BastionGPT review

BastionGPT is a healthcare-focused AI workspace for clinical documentation, transcription and document review. It brings GPT, Claude and Gemini models into one product, with tools for drafting notes, summarizing records and switching models. The homepage says every plan includes a signed business associate agreement (BAA) and that user data is not used to train AI models or sold to third parties.

The pricing page lists three plans, starting at $20 per user per month. Professional is aimed at single-document workflows; Professional Plus supports multiple documents and larger context; Ultra is for subscriptions with 100 or more users. There is no free plan, but BastionGPT lists a seven-day free trial. Annual prices are not published.

The fit is specific: BastionGPT is built around healthcare work, not positioned as an all-purpose chatbot. That focus may suit clinicians who want a single workspace for notes and records, but it is worth confirming the plan’s limits before moving sensitive workflows.

The clearest reason to consider BastionGPT is the combination of clinical note tools and healthcare privacy terms. The homepage says a signed BAA is included on every plan and that customer data is not used for AI training. Those are meaningful buying criteria for healthcare teams, though buyers should still review the BAA and their own compliance requirements rather than treating a product claim as a complete compliance review.

The feature set covers common documentation work:

• The AI session scribe can record live sessions or process audio uploads, then generate notes in formats including SOAP, DAP, BIRP, H&P and progress notes. Custom templates are also supported.
• Document review can summarize documents up to 1,000 pages and check documentation for errors. Professional Plus lists multiple documents and 1,000+ pages of context, plus image, chart and spreadsheet analysis.
• BastionGPT supports Zoom, Teams and Google Meet sessions without a visible bot, according to the published product details.
• Professional Plus lists manual GPT, Claude and Gemini selection. Professional lists unlimited AI chat and scribe.

A commenter on r/GPT described using it for patient-related work and noted that session transcription and SOAP notes are supported. That is an individual report, not evidence of clinical accuracy.

The main purchasing concern is a usage-limit discrepancy. The pricing information lists “unlimited AI chat and scribe” on Professional at $20 per user per month. But a company representative on Reddit said the first pricing tier had a cap of 20 messages every three hours. We would ask BastionGPT to confirm in writing whether that cap still applies and what counts as a message before switching; the published plan details do not explain it.

The lower tier is also constrained on documents: Professional supports one document up to 30 pages. The larger-context allowance, image and spreadsheet analysis, and manual model selection are listed under Professional Plus at $45 per user per month. Ultra costs $75 per user per month and is available for subscriptions of 100 or more users. SSO and a customizable BAA are listed for Ultra; Professional Plus can add SSO and a redlined BAA for practices with 50 or more users, but add-on prices are not published.

BastionGPT is healthcare-specific. One Reddit user said it did not answer non-healthcare questions, so teams seeking a general-purpose AI workspace may need another tool. Annual pricing is not published either, making total costs harder to compare.

BastionGPT’s listed starting price is $20 per user per month for Professional. That plan includes unlimited AI chat and scribe, but limits work to a single document of up to 30 pages. Professional Plus costs $45 per user per month—a $25 jump—and adds multiple documents with up to 1,000+ pages of context, image, chart and spreadsheet analysis, and manual GPT, Claude and Gemini selection. Ultra is $75 per user per month and is available only for subscriptions with 100+ users; it adds custom security policies and deployment, a dedicated Customer Success Manager, SSO and a customizable BAA.

The pricing page lists a 7-day free trial, but no free plan. Annual billing prices are not published, so there’s no listed discount to compare. Professional Plus SSO and a customizable, redline BAA are available as add-ons for practices with 50+ users, but their prices are also not published. Confirm your team’s document needs and any add-on costs before comparing the monthly totals.

The published product details don’t explain how to import existing notes, templates or records, or whether you can export them later. Treat that as a pre-switch question, not a minor detail: ask BastionGPT what formats it accepts, what your export includes, and whether you can take your data with you if you cancel. Also check how your current documentation workflow maps to its SOAP, DAP, BIRP, H&P and custom note formats.

The plan limits may affect the changeover: Professional covers one document up to 30 pages, while Professional Plus supports multiple documents and up to 1,000+ pages of context. Ask how those limits apply to your actual cases and usage. The published sources include no Reddit reports about why customers leave, so we can’t substantiate a claim about common exit reasons. Before switching, confirm migration support, retention and deletion terms, and any SSO or BAA add-on costs directly with BastionGPT.