Best Cloud PACS Vendors in 2026: A Buyer's Comparison

Cloud PACS vendors sell picture archiving and communication systems that store, route, and display medical images on hosted or public cloud infrastructure rather than on-site servers. For a 2026 shortlist, most buyers compare eight vendors: Sectra, Agfa HealthCare, GE HealthCare (which now owns Intelerad), Fujifilm, Visage Imaging, Philips, RamSoft, and Medicai. The right pick depends on three factors: your setting (hospital, imaging center, or teleradiology group), your study volume, and how much of your stack you want the vendor to host.

This guide compares those eight vendors and ten more on deployment model, standards support, viewer, AI integration, pricing model, and 2026 Best in KLAS results. It is written for radiology leaders, imaging center operators, and IT teams building a shortlist. If you need the basics first, start with what a PACS does.

Disclosure: Medicai publishes this guide and is one of the vendors compared. Every vendor, Medicai included, is described using the same template and sources: vendor documentation, KLAS, and FDA records. See how we evaluated these vendors.

Best cloud PACS vendors at a glance (2026)

Nineteen cloud PACS vendors, compared on what they state publicly. Sectra and Agfa HealthCare hold the two 2026 Best in KLAS PACS awards in the US. GE HealthCare now owns Intelerad, after closing the acquisition in March 2026. Only Medicai and PostDICOM publish list prices.

