# MedCalX vs NIHSS Records

The clearest difference is rating: NIHSS Records at 4.5 against MedCalX's 3.8. NIHSS Records also leads on update cadence (every 4 weeks vs every 5 months). MedCalX's advantage is ratings volume (31 vs 4). On price, review sentiment, ads and in-app purchases there is nothing between them.

Both are free to download. MedCalX sells 3 one-off in-app purchases and NIHSS Records sells 15 in-app purchases, starting at $4.99 per month. Whichever you choose, the download price is not the number that matters.

NIHSS Records holds the better App Store score, 4.5 against 3.8. That said, the two scores are not equally well evidenced: MedCalX has 31 ratings behind it against 4, so its average is the more settled of the two. Written reviews point the same way: 46% of MedCalX's written reviews are positive against 50% of NIHSS Records's.

MedCalX ships an update every 5 months, NIHSS Records every 4 weeks. The most recent releases landed on October 29, 2026 and October 25, 2026 respectively.

## The numbers

| Metric | MedCalX | NIHSS Records |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [3.8 (31 ratings)](https://appshunter.io/ios/app/medcalx/id1041464932/reviews) | **[4.5 (4 ratings)](https://appshunter.io/ios/app/nihss-records/id1591195888/reviews)** |
| Number of ratings | **31** | 4 |
| Positive reviews | 45.8% of reviews | **50.0% of reviews** |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | Every 5 months | **Every 4 weeks** |
| Monetization | Free with in-app purchases | Freemium |
| Size | 45 MB | 17 MB |
| Requires iOS | 17.0 | 17.0 |
| Devices | iPhone, iPad | iPhone, iPad |
| Age rating | 17+ | 12+ |
| Developer | [Ossus GmbH](https://appshunter.io/developer/286022405) | [Beijing Fate Med Technology Co., Ltd.](https://appshunter.io/developer/924303274) |

## What reviewers say

### MedCalX

[App page](https://appshunter.io/ios/app/medcalx/id1041464932)

This medical calculator app provides healthcare professionals with a comprehensive tool for complex medical formulas, scores, and classifications. It offers an extensive library of over 300 medical calculations, patient management features, and sharing capabilities.

**Highlights:** Extensive medical formula library (300+), Patient management and data saving, Customizable workflows, Multiple result sharing options, Detailed information and references, US and SI unit support, iCloud synchronization for favorites

**Features:** macOS Compatibility, Family Sharing, Vision Pro support

**In-app purchases (3)**

| Purchase | Price | Billing |
| --- | --- | --- |
| MedCalc 3 Upgrade | Free | one-time |
| Doximity Registration | Free | one-time |
| MedCalX Unlock | $4.99 | one-time |

**What reviewers like**

- 👍 Intuitive and user-friendly interface
- 📱 Comprehensive collection of medical formulas and scores
- 🚀 Fast calculations and quick access
- 📚 Includes PubMed links and background information
- 🌍 Multi-language support

**What reviewers complain about**

- 💰 Paywalls for previously free calculators
- 🔄 Forced paid upgrades for existing users
- ❌ Missing many important medical scores
- ⏱️ Infrequent updates and maintenance
- 🐛 Frequent crashes and stability issues

**Reported bugs**

- App crashes on startup
- App crashes when taking patient photos
- App fails to open or becomes unresponsive
- Unable to restore previous purchases
- Doximity unlock feature not working

**Requested features**

- SCORE2 and other modern cardiovascular risk scores
- TRiP(cast) score
- Valve disease calculations
- Pediatric medication dosing calculators
- Electrolyte and fluid replacement calculations


### NIHSS Records

[App page](https://appshunter.io/ios/app/nihss-records/id1591195888)

This comprehensive stroke assessment toolkit helps neurologists and stroke teams score validated scales, manage patient records, and utilize a stroke timer. It offers smart reminders for follow-ups and professional PDF/CSV export of patient reports.

**Highlights:** Score 19 validated stroke scales, Manage unified patient records, Stroke Timer with Live Activity, Smart reminders for follow-ups, One-tap PDF and CSV export, Siri and Shortcuts integration

**In-app purchases (15)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Basic Monthly Subscription | $4.99 | per month |
| Pro Monthly | $6.99 | per month |
| Scale Reminder Service | $12.99 | per year |
| Basic Yearly Subscription | $24.99 | per year |
| Pro Yearly | $29.99 | per year |
| MRS | $0.99 | one-time |
| BI | $1.99 | one-time |
| CHADS2 | $1.99 | one-time |
| GCS | $1.99 | one-time |
| ICH | $1.99 | one-time |
| ABCD2 | $2.99 | one-time |
| ASPECTS | $2.99 | one-time |
| CHA₂DS₂-VASc | $2.99 | one-time |
| ABCD³-I | $3.99 | one-time |
| Basic One-time Purchase | $39.99 | one-time |


## Frequently asked questions

### Is MedCalX free?

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

### Is NIHSS Records free?

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

### Which has better reviews, MedCalX or NIHSS Records?

NIHSS Records is rated higher. MedCalX averages 3.8 out of 5 from 31 ratings, while NIHSS Records averages 4.5 from 4 ratings.

### Do MedCalX or NIHSS Records have ads?

Neither MedCalX nor NIHSS Records shows ads.

### Which is updated more often, MedCalX or NIHSS Records?

MedCalX ships an update every 5 months, and NIHSS Records every 4 weeks. Most recently, MedCalX was updated on October 29, 2026 and NIHSS Records on October 25, 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.*