Compare · ONRAD

ONRAD radiology and teleradiology cost from 80 federal contracts, plus the alternatives

The short answer

ONRAD, Inc. is a Phoenix-based teleradiology provider that publishes no rate card, so the only checkable ONRAD prices are US federal contracts: 80 prime awards from 2009 to 2021 worth $21,917,178, with a $201,333 median. That is about 69 times the vRad median, because ONRAD sold annual facility contracts, not small orders. Since buying Direct Radiology from Philips in January 2025 it is the largest independent US teleradiology provider.

Search for ONRAD and you get ONRAD's own site, its LinkedIn page, and press coverage of the Direct Radiology deal. Nobody puts a checkable number next to any of it. ONRAD does not publish pricing, neither do the other national reading services, and the per-study figures that float around procurement conversations come from whoever quoted you last.

So this page does not invent a per-study rate. Federal agencies have bought radiology reads from ONRAD for more than a decade, mostly the Department of Veterans Affairs and the Indian Health Service, and every one of those purchases is public record. Everything in the tables below came out of USAspending.gov on September 22, 2026, and every recipient name and description was read one row at a time, because a substring search for ONRAD also returns shipyards, law firms and lawn contractors named Conrad. Federal pricing is not commercial pricing. What the record shows clearly is how ONRAD sells: large annual coverage contracts for whole facilities, not per-order reads.

The second thing to know before you price anything is what you would be signing with. In January 2025 ONRAD acquired Direct Radiology, a teleradiology group Philips had owned, which brought roughly 80 radiologists and more than 430 client facilities. The combined company reports more than 160 board-certified radiologists, more than 7,000 studies a day and more than 550 facilities, and both businesses are Joint Commission accredited. That makes ONRAD the independent counterweight to vRad, which belongs to Radiology Partners, and to StatRad, which belongs to the Australian imaging group I-MED.

There is also a third option that a provider-versus-provider comparison never shows you, and it is why this page sits on a software site. Outsourcing solves a capacity problem: more studies than radiologist hours. Buying reads is one answer. Making the hours you already pay for cover more of the list is the other, and plenty of groups do both.

The Reading Station

Assistant ready

Worklist

Not for diagnostic use

Structured report

Draft

Run the assistant to draft this report for review.

You review & sign

Decision support. The radiologist reviews and signs every study.

Drafted in · you review & sign Worklist re-prioritized

Decision support for qualified clinicians. Radiological.ai does not provide a diagnosis and is not a substitute for professional judgment.

See the comparison

Flag · prioritize · draft · you review and sign

ONRAD is an independent national teleradiology provider that sells radiologist reads, final and preliminary, by contract. Radiological.ai sells none of that: it is an assistant inside your own reading room that flags suspected findings, prioritizes the worklist and drafts the structured report, so the radiologist hours you already pay for cover more of the list.

Side by side

What US federal agencies actually paid ONRAD

The ten largest prime contract awards to ONRAD, Inc., each traceable to a contract number. Not a private rate card, but the only verifiable ONRAD pricing that exists in public.

What was bought	Award amount	Term and what it tells you
Navy, award described as computed tomography (CT)	$3,178,870	October 2009 to February 2015. A five-year Navy vehicle and the largest ONRAD award on record. The description names only the modality, so treat it as CT coverage rather than a per-study benchmark.
VA, teleradiology services	$1,048,730	May 2009 to May 2012. Three years of coverage at roughly $350,000 a year, one of the two oldest awards in the record.
VA Lexington VAMC, teleradiology	$920,075	October 2017 to February 2019. Seventeen months for a single medical center, which is what whole-facility coverage costs at federal rates.
VA, teleradiology services	$726,270	November 2015 to September 2016. Eleven months, and one of three awards starting the same day, which is how a regional network buys coverage for several facilities at once.
VA VISN 9, Tennessee Valley Healthcare System	$665,105	October 2017 to January 2019. A network-level purchase for one health system inside the region, bought alongside Memphis below.
VA, teleradiology services	$645,943	November 2015 to January 2017. The companion award to the $726,270 line above.
VA, teleradiology, option period exercised	$598,467	January 2021 to September 2023. The most recent award start in the whole record, and an option exercised rather than a new competition.
Indian Health Service, radiology	$590,000	December 2017 to December 2019. Two years of radiology services for a single IHS facility.
Indian Health Service, Gallup facility radiology services	$564,954	November 2018 to December 2019. One of several yearly GIMC radiology awards, which shows the same coverage being renewed year after year.
VA VISN 9, Memphis VAMC	$479,319	October 2017 to January 2019. The same regional purchase as Tennessee Valley, for the second large medical center.