Vendor and cloud product	Deployment model (vendor’s wording)	Best-fit setting	Standards stated	Web viewer	AI integration	Pricing	2026 Best in KLAS (US)
Agfa HealthCare: Enterprise Imaging Cloud	SaaS on AWS; hybrid and on-premises options	Health systems, imaging centers, teleradiology	DICOM, HL7, FHIR, DICOMweb	XERO Universal Viewer, zero-footprint	RUBEE AI (native) and RUBEE Orchestrator	Subscription, quote	PACS (Small), 93.2; VNA, 89.8; Universal Viewer
DeepHealth (RadNet): Diagnostic Suite	On-premises, cloud, or hybrid	Health systems, imaging centers, radiology groups	Not stated	Browser-based; eRAD PACS FDA 510(k) K241223	140+ algorithms from 75 vendors	Quote	None
Fujifilm: Synapse Cloud Services	Private, public, or hybrid cloud; Synapse One on AWS	Hospitals; outpatient imaging (Synapse One)	DICOM, DICOMweb, HL7 FHIR, XDS	“Zero-download” web viewer	Synapse AI Orchestrator, 50+ validated algorithms	Quote	None
GE HealthCare: Genesis and True PACS	“Cloud-enabled SaaS” on AWS; hybrid and on-premises	Hospitals, high-volume departments	DICOMweb, HL7, FHIR	View diagnostic viewer, zero-footprint, FDA 510(k) cleared Mar 2026	Open AI Orchestrator plus third-party apps	Quote; AWS Marketplace	None
Intelerad (GE HealthCare): Cloud Suite	Vendor-hosted, “cloud-first”; hybrid	Health systems, outpatient, teleradiology	HL7 v2	InteleShare zero-footprint viewer	InteleGence (native) plus third-party	Quote	None
INFINITT: Smart-NET	Multi-regional cloud data network	Hospitals, cardiology	Not stated	Not stated	Not stated	Quote	Cardiology
Medicai: Medicai Cloud PACS	Cloud-native on Microsoft Azure	Multi-site practices, teleradiology	DICOM, DICOMweb, HL7, FHIR	Zero-footprint web and mobile; third-party FDA-cleared viewer on Enterprise plan	Radiology AI Co-Pilot	Public, from $249/mo	None
Merative: Merge PACS	“Cloud-native foundation” on Microsoft Azure; hybrid and on-premises	Enterprise radiology, teleradiology, cardiology	DICOM	Merge Universal Viewer, zero-footprint, 510(k) cleared for desktop diagnostic use	Third-party AI	Quote	Cardiology Hemodynamics
OnePACS: OnePACS	Cloud-based	Teleradiology, imaging centers	Not stated	Zero-footprint; FDA 510(k) K181460	AI triage and fracture detection	Quote	None
PaxeraHealth: Paxera PACS	Not stated	Health systems, teleradiology, specialty modules	DICOM, IHE	Zero-footprint	25+ native algorithms	Quote	None
Philips: HealthSuite Imaging	SaaS on AWS, full cloud or hybrid	Multi-site health systems	Not stated	Zero-footprint web diagnostic viewer (Nov 2025)	AI-enabled workflows	SaaS subscription, quote	None
PostDICOM: PostDICOM Cloud PACS	Cloud, Microsoft Azure in 12 regions	Clinics, small imaging centers	DICOMweb; HL7 and FHIR on Enterprise plan	HTML5 zero-footprint; CE Class IIb; no FDA 510(k) found	Not stated	Public, from EUR 79/mo (annual)	None
RamSoft: OmegaAI	Cloud-native on Microsoft Azure	Imaging centers, hospitals, teleradiology	DICOMweb, HL7, FHIR R4	Zero-footprint; OmegaAI Image Viewer FDA 510(k) K222476	10+ AI partner integrations	Quote	None
Sectra: Sectra One Cloud	“Fully managed SaaS” on Microsoft Azure	Health systems, multi-specialty enterprise imaging	DICOMweb, HL7 v2	UniView zero-footprint viewer	Amplifier Marketplace, 45+ partners	Subscription, quote	PACS (Large), 90.4
Sirona Medical: RadOS	Cloud-native, zero-footprint	Radiology practices, teleradiology	DICOMweb	Zero-footprint; FDA 510(k) K251030	Embedded AI	Quote	None
Stratus Imaging (Optum, formerly Change Healthcare): Stratus Imaging	Cloud-native, fully managed SaaS	Health systems, hospitals, imaging centers	Not stated	In-browser viewer	AI-powered reporting	Quote	None
Studycast (includes UltraLinQ): Studycast	Cloud SaaS	Cardiology, vascular, OB/GYN	EHR integration stated	Browser viewer	Studycast Advisor; iCardio.ai (UltraLinQ)	Quote	None
Visage Imaging: Visage 7 CloudPACS	“Cloud-native, fully managed SaaS”	Academic, community, outpatient, teleradiology	DICOM, HL7, FHIR	Visage 7 Web, HTML5	Visage 7 AI (native)	Quote	None
PACScribe: PACScribe Cloud PACS	Cloud-based, “plug-and-play”	Radiology groups, multi-specialty practices	HL7, FHIR (Professional plan or add-on)	Zero-footprint; no FDA 510(k) found	AI-assisted report generation; built-in Epic, athenahealth, and eClinicalWorks integrations	Public, from $119.99/mo	None

“Not stated” means the capability was not on the vendor pages we checked, not that the vendor lacks it. FDA 510(k) numbers are listed only where we found the record. All rows were checked Sep 29 to 30, 2026. KLAS scores are from the 2026 Best in KLAS rankings.

Vendor-neutral archives. Mach7 Technologies and Hyland Acuo sell cloud-deployable VNAs that often sit under another vendor’s PACS. They are not in the table because they are an archive layer, not a full PACS.

How to compare cloud PACS vendors: five criteria

Comparing cloud PACS vendors comes down to five checks, each tied to a document you can request before you sign. Each one maps to a common failure mode in PACS selection: a workflow that is too slow, data you cannot move, a vendor users dislike, integration costs that were never quoted, and a price that grows faster than your volume.

Architecture type versus your latency requirement

A cloud PACS vendor’s architecture decides how fast radiologists can open current studies and recent priors. Cloud-native systems scale horizontally and need no on-site hardware, which suits sites where cost and growth are the main constraints. Hybrid systems with a local edge server suit workflows where read latency on same-day studies is the clinical constraint, such as emergency and some teleradiology reads. Ask for the vendor’s PACS architecture diagram. Confirm whether the edge component is optional or required, and what happens to read access during an internet outage.

