# Eko vs PASS PCCN®!

The clearest difference is ads: Eko at none against PASS PCCN®!'s shown. Eko also leads on update cadence (fortnightly vs every 3 months) and ratings volume (11K vs 10). PASS PCCN®!'s advantage is device support (4 vs 2) and iOS requirement (13.0 vs 18.0). On price, in-app purchases and monetization model there is nothing between them.

Both are free to download. Eko sells 2 in-app purchases, starting at $12.99 per month and PASS PCCN®! sells 4 in-app purchases, starting at $44.99 per year. Whichever you choose, the download price is not the number that matters.

Eko holds the better App Store score, 4.9 against 4.6. That said, the two scores are not equally well evidenced: Eko has 11K ratings behind it against 10, so its average is the more settled of the two.

Eko ships an update fortnightly, PASS PCCN®! every 3 months. The most recent releases landed on November 8, 2026 and November 3, 2026 respectively.

## The numbers

| Metric | Eko | PASS PCCN®! |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.9 (11K ratings)](https://appshunter.io/ios/app/eko-digital-stethoscope-plus-ecg/id1026457544/reviews)** | [4.6 (10 ratings)](https://appshunter.io/ios/app/pass-pccn/id1551621241/reviews) |
| Number of ratings | **11K** | 10 |
| Positive reviews | 51.4% of reviews | — |
| In-app purchases | Yes | Yes |
| Ads | **No** | Yes |
| Update frequency | **Fortnightly** | Every 3 months |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Best chart rank | **#7** | — |
| Size | 159 MB | 147 MB |
| Requires iOS | 18.0 | **13.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod, Mac** |
| Age rating | 17+ | 17+ |
| Developer | [Eko Health, Inc.](https://appshunter.io/developer/505874291) | [Skyscape Medpresso Inc](https://appshunter.io/developer/818609416) |

## What reviewers say

### Eko

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

**Currently charting:** #7 Top Grossing · Medical, #162 Top Free · 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


### PASS PCCN®!

[App page](https://appshunter.io/ios/app/pass-pccn/id1551621241)

Prepare for the Progressive Care Nursing Certification exam with comprehensive review materials. This app offers a narrative review, over 900 practice questions, and interactive learning activities to help you master the PCCN exam content.

**Highlights:** Comprehensive PCCN exam review, Over 900 practice questions, Study and Exam Modes, Interactive Learning Activities, Case studies for critical thinking, Appendices with essential references

**In-app purchases (4)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 25% Off - Limited Period Offer | $44.99 | per year |
| 20% Off - Limited Period Offer | $47.99 | per year |
| 15% Off - Limited Period Offer | $50.99 | per year |
| PASS PCCN! 1Y Sub. | $59.99 | per year |


## Frequently asked questions

### Is Eko free?

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

### Is PASS PCCN®! free?

PASS PCCN®! is free to download, with in-app purchases available.

### Which has better reviews, Eko or PASS PCCN®!?

Eko is rated higher. Eko averages 4.9 out of 5 from 11K ratings, while PASS PCCN®! averages 4.6 from 10 ratings.

### Do Eko or PASS PCCN®! have ads?

PASS PCCN®! shows ads; Eko does not.

### Which is updated more often, Eko or PASS PCCN®!?

Eko ships an update fortnightly, and PASS PCCN®! every 3 months. Most recently, Eko was updated on November 8, 2026 and PASS PCCN®! on November 3, 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.*