PACScribe Alternatives and Cloud PACS Pricing Compared

The short answer: PACScribe is a cloud PACS from Folio3 Digital Health with a published price: Lite at $119.99 a month with 100 GB of storage, Professional at $499.99 a month with 500 GB and AI-assisted reporting, and Enterprise on a custom quote. The cloud PACS alternatives that also publish prices are PostDICOM ($79 to $599 a month) and Medicai ($209 to $639 a month on yearly billing). Ambra (now Intelerad), OnePacs and RamSoft quote on request but hold FDA 510(k) clearances, which PACScribe does not appear to.

This page is for the person signing the cloud PACS subscription: the office or operations manager at a small imaging center, an orthopedic or specialty practice that keeps its own images, or a teleradiology startup comparing a $500 monthly plan against the alternatives. Search for PACScribe alternatives today and you get directory listings with no prices and the vendor's own pages. So we put the published plans side by side, checked each vendor against the FDA record, and listed what the headline price leaves out.

Prices come from each vendor's public pricing page, read on October 13, 2026. Clearances come from the openFDA 510(k) database, searched by applicant and device name the same day. Federal purchase data is from USAspending.gov, award types A to D.

What does PACScribe cost?

PACScribe publishes three plans and a 14-day trial capped at 3 patients and 5 scans. Every paid plan includes unlimited users and scans, a browser DICOM viewer and HIPAA-aligned hosting. The difference between the plans is storage, integrations and the AI reporting feature.

Two lines matter more than the headline figure. Storage beyond the included amount is "charged separately", and the page gives no rate. And the jump from Lite to Professional is $380 a month, which is mostly the price of the AI reporting and integration bundle. If AI drafting is the reason you would upgrade, that is the number to compare against a standalone reporting assistant.

Is PACScribe FDA cleared?

We found no 510(k) clearance for PACScribe. A search of the openFDA database by device name and by the applicant name Folio3 returned no records on October 13, 2026, and we found no federal purchase on USAspending either. Software that stores and displays medical images for diagnosis usually clears under product code LLZ (21 CFR 892.2050, class II), so ask Folio3 directly whether the viewer is intended for primary diagnostic reads.

That is not automatically a deal breaker. A practice that uses the system to store, share and review images that a radiologist reads elsewhere may not need a cleared viewer. But a practice where the radiologist makes the diagnosis inside the PACScribe viewer, or relies on the AI diagnostic reporting for a first draft, should get the vendor's regulatory position in writing before signing. The same question applies to every vendor in the table below, and the answers differ.

PACScribe alternatives compared on price and FDA record

Read the price columns carefully, because the plans are not shaped alike. PostDICOM charges by user (one user on Essential, two on Professional, three on Premium), while PACScribe and Medicai include unlimited users. A five-person practice therefore pays more for PostDICOM than its entry price suggests, and less for PACScribe. Medicai adds a one-time $1,000 per location for its DICOM gateway, and its Starter plan caps data transfer at 50 GB a month. If your modalities send studies straight to the cloud, that gateway cost is part of the real entry price.

The quoted vendors are a different tier. Intelerad bought Ambra Health in November 2021 and sells it today as InteleShare, and Intelerad itself is now a GE HealthCare company, so a renewal there runs through a very large organization; our Intelerad and Ambra cloud PACS alternatives page covers that ownership chain. OnePacs sells its own cloud PACS, cleared in 2018. RamSoft sells OmegaAI as a combined RIS and PACS. All three carry the FDA record that PACScribe and the self-serve vendors lack, and none of them publishes a price.

Which PACScribe alternative fits which practice?

A solo reader or a single-room clinic that mostly stores and shares studies will find PostDICOM Essential the cheapest published option at $79 a month billed annually, provided one login is enough. PACScribe Lite costs $40 more but includes unlimited users, which is the better deal as soon as a second person needs access.

A multi-physician group that needs HL7 or FHIR is comparing PACScribe Professional at $499.99 with PostDICOM Enterprise at $499 billed annually, which is where PostDICOM puts its API and HL7 and FHIR integrations, and with Medicai Standard at $639 with 2 TB and one connected location. Price these on your real storage growth, not on the included amount.

An imaging center or teleradiology group reading diagnostically in the viewer should start the shortlist with the vendors that hold a clearance, Ambra, OnePacs and RamSoft among them, and accept that the price arrives as a quote. The cloud based PACS guide separates the four products sold under that label and shows how to check a vendor's clearance before you buy.

If the images are mostly echo and vascular studies, a general cloud PACS is the wrong comparison. Our VIDIStar PACS alternatives page covers the cardiovascular information systems built for that work.

What the monthly price leaves out

Every one of these plans is a starting point. Budget for these before you compare totals:

• Storage overage. PACScribe and PostDICOM bill extra storage separately, and Medicai caps monthly transfer. A practice adding 150 GB a year will outgrow a 100 GB plan in its first year. Model three years of your real study volume.
• Integration add-ons. On PACScribe Lite, SSO, HL7 and FHIR, EHR integration, audit trail reports and AI reporting are each listed as add-ons with no published price.
• Gateway and onboarding. Getting modalities to send automatically usually means a gateway, which Medicai prices at $1,000 per location and others quote.
• Export when you leave. Ask what format your archive comes back in, how fast, and at what cost. It is cheapest to settle before signature.

Subscription lines like these tend to creep as add-ons and storage tiers stack up, so it helps to set a budget alert on recurring software spend that fires when a monthly charge moves past the figure you approved. For the wider picture, cloud PACS pricing benchmarked against federal awards breaks a quote into the five line items vendors usually bundle, and the best cloud PACS for imaging centers ranks the larger vendors by study volume.

Questions to ask before you sign or renew PACScribe

• Is the viewer cleared for primary diagnosis, and if so under which K number?
• What does the AI diagnostic reporting actually do, who reviews its output, and is it covered by any FDA clearance?
• What is the price per extra 100 GB of storage, and is it fixed for the contract term?
• Which add-ons will we need on Lite to send reports to our EHR, and what does each cost?
• Who signs the business associate agreement, and where is the data hosted (the vendor lists AWS, Azure and GCP)?
• How do we export the full archive in standard DICOM if we leave, and what does it cost?

Do you need to switch PACS to get AI reporting?

No. Upgrading from PACScribe Lite to Professional for AI reporting costs $380 a month more, and moving to another PACS for its AI means migrating your archive. A reporting assistant that sits next to the PACS you already have does the drafting without either. Radiological.ai receives studies over standard DICOM from PACScribe or any other PACS, flags suspected findings on X-ray, CT and MRI, prioritizes the worklist so urgent studies surface first, and drafts the structured report into your template, as the radiology report generator page shows. It is decision support: the radiologist reviews, edits and signs every study.

It is priced per reading radiologist rather than per gigabyte: the pricing page lists the Practice plan at $199 a month per radiologist billed annually. For a practice with one or two readers, that can cost less than the Lite to Professional jump while keeping the cheaper storage plan. How the assistant connects to your PACS covers the DICOM and HL7 details.