Microsoft Dragon Copilot
Dragon Copilot (ex-Nuance DAX): Microsoft's ambient AI for multi-specialty clinical documentation.
What is Microsoft Dragon Copilot
Microsoft Dragon Copilot is Microsoft's new medical-AI flagship, born from the March 2025 merger of Nuance DAX (ambient scribe) and Dragon Medical One (medical voice). Pricing: $369-$830/provider/mo by volume and reseller; typically ~$600/provider/mo for 1-10 providers + $650 setup fee for first user + $250/additional user; volume discount: $534 at 11-25 providers, $504 at 26-50, $474 at 51-75, $444 at 76+. Pricing not public — request a quote via Microsoft sales or authorized reseller. 2026 features: ambient conversation capture with multi-speaker differentiation and structured clinical notes across 37+ specialties (HPI, ROS, PE, A&P); deep Epic integration with nursing documentation (new 2026), Desktop Copilot, support for Epic/athenahealth/MEDITECH/Cerner/200+ systems; referral letter generation, after-visit summaries, Summarized Evidence section; multi-party visit support; Spanish encounter capture without a translator. Device requirement: PowerMic Mobile on iPhone 11+ iOS 16+ (Android NOT supported).
Who is it for
- ✓Large US hospitals on Microsoft + Epic
- ✓Multi-hospital health systems
- ✓CMIOs and CIOs with Microsoft-first strategy
Pros and cons
✓ Strengths
- ✓Battle-tested in thousands of US hospitals
- ✓37+ specialty structured notes
- ✓Aggressive volume discount (>76 providers $444)
- ✓Deep Microsoft ecosystem (Teams, Azure, M365)
− Limitations
- −PowerMic Mobile iPhone-only (no Android)
- −Only English + Spanish native encounters
- −Additional $650-250 setup fee
Main features
Pricing
PaidPricing may change. Check the official site for the latest.
Our verdict
The enterprise standard for hospitals on Microsoft + Epic stacks. Pricey but battle-tested. The Android limitation is a showstopper for some systems.
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