# Visualmed vs EchoRef

The clearest difference is review sentiment: EchoRef at 100% against Visualmed's 62%. EchoRef also leads on in-app purchases (none vs 2) and rating (4.9 vs 4.5). Visualmed's advantage is chart position (#200 vs unranked) and iOS requirement (15.6 vs 26.0). On price, update cadence, ads and device support there is nothing between them.

Both are free to download. Visualmed sells 2 in-app purchases, starting at $4.99 per month. EchoRef asks for nothing beyond the download.

EchoRef holds the better App Store score, 4.9 against 4.5. That said, the two scores are not equally well evidenced: EchoRef has 1.4K ratings behind it against 201, so its average is the more settled of the two. Written reviews point the same way: 62% of Visualmed's written reviews are positive against 100% of EchoRef's.

Both ship on a similar rhythm, roughly every 2 months. Both last shipped on October 29, 2026.

## The numbers

| Metric | Visualmed | EchoRef |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.5 (201 ratings)](https://appshunter.io/ios/app/visualmed-clinical-trials/id1423485924/reviews) | **[4.9 (1.4K ratings)](https://appshunter.io/ios/app/echoref/id1434016053/reviews)** |
| Number of ratings | 201 | **1.4K** |
| Positive reviews | 62.3% of reviews | **100.0% of reviews** |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 2 months | Every 2 months |
| Monetization | Subscription | **Free** |
| Best chart rank | **#200** | — |
| Size | 28 MB | 104 MB |
| Requires iOS | **15.6** | 26.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [Usama Nasir](https://appshunter.io/developer/1089083580) | [Rishi Kumar](https://appshunter.io/developer/1434016052) |

## What reviewers say

### Visualmed

[App page](https://appshunter.io/ios/app/visualmed-clinical-trials/id1423485924)

**Currently charting:** #200 Top Grossing · Medical (US App Store)

Access over 1500 summarized clinical trials with visual abstracts for quick understanding. Stay updated on the latest medical evidence without reading lengthy research papers. Ideal for clinicians, students, and healthcare professionals.

**Highlights:** 1500+ summarized clinical trials, Visual abstracts of study design, intervention, outcomes, Search and filter by condition, trial name, specialty, Daily new trial additions, Mobile-optimized interface

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

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Pro Monthly | $4.99 | per month |
| Pro Yearly | $29.99 | per year |

**What reviewers like**

- ✨ Concise summaries of trials
- 🚀 Efficient information access
- 👍 Easy to use interface
- 💡 Visual abstracts and infographics
- 📚 Vast database of studies

**What reviewers complain about**

- 💸 Shift to subscription model
- 😠 Feeling of being ripped off
- 📉 Decreased graphic quality (recent)
- ❌ Content paywalled for old users
- 👎 Unreasonable subscription fees

**Reported bugs**

- App crashes on opening
- Visual summaries not loading
- Only cardiology content showing up
- App keeps shutting down
- Cannot pass the logo screen

**Requested features**

- Consider grandfathering in users who paid previously
- Refund for users who paid and now can't access content
- Improve app structure and layout
- Department-specific approach (medicine, critical care, etc.) instead of disease-specific
- Developer response to user comments about issues


### EchoRef

[App page](https://appshunter.io/ios/app/echoref/id1434016053)

This educational reference app provides comprehensive information on point-of-care ultrasound (POCUS), echocardiography, and cardiac measurements. It includes lessons on interventional procedures and hemodynamic calculations for medical professionals.

**Highlights:** Point-of-care ultrasound (POCUS), Transthoracic echocardiography (TTE), Transesophageal echocardiography (TEE), Cardiac dimensions and valve measurements, Hemodynamic and ultrasound calculations, Interventional procedure lessons

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

**In-app purchases:** none


## Frequently asked questions

### Is Visualmed free?

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

### Is EchoRef free?

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

### Which has better reviews, Visualmed or EchoRef?

EchoRef is rated higher. Visualmed averages 4.5 out of 5 from 201 ratings, while EchoRef averages 4.9 from 1.4K ratings.

### Do Visualmed or EchoRef have ads?

Neither Visualmed nor EchoRef shows ads.

### Which is updated more often, Visualmed or EchoRef?

Visualmed ships an update every 2 months, and EchoRef every 2 months. Most recently, Visualmed was updated on October 29, 2026 and EchoRef on October 29, 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.*