Blue Ledger vs CSTSetup
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
Blue Ledger
This app helps physicians and trainees document, organize, and learn from their surgical cases. It allows for detailed logging of procedures, tracking progress over time, and managing private media securely. The tool supports professional growth and reflection on clinical experiences.
- Log and organize surgical cases
- Track procedures and case data
- Analyze clinical experience trends
- Manage private case media securely
- Share cases to professional portfolio
- Connect with colleagues
- Receive activity notifications
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Blue Ledger: Surgical Case Log Blue Ledger is a modern surgical case ledger for physicians and trainees who want a better way to document, organize, and learn from their clinical experiences. Log cases with structured detail, track procedures over time, organize supporting media, and review your progress in one place. Blue Ledger helps you build a clear, longitudinal record of your operative experience while staying focused on growth, reflection, and performance. With Blue Ledger, you can: - Log and organize surgical cases with structured, consistent detail - Track procedures, roles, and case data over time - Review trends and analyze your clinical experience - Manage private case media stored securely on your device - Share selected cases to your professional portfolio - Connect with colleagues and grow your network - Receive reminders and activity notifications Blue Ledger supports how physicians actually learn through repetition, reflection, and continuous improvement. Whether you are a student, resident, or practicing physician, it helps you take ownership of your experience and turn it into insight Important Information: Blue Ledger is designed for professional, educational, and organizational use only. It does not provide medical advice, diagnosis, or treatment recommendations and does not replace clinical judgment. Users are responsible for ensuring that all case data and media are appropriately de-identified and compliant with applicable privacy standards.
CSTSetup
This app provides surgical technologists, students, and educators with a comprehensive library of surgical setups, instrument details, and case log verification. Master hundreds of procedures, identify over 2,700 instruments, and ensure your clinical experience counts towards your logbook.
- Hundreds of surgical setups
- 2,700+ instrument library
- Instrument identification and details
- Surgical case log evaluator
- Procedural blueprints
- Instrument handling cautions
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Know the case before you scrub in. CSTSetup is the clinical companion built for surgical technologists, students, OR nurses and educators: your setups, your instrument library, a built-in medical dictionary, your exam prep and your case log, all in one place. SURGICAL SETUPS 280+ setups across General, Cardiac, ENT, Neuro, OB/GYN, Ophthalmology, Orthopedic, Plastics, Urology and Vascular. Each one shows the tray grouped by what every instrument does, the room (equipment, prep and drape, suture and medicines), a 30-second summary and the case step by step, with the circulator's side for Pro. General Surgery is free; Pro unlocks every specialty. THE FULL INSTRUMENT LIBRARY 3,100+ surgical instruments with real photographs, every name techs use and handling notes, sorted by class, standard tray and maker. Study them as flashcards. Pro members can turn, zoom and open real 3D models of hundreds of them. A BUILT-IN MEDICAL DICTIONARY 3,700+ terms explained in plain words. Tap an underlined word in any setup, instrument or exam question to see what it means, how it's said and the word parts that build it. STUDY FOR YOUR CERTIFICATION EXAM Practice for the CST (NBSTSA), TS-C (NCCT), CRCST (HSPA), CSPDT (CBSPD) and CSFA (NBSTSA) exams: practice by area with the why behind every answer, timed exams matched to the real pass mark, and a daily five questions to keep your streak going. Your progress shows your practice score, your weakest area, your streak and your whole year of study. BUILD YOUR OWN SETUPS Save your surgeon's way as a setup of your own, right on your phone. No account needed to start; sign in and it syncs to the web. BUILT FOR SURGICAL TECH PROGRAMS Log every case for your program: choose AST, NCCT or CC4SA, check off what you did in the room, and get an instant First Scrub, Second Scrub or Observation answer before it goes to your instructor. Clock your clinical hours from the clinical site. CAN'T FIND A SETUP? Ask for it right in the app, and we'll notify you when it's built. ONE SUBSCRIPTION CSTSetup Pro unlocks every specialty, the full library, 3D models and every certification exam in this app, in Instruments, in every CSTSetup exam app and on cstsetup.com. Download CSTSetup and put the whole back table in your pocket.
Screenshots
Verdict
The clearest difference is review sentiment: Blue Ledger at 100% against CSTSetup's 50%. Blue Ledger also leads on in-app purchases (none vs 2) and rating (5.0 vs 4.6). CSTSetup's advantage is update cadence (weekly vs every 3 weeks) and ratings volume (9 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. CSTSetup sells 2 in-app purchases, starting at $12.99 per month. Blue Ledger asks for nothing beyond the download.
Blue Ledger holds the better App Store score, 5.0 against 4.6. Both are backed by a comparable volume of ratings — 2 and 9 respectively. Written reviews point the same way: 100% of Blue Ledger's written reviews are positive against 50% of CSTSetup's.
Blue Ledger ships an update every 3 weeks, CSTSetup weekly. The most recent releases landed on October 24, 2026 and October 31, 2026 respectively.
| Parameter | Blue Ledger | CSTSetup |
|---|---|---|
| Price | Free | Free |
| Rating | 5.0 (2 ratings) — better | 4.6 (9 ratings) |
| Positive reviews | 100.0% of reviews — better | 50.0% of reviews |
| Number of ratings | 2 | 9 — better |
| Update frequency | Every 3 weeks | Weekly — better |
| Ads | No | No |
| In-app purchases | No — better | Yes |
| Monetization | Free — better | Freemium |
| Devices | iPhone | iPhone, iPad — better |
| Requires iOS | 17.0 | 16.4 — better |
| Further details — not scored | ||
| Size | 26 MB | 61 MB |
| Age rating | 4+ | 4+ |
| Developer | Pocket Retina, LLC | CSTSetup |
Customer experience
Blue Ledger
CSTSetup
In-app purchases
Blue Ledger
No in-app purchases
CSTSetup
- CSTSetup Monthly Pro$12.991 Month
- CSTSetup Yearly Pro$155.991 Year
Questions
Is Blue Ledger free?
Is CSTSetup free?
Which has better reviews, Blue Ledger or CSTSetup?
Do Blue Ledger or CSTSetup have ads?
Which is updated more often, Blue Ledger or CSTSetup?
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