Comparing Hyro and Vapi? Both are AI Agents & Chatbots and Voice & Phone AI tools in the directory, which is why buyers put them on the same shortlist. Below is a side-by-side look at how they price, what they integrate with, and when each is the better fit, so you can pick on the facts rather than either vendor's own sales page.
| Attribute | Hyro | Vapi |
|---|---|---|
| Pricing | Paid · Custom | Paid · $0.05/min + provider costs |
| Founded | 2018 | 2020 |
| Categories | AI Agents & Chatbots Contact Center & CCaaS Voice & Phone AI | AI Agents & Chatbots Voice & Phone AI |
| Integrations | Epic MyChart Salesforce Health Cloud Genesys Cloud Five9 | Twilio Vonage Telnyx Deepgram ElevenLabs PlayHT OpenAI Anthropic |
Hyro builds AI agents for healthcare, aimed at the call centers and websites of hospitals and health systems. Its voice and chat agents run over phone, web, SMS, and mobile apps and handle patient facing drudgery: scheduling and rescheduling appointments, prescription refills, MyChart troubleshooting, billing questions, and call routing, with escalation to humans when needed. Deep EHR integration, especially with Epic, is the differentiator, letting agents complete tasks end to end instead of reading FAQs aloud. In June 2026 it launched Care Intelligence, an analytics layer that turns millions of agent conversations into patient access insights for operations teams.
Israel Krush and Rom Cohen founded Hyro in 2018 during their final semester at Cornell Tech, and Weill Cornell Medicine became both first customer and investor. The company now serves around 45 large healthcare organizations, including Intermountain Health, Baptist Health, Hackensack Meridian Health, and Bon Secours Mercy Health. It has raised $95 million in total, most recently a $45 million growth round in October 2025 led by Healthier Capital, the fund of former One Medical CEO Amir Dan Rubin, with Norwest and Define Ventures participating. A May 2026 Five9 partnership cut contact center integration to about an hour.
Hyro does not publish pricing. Contracts are custom, scoped to call volume, channels, and integration depth, and its own 2026 benchmark report frames value in ROI terms, claiming deep EHR integrations unlock over $1 million in returns. Expect an enterprise sales process with security and HIPAA review, not a signup page.
Choose Hyro if you are a health system, especially an Epic shop, drowning in patient access calls, and you want a vendor that lives entirely in healthcare, speaks HIPAA natively, and plugs into your existing contact center stack. If you are outside healthcare it is simply not for you, and small clinics without real call center volume will struggle to justify the enterprise motion.
Read the full Hyro listing → · See Hyro alternatives →
Vapi is a developer platform for voice AI agents. Rather than selling a finished support bot, it sells the orchestration layer: an API and SDKs that wire together speech-to-text (Deepgram and others), any major LLM (OpenAI, Anthropic), text-to-speech (ElevenLabs, PlayHT, Cartesia), and telephony (Twilio, Vonage, Telnyx) into a low latency phone agent. Support teams meet Vapi indirectly, as the engine behind custom-built inbound support lines, appointment desks, and agencies' white label voice products.
Founders Jordan Dearsley and Nikhil Gupta went through Y Combinator in 2021 with a productivity app called Superpowered, then pivoted to voice infrastructure in 2023 after Dearsley built himself an AI phone bot to think out loud with. It worked: Vapi reports over a million developers and a billion calls handled. It raised a $20 million Series A led by Bessemer in December 2024, then a $50 million Series B in May 2026 at a $500 million valuation, roughly $72 million total. Amazon chose Vapi for its Ring division after evaluating over 40 rivals.
Pricing starts at $0.05 per minute for the platform itself, with SMS at $0.005 per message. Provider costs (speech, LLM, voice, telephony) are passed through at cost, or drop to zero if you bring your own API keys. Realistic all in costs run $0.07 to $0.25 per minute. Ten concurrent calls are included, extra lines cost $10 monthly, and compliance add-ons are priced like enterprise software: HIPAA at $2,000 monthly, zero data retention at $1,000 monthly.
Choose Vapi if you have engineers and want maximum control over every layer of a support voice agent, with the freedom to swap providers as models improve. Skip it if nobody on your team writes code, or you want a vendor accountable for resolution rates rather than infrastructure.
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