ClinicFrame vs ngrok AI Gateway: Features, Pricing & Which Is Better (2026)
A side-by-side comparison of ClinicFrame and ngrok AI Gateway — features, pricing, and ideal use cases — to help you decide which AI tool fits your workflow.
ClinicFrame
ClinicFrame
Ambient AI medical scribe that transcribes visits in real time and delivers a structured SOAP note within seconds.
Key features
- Ambient Voice Capture: Runs on the clinician's laptop and records the patient visit in real time without requiring extra hardware, in person or on telehealth.
- Specialty-Trained Transcription: Reaches 96% transcription accuracy across 15+ medical specialties using models trained on specialty-specific clinical language.
- Structured Note Generation: Produces SOAP notes for medicine and DAP/BIRP notes for behavioral health seconds after the visit ends, plus configurable custom templates.
- EHR Copy-In: Notes can be pasted into Epic, Athenahealth, Cerner and Healthie in under 30 seconds, so it slots into existing charting workflows.
- HIPAA-Aware Handling: Audio is discarded after the note is generated and a signed Business Associate Agreement is available on request.
- Flat Monthly Pricing: Priced per clinician per month with no per-hour surcharges, replacing traditional human scribing services.
Best for
- Primary Care Documentation: A family physician sees back-to-back patients and finishes the day with SOAP notes already drafted, cutting after-hours charting time.
- Behavioral Health Notes: A therapist runs 50-minute sessions and gets DAP or BIRP notes generated automatically instead of writing them up between clients.
- Telehealth Visits: A remote clinician on a video call has the conversation transcribed and structured without a separate device or human scribe on the line.
- Multi-Specialty Clinics: A clinic covering cardiology, dermatology and psychiatry gets specialty-appropriate note formatting from a single tool.
- Scribe Cost Reduction: A practice that has been paying hourly for human scribes switches to a flat monthly software subscription.
ngrok AI Gateway
ngrok
Unified LLM gateway that routes any SDK to public providers, custom endpoints, and self-hosted models behind one URL and one key.
Key features
- Unified gateway: one URL and one key routes to public LLM providers, custom endpoints, and self-hosted models.
- Drop-in SDKs: swap baseURL to gateway.ngrok.ai and your existing OpenAI / Anthropic / Vercel AI SDK code keeps working.
- Model fallback: specify a primary model plus fallbacks in one call to route through backups when providers fail or throttle.
- Local LLM access: reach self-hosted models over private connectivity without public IPs or inbound ports.
- Bring your own keys: drop in the provider keys you already pay for and route through them at your current rates.
- Access control: manage which apps, users, and keys can hit which models from one place.
- Observability: monitor usage, cost, and traffic across every model and provider in the gateway.
Best for
- AI engineering team standardizes on one base URL so app code no longer needs per-provider integrations.
- Platform team routes production traffic to a self-hosted model with automatic fallback to a public provider on failure.
- Startup consolidates OpenAI, Anthropic, and custom keys behind a single gateway for auditing and cost tracking.
- Enterprise governs which teams and services can call which models via central access controls.
- ML team exposes a local LLM cluster to app teams without opening inbound network ports.
- FinOps lead centralizes LLM spend visibility across projects instead of pulling per-provider dashboards.