# Eko vs Monroe County MCA

The clearest difference is in-app purchases: Monroe County MCA at none against Eko's 2. Monroe County MCA also leads on iOS requirement (15.0 vs 18.0). Eko's advantage is update cadence (fortnightly vs every 7 months) and ratings volume (11K vs 1). On price, rating, ads and device support there is nothing between them.

Both are free to download. Eko sells 2 in-app purchases, starting at $12.99 per month. Monroe County MCA asks for nothing beyond the download.

On the App Store both sit at effectively the same score — 4.9 for Eko against 5.0 for Monroe County MCA. That said, the two scores are not equally well evidenced: Eko has 11K ratings behind it against 1, so its average is the more settled of the two.

Eko ships an update fortnightly, Monroe County MCA every 7 months. The most recent releases landed on November 11, 2026 and November 2, 2026 respectively.

## The numbers

| Metric | Eko | Monroe County MCA |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.9 (11K ratings)](https://appshunter.io/ios/app/eko-digital-stethoscope-plus-ecg/id1026457544/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/monroe-county-mca/id1189327457/reviews)** |
| Number of ratings | **11K** | 1 |
| Positive reviews | 51.4% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Fortnightly** | Every 7 months |
| Monetization | Free with in-app purchases | **Free** |
| Best chart rank | **#6** | — |
| Size | 159 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 patient exams by detecting heart and lung conditions early. It records and analyzes sounds, builds patient profiles, and generates shareable reports. Compatible with digital stethoscopes for seamless integration into clinical workflows.

**Highlights:** Detect structural murmurs, Flag AFib, tachycardia, bradycardia, Guided heart and lung exams, Wireless audio playback, Auto-connect to stethoscope, Record and save sounds/ECG, Build patient profiles, Generate PDF reports

**Features:** Vision Pro support

**In-app purchases (2)**

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


### Monroe County MCA

[App page](https://appshunter.io/ios/app/monroe-county-mca/id1189327457)

Access emergency medical protocols and supporting materials offline. Quickly search and find protocols with indexed lookup and a favorites tab. Stay updated with the latest information and add custom notes to entries.

**Highlights:** Offline protocol access, Indexed protocol lookup, Search titles and text, Favorites tab, Customizable notes, Up-to-date information

**In-app purchases:** none


## Frequently asked questions

### Is Eko free?

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

### Is Monroe County MCA free?

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

### Which has better reviews, Eko or Monroe County MCA?

Monroe County MCA is rated higher. Eko averages 4.9 out of 5 from 11K ratings, while Monroe County MCA averages 5.0 from 1 ratings.

### Do Eko or Monroe County MCA have ads?

Neither Eko nor Monroe County MCA shows ads.

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

Eko ships an update fortnightly, and Monroe County MCA every 7 months. Most recently, Eko was updated on November 11, 2026 and Monroe County MCA on November 2, 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.*