Compare · PowerScribe

PowerScribe 360 price and PowerScribe One pricing that US radiology groups actually pay

The short answer

Microsoft publishes no list price for PowerScribe 360 or PowerScribe One, so every figure circulating online is either somebody else deal or a guess. The only verifiable PowerScribe numbers in public are federal contract awards. A search of USAspending.gov on July 31, 2026 returns 183 prime contract awards naming PowerScribe between FY2016 and July 2026, totaling $40,678,468. The most recent clean annual figure is $1,104,283 for twelve months of PowerScribe One licenses for the VA National Teleradiology Program, awarded June 2026. Those are public-sector awards under federal schedule pricing rather than a private rate card, but they establish the scale, the structure and the line items a private group should expect to be quoted for.

Nobody in radiology reporting publishes pricing, and PowerScribe is the most searched example of the problem. Type the question into Google and you get a spread of third-party estimates that disagree with each other by an order of magnitude: one comparison blog says $5,000 to $10,000 per radiologist per year, another says $20,000 to $50,000 for the whole organization. Both are presented with equal confidence. Neither cites a source, because there is no source to cite. Microsoft quotes PowerScribe per site, through a reseller, against your reader count, study volume and integration scope.

So rather than add a fifteenth invented number to the pile, this page does something different. US federal agencies buy PowerScribe, and federal contract awards are public record. Every dollar figure below comes from USAspending.gov and can be checked against a contract number. It is not a price list for a private practice, and public-sector schedule pricing is not commercial pricing. What it does show, unambiguously, is how the deal is shaped: what the license block costs against reader count, what maintenance runs per site per year, and how much of the total sits in the lines nobody quotes you up front.

That last part is where budgets break. Look at the awards below and you will notice upgrades, interface work, data migration, administrator training and even microphone maintenance appear as their own separately priced contracts. A quote that covers only the license is not the number you will spend. The timing matters too, because PowerScribe 360 annual renewals and maintenance ended on August 31, 2026 and full support ends on August 31, 2027, so a large number of US groups are pricing this decision right now with a deadline behind them.

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

There is no PowerScribe list price, so the only honest answer is the public record: 183 federal contract awards worth $40.7 million, and a line-item structure that tells you exactly what to make your reseller put in writing.

Side by side

What US federal agencies actually paid for PowerScribe

Public contract awards, each traceable to a contract number. Not a private rate card, but the only verifiable PowerScribe pricing that exists anywhere.

What was bought	Award amount	Term and what it tells you
VA National Teleradiology Program, PowerScribe One licenses	$1,104,283	Twelve months, June 2026 to June 2027. The cleanest current annualized figure for a PowerScribe One license block anywhere in public record.
Defense Health Agency, PowerScribe software licenses via GSA	$2,653,401	Three years, May 2024 to May 2027. That works out to roughly $884,000 a year for a single agency license block.
VA VISN 22, annual PowerScribe support for eight sites	$1,135,968	Five years across eight sites, which is about $28,400 per site per year for support and maintenance alone, before any license.
VA VISN 2, PowerScribe maintenance and support	$958,931	Four years, December 2022 to November 2026. Maintenance contracts of this size recur across most VISNs in the data.
Single radiology department, annual PowerScribe 360 license	$10,320	Twelve months. The identical figure appears in 2022, 2024 and 2025 awards, which is the closest thing to a repeatable small-site rate in the record.
PowerScribe One upgrade project	$335,643	Twelve months from August 2026. Moving to PowerScribe One is contracted separately from the license itself.
PowerScribe 360 upgrade services	$548,104	Five years. Migration labor is its own line item and it is not small.
PowerScribe Oracle integration services	$71,425	Twelve months from February 2026. Every interface to a downstream system is priced on its own.
Radiology training for PowerScribe 360 reporting	$14,092	Three months. Administrator training appears separately again at $15,971. Training is a purchase, not an inclusion.
PowerMic preventative maintenance	$18,736	Twelve months, with a near-identical $18,550 award the following year. Even the dictation microphones carry a recurring service line.

