# Eko vs ProText LTC

The clearest difference is in-app purchases: ProText LTC at none against Eko's 2. ProText LTC also leads on iOS requirement (15.0 vs 18.0). Eko's advantage is ratings volume (11K vs 1) and chart position (#5 vs unranked). On price, rating, update cadence and ads there is nothing between them.

Both are free to download. Eko sells 2 in-app purchases, starting at $12.99 per month. ProText LTC 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 ProText LTC. 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.

Both ship on a similar rhythm, roughly fortnightly. The most recent releases landed on October 30, 2026 and October 27, 2026 respectively.

## The numbers

| Metric | Eko | ProText LTC |
| --- | --- | --- |
| 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/protext-ltc/id1534033927/reviews)** |
| Number of ratings | **11K** | 1 |
| Positive reviews | 51.4% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Fortnightly | Fortnightly |
| Monetization | Free with in-app purchases | **Free** |
| Best chart rank | **#5** | — |
| Size | 159 MB | 26 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) | [Mediprocity Inc.](https://appshunter.io/developer/532674864) |

## What reviewers say

### Eko

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

**Currently charting:** #5 Top Grossing · Medical, #201 Top Free · Medical (US App Store)

This app enhances physical exams by detecting heart and lung conditions early. It records and analyzes sounds, aids in systematic assessments, and generates shareable reports. Compatible with digital stethoscopes for seamless integration into clinical workflows.

**Highlights:** Detects structural murmurs, Flags AFib, tachycardia, bradycardia, Guided multi-point exams, Wireless audio playback, Auto-connect to stethoscope, Record, annotate, 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


### ProText LTC

[App page](https://appshunter.io/ios/app/protext-ltc/id1534033927)

Secure, HIPAA-compliant messaging for healthcare professionals. Communicate with colleagues like standard texting, but with enhanced security and features like message archiving and read receipts. Avoid missed messages and callbacks with this efficient communication tool.

**Highlights:** HIPAA compliant communication, Secure messaging, Message archiving, Add/remove users, Read receipts, Browser sync

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is Eko free?

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

### Is ProText LTC free?

ProText LTC is free to download, with no in-app purchases.

### Which has better reviews, Eko or ProText LTC?

ProText LTC is rated higher. Eko averages 4.9 out of 5 from 11K ratings, while ProText LTC averages 5.0 from 1 ratings.

### Do Eko or ProText LTC have ads?

Neither Eko nor ProText LTC shows ads.

### Which is updated more often, Eko or ProText LTC?

Eko ships an update fortnightly, and ProText LTC fortnightly. Most recently, Eko was updated on October 30, 2026 and ProText LTC on October 27, 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.*