# ER NAV vs Echo Ambulance

The clearest difference is in-app purchases: Echo Ambulance at none against ER NAV's 1. Echo Ambulance also leads on update cadence (every 3 days vs every 3 months) and rating (5.0 vs 4.7). On price, ratings volume, ads and device support there is nothing between them.

Both are free to download. ER NAV sells 1 in-app purchase, starting at $2.99 per month. Echo Ambulance asks for nothing beyond the download.

Echo Ambulance holds the better App Store score, 5.0 against 4.7. Both are backed by a comparable volume of ratings — 14 and 5 respectively.

ER NAV ships an update every 3 months, Echo Ambulance every 3 days. Both last shipped on October 7, 2026.

## The numbers

| Metric | ER NAV | Echo Ambulance |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.7 (14 ratings)](https://appshunter.io/ios/app/er-nav/id6751308029/reviews) | **[5.0 (5 ratings)](https://appshunter.io/ios/app/echo-ambulance/id6760491964/reviews)** |
| Number of ratings | **14** | 5 |
| Positive reviews | 85.7% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 3 months | **Every 3 days** |
| Monetization | Freemium | **Free** |
| Size | 32 MB | 41 MB |
| Requires iOS | 17.5 | 17.5 |
| Devices | iPhone, iPad | iPhone, iPad |
| Age rating | 4+ | 4+ |
| Developer | [DirectTo Solutions LLC](https://appshunter.io/developer/1834555580) | [Echo Ambulance LLC](https://appshunter.io/developer/1866689611) |

## What reviewers say

### ER NAV

[App page](https://appshunter.io/ios/app/er-nav/id6751308029)

This app provides EMS professionals with direct navigation to ambulance bays and critical hospital information. It offers features like specialty filtering, user-submitted bay images, and integrated medical references. Users can also access protocols, drug information, and a unique O2 tank calculator.

**Highlights:** Direct ambulance bay navigation, Hospital specialty designations, User-submitted bay images, Integrated medical references, NJ EMS protocol access, O2 tank duration calculator, Real-time traffic flow

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| All Access | $2.99 | per month |


### Echo Ambulance

[App page](https://appshunter.io/ios/app/echo-ambulance/id6760491964)

This app streamlines emergency medical services by providing real-time dispatch, navigation with ETAs, and patient care documentation. It allows for scanning insurance cards and submitting reports within an offline-capable workflow. Users must have an account affiliated with the Echo Ambulance organization.

**Highlights:** Real-time dispatch and GPS tracking, Offline patient care documentation, Insurance card scanning, Built-in medical protocols, Shift and crew reporting

**In-app purchases:** none


## Frequently asked questions

### Is ER NAV free?

ER NAV is free to download, with in-app purchases available.

### Is Echo Ambulance free?

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

### Which has better reviews, ER NAV or Echo Ambulance?

Echo Ambulance is rated higher. ER NAV averages 4.7 out of 5 from 14 ratings, while Echo Ambulance averages 5.0 from 5 ratings.

### Do ER NAV or Echo Ambulance have ads?

Neither ER NAV nor Echo Ambulance shows ads.

### Which is updated more often, ER NAV or Echo Ambulance?

ER NAV ships an update every 3 months, and Echo Ambulance every 3 days. Most recently, ER NAV was updated on October 7, 2026 and Echo Ambulance on October 7, 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.*