# Bedside EM vs R1 Gateway

The clearest difference is rating: R1 Gateway at 5.0 against Bedside EM's 4.2. R1 Gateway also leads on in-app purchases (none vs 2). Bedside EM's advantage is ratings volume (60 vs 1). On price, update cadence, ads and device support there is nothing between them.

Both are free to download. Bedside EM sells 2 in-app purchases, starting at $9.99 per year. R1 Gateway asks for nothing beyond the download.

R1 Gateway holds the better App Store score, 5.0 against 4.2. That said, the two scores are not equally well evidenced: Bedside EM has 60 ratings behind it against 1, so its average is the more settled of the two.

Bedside EM ships an update every 5 months, R1 Gateway every 4 months. The most recent releases landed on October 18, 2026 and September 19, 2026 respectively.

## The numbers

| Metric | Bedside EM | R1 Gateway |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.2 (60 ratings)](https://appshunter.io/ios/app/bedside-em/id413192645/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/r1-gateway/id1592572018/reviews)** |
| Number of ratings | **60** | 1 |
| Positive reviews | 85.1% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 5 months | **Every 4 months** |
| Monetization | Subscription | **Free** |
| Size | 39 MB | 29 MB |
| Requires iOS | 17.4 | **16.0** |
| Devices | iPhone, iPad | iPhone, iPad |
| Age rating | 17+ | 4+ |
| Developer | [Dark Medical Apps LLC](https://appshunter.io/developer/1046115244) | [R1 RCM Inc.](https://appshunter.io/developer/1592572020) |

## What reviewers say

### Bedside EM

[App page](https://appshunter.io/ios/app/bedside-em/id413192645)

This comprehensive medical reference app provides evidence-based, peer-reviewed information for emergency medicine providers and those caring for acutely ill patients. It features a searchable, offline database with continuously updated content and a user-friendly interface.

**Highlights:** Offline access, Searchable database, Evidence-based content, Peer-reviewed updates, Pediatric tape, Clinical decision rules

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

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Annual Subscription | $9.99 | per year |
| Lifetime Access | $199.99 | one-time |

**What reviewers like**

- 👍 Great quick reference
- 👍 Easy to use and navigate
- 👍 Useful for residents and attendings
- 👍 High-yield information
- 👍 Well-organized content

**What reviewers complain about**

- 🐛 Lost notes and bookmarks
- 🐛 Missing dental portion
- 🐛 New upgrade is lacking
- 🐛 Incomplete toxicology information
- 🐛 Basic information

**Reported bugs**

- Lost notes and bookmarks since update
- Categories reorganized and hard to find
- Temporarily lost access after rebranding
- EKG illustrations covered by back task bar

**Requested features**

- Update privacy label
- Add settings button to enlarge print
- Add an 'update' option for newest information
- Support French language
- Add more categories


### R1 Gateway

[App page](https://appshunter.io/ios/app/r1-gateway/id1592572018)

Access practice performance dashboards, scheduling, payroll, and chart management tools 24/7. This app offers communication features for physician organizations to streamline operations and improve efficiency.

**Highlights:** Practice performance dashboards, 24/7 access, Scheduling tools, Payroll information, Chart management, Communication tools

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

**In-app purchases:** none


## Frequently asked questions

### Is Bedside EM free?

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

### Is R1 Gateway free?

R1 Gateway is free to download, with no in-app purchases.

### Which has better reviews, Bedside EM or R1 Gateway?

R1 Gateway is rated higher. Bedside EM averages 4.2 out of 5 from 60 ratings, while R1 Gateway averages 5.0 from 1 ratings.

### Do Bedside EM or R1 Gateway have ads?

Neither Bedside EM nor R1 Gateway shows ads.

### Which is updated more often, Bedside EM or R1 Gateway?

Bedside EM ships an update every 5 months, and R1 Gateway every 4 months. Most recently, Bedside EM was updated on October 18, 2026 and R1 Gateway on September 19, 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.*