# Eko vs Jackson County MCA Protocols

The clearest difference is in-app purchases: Jackson County MCA Protocols at none against Eko's 3. Jackson County MCA Protocols also leads on iOS requirement (15.0 vs 18.0). Eko's advantage is update cadence (fortnightly vs every 5 months) and chart position (#6 vs unranked). On price, ads and device support there is nothing between them.

Both are free to download. Eko sells 3 in-app purchases, starting at $12.99 per month. Jackson County MCA Protocols asks for nothing beyond the download.

Eko ships an update fortnightly, Jackson County MCA Protocols every 5 months. The most recent releases landed on October 28, 2026 and October 8, 2026 respectively.

## The numbers

| Metric | Eko | Jackson County MCA Protocols |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.9 (11K ratings)](https://appshunter.io/ios/app/eko-digital-stethoscope-plus-ecg/id1026457544/reviews)** | — |
| Number of ratings | **11K** | — |
| Positive reviews | 51.7% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Fortnightly** | Every 5 months |
| Monetization | Free with in-app purchases | — |
| Best chart rank | **#6** | — |
| Size | 151 MB | 28 MB |
| Requires iOS | 18.0 | **15.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [Eko Health, Inc.](https://appshunter.io/developer/505874291) | [Acid Remap LLC](https://appshunter.io/developer/323130617) |

## What reviewers say

### Eko

[App page](https://appshunter.io/ios/app/eko-digital-stethoscope-plus-ecg/id1026457544)

**Currently charting:** #6 Top Grossing · Medical (US App Store)

This app enhances physical exams by recording and analyzing heart and lung sounds. It helps detect potential heart and lung conditions, allowing for secure storage and sharing of recordings and reports. Features like murmur and AFib flagging are available with compatible devices and memberships.

**Highlights:** Record heart and lung sounds wirelessly, Flag murmurs, AFib, tachycardia, bradycardia, Save, play back, and annotate recordings, Build patient profiles for condition tracking, Generate and share PDF reports, Securely store exam recordings

**Features:** Vision Pro support

**In-app purchases (3)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Eko+ Monthly Membership | $12.99 | per month |
| Eko+ Annual Membership | $119.99 | per year |
| Eko+ Annual Membership | $119.99 | per year |

**What reviewers like**

- 🚀 Clear sound amplification
- 🚀 Useful for noisy environments
- 👍 Convenient Bluetooth connectivity
- 👍 Helpful for hearing-impaired providers
- 👍 Valuable for cardiac/respiratory assessment

**What reviewers complain about**

- 🐛 Bluetooth connectivity issues
- 🔋 High battery consumption
- 👎 Subscription model for key features
- 👎 Reduced functionality after app updates
- 👎 Poor audio playback quality

**Reported bugs**

- Inconsistent heart rate detection
- Inability to save/playback recordings
- Frequent error messages during use

**Requested features**

- Apple Watch app integration
- Independent volume control for heart/lung modes
- Ability to save/share recordings without subscription
- Improved background noise cancellation


### Jackson County MCA Protocols

[App page](https://appshunter.io/ios/app/jackson-county-mca-protocols/id1170692907)

**In-app purchases:** none


## Frequently asked questions

### Is Eko free?

Eko is free to download, with in-app purchases available.

### Is Jackson County MCA Protocols free?

Jackson County MCA Protocols is free to download, with no in-app purchases.

### Do Eko or Jackson County MCA Protocols have ads?

Neither Eko nor Jackson County MCA Protocols shows ads.

### Which is updated more often, Eko or Jackson County MCA Protocols?

Eko ships an update fortnightly, and Jackson County MCA Protocols every 5 months. Most recently, Eko was updated on October 28, 2026 and Jackson County MCA Protocols on October 8, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*