The 'small clinic tax' is real but shrinking
Enterprise-first vendors (Abridge, Suki, DeepScribe, Augmedix) still quote small clinics 1.4–2.1x the mid-band median in the quotes clinicians have shared with us. That gap has narrowed from roughly 2.5x in early 2024 as small-clinic-native vendors have set a competitive floor around $99/clinician/month.