Data portability terms in the contract, not in the pitch

Data portability decides what leaving a cloud PACS vendor costs you. Some systems store images and metadata in formats tied to their internal database, so exiting the contract needs a negotiated extraction that can take months of engineering time. Others keep standard DICOM objects that can be retrieved with DICOM C-MOVE or DICOMweb WADO-RS. Treat migration as part of this check: ask who performs the export, in what format, at what cost, and within what timeframe. Get the contract’s data export clause in writing before signature.

KLAS satisfaction score versus install count

KLAS satisfaction scores show how a cloud PACS vendor performs for current customers, which install counts cannot. A large install base reflects market share, not necessarily current user experience. In the 2026 Best in KLAS rankings, Sectra PACS won PACS (Large, over 300,000 studies) with a score of 90.4. Agfa HealthCare Enterprise Imaging for Radiology won PACS (Small) with 93.2. Ask each finalist for its most recent KLAS report page, and check which segment your study volume falls into.

Integration standard: FHIR-native versus interface-engine dependent

The integration standard a cloud PACS vendor uses decides whether you need an interface engine between the PACS, EHR, RIS, and AI tools. Systems that connect through HL7 FHIR APIs can exchange orders and results without one. Systems built on HL7 v2 messaging usually require an interface engine: an additional software layer that must be licensed, maintained, and retested after every upgrade. Those costs add to the total cost of ownership but don’t appear in the subscription fee. Ask whether the vendor’s EHR, RIS, and PACS integration uses FHIR or HL7 v2, and whether the interface engine is included in the price.

Pricing model: per study, per user, or storage-based

A cloud PACS vendor’s pricing model decides how your bill grows with volume. Per-study pricing tracks exam volume. Storage-based plans track archive size and data transfer. Per-user or per-seat pricing tracks the number of readers. Most vendors in this guide quote pricing only after a sales call. Of the nineteen we compared, only Medicai and PostDICOM publish plan prices. Ask each finalist for a five-year cost at your current and projected study volume, including storage growth, egress fees, viewer licenses, and integration work. For a breakdown of cost components, see our cloud PACS cost guide.

Cloud PACS vendor profiles

The eight vendors below appear most often on 2026 cloud PACS shortlists for general radiology. Each profile uses the same template: what the product is, who it fits, strengths, and what to check.

Agfa HealthCare

Agfa HealthCare sells Enterprise Imaging Cloud, a PACS, VNA, and viewer platform delivered as SaaS on AWS, with hybrid and on-premises options. Agfa publishes DICOM, HL7, and FHIR conformance statements. Its XERO Universal Viewer is zero-footprint, and RUBEE AI adds embedded AI and orchestration.

• Best for: health systems, imaging centers, and multi-site networks. Cloud Teleradiology is offered only in North America.
• Strengths: Agfa won three 2026 Best in KLAS segments in the US: PACS (Small), VNA, and Universal Viewer. Buyers can start with one module, such as cloud storage or VNA, and add more later.
• What to check: pricing is by quote. Confirm which modules your quote covers and how the hybrid option is supported.

Fujifilm

Fujifilm offers Synapse Cloud Services through a “private, public, or adaptable hybrid cloud-based delivery model”. Synapse Enterprise PACS supports DICOM, DICOMweb, HL7 FHIR, XDS, and a RESTful API. Synapse AI Orchestrator gives access to more than 50 validated algorithms. In November 2025, Fujifilm introduced Synapse One, an outpatient bundle on AWS for North America.

• Best for: hospitals and enterprise imaging (Synapse Enterprise PACS), and outpatient imaging centers (Synapse One).
• Strengths: broad standards support and a large AI catalog. Synapse PACS won the 2026 Best in KLAS PACS segment for Latin America.
• What to check: pricing is by quote. Confirm which Synapse components run in Fujifilm’s cloud and which remain on-site.

