# Medaxion vs Periop Pacemaker

The clearest difference is review sentiment: Periop Pacemaker at 100% against Medaxion's 8%. Periop Pacemaker also leads on rating (5.0 vs 2.3) and iOS requirement (13.0 vs 15.6). Medaxion's advantage is in-app purchases (none vs 2). On price, ratings volume, update cadence and ads there is nothing between them.

Both are free to download. Periop Pacemaker sells 2 in-app purchases, starting at $2.99 per year. Medaxion asks for nothing beyond the download.

Periop Pacemaker holds the better App Store score, 5.0 against 2.3. Both are backed by a comparable volume of ratings — 9 and 8 respectively. Written reviews point the same way: 8% of Medaxion's written reviews are positive against 100% of Periop Pacemaker's.

Both ship on a similar rhythm, roughly every 2 months. The most recent releases landed on October 2, 2026 and September 27, 2026 respectively.

## The numbers

| Metric | Medaxion | Periop Pacemaker |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [2.3 (9 ratings)](https://appshunter.io/ios/app/medaxion/id362352674/reviews) | **[5.0 (8 ratings)](https://appshunter.io/ios/app/periop-pacemaker/id6615070538/reviews)** |
| Number of ratings | **9** | 8 |
| Positive reviews | 8.3% of reviews | **100.0% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 2 months | Every 2 months |
| Monetization | **Free** | Free with in-app purchases |
| Size | 64 MB | 43 MB |
| Requires iOS | 15.6 | **13.0** |
| Devices | **iPhone, iPad, iPod** | iPhone, iPod |
| Age rating | 4+ | 17+ |
| Developer | [Medaxion, Inc.](https://appshunter.io/developer/362352677) | [Rhythm Management, LLC](https://appshunter.io/developer/1761518402) |

## What reviewers say

### Medaxion

[App page](https://appshunter.io/ios/app/medaxion/id362352674)

This app provides anesthesia practices with real-time intelligence for point-of-care charge capture, status broadcasts, and practice oversight. It integrates with billing systems for seamless operations. Access is restricted to existing customers and authorized individuals.

**Highlights:** Point-of-care charge capture, Broadcast status updates, Practice activity oversight, Billing system integration, Real-time intelligence

**In-app purchases:** none


### Periop Pacemaker

[App page](https://appshunter.io/ios/app/periop-pacemaker/id6615070538)

This app provides medical professionals with a decision algorithm for managing surgical patients with implantable defibrillators or pacemakers. It is based on guidelines endorsed by the Heart Rhythm Society and updated annually by an expert committee.

**Highlights:** Decision algorithm for pacemaker/defibrillator management, Endorsed by Heart Rhythm Society, Based on ASA Perioperative Cardiac Implantable Electronic Device Management Aid, Annual expert committee updates, Designed for medical professionals

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

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| PERIOP PACEMAKER ANNUAL FEE | $2.99 | per year |
| Periop Pacemaker | $7.99 | one-time |


## Frequently asked questions

### Is Medaxion free?

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

### Is Periop Pacemaker free?

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

### Which has better reviews, Medaxion or Periop Pacemaker?

Periop Pacemaker is rated higher. Medaxion averages 2.3 out of 5 from 9 ratings, while Periop Pacemaker averages 5.0 from 8 ratings.

### Do Medaxion or Periop Pacemaker have ads?

Neither Medaxion nor Periop Pacemaker shows ads.

### Which is updated more often, Medaxion or Periop Pacemaker?

Medaxion ships an update every 2 months, and Periop Pacemaker every 2 months. Most recently, Medaxion was updated on October 2, 2026 and Periop Pacemaker on September 27, 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.*