# MGH Nephrology Guide vs NephRef

The clearest difference is in-app purchases: NephRef at none against MGH Nephrology Guide's 1. NephRef also leads on update cadence (every 10 days vs every 6 months) and rating (5.0 vs 4.7). MGH Nephrology Guide's advantage is ratings volume (26 vs 1). On price, ads and device support there is nothing between them.

Both are free to download. MGH Nephrology Guide sells 1 in-app purchase, starting at $49.99 per year. NephRef asks for nothing beyond the download.

NephRef holds the better App Store score, 5.0 against 4.7. That said, the two scores are not equally well evidenced: MGH Nephrology Guide has 26 ratings behind it against 1, so its average is the more settled of the two.

MGH Nephrology Guide ships an update every 6 months, NephRef every 10 days. Both last shipped on September 18, 2026.

## The numbers

| Metric | MGH Nephrology Guide | NephRef |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.7 (26 ratings)](https://appshunter.io/ios/app/mgh-nephrology-guide/id1346849427/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/nephref/id1486749987/reviews)** |
| Number of ratings | **26** | 1 |
| Positive reviews | 50.0% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 6 months | **Every 10 days** |
| Monetization | Free with in-app purchases | **Free** |
| Size | 10 MB | 44 MB |
| Requires iOS | 15.0 | **11.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 12+ |
| Developer | [Unbound Medicine, Inc.](https://appshunter.io/developer/300420400) | [Media Foundations LLC](https://appshunter.io/developer/589717539) |

## What reviewers say

### MGH Nephrology Guide

[App page](https://appshunter.io/ios/app/mgh-nephrology-guide/id1346849427)

A quick reference for diagnosing and managing kidney disease, electrolyte, and acid-base disorders. Developed by MGH experts, it offers over 150 topics with extensive tables, figures, and images. Stay updated with regular content delivery and access linked literature.

**Highlights:** 150+ topics in fast-read format, 320+ tables, charts, and figures, Detailed sections on dialysis and transplantation, Regular automatic updates, Highlighting and custom notes, Link to primary literature via Prime PubMed, Keyword search and bookmarking

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| MGH Nephrology Guide | $49.99 | per year |


### NephRef

[App page](https://appshunter.io/ios/app/nephref/id1486749987)

This medical reference tool aids physicians and advanced practitioners in managing patients with kidney disease. It provides quick access to educational resources and guidance on patient referral, urgency, and interval management.

**Highlights:** Kidney disease patient care guidance, Referral management, Urgency assessment, Interval management, Educational resources access

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is MGH Nephrology Guide free?

MGH Nephrology Guide is free to download, with in-app purchases available.

### Is NephRef free?

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

### Which has better reviews, MGH Nephrology Guide or NephRef?

NephRef is rated higher. MGH Nephrology Guide averages 4.7 out of 5 from 26 ratings, while NephRef averages 5.0 from 1 ratings.

### Do MGH Nephrology Guide or NephRef have ads?

Neither MGH Nephrology Guide nor NephRef shows ads.

### Which is updated more often, MGH Nephrology Guide or NephRef?

MGH Nephrology Guide ships an update every 6 months, and NephRef every 10 days. Most recently, MGH Nephrology Guide was updated on September 18, 2026 and NephRef on September 18, 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.*