GE HealthCare and Intelerad

GE HealthCare closed its acquisition of Intelerad on March 18, 2026. Buyers now evaluate two cloud product lines from one owner.

• GE HealthCare sells the Genesis portfolio (Edge, Storage, VNA, Data Migration, and the Radiology Workspace) and True PACS SaaS. GE calls both “cloud-enabled SaaS” on AWS. Its View diagnostic viewer is zero-footprint and received FDA 510(k) clearance in March 2026.
• Intelerad sells a Cloud Suite that includes IntelePACS, InteleOne, InteleGence AI, and InteleShare. InteleShare is the image exchange formerly sold as Ambra Health.
• Best for: hospitals and health systems (GE), plus outpatient, teleradiology, and image exchange (Intelerad).
• Strengths: one owner covering enterprise PACS, VNA, image sharing, and AI orchestration. GE’s Genesis and True PACS SaaS are listed in AWS Marketplace.
• What to check: ask how the two product lines will be combined, supported, and priced over your contract term. Intelerad’s cloud pages state HL7 v2 but do not state DICOMweb or FHIR.

Medicai

Medicai sells Medicai Cloud PACS, a cloud-native PACS on Microsoft Azure with no on-premises server. It sits alongside a vendor neutral archive, a patient imaging portal, teleradiology software, and a Radiology AI Co-Pilot for reporting. Medicai supports DICOM, DICOMweb, HL7, and FHIR, with zero-footprint viewing on web and mobile.

• Best for: multi-site outpatient practices, specialty clinics, and teleradiology teams that want a hosted platform without local servers.
• Strengths: public pricing: Starter from $249/month (500 GB) and Standard from $749/month (2 TB), both with unlimited users. Patient and referring-physician portals are built in.
• What to check: HL7 and FHIR integration, AI integrations, data residency, and a third-party FDA-cleared diagnostic viewer come with the custom-priced Enterprise plan. Medicai does not hold its own FDA 510(k) clearance and was not a 2026 Best in KLAS winner.

Philips

Philips sells HealthSuite Imaging, a SaaS offering on AWS, in a full-cloud or hybrid deployment, with a 99.99% uptime managed-service contract. Its Image Management 15 platform is the next generation of Vue PACS. In November 2025, Philips added a zero-footprint web diagnostic viewer. HealthSuite Imaging has been available in 13 European countries since February 2025.

• Best for: health systems imaging across multiple sites and care settings, especially current Vue PACS customers.
• Strengths: continuity for Vue PACS customers, a stated uptime commitment, and availability in the US and Europe.
• What to check: the pages we checked do not state DICOMweb, HL7, or FHIR support, so request conformance statements. Pricing is a SaaS subscription, quoted.

RamSoft

RamSoft sells OmegaAI, a cloud-native RIS, PACS, and VNA platform on Microsoft Azure, as well as PowerServer for cloud, hybrid, or on-premises deployments. OmegaAI states support for HL7, FHIR R4, and DICOMweb. Its OmegaAI Image Viewer holds FDA 510(k) clearance K222476. RamSoft lists SOC 2 Type II and ISO 13485.

• Best for: imaging centers, teleradiology groups, mammography and mobile imaging providers, and hospitals.
• Strengths: RIS and PACS on a single cloud platform, an FDA-cleared viewer, and more than 10 AI partner integrations.
• What to check: pricing is by quote. Confirm whether OmegaAI or PowerServer fits your deployment, since the two differ in architecture.

Sectra

Sectra sells Sectra One Cloud, “a fully managed SaaS” on Microsoft Azure with a 99.99% uptime guarantee. Its DICOM conformance statement covers DICOMweb (WADO-RS, QIDO-RS, STOW-RS), and HL7 v2 is supported through IHE profiles. AI comes through the Amplifier Marketplace, with more than 45 partner integrations included in a single contract. In June 2026, Emory Healthcare completed Sectra’s first US cloud migration, covering 11 hospitals and about 1.3 million exams a year.

