Medicai
Cloud-native medical imaging PACS with AI co-pilot for healthcare providers.
Medicai is a solid cloud PACS for organizations ready to ditch on-premise infrastructure. Its DICOM Gateway and API reduce integration friction, but limited storage on lower tiers and hidden setup fees for gateways may surprise budget-conscious buyers. For high-volume centers or those needing multiple connected locations, the Enterprise plan is essential. Compared to legacy PACS vendors, Medicai offers easier deployment and modern API access, but alternatives like Ambra Health or Sectra may offer more advanced AI tools or specific specialty support.
Verified 2d ago · liveness 76/100 · cite: rightaichoice.com/tools/medicai
- Hospitals and imaging centers seeking a cloud PACS without VPN setup
- Radiology groups wanting AI-assisted reporting and mobile access
- Telemedicine providers needing secure image sharing across locations
- Health IT teams integrating medical imaging into existing EHR/EMR via API
- Organizations requiring on-premise PACS due to strict data residency laws
- Small clinics without stable high-speed internet for cloud access
- Users needing advanced AI model training on custom datasets
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Skip Medicai if you need an on-premise PACS due to data residency, have a very small clinic with limited IT support, or require more than 2 TB storage without negotiating custom enterprise pricing.
DICOM Gateway setup costs $1,000 per location one-time, which adds up for multi-site organizations.
Medicai's Starter at $249/month ($209/yearly) is affordable for small imaging centers needing basic cloud storage and viewer. Standard at $749/month ($639/yearly) suits single-location radiology groups. Enterprise (custom) is for multi-location hospitals. Compared to legacy PACS like GE Centricity or Philips IntelliSpace, Medicai has lower startup cost but similar storage limits. Cloud-native rivals like Ambra Health or PocketHealth may have comparable or cheaper entry tiers, but Medicai's
In short
Medicai — Cloud-native medical imaging PACS with AI co-pilot for healthcare providers. Best for Hospitals and imaging centers seeking a cloud PACS without VPN setup, Radiology groups wanting AI-assisted reporting and mobile access, Telemedicine providers needing secure image sharing across locations. Free to start; paid plans from $249209/mo.
Viability Score
How well maintained and how widely used is Medicai? Built from what the vendor actually publishes (docs, changelog, tutorials, integrations, pricing), whether the site is live, and how much real users discuss it. How we calculate this
Last calculated: July 2026
How we score →Key Features
- Cloud-native PACS with zero-footprint DICOM viewer
- DICOM Gateway for multi-location connectivity
- Vendor Neutral Archive (VNA) for scalable storage
- AI-powered Radiology Co-Pilot for diagnostic support
- Structured reporting templates for radiology
- Medical Imaging API for EHR/EMR integration
- Granular access control lists (ACLs)
- Doctor and patient portals with mobile apps (iOS, Android)
- Embeddable DICOM viewers (FlexView, MedDream, OsiriX)
- Multi-source federated connectivity
- HIPAA and GDPR compliance
- Backup and disaster recovery for imaging data
- Image sharing for telemedicine and tumor boards
- Automatic retrieval from on-prem PACS or modalities
- Anonymization for clinical trials
About Medicai
Medicai is a cloud-native medical imaging infrastructure as a service (IaaS) that replaces traditional on-premise PACS. It enables hospitals, imaging centers, and specialty practices to retrieve, view, store, and share imaging data in a secure, zero-footprint platform. The platform handles over 1 million studies annually and 50 million API transactions, offering seamless multi-location connectivity through a DICOM Gateway that installs in minutes without VPNs. Key features include a zero-footprint DICOM viewer for web and mobile, AI-powered Radiology Co-Pilot for diagnostic support, structured reporting templates, and a Medical Imaging API for EHR/EMR integration. Medicai also provides patient and doctor portals, mobile apps for iOS and Android, and supports telemedicine workflows for personal injury lawyers, tumor boards, and clinical trials. It is HIPAA and GDPR compliant, with transparent subscription pricing starting at $249/month for 500 GB storage.
Behind the Verdict
Medicai delivers a compelling imaging infrastructure as a service for healthcare organizations seeking to modernize away from on-premise PACS. The zero-footprint DICOM reader works in any modern browser and mobile app, which is a major win for clinicians who need to review images from multiple locations. The DICOM Gateway is a standout: it connects on-prem modalities or legacy PACS to the cloud without complex VPN setup, taking only minutes to install. This greatly simplifies multi-site consolidation. The Radiology AI Co-Pilot aids in preliminary report generation and can speed up reading workflows. However, the AI is currently limited to radiology and may not cover subspecialties like mammography or orthopedics. Storage caps on Starter (500 GB) and Standard (2 TB) plans mean high-volume centers almost certainly need Enterprise custom pricing. The Starter plan also lacks connected locations and external locations, so multi-location clinics must start at Standard or above. A notable hidden cost is the $1,000 one-time DICOM Gateway setup fee per location and $120/month for the Sync add-on. Data transfer is included up to monthly limits, but overage charges apply. The pricing page also notes HL7/FHIR integrations are only available on Standard and Enterprise. Overall, Medicai is best for mid-size to large imaging groups ready for cloud adoption, but small clinics with limited IT support may find the cloud dependency and setup fees burdensome.