Compiled July 31, 2026 from USAspending.gov, the US government public record of federal contract awards. A keyword search for PowerScribe, filtered to prime award actions from FY2016 through July 31 2026, returns 183 awards totaling $40,678,468. These are public-sector awards bought under federal schedule pricing through resellers, so they are not a quote for a private radiology group. Figures are award values rather than amounts finally spent. Verify any individual award yourself at usaspending.gov before you use it in a negotiation.

Side by side

Radiological.ai vs PowerScribe, honestly

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

What matters	Radiological.ai	PowerScribe
Published price	Yes. Plans are on our pricing page from $199 per reading radiologist per month billed annually, and you can read them without talking to anyone.	No. Microsoft publishes no list price for PowerScribe 360 or PowerScribe One. Every number online is third-party estimate or leaked deal.
Unit of pricing	Per reading radiologist, not per study, so a heavy volume month does not change the invoice.	Scoped per site against reader count, study volume and modules, which is why two similar groups get very different quotes.
What the base number covers	The assistant itself, connected to your existing PACS over standard DICOM.	The license. Federal awards show upgrades, interfaces, data migration and training contracted separately from it.
Commercial model	Subscription, published, cancel on the terms in the agreement.	Historically a perpetual license plus annual maintenance on 360, moving to a cloud subscription on PowerScribe One. That shift is the actual source of most customer objection.
How you buy it	Direct.	Almost always through a reseller. In the federal record only 5.8 percent of PowerScribe award value went directly to Nuance Communications; the rest went through Carahsoft, V3Gate, Four Points Technology and similar.
What you are replacing	Nothing. It sits alongside whatever you report in today.	The reporting system of record, which is a migration project with templates, interfaces and training attached.
Regulatory status	Decision support; we make no regulatory-status claims on this site.	A long-established clinical documentation platform with a deep deployed base across US healthcare.

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

If the reason you are pricing this is the retirement deadline rather than dissatisfaction, read the PowerScribe 360 end of life dates and what they mean first, then the PowerScribe 360 migration checklist, which covers the template and interface work the federal awards above show being contracted separately. For the product decision itself, the PowerScribe One vs PowerScribe 360 comparison puts the two side by side on deployment model and commercial structure.

Groups that want to know what else is on the table should start with the Nuance PowerScribe alternative page, or the vendor-level Nuance alternatives and competitors page if you are still working out which Microsoft product you actually run. The PowerScribe vs Dragon Copilot breakdown sorts the naming out in plain English, and if hardware is part of your budget the PowerScribe headset and PowerMic guide covers what carries over and what does not.

The same federal-record method applied to the dictation side of the Microsoft line is on the Dragon Medical One pricing and cost page, which covers 25 awards worth $41 million and the reseller split behind them. For the wider budget question, how much radiology AI costs works through the whole first-year total rather than the license line, and our own pricing is published in full. If you are building a shortlist, the roundup of the best AI radiology software covers the eleven vendors worth a call, and structured radiology reporting explains what the reporting layer should be doing for the money.

Why groups pick Radiological.ai

One assistant across the whole read

Price the first year, not the license

The federal record is unusually clear on this. Upgrade services, interface work, data migration, administrator training and microphone maintenance all appear as their own contracts, separate from the software. When you get a quote, ask for the fully loaded first-year total with every one of those lines named and priced, then ask what the subscription renews at in year three once it is embedded and switching is expensive.

Know what a reseller quote is

Only 5.8 percent of federal PowerScribe award value went straight to Nuance, about $2.4 million out of $40.7 million. Almost everything moves through distributors, which means the number you are shown has a margin in it and a comparable quote from a second reseller is a legitimate ask. It also means the person quoting you may not be the person who owns the roadmap, so get product commitments in writing from the vendor rather than the channel.