• Best for: health systems running enterprise imaging across radiology, cardiology, pathology, and other specialties.
• Strengths: Sectra PACS won 2026 Best in KLAS PACS (Large) with a score of 90.4. It also won PACS segments in Canada, several European regions, the Middle East, and Oceania.
• What to check: pricing is a subscription by quote. Sectra’s zero-footprint UniView viewer is positioned for review, so confirm which client radiologists use for primary reads.

Visage Imaging

Visage Imaging, part of Pro Medicus, sells Visage 7 CloudPACS, described as “cloud-native, fully managed Software-as-a-Service” hosted with major cloud providers. Visage states that CloudPACS is based on DICOM, HL7, and FHIR. Release 7.1.20 (March 2026) added Visage 7 Web, an HTML5 browser viewer, and Visage 7 AI for automated impressions and error checking.

• Best for: academic, community, outpatient, government, and teleradiology settings.
• Strengths: a single cloud-native platform with a browser-based viewer and native AI tools, positioned for use across academic and teleradiology settings.
• What to check: pricing is by quote. DICOMweb is not listed in the Visage 7 DICOM conformance statement we checked, so please confirm whether your architecture depends on it.

Best cloud PACS by setting

The best cloud PACS depends on the setting more than on any single feature. The shortlists below are our editorial picks, based on each vendor’s stated positioning and 2026 KLAS results. Always test with your own studies.

Best cloud PACS for teleradiology

The best cloud PACS for teleradiology combines a multi-site worklist, a zero-footprint diagnostic viewer, and HL7 or FHIR order and result exchange with each client site. Vendors that offer teleradiology products include Visage Imaging, Intelerad, Agfa HealthCare (Cloud Teleradiology, North America only), RamSoft, Sirona Medical, OnePACS, and Medicai.

• Ask how studies from new client sites are onboarded and how long it takes.
• Test viewer speed on large CT and MR studies from your farthest reading location.
• Confirm that the vendor supports your teleradiology workflow for prelims, final reads, and critical result calls.

If you are looking for reading groups rather than software, see our list of teleradiology companies.

Best cloud PACS for imaging centers

The best cloud PACS for an imaging center pairs PACS with RIS scheduling, a patient portal, and pricing that tracks study volume. Shortlist candidates include RamSoft OmegaAI (cloud RIS and PACS), Fujifilm Synapse One (an outpatient bundle launched in November 2025), Agfa HealthCare (2026 Best in KLAS PACS (Small)), DeepHealth, and Medicai. PostDICOM fits smaller clinics that want published plan prices.

• Check whether RIS is native or a separate product with its own radiology information system contract.
• Ask for patient portal and referring-physician access to be included in the base price.
• Model cost at your projected volume for the next five years.

Best cloud PACS for hospitals and health systems

The best cloud PACS for a hospital or health system handles high study volumes, enterprise imaging across departments, and deep EHR integration. Shortlist candidates include Sectra (2026 Best in KLAS PACS (Large)), Agfa HealthCare, GE HealthCare, Philips, Fujifilm, Visage Imaging, and Merative Merge PACS.

• Ask for reference sites of similar size that run the vendor’s cloud product, not its on-premises version.
• Get the uptime commitment and the outage read-access plan in writing.
• Plan the migration with your current vendor’s export terms in hand.

Specialty PACS: cardiology, OB/GYN, vascular, and orthopedics

Specialty cloud PACS vendors are built around a single department’s modalities and reporting. For cardiology, INFINITT Cardiology Suite won 2026 Best in KLAS Cardiology, and Merge Hemo won Cardiology Hemodynamics. Studycast, which acquired UltraLinQ in August 2025, focuses on cardiology, vascular, and OB/GYN ultrasound. Medstrat focuses on orthopedics. For a deeper list, see our guide to cardiology PACS vendors.

