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Healthcare · head to head

Nookal vs Therapixel

Nookal logo

Nookal

Healthcare

Australian allied health practice management priced per practitioner with usage charges on top

From
49/month
Rated
-
Full reviewWebsite
Therapixel logo

Therapixel

Healthcare

French mammography AI with FDA clearances for 2D and tomosynthesis breast screening

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Nookal the features most multi-practitioner clinics need, including advanced reporting, custom forms and automated recalls, are held back to the Professional tier, so the AUD 49 entry price is not a realistic budget for anything beyond a solo practice.; Therapixel european and American regulatory positions were established under different regimes, and under the EU Medical Device Regulation this class of diagnostic AI faces a higher classification and notified body scrutiny, so European buyers must verify the current MDR certificate and expiry rather than relying on a legacy CE reference.
  • They diverge on capability: Nookal covers Per practitioner pricing, Therapixel covers MammoScreen 2D.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Nookal and Therapixel actually diverge.

Attributes where Nookal and Therapixel differ
AttributeNookalTherapixel
Starting price49/monthOn request
Pricing modelPer user per monthquote
PlatformsWeb, iOS, AndroidWeb

Identical on both: free tier (No), user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Nookal

  • Per practitioner pricing
  • Clinical notes
  • Online booking
  • Automated recalls
  • KPI dashboards
  • Claiming
  • Patient portal
  • AI and voice

Only in Therapixel

  • MammoScreen 2D
  • MammoScreen DBT
  • One to ten suspicion score
  • Summary report
  • Workstation and PACS delivery
  • Reading workflow configurations

What people use each for

The jobs each tool is most often brought in to do.

Nookal

  • A three to ten practitioner physiotherapy clinic in Australia that wants Medicare claiming and published pricing rather than a quote processnot Therapixel
  • A New Zealand practice that needs ACC claim submission integrated with its clinical notes and billingnot Therapixel
  • A chiropractic group opening a second location that wants shared patient records and one reporting view across sitesnot Therapixel
  • A UK or Irish allied health clinic that wants an Australian-style clinical workflow with GBP or EUR billingnot Therapixel

Therapixel

  • A European breast screening programme running mandatory double reading that wants to evaluate AI as a concurrent or second reader within what national guidance permitsnot Nookal
  • An American breast centre that has moved to tomosynthesis and needs reading support on DBT specifically, which Therapixel holds a clearance fornot Nookal
  • A screening service wanting a graded suspicion score rather than a binary flag so readers can calibrate their own thresholdnot Nookal
  • A radiology group evaluating multiple mammography AI vendors head to head on their own historic case set before committingnot Nookal

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Nookal

  • The features most multi-practitioner clinics need, including advanced reporting, custom forms and automated recalls, are held back to the Professional tier, so the AUD 49 entry price is not a realistic budget for anything beyond a solo practice.
  • Add-ons stack quickly: AI and voice at about USD 25 per active licence, the patient portal from USD 10 per location and secure messaging from USD 1.50 per user can push a seat close to double its list price.
  • Pricing is not a simple currency conversion, with the USD Essentials tier at 65 and Professional at 89 against AUD 49 and 59, so overseas clinics pay a meaningful premium for the same software.
  • Messaging and claiming are metered per SMS and per claim, so a clinic that leans on reminders to control no-shows finds a variable line item that grows with appointment volume and is easy to underestimate at purchase.
  • Single sign-on is quoted rather than listed and sits with the Enterprise tier, which puts basic identity governance out of reach for mid-sized groups that would otherwise stay on Professional.

Therapixel

  • European and American regulatory positions were established under different regimes, and under the EU Medical Device Regulation this class of diagnostic AI faces a higher classification and notified body scrutiny, so European buyers must verify the current MDR certificate and expiry rather than relying on a legacy CE reference.
  • MammoScreen does mammography only, so a hospital wanting AI across head CT, chest and breast needs several vendors and several PACS integrations, or an orchestration layer bought from someone else.
  • Therapixel is a small French company competing against Hologic and iCAD, which have incumbency inside the mammography reading workstation, so integration into an American breast centre is more work than it is for the workstation vendor own AI.
  • Detection performance is sensitive to the mammography unit vendor and acquisition protocol, so published results do not transfer between estates and each site needs local validation it must fund itself.
  • Whether AI can substitute for one of two human readers is a national workforce and liability question, not a product capability, so the labour saving that justifies the purchase in one country is not permitted in another.

