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Clinivocx vs Upfirst for medical practices
A per-call AI answering service from $24.95, or a medical-only AI with a BAA on every plan.
Upfirst is a general AI answering service priced per call, from $24.95 per month for 30 calls, with a BAA published on its Custom plan only. Clinivocx is a medical-only AI receptionist at a flat $799 to $4,999 per month with a BAA on every plan, urgent-symptom escalation, and no call meter. The BAA line is where the two products separate.
Ade MercerFounder, ClinivocxUpdated
Competitor details verified August 2026 from upfirst.ai's published pricing; verify current terms with the vendor.
The pricing math
Per call, or flat per month
Both companies publish prices. Here they are side by side.
| Plan | Published price | Per-call terms |
|---|---|---|
| Upfirst Starter | $24.95/mo ($20/mo annual), 30 calls | About $0.83 per call at plan volume; $1.50 per additional call |
| Upfirst Premium | $59.95/mo ($48/mo annual), 90 calls | About $0.67 per call at plan volume; $1.00 per additional call |
| Upfirst Pro | $159.95/mo ($128/mo annual), 300 calls | About $0.53 per call at plan volume; $0.75 per additional call |
| Upfirst Scale | $299/mo ($240/mo annual), 600 calls | About $0.50 per call at plan volume; $0.70 per additional call |
| Upfirst Custom | Custom, above 600 calls | Volume pricing; BAAs listed on this plan |
| Clinivocx Small | $799/mo flat, 1 provider | No call meter; BAA signed on every plan |
| Clinivocx Medium | $1,999/mo flat, 2-3 providers | No call meter; every feature in every tier |
On sticker price alone this is not close: Upfirst's largest standard plan costs less than half our smallest tier. The difference is what sits behind the price. Their plans meter calls and reserve the BAA for custom contracts. Ours assume every call is a patient call: the BAA, red-flag escalation, and booking against your rules are included at every size. See our full pricing.
Capabilities
What each vendor publishes
Only publicly verifiable rows. Not published means unknown, not absent.
| Capability | Clinivocx | Upfirst |
|---|---|---|
| Published pricing | Yes: $799 / $1,999 / $4,999 per month | Yes: four plans from $24.95 to $299 per month, plus custom |
| Pricing model | Flat monthly by practice size, no meter | Monthly plan with included calls, then a per-call overage |
| Medical-native | Yes, built only for US medical practices | No, a general small-business AI answering service |
| BAA | Yes, signed on every plan | Published on the Custom plan only, for HIPAA-regulated businesses |
| Urgent-symptom escalation | Yes, named red flags trigger your on-call protocol | Not published |
| Languages | Six: English, Spanish, Hindi, Mandarin, French, Vietnamese | 35+ languages with automatic switching |
| After-hours | Yes, 24/7/365 | Yes, 24/7 answering on all plans |
| Integrations | HMAC-signed webhooks; no EHR project | 195+ CRM and calendar integrations published |
| Trial | No free tier; a 30-minute demo on your real call scenarios | 14 days of full plan access; no contract, cancel anytime |
The BAA question
Where the two products actually separate
For a medical practice, the compliance line matters more than the price line.
Their structure
Cheap metered plans for any business, with BAAs published on the Custom tier for HIPAA-regulated buyers.
Our structure
One kind of buyer, so the BAA, PHI masking, audit logs, and escalation rules are in every plan by default.
The honest overlap
Both are AI, both answer 24/7, both publish prices, and both go live without an IT project.
A practice routing patient calls to a plan without a BAA carries the HIPAA risk itself. That is not a knock on Upfirst, whose Custom plan addresses it; it is a reason to read the plan names carefully. Our compliance posture is documented in full on HIPAA and security.
Be honest
When Upfirst is the better choice
Three situations where we would tell you to go with them.
Your business is not a medical practice. At $24.95 to $299 per month with 35+ languages and 195+ integrations, Upfirst is a strong general-purpose product, and nothing that makes Clinivocx cost more applies to you.
You want to trial before talking to anyone. Their 14-day full-feature trial with no contract is as low-friction as this category gets.
Your call volume is tiny. A line taking 30 calls a month does not need a flat $799 tier. If those calls are patient calls, get their BAA terms in writing first; if not, just take the cheap plan.
Our label
Where Clinivocx fits
Written by us, plainly, so you can decide without a sales call.
Best for independent US practices with 1-10 clinicians that want 24/7 call answering and urgent escalation live in days, with a signed BAA and public pricing, and no EHR integration project.
If that description does not match your practice, one of the other vendors on this site probably fits better. Start with the category view on AI receptionist vs answering service or run your own numbers in the ROI calculator.
Clinivocx vs Upfirst questions
Sourced answers, including the ones that favor them.
Hear it answer your phones
Bring the calls your practice actually gets. Pricing is exactly what is on this page.