Cloud-native vs. cloud-enabled PACS

Cloud-native and cloud-enabled PACS both run in the cloud, but they are built differently, and that difference shows up in upgrades, scaling, and cost. A cloud-native PACS is built as a set of cloud services from the start. A cloud-enabled PACS is on-premises software moved onto hosted or public cloud servers.

	Cloud-native PACS	Cloud-enabled PACS
How it is built	Designed as cloud services (often microservices)	Existing on-premises software run on hosted or cloud virtual machines
Upgrades	Typically rolled out by the vendor with little or no scheduled downtime	Often scheduled upgrade windows, similar to on-premises
Scaling	Scales compute and storage with demand	Scales by adding or resizing servers
Cost behavior	Tends to track usage	Tends to track provisioned capacity
What to ask	How updates are released and tested	Upgrade frequency, downtime, and who manages the servers

Vendor labels are not standardized. GE HealthCare describes its Genesis products as “cloud-enabled SaaS”, while Sectra, Visage, RamSoft, and Medicai describe theirs as cloud-native or fully managed SaaS. Ask each finalist the same questions rather than relying on the label. For the full comparison, read our guide to cloud-based vs. cloud-enabled PACS.

Common cloud PACS vendor comparisons

Alternatives to Ambra (now Intelerad InteleShare)

Ambra Health’s cloud image exchange is now sold as Intelerad InteleShare, and Intelerad has been part of GE HealthCare since March 2026. Buyers looking for alternatives usually want one of two things, and the shortlist differs for each.

• Image sharing and exchange only: Microsoft PowerShare won the 2026 Best in KLAS Image Exchange segment. Medicai’s medical image exchange and patient portal cover sharing between facilities, patients, and referring physicians.
• A full cloud PACS with built-in sharing: Sectra One Cloud, Agfa HealthCare Enterprise Imaging Cloud, Visage 7 CloudPACS, RamSoft OmegaAI, and Medicai Cloud PACS all include a zero-footprint viewer. Confirm the external sharing features in the demos and compare them against the criteria above.

If you already use InteleShare, ask Intelerad how the GE HealthCare integration affects your contract, support, and roadmap before you decide to switch.

Medicai vs. Sectra

Medicai and Sectra both run cloud PACS on Microsoft Azure, but they target different buyers. Sectra is built for large health systems and enterprise imaging. Medicai is built for multi-site practices and teleradiology teams that want published pricing and no on-premises server.

	Medicai	Sectra
Cloud product	Medicai Cloud PACS	Sectra One Cloud
Deployment	Cloud-native on Azure, no on-premises server	Fully managed SaaS on Azure, 99.99% uptime guarantee
Typical buyer	Multi-site outpatient practices, specialty clinics, teleradiology	Health systems, enterprise imaging across departments
2026 Best in KLAS	Not a winner	PACS (Large), 90.4
Standards stated	DICOM, DICOMweb, HL7, FHIR	DICOMweb, HL7 v2 via IHE
AI	Radiology AI Co-Pilot for reporting	Amplifier Marketplace, 45+ partners
Diagnostic viewer	Third-party FDA-cleared viewer on the Enterprise plan	UniView zero-footprint viewer for review; confirm the primary diagnostic client
Pricing	Public, from $249 a month	Subscription, by quote

Choose Sectra if you need enterprise-scale reading across a hospital network and KLAS-validated satisfaction at high volume. Choose Medicai if you need hosted PACS with built-in patient and physician portals, teleradiology tools, and a price you can see before a sales call.

How we evaluated these vendors

We compared cloud PACS vendors using only public, verifiable sources. Each vendor was reviewed with the same template, and every row in the comparison table was checked between September 29 and 30, 2026.

