Orion vs Prompt
Prompt is a closed all-in-one that markets the absence of integrations as a feature. Here's how Orion's open platform and ambient scribe compare.
Aurora writes the note while you treat the patient.
Tap once at the start of the visit. Aurora listens in the background, no separate app, no dictation prompts, and drafts your PT-specific SOAP note from the natural conversation. It's ready to sign in under two minutes.
- ✓ Ambient and real-time, hands on your patient, not your keyboard
- ✓ PT/OT/SLP-specific notes, plus field-level voice fill
- ✓ Built in and included, not a paid add-on
vs Prompt: Prompt's Sidekick anchors notes on intake-document answers and asks you to choose recording vs section-by-section dictation, and reviewers say the AI "works sometimes but not always." Aurora just runs: one tap, ambient, sign-ready in under two minutes.
Orion vs Prompt, feature by feature
| Feature | Orion | Prompt |
|---|---|---|
| AI scribe | ✓ Aurora, ambient; one tap, drafts in real time, ready to sign in under 2 min; included | Sidekick anchors on intake-doc answers; you choose record vs section-by-section dictation; reviewers report it "works sometimes but not always" |
| Open app marketplace | ✓ Self-serve, sandboxed app marketplace (FHIR R4) | Closed all-in-one; small fixed partner set (BetterPT, Birdeye, Jopari, Office Ally); flagged as a poor fit if you need more integrations |
| Published pricing | ✓ $189–$249/provider/mo, published, everything included | Quote-gated; third-party est. ~$100–$500+/user/mo; reviewers call it "way overpriced" |
| Feature bundling | ✓ Core clinical capabilities included | AI, kiosk, telehealth, and RTM priced as separate add-ons |
| Reliability | ✓ Built for uptime | Reviewers report weekly downtime and random forced logouts |
| Customer support | ✓ Direct, hands-on support | Reviewers: "multiple people reply… you never really get an answer," with delays |
| Try before you switch | ✓ Test Drive: guided trial in a real sandbox, $1,500 credited back | Live demo / sales call |
| Fit for small clinics | ✓ Onboards solo and small practices quickly | Reviewers say onboarding is "overwhelming"; "wouldn't recommend for smaller practices" |
Comparison based on each vendor's publicly available materials as of June 2026. Vendor offerings change, verify current details with Prompt at prompthealth.com.
What Prompt users run into
- Pricing reviewers call "way overpriced," with most features as paid add-ons.
- Weekly downtime and random forced logouts.
- Support where "multiple people reply and you never really get an answer."
- A closed all-in-one, only a handful of fixed integrations.
- Onboarding reviewers found "overwhelming," especially for smaller practices.
Drawn from public Prompt customer reviews on G2 and Capterra (2024–2026). Orion is built to avoid each of these.
Three reasons PT clinics pick Orion over Prompt
Open, not walled
Prompt markets the absence of integrations as a feature and ships only a handful of fixed partners. Orion gives you a strong core plus an open FHIR R4 marketplace, so you're never blocked when you need something it doesn't build.
A scribe that just runs
Aurora is ambient: one tap and the note drafts itself. Prompt's Sidekick anchors on intake documents and makes you choose record vs dictate, and reviewers say it's inconsistent.
Everything in, not nickel-and-dimed
Orion publishes $189–$249 per provider, per month with everything included. Prompt is quote-gated and reviewers call it "way overpriced," with AI, kiosk, telehealth, and RTM as separate add-ons.
Orion vs Prompt, FAQ
Is Orion a good Prompt alternative?
Yes, especially if you want room to grow. Orion pairs a strong all-in-one core with an open, self-serve FHIR R4 app marketplace, an ambient AI scribe (Aurora), and transparent published pricing of $189–$249 per provider, per month. Prompt is a closed all-in-one with a small fixed integration set and quote-gated pricing reviewers call overpriced.
Does Orion integrate with other apps like Prompt?
Orion goes further. Rather than limiting third-party integrations, it offers an embedded, sandboxed marketplace on FHIR R4 with self-serve install, so you can add best-of-breed apps without custom development. Prompt deliberately restricts third-party integrations.
How much does Prompt cost vs Orion?
Prompt does not publish pricing; third-party estimates run ~$100–$500+/user/month, and reviewers report most features cost extra. Orion publishes $189–$249 per provider, per month, everything included, and you only pay for providers who bill.
See Orion on your own patients first.
Take a guided Test Drive in a safe sandbox, or book a 30-minute demo. Your current EHR keeps running the whole time.