk. Wispr Flow's pricing page says nothing about offline operation.
The third is the hardware that is already on a clinical desk. A foot pedal and a dictation microphone are the normal input devices there, not enthusiast accessories, and on Enterprise we set them up. Then the content guard: a model that adds a word or loses a number while tidying text is not acceptable in a dose, so we throw the result away and keep the raw text.
A processor agreement under Art. 28 GDPR, technical and organisational measures under Art. 32, processing in Germany, and the doctor stays on the right side of § 203. HIPAA is not a substitute for that in a German practice.
With us the agreement is part of the offer on every plan. Wispr Flow's HIPAA commitment starts on Growth, so $23 instead of $15 per user.
MediSync Local recognises and formats on the workstation, with no account, no connection, and audio is never written to disk. For a closed network there are licence keys.
The devices already sitting on a clinical desk are supported, and on Enterprise we set them up for you.
The content guard rejects any result that adds a word or loses a number, and the raw text stands instead. In a medication line that is the difference between useful and dangerous.
Smart Dictation is tuned for German clinical language: units, lab values, blood pressure, doses, abbreviations. More than 100 general languages is a different thing from one that knows a discharge letter.
Dictate imports Wispr Flow dictionaries as CSV and snippets as JSON, plus Dragon word lists and Office CUSTOM.DIC. Moving costs you no maintained terms.
MediSync Scribe records the conversation and makes a note from it, MediSync Connect hangs that off the PVS or KIS, and if you build your own, the same models are an API.
| Feature | MediSync | Wispr Flow |
|---|---|---|
| What it is built for | Clinical documentation in GermanAlmost everything below follows from that. | Writing at a computer, in any industry |
| Price per user | €10 net a month, €8.33 net yearly | $15 a month, $12 billed annually (Pro) |
| Price with a compliance commitment | The same price. A processor agreement under Art. 28 GDPR is part of it | $23 a month, $18 annually (Growth), where HIPAA with a BAA starts |
| Free plan | Permanent, unlimited MediSync Local, 100 cloud minutes a month | Permanent, 2,000 dictated words a week on desktop |
| Works offline | Yes, recognition and formatting on the machine | Not stated on the pricing page |
| Legal framework | GDPR, processor agreement under Art. 28, § 203 StGB | HIPAA with a BAA, from the Growth plan |
| Certifications | Runs on ISO/IEC 27001-certified infrastructure | SOC 2 Type II and ISO 27001 |
| Operating systems | Windows and macOS on Apple Silicon | macOS, Windows, iOS and Android |
| Languages | 25 European, formatting tuned for German | More than 100 |
| Foot pedal and dictation microphone | Yes, and set up for you on Enterprise | Not stated on the pricing page |
| Invented words | Content guard: no added word, no lost number | Not stated on the pricing page |
| Moving over | Imports Wispr Flow dictionaries (CSV) and snippets (JSON) | — |
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 work in a German practice or hospital and need a processor agreement, not a HIPAA commitment; dictation has to work with no network; a foot pedal or a dictation microphone is on the desk; or it matters to you that tidying the text never loses a number.
No. HIPAA is US law. In Germany you need a processor agreement under Art. 28 GDPR, technical and organisational measures under Art. 32, and the doctor is bound by professional secrecy under § 203 of the criminal code. A HIPAA commitment shows a vendor takes health data seriously, but it does not replace the agreement.
Yes. Dictate imports Wispr Flow dictionaries as CSV and snippets as JSON, along with Dragon word lists (TXT), MyCommands (XML), Office CUSTOM.DIC and plain text lists.
The entry plans are in different currencies and we do not convert them: €10 net against $15 per user a month. The gap widens once a compliance commitment is involved, because Wispr Flow's starts on the Growth plan at $23, while our processor agreement is included on every plan.
Its pricing page does not say, so we do not say either. With us local operation is the normal case for organisations that will not send audio out: MediSync Local recognises and formats on the machine.
Dictate is a desktop program for Windows and for macOS on Apple Silicon. For mobile there is MediSync Scribe on iOS and Android, but that is a different tool: it records the conversation and turns it into a note.
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.