Pricing, plan by plan

Nookal

49/month
  • Essentials$49/month
    • Per practitioner per month
    • Appointments, patient records and invoicing
    • Online booking
  • Professional$59/month
    • Per practitioner per month
    • Advanced reporting and KPI dashboards
    • Custom forms
  • Enterprise$undefined/month
    • Quoted pricing
    • Multi-account management
    • Dedicated support

Therapixel

On request
  • MammoScreen$undefined/year
    • Priced per examination or by annual screening volume
    • 2D and tomosynthesis licensed by the versions cleared for each
    • Cloud or on premises deployment quoted differently

Which should you pick?

Choose Nookal if

  • You need per practitioner pricing.
  • You work on Web, iOS, Android.
  • You also want clinical notes.
Nookal review

Choose Therapixel if

  • You need mammoscreen 2d.
  • You also want mammoscreen dbt.
Therapixel review

Questions people ask

Is Nookal or Therapixel better?
Neither clearly leads. Nookal starts at 49/month and Therapixel at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Nookal or Therapixel?
Nookal starts at 49/month and Therapixel at On request.
Does Nookal or Therapixel run on more platforms?
Nookal runs on Web, iOS, Android. Therapixel runs on Web.
What is Nookal best used for?
Nookal is most often used for a three to ten practitioner physiotherapy clinic in australia that wants medicare claiming and published pricing rather than a quote process, a new zealand practice that needs acc claim submission integrated with its clinical notes and billing, a chiropractic group opening a second location that wants shared patient records and one reporting view across sites, a uk or irish allied health clinic that wants an australian-style clinical workflow with gbp or eur billing. Of those, a three to ten practitioner physiotherapy clinic in australia that wants medicare claiming and published pricing rather than a quote process and a new zealand practice that needs acc claim submission integrated with its clinical notes and billing are not what Therapixel is typically brought in for.
What can Nookal do that Therapixel cannot?
Nookal covers Per practitioner pricing, Clinical notes, Online booking, Automated recalls. Therapixel covers MammoScreen 2D, MammoScreen DBT, One to ten suspicion score, Summary report.

Answered from the vendors’ own pages

Nookal: How much does Nookal cost per practitioner?

Essentials is AUD 49 per practitioner per month and Professional is AUD 59, with published equivalents of GBP 29 and 39, EUR 65 and 89, and USD 65 and 89. Enterprise is quoted.

Therapixel: Is MammoScreen FDA cleared?

Yes. It holds 510(k) clearance K192854 for two dimensional mammography from July 2020, a November 2021 clearance for digital breast tomosynthesis, and two further clearances in October 2024 for later versions.

Nookal: What is not included in the subscription?

SMS from about 7 cents per message, Medicare claims from about 10 cents, ACC claims at about 12 cents, the patient portal, secure messaging, AI and voice, and single sign-on are all charged separately.

Therapixel: Is it CE marked?

Yes, but European buyers should ask specifically for the current certificate under the Medical Device Regulation and its expiry date, because this class of diagnostic AI moved to a higher classification under MDR.

Nookal: Is there a contract?

No lock-in contract, and the free trial does not require a credit card.

Therapixel: What does the one to ten score mean?

It is a graded suspicion score per finding and per study, designed to be integrated alongside a radiologist BI-RADS assessment rather than treated as a positive or negative result.

Nookal: Which countries does the claiming work in?

Medicare claiming is Australian and ACC claiming is New Zealand. Elsewhere the software works but you invoice and reconcile manually.

Therapixel: Does it cover anything besides mammography?

No. It is a mammography product only, including tomosynthesis. Other body regions need a different vendor.

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