UpToDate vs Eko
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
UpToDate
This clinical decision support tool provides healthcare professionals with evidence-based guidance to improve patient care. It features AI-powered conversational answers, continuously updated medical content, and tools for drug reference, calculations, and patient education.
- Expert AI conversational guidance
- Gold standard clinical content
- Practice-changing updates
- Patient education materials
- Drug reference and interactions
- Clinical calculators
- Kidney dosing guidance
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UpToDate is the clinical decision support solution trusted by over 3M healthcare professionals to help improve care delivery and patient outcomes. Now powered by UpToDate Expert AI, a generative AI experience built on rigorously maintained UpToDate clinical intelligence to delivers fast, clinically grounded answers through a conversational interface. Expert AI, available in select packages and applications, brings together the latest evidence and real-world clinical expertise and provides transparent sourcing, embedded guardrails, and oversight, supporting clinical reasoning and helping clinicians make confident, informed decisions. Key features include: • Expert AI: Conversational guidance that mirrors how clinicians think. • Gold Standard Clinical Content: Clinician-authored clinical intelligence and graded recommendation, enriched with clinical algorithms, graphics, videos, and continuously updated to reflect the latest evidence and clinical care experience. • Practice-Changing Updates: Timely insights that reflect the latest evidence and how it impacts patient care. • Patient Education: Thousands of patient education leaflets in up to 19 different languages to improve patient understanding and support care plan adherence. • Key Points Panels: Quick, clinically actionable guidance to help clinicians avoid common diagnostic and treatment errors embedded in UpToDate search results. • Drug Reference & Interactions: Evidence-based drug monographs and interaction analysis to support safe and informed prescribing decisions. • Clinical Calculators: Over 200 tools to support dosing, risk scoring, and patient assessments. • Rx Transitions: Step-by-step support for switching antidepressants safely. • Kidney Dosing: Drug dosing guidance for patients with renal impairment. Available on mobile, desktop, and integrated into EHRs, ensuring you can access UpToDate’s trusted guidance where and when you need it. Access to features will vary depending on your UpToDate account. Expert AI is now available in personal trainee subscriptions and UpToDate Pro Plus subscriptions in the US, and through select Enterprise Edition accounts. To get access, explore personal subscription options on the UpToDate website or contact your Enterprise account lead. This app is designed for use by medical professionals. If you are not a medical professional, please consult a qualified healthcare provider before making any medical decisions.
Eko
This app enhances physical exams by detecting heart and lung conditions early. It records and analyzes sounds, aids in systematic assessments, and generates shareable reports. Compatible with digital stethoscopes for seamless integration into clinical workflows.
- Detects structural murmurs
- Flags AFib, tachycardia, bradycardia
- Guided multi-point exams
- Wireless audio playback
- Auto-connect to stethoscope
- Record, annotate, and save sounds/ECG
- Build patient profiles
- Generate PDF reports
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The Eko App turns every patient encounter into an early detection opportunity for heart and lung disease. It fits seamlessly into your physical exam workflow when connected to a compatible digital stethoscope. Use the Eko App to: - Flag the presence of structural murmurs in as little as 5 seconds. - Flag the presence of AFib*, tachycardia, and bradycardia. - Run guided, multi-point exams to systematically assess a patient’s heart and lung sounds. - Listen wirelessly through a Bluetooth-enabled audio device. - Auto-connect to your stethoscope to capture recordings while keeping your phone tucked away. - Play back, annotate, and save stethoscope sounds and ECG*. - Build patient profiles to flag changes in a patient's condition across visits. - Organize exam data by room number, follow-up status, recording source, or any custom label. - Securely store exam recordings for future reference. - Generate and share PDF reports or a direct link to a recording with trusted colleagues or upload to compatible EHRs. - Aid in medical education and patient engagement. *Available with the CORE 500™ Digital Stethoscope. Select features may require a paid Eko+ membership and feature availability may vary by country. Visit ekohealth.com to learn more about compatible devices. Have questions or feedback? Contact us at support@ekohealth.com. The Services are for informational purposes only and should not replace advice from a licensed healthcare provider for any medical condition or treatment. Please consult a licensed and qualified health care provider before making any medical decisions. Use of this app is subject to the Apple Media Services Terms and Conditions and Eko's Terms of Service. Apple Media Services Terms and Conditions: https://www.apple.com/legal/internet-services/itunes/dev/stdeula/ Eko's Terms of Service: https://support.ekohealth.com/hc/en-us/articles/13156765697563-Terms-of-Service Eko's Privacy Policy: https://support.ekohealth.com/hc/en-us/articles/13156748616731-Privacy-Policy
Screenshots
Verdict
The clearest difference is rating: Eko at 4.9 against UpToDate's 3.6. Eko also leads on review sentiment (51% vs 28%) and ratings volume (11K vs 585). UpToDate's advantage is in-app purchases (none vs 2). On price, ads, device support and iOS requirement there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Eko sells 2 in-app purchases, starting at $12.99 per month. UpToDate asks for nothing beyond the download.