Sources

• Vendor product pages, DICOM and HL7 conformance statements, and press releases, linked on each vendor name
• KLAS Research 2026 Best in KLAS segment winners and scores
• The FDA 510(k) database, for viewer and PACS clearances where a record was found

Inclusion rules

• The vendor sells a PACS, or PACS plus VNA, that runs on vendor-hosted or public cloud infrastructure.
• The product has a live product page we could verify in September 2026.
• Standalone DICOM viewers (such as Horos, OsiriX Lite, RadiAnt, MedDream, and AdvaView, formerly FlexView) and teaching-file tools (such as Pacsbin) are excluded. For viewers, see our list of the best DICOM viewers.
• Archive-only VNAs (Mach7 Technologies, Hyland Acuo) are noted but not ranked.
• Radiation oncology and image analysis software is out of scope.
• Smaller vendors we could not verify in sufficient detail (such as EthosMed) are left out until they can be verified.

Disclosure

Medicai publishes this guide and sells a cloud PACS. Medicai was held to the same template and sources as every other vendor. Where Medicai lacks something a competitor has, such as its own FDA 510(k) clearance or a Best in KLAS award, the guide says so. Clinical and workflow statements were reviewed by Andra Catalina Zincenco, MD.

Spot an error or a change in a vendor’s offering? Email the Medicai editorial team, and we will review it.

Frequently Asked Questions

Which company has the best cloud PACS for teleradiology?

No single company is best for every teleradiology group. Vendors that position cloud PACS for teleradiology include Visage Imaging, Intelerad, Agfa HealthCare, RamSoft, Sirona Medical, OnePACS, and Medicai. Shortlist those with a multi-site worklist, a zero-footprint diagnostic viewer, and HL7 or FHIR integration. Then test viewer speed on your own large studies from your farthest reading location.

What is the best cloud PACS for an imaging center?

The best cloud PACS for an imaging center combines PACS with RIS scheduling, a patient portal, and pricing that tracks study volume. Common shortlist candidates are RamSoft OmegaAI, Fujifilm Synapse One, Agfa HealthCare (2026 Best in KLAS PACS (Small)), DeepHealth, and Medicai. PostDICOM suits smaller clinics that want published prices.

How much does cloud PACS cost?

Most cloud PACS vendors quote prices only after a sales call. Two publish plans: Medicai starts at $249 a month for 500 GB, and PostDICOM starts at EUR 79 a month, billed annually, for 100 GB. Total cost depends on study volume, storage growth, data egress, viewer licenses, and integration work. See our cloud PACS cost guide for the full breakdown.

What is the difference between cloud-native and cloud-enabled PACS?

A cloud-native PACS is built as cloud services from the start, so it typically scales with demand and updates with little downtime. A cloud-enabled PACS is on-premises software moved onto hosted or cloud servers, so upgrades and scaling work much as they do on site. Vendor labels vary, so ask each vendor how updates and scaling actually work.

Can I move my data if I switch PACS vendors?

Yes, but how easily depends on your contract and on how the vendor stores data. Systems that keep standard DICOM objects retrievable through DICOM C-MOVE or DICOMweb make export simpler. Before you sign, get the data export clause in writing: who performs the export, in what format, at what cost, and within what timeframe.

Who won Best in KLAS for PACS in 2026?

In the 2026 Best in KLAS rankings for the US, Sectra PACS won PACS (Large, over 300,000 studies) with a score of 90.4. Agfa HealthCare Enterprise Imaging for Radiology won PACS (Small) with 93.2. Agfa HealthCare also won the VNA and Universal Viewer segments.

Medicai is a cloud-native PACS on Microsoft Azure with a vendor neutral archive, patient and physician portals, and teleradiology tools, and it publishes its pricing. To see how it compares on your own studies, explore Medicai Cloud PACS, book a demo, or start a free trial.

This guide covers cloud PACS vendors for radiology and related imaging specialties as of September 2026. Vendor offerings, ownership, and KLAS results change often, so confirm current details with each vendor before you sign.