Medicai
PaidCloud-native PACS, DICOM viewer, and AI co-pilot for multi-location imaging workflows.
By Tanmay Verma, Founder · Last verified 26 May 2026
2.9k views
Added 7d ago
80/100Safe BetCloud-native PACS, DICOM viewer, and AI co-pilot for multi-location imaging workflows.
By Tanmay Verma, Founder · Last verified 26 May 2026
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Medicai is a strong cloud-native PACS for mid-size to large imaging providers who need scalable storage, multi-location collaboration, and AI-assisted workflows. Its transparent subscription pricing and robust API make it a flexible choice, but it may be overkill and expensive for solo practitioners.
Compare with: Medicai vs Datadog, Medicai vs PlanetScale, Medicai vs Everlaw
Last verified: May 2026
Medicai delivers a complete cloud-based imaging infrastructure that covers the full chain from ingestion to sharing and AI-assisted reporting. Its zero-footprint DICOM viewer works on any device, and the mobile apps (iOS/Android) are genuinely useful for on-call radiologists. The multi-location architecture with DICOM Gateway (setup fee $1,000 per location) is a standout for teleradiology networks. Storage and data transfer limits on Starter and Standard plans may constrain heavy users; the Enterprise plan customizes these but requires a sales call. The AI Co-Pilot is pre-built—you cannot train custom models. No free plan beyond a 14-day trial; pricing starts at $249/month. Integrations with HL7/FHIR are only on Standard tier and above. Overall, Medicai is a solid choice for organizations that want an all-in-one cloud PACS without managing servers, but smaller practices may find the minimum commitment steep.
Skip Medicai if Skip Medicai if you are a solo practitioner with low imaging volume—pricing starts at $249/month and no free tier exists.
How likely is Medicai to still be operational in 12 months? Based on 6 signals including funding, development activity, and platform risk.
Medicai is a cloud-based medical imaging platform that combines a vendor-neutral archive (VNA), zero-footprint DICOM viewer, and AI-assisted reporting into a single secure infrastructure. It enables healthcare organizations to retrieve, store, manage, and share imaging data across multiple locations without VPNs or complex setups. The platform is designed for radiology departments, teleradiology practices, hospital networks, and clinics of any size. It supports orthopedics, neurology, oncology, cardiology, ophthalmology, and OB-GYN specialties. Medicai provides ready-to-use doctor and patient portals, mobile apps, and an open API for custom integrations. Key differentiators include its cloud-native orchestration layer, granular access control (ACLs), HIPAA/GDPR compliance, FDA/CE-cleared viewers, and a Radiology AI Co-Pilot that streamlines reporting with AI-generated suggestions. Pricing is transparent, subscription-based, and scales with storage needs—no egress fees for sharing. Medicai also offers a DICOM Gateway for automatic CD ingestion, HL7/FHIR integration, and structured reporting. Its Imaging API allows embedding viewers into existing EHR/EMR systems, making it a flexible infrastructure-as-a-service (IaaS) for imaging workflows.
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Concrete scenarios for the personas Medicai actually fits — and what changes day-one when you adopt it.
You read studies from three hospitals; each has a DICOM Gateway installed. Studies automatically appear in Medicai's unified cloud PACS. You open the DICOM viewer, use AI Co-Pilot for draft reports, and share finalized reports via the portal.
Outcome: Studies are accessible from any location; reporting time reduced by estimated 30% via AI suggestions; no VPN needed.
You upload imaging from your local PACS via Medicai Sync. Patients receive secure portal links to view their own images. Referring physicians can access studies with granular permissions.
Outcome: Faster patient access to images; reduced administrative burden for CD burning; secure sharing with referring doctors.
You embed the Medicai Imaging API into the existing EHR portal. Doctors click a button to open the DICOM viewer within the same interface, without leaving the patient record.
Outcome: Seamless EHR integration; no context switching for clinicians; no need to maintain separate on-prem PACS.
Storage limits on Starter (500 GB) and Standard (2 TB) plans may require enterprise custom storage for high-volume centers. Data transfer caps (50 GB / 200 GB per month) could restrict heavy sharing. No free plan exists; only a 14-day trial. DICOM Gateway setup costs $1,000 per location one-time. HL7/FHIR integrations only on Standard tier and above. No API access mentioned on Starter plan. Custom reporting templates not explicitly documented.
Project the real annual outlay, including the implied monthly cost when only an annual tier is published.
Vendor list price only. Add-on usage, seat overages, and contract minimums are surfaced under Hidden costs & gotchas.
For each published Medicai tier: who it actually fits, and what it adds vs. the previous tier. Cross-reference the cost calculator above for projected annual outlay.
Starter
$249/month or $209/month (yearly, save 15%)
Ideal for
Small clinic or private practice with one location, under 500 GB storage need, and low data transfer (up to 50 GB/month). No in-house IT team needed.
What this tier adds
Starting tier with 500 GB storage, unlimited users, but no connected locations or HL7/FHIR. Free 14-day trial available.
Standard
$749/month or $639/month (yearly, save 15%)
Ideal for
Mid-size imaging center or hospital department with one connected location, up to 2 TB storage, needing HL7/FHIR integration and moderate sharing (200 GB transfer/month).
What this tier adds
Adds one connected location, 2 TB storage, 200 GB data transfer, and HL7/FHIR integrations compared to Starter.
Enterprise
Custom pricing
Ideal for
Large hospital network or teleradiology practice with multiple locations, high storage needs, custom data transfer, and requiring AI integrations and custom SLA.
The company stage and team size where Medicai's pricing actually pencils out — and where peers do it cheaper.
Medicai's pricing is competitive for multi-location imaging providers: Starter at $249/month with 500 GB storage undercuts many cloud PACS but lacks connected locations. Standard at $749/month adds one connected location and HL7/FHIR. Enterprise custom. For context, comparable cloud PACS like Ambra Health or Arterys may charge per study or have higher minimums. Medicai's no-egress policy is a plus.
How long it actually takes to get something useful out of Medicai — broken out by persona, not the marketing-page minute.
For a clinic with one location: create an account and add imaging manually within minutes; DICOM Gateway installation takes a few minutes per location (plus $1,000 setup fee if Medicai deploys). For multi-site networks: expect 1-2 days for Gateway deployment and ACL configuration. API embedding requires development time (weeks depending on EHR).
How to bring data in from common predecessors and how to get it back out — written for the switcher, not the buyer.
Pricing, brand, ownership, or deprecation changes worth knowing before you commit. Most-recent first.
Deleting your Medicai account will remove all your data, so please make sure you’ve backed up any important information!
We build medical imaging infrastructure and enterprise imaging workflows for healthcare builders and innovators. Telemedicine, cloud PACS, VNA, FHIR, HL7.
Common stack mates teams adopt alongside Medicai, with the specific reason each pairing earns its keep.
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Last calculated: May 2026
What this tier adds
Custom storage and data transfer, multiple connected and external locations, AI integrations, custom SLA. No fixed price; contact sales.
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