# Blue Ledger vs CSTSetup

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.

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.

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.

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.

## The numbers

| Metric | Blue Ledger | CSTSetup |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [5.0 (1 ratings)](https://appshunter.io/ios/app/blue-ledger-surgical-case-log/id6760433422/reviews) | [5.0 (1 ratings)](https://appshunter.io/ios/app/cstsetup-case-prep-and-setups/id6760922022/reviews) |
| Number of ratings | 1 | 1 |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 3 weeks | **Every 5 days** |
| Monetization | **Free** | Freemium |
| Size | 26 MB | 58 MB |
| Requires iOS | 17.0 | **16.4** |
| Devices | iPhone | **iPhone, iPad** |
| Age rating | 4+ | 4+ |
| Developer | [Pocket Retina, LLC](https://appshunter.io/developer/1880203365) | [CSTSetup](https://appshunter.io/developer/1886831213) |

## What reviewers say

### Blue Ledger

[App page](https://appshunter.io/ios/app/blue-ledger-surgical-case-log/id6760433422)

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:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### CSTSetup

[App page](https://appshunter.io/ios/app/cstsetup-case-prep-and-setups/id6760922022)

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:** macOS Compatibility, Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| CSTSetup Monthly Pro | $12.99 | per month |
| CSTSetup Yearly Pro | $155.99 | per year |


## Frequently asked 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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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*