# TTE FOCUS Views vs EchoRef

The clearest difference is price: EchoRef at Free against TTE FOCUS Views's $4.99. EchoRef also leads on rating (4.9 vs 3.0) and update cadence (every 2 months vs every 24 months). TTE FOCUS Views's advantage is iOS requirement (6.0 vs 26.0). On ads, in-app purchases and device support there is nothing between them.

EchoRef is free to download; TTE FOCUS Views costs $4.99 up front. Neither carries in-app purchases, so what you see is what you pay.

EchoRef holds the better App Store score, 4.9 against 3.0. 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.

TTE FOCUS Views ships an update every 24 months, EchoRef every 2 months. The most recent releases landed on September 26, 2026 and October 15, 2026 respectively.

## The numbers

| Metric | TTE FOCUS Views | EchoRef |
| --- | --- | --- |
| Price | $4.99 | **Free** |
| Rating | [3.0 (2 ratings)](https://appshunter.io/ios/app/tte-focus-views/id660850978/reviews) | **[4.9 (1.4K ratings)](https://appshunter.io/ios/app/echoref/id1434016053/reviews)** |
| Number of ratings | 2 | **1.4K** |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 24 months | **Every 2 months** |
| Monetization | Paid | **Free** |
| Size | 70 MB | 105 MB |
| Requires iOS | **6.0** | 26.0 |
| Devices | iPad | **iPhone, iPad** |
| Age rating | 17+ | 17+ |
| Developer | [University Health Network](https://appshunter.io/developer/361257574) | [Rishi Kumar](https://appshunter.io/developer/1434016052) |

## What reviewers say

### TTE FOCUS Views

[App page](https://appshunter.io/ios/app/tte-focus-views/id660850978)

This application aids in learning and teaching cardiac function assessment using Focused Cardiac Ultrasound (FOCUS) techniques. It provides interactive 3D models and TTE recordings for key cardiac views, allowing users to visualize probe placement and heart structures.

**Highlights:** Interactive 3D heart models, TTE recordings for 5 FOCUS views, 3D probe and ultrasound plane visualization, Rotatable heart and rib cage models, Ability to remove rib cage and heart sections, Focus on pericardial abnormalities

**In-app purchases:** none


### 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 TTE FOCUS Views free?

TTE FOCUS Views costs $4.99, with no in-app purchases.

### Is EchoRef free?

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

### Which has better reviews, TTE FOCUS Views or EchoRef?

EchoRef is rated higher. TTE FOCUS Views averages 3.0 out of 5 from 2 ratings, while EchoRef averages 4.9 from 1.4K ratings.

### Do TTE FOCUS Views or EchoRef have ads?

Neither TTE FOCUS Views nor EchoRef shows ads.

### Which is updated more often, TTE FOCUS Views or EchoRef?

TTE FOCUS Views ships an update every 24 months, and EchoRef every 2 months. Most recently, TTE FOCUS Views was updated on September 26, 2026 and EchoRef on October 15, 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.*