A forced migration is the cheap moment to look wider

A PowerScribe 360 site is going to spend the integration, template and training money regardless, because the deadline decides that. Spending it on a like-for-like swap gets you back where you started with a subscription attached. Radiological.ai is a different shape entirely: it connects to your existing PACS over standard DICOM, flags suspected findings, prioritizes the worklist and drafts the structured report into your template, without asking you to move your reporting system of record. The radiologist reviews, edits and signs every study.

Good questions

PowerScribe vs Radiological.ai, answered

There is no published price. Microsoft quotes PowerScribe per site through a reseller, scoped against reader count, study volume, modules and integration work. The only verifiable figures in public are federal contract awards: 183 of them totaling $40,678,468 between FY2016 and July 2026, ranging from a $10,320 annual license for a single radiology department to a $2,653,401 three-year agency license block.

PowerScribe 360 was historically sold as a perpetual license plus annual maintenance, and it no longer has a forward price at all: annual renewals and maintenance ended on August 31, 2026, with full support ending August 31, 2027. Federal maintenance awards for 360 in the last few years cluster between roughly $100,000 and $500,000 depending on how many sites they cover.

No, and neither does Microsoft. No enterprise radiology reporting vendor publishes list pricing, which is normal for this category and not evidence of anything sinister. It does mean any specific dollar figure you find on a comparison blog is either an estimate or a leaked deal, so treat it as a conversation starter rather than a benchmark.

It depends entirely on how you count, which is the heart of the customer complaint. PowerScribe 360 was capital expenditure: buy the license once, pay maintenance annually. PowerScribe One is operating expenditure: pay every year, forever. Over a three-year window the subscription often looks comparable. Over a ten-year window, against a perpetual license already paid for, it usually does not.

No. There is no self-serve tier and no single-user purchase path. PowerScribe is sold to hospitals, health systems and radiology groups as a department-level deployment with implementation attached. A solo radiologist or a small teleradiology practice looking for dictation has to look at a different class of product.

Per site, sized by concurrent or named reader count. The federal awards make the pattern visible: license blocks are scoped to a whole VISN or agency rather than to individuals, and support is contracted per facility. VA VISN 22 paid $1,135,968 over five years for support across eight sites, which is roughly $28,400 per site per year for maintenance alone.

Usually less than buyers assume. In the federal record, upgrade services, data migration, downstream interfaces such as Oracle integration, administrator training, radiologist training and microphone preventative maintenance all appear as separate contracts. Ask for each of those to be named in the quote or explicitly excluded in writing, because the difference between the license number and the first-year number is often substantial.

Because the product moved to the cloud. PowerScribe One is hosted rather than installed, and hosted products are sold as subscriptions. The community pushback on the retirement of PowerScribe 360 has been about that commercial change more than about the software, since a group that bought a perpetual license years ago now faces a recurring bill for a capability it already considered paid for.

Build the number rather than borrowing one. Take the per-reader license quote, add implementation and interface work, add template migration, add training for both radiologists and administrators, add any hardware refresh, and treat year one as the real figure. Then model year three at the renewal rate. For comparison, our own pricing is published at $299 per reading radiologist per month on the annual Group plan, which for ten readers is $35,880 a year with no separate implementation line.

More comparisons

See how Radiological.ai compares

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vs Lunit

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What actually changes in the cloud move, and the third option.

vs Sirona Medical

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vs New Lantern

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vs RapidAI

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Dragon Medical One pricing

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vs Intelerad PACS

Intelerad PACS alternative

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vs Exa PACS

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vs GE Centricity PACS

GE Centricity PACS alternative

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vs Agfa PACS

Agfa PACS alternative

A Best in KLAS platform, a federal record over $300 million, and an IMPAX install base being moved to the cloud.

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McKesson PACS alternative

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Mach7 alternative

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vs iCAD

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vs Subtle Medical

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See every radiology use case

From the blog: what the PowerScribe 360 end of life means for radiology groups, how much radiology AI costs, and the full comparison of the best AI radiology software in 2026.

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.