Softwr

Marketing · head to head

Freshpaint vs Roxhill

Freshpaint logo

Freshpaint

Marketing

Privacy layer that lets healthcare organisations run marketing analytics without sending PHI

From
On request
Rated
-
Full reviewWebsite
Roxhill logo

Roxhill

Marketing

UK-focused journalist database and media monitoring, founder-owned and annual only

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Freshpaint filtering necessarily degrades what advertising platforms receive, so campaign optimisation and lookalike modelling perform worse than an unfiltered pixel would, and the marketing team must accept measurably weaker targeting as the price of compliance.; Roxhill the database is UK-centric by reviewers’ own account, with weak US, Australian and broader Asian journalist coverage, so any multi-market programme needs a second vendor and the single-vendor cost case disappears.
  • They diverge on capability: Freshpaint covers PHI detection and redaction, Roxhill covers Journalist database.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Freshpaint and Roxhill actually diverge.

Attributes where Freshpaint and Roxhill differ
AttributeFreshpaintRoxhill
PlatformsWebWeb, iOS, Android

Identical on both: starting price (On request), pricing model (quote), free tier (No), user rating (Not yet rated), category (Marketing).

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 Freshpaint

  • PHI detection and redaction
  • Business associate agreement
  • Event verification
  • Pixel replacement
  • Consent governance
  • Advertising destinations
  • Analytics and session tools
  • Audience activation

Only in Roxhill

  • Journalist database
  • Journalist profiles
  • Media lists and distribution
  • Media requests and alerts
  • Media monitoring
  • Bespoke newsletters
  • Historical search
  • Journalist Assistant

What people use each for

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

Freshpaint

  • A health system told by legal to remove its Meta and Google pixels that still needs to report cost per acquisition on service line campaignsnot Roxhill
  • A provider running paid search for elective procedures that must send conversion signals without disclosing which condition page a visitor viewednot Roxhill
  • A compliance officer who needs a field level record of exactly what patient related data leaves the website, for a privacy committeenot Roxhill
  • A multi-site provider group standardising tracking governance across marketing agencies that would otherwise each add their own tagsnot Roxhill

Roxhill

  • A UK in-house press office that needs journalist contacts with current pitching preferences rather than a scraped byline list.not Freshpaint
  • An agency tracking forward features across UK trade and consumer titles to place clients into planned coverage months ahead.not Freshpaint
  • A communications team monitoring named spokespeople and measuring their share of voice against competitors in UK media.not Freshpaint
  • A UK public sector body procuring through G-Cloud that needs EEA-hosted media monitoring with a published framework price band.not Freshpaint

Where each one falls short

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

Freshpaint

  • Filtering necessarily degrades what advertising platforms receive, so campaign optimisation and lookalike modelling perform worse than an unfiltered pixel would, and the marketing team must accept measurably weaker targeting as the price of compliance.
  • Pricing is not published on the vendor site despite three named tiers, and third party reports of entry around 599 US dollars a month cover only the lowest tier, with audiences and advertising activation sitting above it.
  • It addresses web and marketing tracking rather than the whole protected health information estate, so it solves one exposure while patient data in the CRM, call centre and email tooling remains a separate problem.
  • The commercial case rests on a specific regulatory interpretation of online tracking technologies, and litigation and future guidance could narrow or widen it, which makes the size of the problem it solves less stable than a compliance purchase usually is.
  • It is built for healthcare and priced accordingly, so an organisation wanting a general customer data platform pays for a regulatory specialism it does not need and gets narrower general purpose functionality than Segment or RudderStack.

Roxhill

  • The database is UK-centric by reviewers’ own account, with weak US, Australian and broader Asian journalist coverage, so any multi-market programme needs a second vendor and the single-vendor cost case disappears.
  • Contact records go stale: reviewers report old email addresses and phone numbers, distribution bounces, and there is no self-serve verification step before you send.
  • At roughly 200,000 to 300,000 journalists it is far smaller than the million-plus figures Cision and Prowly claim, with repeated complaints about thin trade, academic and journal coverage.
  • Selling is annual only with no monthly plan and a trial functionally restricted to around two weeks, so you cannot genuinely pilot before a twelve-month commitment, which is a poor fit for project or retainer agency work.
  • Licence bands are 1, 3 and 5 seats, and extra logins, workspaces, smart folders, historical search, share of voice and the spokespeople platform are all chargeable add-ons, so a team of eight to fifteen pays well above any headline band.
  • Search behaviour is described as counter-intuitive and sometimes returns implausibly few results, which means a null result cannot be trusted and lists need manual cross-checking.
  • Monitoring accuracy takes time to settle after switching, so coverage is missed in the first weeks after a cutover, which is a real gap risk if you time the migration badly.

