# EchoRef vs C8 Health

The clearest difference is ratings volume: EchoRef at 1.4K against C8 Health's 2. C8 Health's advantage is iOS requirement (15.1 vs 26.0). On price, rating, update cadence and ads there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

On the App Store both sit at effectively the same score — 4.9 for EchoRef against 5.0 for C8 Health. That said, the two scores are not equally well evidenced: EchoRef has 1.4K ratings behind it against 2, so its average is the more settled of the two.

Both ship on a similar rhythm, roughly every 2 months. The most recent releases landed on November 2, 2026 and November 3, 2026 respectively.

## The numbers

| Metric | EchoRef | C8 Health |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.9 (1.4K ratings)](https://appshunter.io/ios/app/echoref/id1434016053/reviews) | **[5.0 (2 ratings)](https://appshunter.io/ios/app/c8-health/id1534264609/reviews)** |
| Number of ratings | **1.4K** | 2 |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 2 months | Every 2 months |
| Monetization | Free | Free |
| Size | 104 MB | 60 MB |
| Requires iOS | 26.0 | **15.1** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [Rishi Kumar](https://appshunter.io/developer/1434016052) | [HeadToToe.io](https://appshunter.io/developer/1671432149) |

## What reviewers say

### 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


### C8 Health

[App page](https://appshunter.io/ios/app/c8-health/id1534264609)

This application centralizes clinical resources for healthcare teams, embedding them into existing workflows. It offers AI-powered search and smart formats to ensure best practices are readily accessible at the point of care, enhancing efficiency and patient outcomes.

**Highlights:** Centralized clinical resources, AI-powered search, Smart content formats, Workflow integration, Point-of-care access

**In-app purchases:** none


## Frequently asked questions

### Is EchoRef free?

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

### Is C8 Health free?

C8 Health is free to download, with no in-app purchases.

### Which has better reviews, EchoRef or C8 Health?

C8 Health is rated higher. EchoRef averages 4.9 out of 5 from 1.4K ratings, while C8 Health averages 5.0 from 2 ratings.

### Do EchoRef or C8 Health have ads?

Neither EchoRef nor C8 Health shows ads.

### Which is updated more often, EchoRef or C8 Health?

EchoRef ships an update every 2 months, and C8 Health every 2 months. Most recently, EchoRef was updated on November 2, 2026 and C8 Health 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.*