Comparison

Blue Ledger vs CSTSetup

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

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.

Highlights
  • 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
Features
Read full description

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.

About

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.

Highlights
  • Hundreds of surgical setups
  • 2,700+ instrument library
  • Instrument identification and details
  • Surgical case log evaluator
  • Procedural blueprints
  • Instrument handling cautions
Features
Read full description

Step into the operating room with absolute confidence. CSTSetup is the ultimate clinical companion designed exclusively for surgical technologists, students, and OR educators. Whether you are navigating your first clinical rotations, prepping for the CST exam, or preparing for an unfamiliar specialty, CSTSetup puts the entire back table right in your pocket. Key Features: 1. Master Hundreds of Surgical Setups Never walk into a case blind. Access step-by-step procedural blueprints and instrument lists for hundreds of surgical procedures. Explore our free General Surgery setups, or upgrade to Pro for Cardiac, ENT, Neurology, OB/GYN, Ophthalmology, and more. Each setup provides a detailed breakdown of the exact instruments and supplies you need so you can stay steps ahead of the surgeon. 2. The Ultimate 2,700+ Instrument Library Ditch the heavy textbooks. Utilize our smart global search to instantly identify over 2,700 surgical instruments featuring high-fidelity images, alternate names, and handling cautions. The database is intuitively organized by functional categories—such as Grasping & Holding, Retracting & Exposing, and Cutting & Dissecting—allowing you to quickly build visual recall and muscle memory. 3. Surgical Case Log Evaluator Stop second-guessing your clinical requirements. Use our free, built-in evaluator to instantly verify if a procedure will count toward your final logbook. Simply select your accreditation type (AST, NCCT, or CC4SA), input the procedure, and check off the specific tasks you performed in the OR. The app immediately evaluates your input and calculates whether your participation qualifies for a First Scrub, Second Scrub, or Observation role. It is the perfect, quick-reference verification tool to ensure you know exactly how a case counts before you submit it to your program director. Take control of your clinicals and your career. Download CSTSetup today and transform your device into the most powerful tool in your operating room.

Screenshots

Blue Ledger4 screens
CSTSetup4 screens

Verdict

The call

The clearest difference is in-app purchases: Blue Ledger at none against CSTSetup's 2. CSTSetup's advantage is update cadence (every 5 days vs every 3 weeks). On price, rating, ratings volume and ads 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

CostPrice · In-app purchases · Ads · Monetization

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.

ReceptionRating · Positive reviews · Number of ratings

On the App Store both sit at effectively the same score — 5.0 for Blue Ledger against 5.0 for CSTSetup. Both are backed by a comparable volume of ratings — 1 and 1 respectively.

UpkeepUpdate frequency

Blue Ledger ships an update every 3 weeks, CSTSetup every 5 days. The most recent releases landed on September 20, 2026 and September 21, 2026 respectively.

Scorecard3 real differences · 6 level
Blue Ledger versus CSTSetup: the parameters behind the verdict, then further details
ParameterBlue LedgerCSTSetup
PriceFreeFree
Rating5.0 (1 ratings)5.0 (1 ratings)
Number of ratings11
Update frequencyEvery 3 weeksEvery 5 days — better
AdsNoNo
In-app purchasesNo — betterYes
MonetizationFree — betterFreemium
DevicesiPhoneiPhone, iPad — better
Requires iOS17.016.4 — better
Further details — not scored
Size26 MB58 MB
Age rating4+4+
DeveloperPocket Retina, LLCCSTSetup

Customer experience

Blue Ledger

All ratings1 ratings
Positive100.0%
Neutral0.0%
Negative0.0%

CSTSetup

All ratings1 ratings
Positive100.0%
Neutral0.0%
Negative0.0%

In-app purchases

None

Blue Ledger

No in-app purchases

2 purchases

CSTSetup

Subscriptions2
  • CSTSetup Monthly Pro$12.991 Month
  • CSTSetup Yearly Pro$155.991 Year

Questions

Is Blue Ledger free?
Blue Ledger is free to download, with no in-app purchases.
Is CSTSetup free?
CSTSetup is free to download, with in-app purchases available.
Which has better reviews, Blue Ledger or CSTSetup?
Blue Ledger and CSTSetup are both rated 5.0 out of 5 on the App Store, from 1 and 1 ratings respectively.
Do Blue Ledger or CSTSetup have ads?
Neither Blue Ledger nor CSTSetup shows ads.
Which is updated more often, Blue Ledger or CSTSetup?
Blue Ledger ships an update every 3 weeks, and CSTSetup every 5 days. Most recently, Blue Ledger was updated on September 20, 2026 and CSTSetup on September 21, 2026.

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