Compiled September 22, 2026 from USAspending.gov, the US government public record of federal contract awards. A recipient search for ONRAD, INC, filtered to prime award actions of type A, B, C and D with award periods from October 1, 2007 through September 22, 2026, returns 80 awards totaling $21,917,178. Every recipient name and description was read individually; a broader search for ONRAD returns unrelated companies named Conrad and Konrad, which were excluded. These are public-sector awards bought under federal contracting rules, so they are not a quote for a private hospital or imaging center. Figures are award values rather than amounts finally paid out. Verify any award yourself at usaspending.gov before using it in a negotiation.

The shape of the business

What 80 federal ONRAD awards tell a hospital buyer

The total matters less than the shape. Read these six before you take a quote from any national reading service.

Measure	Figure	What it means for your contract
Total award value across 80 contracts	$21,917,178	Twelve years of visible federal ONRAD work. It is larger than the $16.5 million federal vRad book on less than a quarter of the award count.
Median value of the 77 priced awards	$201,333	Against $2,914 for vRad. ONRAD sold coverage as annual facility contracts, so if you are a single hospital expect an annual commitment conversation, not per-order reads.
Middle half of priced awards	$61,492 to $361,423	The interquartile range. A realistic federal year of coverage for one facility sits in this band, and it is a useful sanity check on any annual quote.
Priced awards of $100,000 or more	52 of 77	Sixty-eight percent. Almost nothing here is a small purchase order, which is the opposite of the vRad pattern where 79 percent of awards were under $10,000.
Split by agency	VA $10.97M, IHS $7.71M, Navy $3.23M	Thirty VA awards, forty-six Indian Health Service awards and four Navy awards. The IHS book includes Navajo Area facilities such as Crownpoint and Chinle, rural sites where local radiologist coverage is thin.
Most recent prime award start date	January 18, 2021	Award starts peak at 16 in 2017, then 9, 9, 5 and a single 2021 option. As with vRad, that is a fact about prime awards under this name, not proof of anything about current federal work.

All figures computed September 22, 2026 from the same USAspending.gov pull described above: 80 prime awards to ONRAD, Inc. Three awards carry a recorded value of zero and are excluded from the median and quartiles. The vRad comparison uses the 357-award Virtual Radiologic pull published on our vRad page.

Side by side

Radiological.ai vs ONRAD, honestly

A fair look at what each does well. Both are capable tools. Here is where they differ.

What matters	Radiological.ai	ONRAD
What you are buying	Software your own radiologists use. It flags suspected findings, prioritizes the worklist and drafts the structured report into your template.	Radiologist reads. Board-certified physicians on the ONRAD panel read your studies and sign preliminary or final reports.
Who signs the report	Your radiologist, every time. No outside physician touches the study.	An ONRAD radiologist, credentialed at your facility.
Unit of cost	Per reading radiologist per month, published on our pricing page from $199 billed annually.	Per study or as an annual coverage contract. Not published; quoted per facility.
Overnight and weekend coverage	None. We do not read studies, so a 3am study still needs a radiologist.	Core of the offer: 24 hours a day, 365 days a year, including final reads overnight.
On-site radiology staffing	None.	Offered as a full-service option for hospitals that want an outsourced department rather than only remote reads.
Subspecialty depth you do not employ	None. We make your radiologists faster, not more subspecialized.	A panel of more than 160 radiologists after the Direct Radiology deal covers subspecialty reads a single hospital would never hire for.
Ownership	Independent software company. We do not employ radiologists or run imaging centers.	Independent, and says it is the largest independent teleradiology provider in the US since acquiring Direct Radiology from Philips in January 2025.
Marginal cost of one more study	Zero. The price does not move with volume.	Direct under per-study pricing, or renegotiated at renewal under an annual contract.
Best suited for	Groups whose own radiologists cannot get through a growing daytime list.	Hospitals with real coverage gaps: nights, weekends, rural sites and subspecialty reads.

Comparison reflects general, publicly understood positioning. Capabilities change, so check each product for the latest.

