If you are a solo practitioner or a partner in a two- to five-attorney personal injury firm, you face a particular challenge when it comes to legal technology: you need the same quality tools that large firms use, but you cannot absorb the same costs. A 50-attorney firm processing 200 cases per month can negotiate volume discounts and spread technology costs across a large revenue base. You cannot.
This asymmetry has been especially pronounced in the medical record summarization space. The dominant platforms—EvenUp at $300 to $800 per case, Precedent at $275—were designed for high-volume firms where per-case costs are a manageable percentage of per-case revenue. For a solo attorney handling 8 to 15 cases per month, those costs represent a fundamentally different economic equation.
The good news: 2026 offers more affordable options than ever before. This guide is written specifically for small-firm practitioners who want to adopt AI-powered medical record analysis without committing to costs that do not make sense at their scale.
The Small Firm Economics Problem
Let us be specific about the numbers. Consider a solo PI attorney with the following practice profile:
Typical Solo PI Practice
Active caseload: 40–60 cases
New cases per month: 8–12
Cases requiring medical record summarization: 8–12 per month
Average case value: $25,000–$75,000
Annual gross revenue: $400,000–$800,000
Technology budget: Typically 3–5% of revenue ($12,000–$40,000)
Now consider the annual cost of medical record summarization at various price points:
| Provider | Cost Model | 10 Cases/Month | Annual Total | % of $500K Revenue |
|---|---|---|---|---|
| EvenUp | $500 avg/case | $5,000 | $60,000 | 12% |
| Precedent | $275/case | $2,750 | $33,000 | 6.6% |
| Legalyze | $500–$2,000/month | $1,000 | $12,000 | 2.4% |
| Supio | Case-based subscription | ~$1,500 | ~$18,000 | 3.6% |
| InPractice AI | $0.06–$0.10/page | ~$800 | ~$9,600 | 1.9% |
| Dodonai | $30–$100/mo + per-page | ~$100 | ~$1,200 | 0.24% |
| CaseFleet | $30–$75/mo/user | $30+ | $360+ | 0.07% |
| CaseBridge Case Review | $695–$895/case, review included | $6,950–$8,950 | $83,400–$107,400 | 17–21% |
Read the table carefully, because the rows are not buying the same thing. Every software row still needs a paralegal to turn its output into a chronology, a billing summary, and a demand an adjuster will read; at three to four hours per case and $100 an hour, that adds $300 to $400 to every case, so EvenUp's real cost is closer to $800 to $900 a case and InPractice's to $380 to $500. The CaseBridge row is the only one that already includes those hours: each case comes back as five deliverables signed by a named reviewer. Even so, ten cases a month at the per-case price is a real number for a $500,000 practice, which is why firms at that volume usually prepay a package (ten cases a month for $7,950, or $795 a case) and firms with only a case or two a month simply order them one at a time.
The Affordable Options, Reviewed Honestly
InPractice AI
InPractice uses a pay-as-you-go page-credit model. Pricing is tiered by volume: $0.10/page at 1,000 pages, $0.08 at 5,000, $0.06 at 25,000, and $0.05 at 100,000 pages. For a solo attorney processing cases with an average of 1,000 pages, realistic per-case cost is $60–$100 depending on your volume tier. Credits never expire, and there is no subscription required.
Best for: Solo attorneys who want basic medical record summaries at a reasonable per-case cost with no ongoing commitment, and are comfortable with cloud processing.
Limitation: The output is relatively basic compared to more full-featured platforms. You get structured summaries, but limited analysis, no demand generation, and no advanced features like negligence detection or case valuation.
Legalyze
Legalyze offers tiered monthly plans: Solo AI at $500/month (5,000 pages, 3–5 cases, 3 users), Pro AI at $1,000/month (15,000 pages, 10–15 cases, 5 users), and Growth AI at $2,000/month (40,000 pages, 20–40 cases, 10 users). Each plan includes unlimited AI chats with your medical records. For a solo attorney handling 8–12 cases per month, the Pro AI plan at $1,000/month ($12,000/year) is the most realistic fit.
Best for: Firms wanting a dedicated cloud platform with unlimited chat-based interaction with their medical records, and who can justify the monthly cost against their caseload.
Limitation: At $12,000 per year for the mid-tier plan, this is a substantial ongoing expense for a solo practitioner. The per-page caps mean you may need to upgrade if your cases are document-heavy. No on-premise option for firms with strict data privacy requirements.
Dodonai
Dodonai offers a low entry point with usage-based pricing. Plans start at $30/month (Lite) with per-page processing fees around $0.15/page, scaling to the Pro plan at $100/month with per-page costs dropping to roughly $0.02/page. For a solo attorney, the Pro plan at $100/month provides the best value if you process cases regularly.
Best for: Attorneys testing AI summarization for the first time who want a low-commitment entry point, or cost-conscious firms willing to manage per-page costs.
Limitation: The headline subscription price is low, but per-page fees add up for document-heavy cases. Output quality and feature depth are more basic than full-featured platforms. May struggle with complex multi-provider records or cases requiring nuanced analysis.
