ClinicFrame vs Router by Ramp: Features, Pricing & Which Is Better (2026)
A side-by-side comparison of ClinicFrame and Router by Ramp — 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.
Router by Ramp
Ramp
Ramp's LLM gateway routes each request to the cheapest model meeting your quality bar, cutting inference costs ~40% behind one endpoint and one bill.
Key features
- Cost-Aware Automatic Routing: Every request is matched to the lowest-cost model that still meets your performance requirements, reported to cut inference spend by about 40% on average.
- One Key for Every Model: Closed and open-source models from vetted providers sit behind a single endpoint, key and invoice.
- Rolling Strategy Updates: New cost-saving routing strategies and newly benchmarked default models roll in automatically without changing your integration.
- Score Versus Spend Reporting: Built-in benchmarking shows metric distributions and model summaries so you can see quality and cost side by side.
- Flex Tier Routing Share: A tunable split between default and flexible routing lets you dial how aggressively requests are shifted to cheaper models.
- US-Hosted Providers with ZDR: All vetted providers are US-hosted, with zero-data-retention options for sensitive workloads.
- Switchyard Integration: Works with Switchyard for model and provider routing, surfaced directly in the CLI's cost display.
- One-Command CLI Setup: Install and configure with a single curl command from agents.ramp.com, with an agent-friendly copy-paste flow.
Best for
- Trimming Production Inference Spend: Route high-volume, low-difficulty requests to cheaper models while keeping frontier models for the hard ones — Delphi reports a 92% model cost reduction across billions of tokens.
- Multi-Provider Consolidation: Replace separate OpenAI, Anthropic and open-model integrations with one endpoint and one bill.
- Model Benchmarking Before Migration: Test candidate models against your real workloads and compare score against spend before switching defaults.
- Finance and Engineering Alignment: Give CFOs a single, attributable AI spend line while engineers keep the best model for each workload.
- Compliance-Constrained Deployments: Keep inference on US-hosted providers with zero-data-retention options for regulated data.
- Agent Cost Control: Cap the runaway token spend of long-running agent loops by routing their routine steps to cheaper models automatically.