This page covers one vendor. To compare the national reading services side by side, the vRad cost page runs the same federal analysis on 357 Virtual Radiologic awards, and StatRad teleradiology alternatives covers the San Diego provider now owned by I-MED. Real Radiology LLC teleradiology cost does the same for the radiologist-owned practice whose federal work is mostly Army hospitals. If you have not yet decided which shape of provider you need, the teleradiology companies comparison sorts national services, regional practices and platform vendors.

For the rate card itself, teleradiology pricing works through per-study, per-hour and retainer models, and nighthawk radiology coverage cost covers the overnight shift specifically.

On the software side of the same decision, worklist prioritization covers getting urgent studies to the front of the queue, and our pricing is published so you can put both models side by side without a sales call.

Why groups pick Radiological.ai

One assistant across the whole read

Annual contracts change the negotiation

A $201,333 median award means ONRAD is used to selling a year of coverage, not a batch of studies. That favors hospitals that know their volume. Bring twelve months of study counts by modality and hour of day, and ask for the rate to be stated per modality inside the annual number, so a volume change does not reopen the whole contract.

Independent is a real difference

vRad sits inside Radiology Partners, which also buys radiology practices, and StatRad belongs to I-MED, which agreed its own sale to Jardine Matheson in May 2026. ONRAD is the national option without a practice-acquisition parent. That matters for assignment and non-solicitation terms, not for read quality, and it is worth asking every provider how those clauses are written.

Outsourcing and capacity are different problems

A reading service fills hours you do not have. Software makes the hours you do have go further, by putting urgent studies first and drafting the report in your template. Groups that fix the daytime backlog usually send less overnight, because fewer studies spill over from the day.

Decision support, your radiologist always signs

Every flag is a prompt to look again and every report is a draft. The responsible radiologist reviews, edits and signs each study. We publish no accuracy figures and make no regulatory-status claims on this site.

Good questions

ONRAD vs Radiological.ai, answered

ONRAD publishes no price and quotes per facility. The public federal record is the only checkable source: 80 prime awards to ONRAD, Inc. worth $21,917,178, with a median of $201,333 and a middle half between $61,492 and $361,423. Those are annual coverage contracts at federal rates, not commercial per-study quotes, so use them as a sanity check on an annual number rather than as a rate.

Yes. ONRAD, Inc. is a Phoenix-based radiology services company that provides remote teleradiology reads, preliminary and final, around the clock, plus full-service on-site radiology staffing for some hospitals. It is Joint Commission accredited and serves hospitals, imaging centers, outpatient clinics and federal facilities including the VA and the Indian Health Service.

ONRAD. It announced the acquisition of Direct Radiology from Royal Philips on January 7, 2025. Direct Radiology was founded in 2012 and brought about 80 radiologists and more than 430 client facilities. The combined company reports more than 160 board-certified radiologists, more than 7,000 studies a day and over 550 facilities.

Ownership and deal shape. vRad belongs to Radiology Partners, the largest radiology practice in the US, while ONRAD is independent. In the federal record vRad sold hundreds of small orders with a $2,914 median award, while ONRAD sold annual facility contracts with a $201,333 median. Both offer 24/7 preliminary and final reads.

It depends on the problem you are paying to solve. If you cannot staff nights, a regional reading group may quote lower with a thinner panel. If the real issue is a daytime list your own radiologists cannot finish, the cheaper answer is usually software that prioritizes the worklist and drafts reports, priced per radiologist, so existing hours cover more studies.

State the rate per modality inside any annual number, which reads are preliminary and which are final, turnaround by priority with a remedy if missed, how STAT is defined, what happens to price if volume moves more than 20 percent, assignment and non-solicitation terms, and proof of current malpractice limits for each radiologist reading your studies.

Not for overnight coverage. If no radiologist is available at 3am, no assistant creates one. What software replaces is the part of an outsourcing bill that exists because the daytime list overflowed. Many groups keep a reading service for nights and weekends and use an assistant to clear the day, then renegotiate the contract down at renewal.

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See how Radiological.ai reads alongside your group

One assistant that flags suspected findings, prioritizes the worklist, and drafts the structured report on X-ray, CT and MRI. You review and sign every study.

See pricing

Decision support for qualified clinicians. Radiological.ai does not provide a diagnosis and is not a substitute for professional medical judgment.