CaseFleet
CaseFleet is not primarily a medical record summarization tool; it is a timeline and fact management platform that has incorporated AI features. Plans range from Starter at $30/user/month to Standard at $75/user/month (billed annually; month-to-month rates are higher). AI features like document intelligence and OCR carry additional per-page overage charges beyond included allocations.
Best for: Small firms that want a case organization tool with some AI capabilities, particularly if cases regularly go to trial.
Limitation: Per-user pricing means costs increase as your team grows. The medical record AI features are a supplement to the core timeline tool, not the primary focus. Overage charges for AI processing can add up on document-heavy cases.
CaseBridge (MedRecords AI engine)
CaseBridge is the one option here that is not software you run. You send the records through a secure upload link, the MedRecords AI engine prepares the drafts in a dedicated HIPAA enclave, and a named paralegal or legal nurse consultant checks every finding against the source page and signs. Each case comes back as a Case Summary, a page-cited Medical Chronology with specials ledger, a Merit Review, and a Demand Package made up of an editable demand letter and a medical billing summary. A Case Review is $695 up to 1,500 pages or $895 up to 3,500, with no commitment. Firms that know their volume prepay five cases a month for $4,125 ($825 a case) or ten for $7,950 ($795 a case); larger matters are quoted.
Best for: Small firms without a dedicated records paralegal who want finished, signed work product on every case, a known price before the records arrive, and client files kept in a single-tenant enclave rather than a shared cloud.
Limitation: The per-case price is higher than software-only tools because the review hours are inside it, and a case review takes five business days (three on a package) rather than minutes. Case fees are invoiced per matter and itemized, so most firms pass them through as a case expense under the rules governing their practice.
What Small Firms Actually Need
In conversations with small-firm PI attorneys, several needs come up repeatedly that differ from what large firms prioritize:
Simplicity Over Integration
Large firms need AI tools that integrate with Salesforce, Filevine, Litify, and a dozen other platforms. Solo attorneys typically need software that works. They do not have IT departments to manage integrations. A tool that accepts a PDF upload and produces a usable output, without requiring an API configuration or a CMS connection, is often more practical than a technically sophisticated platform that takes weeks to set up.
Every Case, Not Just the Big Ones
When per-case costs are high, small firms rationally limit AI use to their larger cases. But the value of AI summarization often shows up in unexpected places—a seemingly minor case where the AI identifies a treatment gap that elevates the claim, or a negligence pattern that transforms a $30,000 case into a $150,000 case. The ability to run every case through the AI, without worrying about the cost, changes the way attorneys evaluate their entire caseload.
Demand Letters That Reflect the Firm
Solo and small-firm attorneys have reputations within their local legal communities. The demand letters they send carry their personal brand. A generic, obviously AI-generated template can undermine years of relationship building. Small firms need AI demand tools that allow meaningful customization—adjusting tone, structure, and emphasis to match the firm's established voice.
Data Privacy as a Differentiator
Interestingly, data privacy concerns are often more acute for small firms than large ones. A small-firm attorney who handles cases involving sexual assault, mental health crises, or substance abuse may be personally uncomfortable uploading those records to a cloud service. The attorney-client relationship in a small firm is often more personal, and the obligation to protect client data feels more immediate and individual.
A Practical Decision Framework
If you are a small-firm PI attorney evaluating medical record AI for the first time, here is a practical framework:
- If you are testing the waters and want to spend as little as possible to see if AI summarization is useful for your practice, start with Dodonai's Lite plan at $30/month or InPractice's pay-as-you-go credits. The low commitment reduces risk.
- If you are ready to commit and want a cloud platform with unlimited AI chat, Legalyze's plans start at $500/month (Solo AI) or $1,000/month (Pro AI for 10–15 cases). Budget accordingly—these are meaningful ongoing expenses.
- If you want finished work rather than software to run, CaseBridge's Case Review at $695 to $895 returns five signed deliverables per case with no commitment, and prepaid case packages from $4,125 a month for five cases ($825 a case) bring the per-case price down once you have the volume. It is the only option on this list that includes a merit review and a signed billing summary, and there is nothing to install.
- If case organization and trial prep are as important to you as medical record summarization, CaseFleet's timeline tools add value that pure summarization tools do not provide.
The Bottom Line for Small Firms
The technology gap between large and small PI firms is narrowing. AI-powered medical record analysis is no longer a luxury reserved for firms with six-figure technology budgets. The range of affordable options in 2026 means that every PI attorney, regardless of firm size, can access tools that save hours of manual record review, identify case value that might otherwise be missed, and produce professional-quality work product.
The key is choosing the right tool for your specific situation—your volume, your budget, your privacy requirements, and your long-term plans. Do not assume that the most expensive option is the best one for your practice. And do not assume that the cheapest option will provide enough value to justify even its modest cost. Test before you commit, and focus on the tools that let you process every case without worrying about the bill.
Built for Firms of Every Size
Order one case review for $695 with no commitment, or prepay a package from $825 a case. Every case comes back signed.
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