Pricing, plan by plan

Freshpaint

On request
  • Comply$undefined/month
    • Governance and consent foundation
    • PHI detection and redaction
    • Web analytics, funnels and surveys
  • Perform$undefined/month
    • Everything in Comply
    • Audiences and demand side platform activation
    • Attribution, journeys and recommendations
  • Scale$undefined/month
    • Everything in Perform
    • Ad performance reporting
    • Full AI feature access

Roxhill

On request
  • Core$undefined/year
    • 1 licence
    • Standard database access
    • Journalist Assistant
  • Boutique$undefined/year
    • 3 licences
    • Adds press release distribution
    • 3 workspaces, 6 smart folders, 10 spokespeople, 3 newsletters
  • Enterprise$undefined/year
    • 5 licences
    • 5 workspaces, 10 smart folders, 5 newsletters
    • Spokespeople platform
  • Premium$undefined/year
    • Everything in Enterprise
    • Insights analysis and bespoke reporting
    • Competitor share of voice

Which should you pick?

Choose Freshpaint if

  • You need phi detection and redaction.
  • You also want business associate agreement.
Freshpaint review

Choose Roxhill if

  • You need journalist database.
  • You work on Web, iOS, Android.
  • You also want journalist profiles.
Roxhill review

Questions people ask

Is Freshpaint or Roxhill better?
Neither clearly leads. Freshpaint starts at On request and Roxhill at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Freshpaint or Roxhill?
Freshpaint starts at On request and Roxhill at On request.
Does Freshpaint or Roxhill run on more platforms?
Freshpaint runs on Web. Roxhill runs on Web, iOS, Android.
What is Freshpaint best used for?
Freshpaint is most often used for a health system told by legal to remove its meta and google pixels that still needs to report cost per acquisition on service line campaigns, a provider running paid search for elective procedures that must send conversion signals without disclosing which condition page a visitor viewed, a compliance officer who needs a field level record of exactly what patient related data leaves the website, for a privacy committee, a multi-site provider group standardising tracking governance across marketing agencies that would otherwise each add their own tags. Of those, a health system told by legal to remove its meta and google pixels that still needs to report cost per acquisition on service line campaigns and a provider running paid search for elective procedures that must send conversion signals without disclosing which condition page a visitor viewed are not what Roxhill is typically brought in for.
What can Freshpaint do that Roxhill cannot?
Freshpaint covers PHI detection and redaction, Business associate agreement, Event verification, Pixel replacement. Roxhill covers Journalist database, Journalist profiles, Media lists and distribution, Media requests and alerts.

Answered from the vendors’ own pages

Freshpaint: Why can a hospital not just use Google Analytics?

US Department of Health and Human Services guidance treats IP addresses and health related page URLs as protected health information in this context, and advertising and analytics platforms will not sign a business associate agreement, so the disclosure is unlawful without an intermediary that filters.

Roxhill: How much does Roxhill cost?

Not published on the vendor site, but the UK G-Cloud 14 listing discloses £6,450 to £25,000 per instance per year. Use that as your anchor.

Freshpaint: Does Freshpaint sign a BAA?

Yes, and it holds SOC 2 Type II. That is the central reason it exists, because the destination platforms will not.

Roxhill: Is Roxhill owned by Cision or Access Intelligence?

No. Companies House shows a single individual holding over 75% of shares and no corporate PSC. It is founder-controlled and unfunded. Note the founder previously sold Gorkana to Cision, so ask for a change-of-control clause.

Freshpaint: What does it cost?

Freshpaint does not publish prices. Three tiers, Comply, Perform and Scale, are all sales led, and third party sources report entry around 599 US dollars a month for the lowest.

Roxhill: Is it usable for US or APAC media relations?

Not well. Reviewers describe US, Australian and Asian coverage as materially weaker than UK. Budget for a second database.

Freshpaint: Will my ad performance suffer?

Somewhat. Stripping identifiers reduces what platforms can optimise against. The trade is weaker targeting in exchange for measurement that a compliance committee will approve.

Roxhill: Can I buy monthly?

No. Contracts are annual, sales-gated, with a trial of around two weeks.

Share

Related pages

More on Freshpaint

More on Roxhill

Keep looking

Other head to heads