Eko holds the better App Store score, 4.9 against 3.6. That said, the two scores are not equally well evidenced: Eko has 11K ratings behind it against 585, so its average is the more settled of the two. Written reviews point the same way: 28% of UpToDate's written reviews are positive against 51% of Eko's.
UpToDate ships an update every 5 weeks, Eko fortnightly. Both last shipped on November 1, 2026.
| Parameter | UpToDate | Eko |
|---|---|---|
| Price | Free | Free |
| Rating | 3.6 (585 ratings) | 4.9 (11K ratings) — better |
| Positive reviews | 28.2% of reviews | 51.4% of reviews — better |
| Number of ratings | 585 | 11K — better |
| Update frequency | Every 5 weeks | Fortnightly — better |
| Ads | No | No |
| In-app purchases | No — better | Yes |
| Monetization | Subscription | Free with in-app purchases — better |
| Best chart rank | — | #7 — better |
| Devices | iPhone, iPad | iPhone, iPad |
| Requires iOS | 18.0 | 18.0 |
| Further details — not scored | ||
| Size | 56 MB | 159 MB |
| Age rating | 17+ | 17+ |
| Developer | UpToDate, Inc. | Eko Health, Inc. |
Customer experience
UpToDate
Eko
User reviews
UpToDate
From 585 App Store ratingsWhat we love
- 💎 Invaluable medical resource
- 🚀 Quick and easy to use
- 🔍 Comprehensive and up-to-date content
Room to improve
- 🐛 Frequent crashes and freezing issues
- 🔌 Unreliable offline functionality
- 💰 Expensive subscription cost
Eko
From 11K App Store ratingsWhat we love
- 🚀 Clear sound amplification
- 🚀 Useful for noisy environments
- 👍 Convenient Bluetooth connectivity
- 👍 Helpful for hearing-impaired providers
- 👍 Valuable for cardiac/respiratory assessment
Room to improve
- 🐛 Bluetooth connectivity issues
- 🔋 High battery consumption
- 👎 Subscription model for key features
- 👎 Reduced functionality after app updates
- 👎 Poor audio playback quality
Bugs and requests
UpToDate
Reported bugs
3 issues- Inability to download offline content
- Constant need to re-authenticate
- Incompatibility with recent iOS updates
Requested features
3 requests- Highlight and annotate content
- Improved institutional login support
- Dark mode and font size options
Eko
Reported bugs
3 issues- Inconsistent heart rate detection
- Inability to save/playback recordings
- Frequent error messages during use
Requested features
4 requests- Apple Watch app integration
- Independent volume control for heart/lung modes
- Ability to save/share recordings without subscription
- Improved background noise cancellation
In-app purchases
UpToDate
No in-app purchases
Eko
- Eko+ Monthly Membership14 Days trial$12.991 Month
- Eko+ Annual Membership14 Days trial$119.991 Year







