Aiko: On-device AI transcription app for Mac, iOS, and visionOS that converts lecture and meeting audio to text privately. VoiceboxMD: VoiceboxMD is a medical dictation and AI scribe platform that turns physician speech and doctor-patient conversations into structured clinical notes. Here's where each one pulls ahead on pricing, features, and the meetings it suits best.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Aiko when transcribing recorded lectures into searchable text for studying matters most, and VoiceboxMD when generating ehr-ready soap notes from in-person or telehealth conversations matters most. Run both through a week of actual calls to see which suits your workflow.
On-device AI transcription app for Mac, iOS, and visionOS that converts lecture and meeting audio to text privately.
VoiceboxMD is a medical dictation and AI scribe platform that turns physician speech and doctor-patient conversations into structured clinical notes.
Aiko is a native transcription app for macOS, iOS, and visionOS, developed by Sindre Sorhus, that converts speech to text from meetings, lectures, and recordings entirely on-device. It uses OpenAI's Whisper model running locally, so audio never leaves the user's device, which makes it appealing for students and professionals with privacy requirements. Aiko transcribes both audio and video files in common formats such as .m4a, .wav, .mp3, .mp4, and .mov, and supports around 100 languages. Transcriptions can be exported in multiple formats, including JSON, CSV, and SRT subtitles, and the app includes a word-replacement feature to automatically correct recurring errors. It also integrates with Apple Shortcuts for automation workflows. Because Aiko prioritizes accuracy over speed, it does not perform live transcription while recording and currently does not include speaker detection, so it is best for transcribing recorded lectures, interviews, and meetings after the fact. The app is offered as a Universal Purchase with a free trial via TestFlight, making it a low-cost, privacy-first option for turning lecture and meeting recordings into searchable text. Pricing varies by plan. Check the official website for current pricing.
Best suited for
VoiceboxMD is a cloud-based medical dictation and AI scribe platform built for physicians, nurse practitioners, and other clinicians. It converts spoken words into clinical text in real time using speech recognition trained on medical terminology, drug names, diagnostic codes, and clinical abbreviations. Beyond solo dictation into an EHR, its ambient AI scribe can listen to in-person or telehealth encounters over Zoom, Microsoft Teams, or Doxy.me, separate the clinician's voice from the patient's, and produce structured SOAP, H&P, DAP, or custom-template notes with suggested CPT and ICD-10 codes. Audio can be captured through real-time ambient listening or by uploading recorded files, depending on plan. It runs on Windows, macOS (including Apple Silicon), and iOS, and is EHR-agnostic, working with systems such as Epic, Cerner, Athenahealth, eClinicalWorks, and Practice Fusion, plus apps like Word and Outlook. The service is HIPAA-compliant, encrypts data in transit and at rest, deletes audio after processing, and includes a Business Associate Agreement on every plan.
Best suited for
Aiko is a free tier with paid upgrades (freemium); VoiceboxMD is a free tier with paid upgrades (paid). Always confirm current pricing on each vendor's site before buying.
| Feature | Aiko | VoiceboxMD |
|---|---|---|
| Core capability | Fully on-device transcription powered by a local Whisper model | Ambient AI scribe that listens to in-person and telehealth encounters and generates structured notes |
| Standout feature | Support for roughly 100 languages | Real-time medical speech-to-text dictation trained on clinical terminology |
| Team usage | Transcription of audio and video files in formats like m4a, wav, mp3, mp4, and mov | Automatic SOAP, H&P, and DAP note generation with custom templates |
| Integrations | Export to multiple formats including JSON, CSV, and SRT subtitles | CPT and ICD-10 billing code suggestions plus superbill creation |
| Languages & capture | Word-replacement feature to auto-correct common errors | EHR-agnostic integration (Epic, Cerner, Athenahealth, eClinicalWorks, Practice Fusion) |
| Best-fit workflow | Apple Shortcuts integration and Universal Purchase across Mac, iOS, and visionOS | Cross-platform support on Windows, macOS, and iOS with audio file upload |
Aiko
Choose Aiko if you need transcribing recorded lectures into searchable text for studying — strengths include strong privacy because nothing leaves the device.
VoiceboxMD
Choose VoiceboxMD if you need physicians documenting patient visits hands-free during or after encounters — strengths include combines solo dictation and ambient conversation capture in one platform.
Aiko
VoiceboxMD
It depends on your workflow. Aiko is strong for transcribing recorded lectures into searchable text for studying, while VoiceboxMD is strong for physicians documenting patient visits hands-free during or after encounters. Both transcribe and summarize meetings.
Aiko is a free tier with paid upgrades and VoiceboxMD is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
You can — some teams pair them when each covers a different part of the meeting workflow.
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