# MIR Spiro vs RUG Token Test

The clearest difference is price: MIR Spiro at Free against RUG Token Test's $19.99. MIR Spiro also leads on update cadence (every 2 months vs every 21 months) and review sentiment (17% vs 0%). On ads, in-app purchases, device support and iOS requirement there is nothing between them.

MIR Spiro is free to download; RUG Token Test costs $19.99 up front. Neither carries in-app purchases, so what you see is what you pay.

MIR Spiro ships an update every 2 months, RUG Token Test every 21 months. The most recent releases landed on November 1, 2026 and November 3, 2026 respectively.

## The numbers

| Metric | MIR Spiro | RUG Token Test |
| --- | --- | --- |
| Price | **Free** | $19.99 |
| Rating | **[4.5 (2 ratings)](https://appshunter.io/ios/app/mir-spiro/id947868756/reviews)** | — |
| Number of ratings | **2** | — |
| Positive reviews | **16.7% of reviews** | 0.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 2 months** | Every 21 months |
| Monetization | **Free** | Paid |
| Size | 23 MB | 102 MB |
| Requires iOS | **12.4** | 13.0 |
| Devices | iPad | iPad |
| Age rating | 17+ | 12+ |
| Developer | [MIR Medical International Research](https://appshunter.io/developer/1010662698) | [Dorte de Kok](https://appshunter.io/developer/1519395929) |

## What reviewers say

### MIR Spiro

[App page](https://appshunter.io/ios/app/mir-spiro/id947868756)

This iOS app enables real-time spirometry and oximetry testing on iPads for healthcare providers. It measures key lung function parameters and blood oxygen saturation, offering pediatric incentives and data transfer capabilities.

**Highlights:** Real-time spirometry testing, Real-time oximetry testing, Measures FVC, FEV1, PEF, %SpO2, Pulse Rate, Pediatric incentive feature, Data transfer for backup, HL7 standard support

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### RUG Token Test

[App page](https://appshunter.io/ios/app/rug-token-test/id1519395927)

This application implements a shortened version of the Token Test to help detect aphasia and language impairments. It features bug fixes, adjusted timing, visual feedback, and support for new languages, building upon previous versions.

**Highlights:** Aphasia and language impairment detection, Shortened Token Test implementation, Bug fixes and timing adjustments, Visual feedback, Discontinue conditions enabled, Multiple language support

**In-app purchases:** none


## Frequently asked questions

### Is MIR Spiro free?

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

### Is RUG Token Test free?

RUG Token Test costs $19.99, with no in-app purchases.

### Do MIR Spiro or RUG Token Test have ads?

Neither MIR Spiro nor RUG Token Test shows ads.

### Which is updated more often, MIR Spiro or RUG Token Test?

MIR Spiro ships an update every 2 months, and RUG Token Test every 21 months. Most recently, MIR Spiro was updated on November 1, 2026 and RUG Token Test on November 3, 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.*