Dialpad vs Spruce (2026): which should you pick?

Pick Dialpad if

• Fits if you want every call written down and summarized automatically
• Works for teams that live in Google Workspace or Microsoft 365

Look elsewhere if

• Pricey if you pay monthly, at $27 a person against $15 on yearly billing
• Tight if you need Salesforce or HubSpot links, since those need Pro at $25
• Not for you if a contact center is what you need, as Dialpad Support is a separate product from $89 a person
• Watch out: extra local or toll-free numbers and internet fax are add-ons on every plan
• Pricey if you want a sales dialer, as Dialpad Sell is a separate product from $39

Pick Spruce if

• Fits if you want one shared inbox for calls, texts and faxes
• Works for a practice that already has an EHR and needs the phone side

Look elsewhere if

• Not for you if you want scheduling, charting or billing, as it needs a separate EHR
• Watch out: business text sending needs a one-time A2P 10DLC fee of $19.50 per organization
• Pricey if you want call flows, integrations or the API, all on Communicator at $49
• Watch out: desk phone hardware for VoIP is extra

Dialpad

• CRM integrations need the Pro plan or above, as do 24/7 support and managing more than one office.
• Extra local or toll-free numbers and internet fax are optional add-ons on every plan.
• The contact center (Dialpad Support, from $89 per user a month) and sales dialer (Dialpad Sell, from $39) are separate products.
• Monthly billing costs more: $27 instead of $15 for Standard and $35 instead of $25 for Pro.

Spruce

• It does not do scheduling, charting or insurance billing; a practice still needs a separate EHR.
• Sending business SMS requires a one-time A2P 10DLC registration fee of $19.50 per organization.
• Integrations and API access are limited to the $49 Communicator plan, and VoIP desk phone hardware is an extra.
• The free trial includes Basic features but not SMS sending, which needs the registration process first.

Dialpad

Business calling

Every user gets a direct line with unlimited calling in the US and Canada, voicemail transcribed to email, call forwarding and changeable caller ID.

Live transcripts and AI Recaps

Calls are transcribed in real time, and AI Recaps summarize each call and meeting with decisions and action items once it ends.

Texting and team messaging

Business SMS and topic-based team messaging with threads and file sharing sit in the same app as calls.

Call routing

Departments with phone menus, simultaneous ringing, round-robin and longest-idle routing, and open, closed and holiday hours.

Dialpad Meetings

Video meetings inside the same workspace. Dial-in numbers, larger meetings and toll-free meeting lines are add-ons.

Apps on every device

Desktop apps for Windows and Mac, iOS and Android apps, a progressive web app, a Chrome extension and certified desk phones.

Spruce

Phone, text and fax in one inbox

Calls, SMS, e-fax, app-based secure messages and video visits arrive in a customizable shared inbox, with new or ported phone and fax numbers.

Secure messaging and team chat

Staff can message patients inside the Spruce app, share files, and talk to each other in internal chat on the same plan.

Automations for common replies

Auto-replies, saved and scheduled messages and bulk text broadcasts cut down repeat typing.

Call routing

Phone trees and extensions come with Spruce's phone system. Self-service call flows, urgent escalation and after-hours triage are on Communicator.

AI transcription

Voicemails are transcribed on both plans. Communicator also transcribes and summarizes call recordings and audio messages.

BAA and security claims

Spruce says every eligible organization gets a HIPAA BAA at signup with no extra fee, and describes the platform as SOC 2 Type II audited.

Dialpad

• Standard$15

  per user / month, billed annually ($27 billed monthly)

  Unlimited US and Canada calling, texting, team messaging, video meetings, real-time transcripts and AI call summaries.

• Pro$25

  per user / month, billed annually ($35 billed monthly)

  Adds CRM and helpdesk integrations, 24/7 support, management of several offices and automatic recording on shared lines.

• EnterpriseCustom

  Adds single sign-on, user access controls, unlimited office locations and a 99.9% uptime commitment. Sold through sales.

Spruce

• Basic$24

  per user / month, billed monthly

  Phone, text, video, fax and team chat, a shared inbox, auto-replies and AI voicemail transcription.

• Communicator$49

  per user / month, billed monthly

  Adds call flows (IVR), urgent escalation and after-hours triage, integrations and API access, VoIP phone service and AI call summaries.

Dialpad

• Annual discount

  Lower price with annual billing

  Dialpad's pricing page lists Standard at $15 per user a month billed annually against $27 billed monthly, and Pro at $25 against $35.

• Nonprofit

  30% off for nonprofits

  Through the Nonprofit Support Program, selected nonprofits in the US or Canada may get 30% off Dialpad billed annually, on up to 50 seats.

• Startups

  Dialpad for Startups

  Dialpad for Good offers free seats and discounts to startups through partner accelerators, incubators and investors.

Spruce

No public discounts listed.