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Real-world workflow fit
Concrete scenarios for the personas Medicai actually fits — and what changes day-one when you adopt it.
You need to view and report on studies from three different clinic sites without complex VPN setups.
Outcome: Install DICOM Gateway at each location (minutes each); studies automatically appear in Medicai's cloud PACS. Use AI Co-Pilot to draft reports and share with referring physicians via the doctor portal.
You want to replace an aging on-premise PACS with a cloud solution that integrates with your existing EHR.
Outcome: Migrate studies using Medicai's automatic retrieval and VNA. Embed the zero-footprint DICOM viewer into your EHR via the Imaging API. Use granular ACLs to control access across departments.
You need to collect and share anonymized imaging data from multiple research sites for review.
Outcome: Use Medicai's anonymization feature and patient portal to securely share images with trial coordinators and investigators. Utilize the Imaging API to integrate with trial management software.
Use Cases
- Store and manage radiology studies from multiple clinic locations in a single cloud PACS.
- Share imaging with referring physicians or patients via secure portals.
- Use the AI Co-Pilot to generate preliminary reports and streamline radiology reading.
- Embed the DICOM viewer into existing EHR/EMR systems using the Imaging API.
- Backup and disaster recovery for imaging data with VNA and redundant cloud storage.
- Connect on-prem PACS to cloud via DICOM Gateway for hybrid workflows.
- Anonymize images for clinical trials or medical education.
- Telemedicine and tumor board collaboration across institutions.
Models Under the Hood
as of 2026-08-01
Limitations
- Medicai offers transparent subscription pricing with Starter and Standard plans featuring 500 GB and 2 TB cloud storage respectively, and Enterprise custom pricing.
- The Starter plan includes no connected locations or external locations, while Standard includes one connected location.
- No free plan is offered; only a 14-day trial is available.
as of 2026-07-29
Verification history
We have re-verified Medicai 13 times since . Each pass re-reads the vendor's own pages and updates only what actually changed.
- — re-verified summary, description, our verdict, our analysis, pricing model, pricing tiers, features, integrations, who it suits, who should skip it
- — re-verified summary, description, our verdict, our analysis, pricing model, pricing tiers, features, integrations, who it suits, who should skip it
- — re-verified summary, description, our verdict, our analysis, pricing model, pricing tiers, features, integrations, who it suits, who should skip it
- — re-verified summary, description, our verdict, our analysis, pricing model, pricing tiers, features, integrations, who it suits, who should skip it
- — re-verified summary, description, our verdict, our analysis, pricing model, pricing tiers, features, integrations, who it suits, who should skip it
- — re-verified summary, description, our verdict, our analysis, pricing model, features, integrations, who it suits, who should skip it
Showing the 6 most recent of 13 verification passes.
Free to cite with attribution — this page re-verifies continuously.
12-month cost
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.
Plans compared
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/mo ($209/mo yearly)
Ideal for
Small imaging clinics or solo radiologists needing basic cloud PACS and viewer with low storage (~500 GB) and no multi-location needs.
What this tier adds
Entry tier; includes 500 GB storage, no connected or external locations, no HL7/FHIR integrations.
Standard
$749/mo ($639/mo yearly)
Ideal for
Single-location radiology practices requiring up to 2 TB storage, one connected modality location, and HL7/FHIR integration for EHR/EMR.
What this tier adds
Adds 2 TB storage, one connected location, HL7/FHIR integrations, and AI integrations compared to Starter.
Enterprise
Custom
Ideal for
Multi-location hospitals or large imaging networks needing custom storage, multiple connected and external locations, and advanced API/SLA support.
What this tier adds
Custom storage, unlimited connected/external locations, Imaging API, and custom SLA; tailored pricing.
Where the pricing makes sense
The company stage and team size where Medicai's pricing actually pencils out — and where peers do it cheaper.
Medicai's Starter at $249/month ($209/yearly) is affordable for small imaging centers needing basic cloud storage and viewer. Standard at $749/month ($639/yearly) suits single-location radiology groups. Enterprise (custom) is for multi-location hospitals. Compared to legacy PACS like GE Centricity or Philips IntelliSpace, Medicai has lower startup cost but similar storage limits. Cloud-native rivals like Ambra Health or PocketHealth may have comparable or cheaper entry tiers, but Medicai's
Setup time & first value
How long it actually takes to get something useful out of Medicai — broken out by persona, not the marketing-page minute.
DICOM Gateway takes minutes to install (no VPN). Basic cloud PACS access is immediate after signup. Full setup including multi-location connectivity and API integrations can be completed in a few hours to a day, depending on IT support.
Switching to or from Medicai
How to bring data in from common predecessors and how to get it back out — written for the switcher, not the buyer.
- →From legacy on-prem PACS: Use Medicai's automatic retrieval or manual upload via the DICOM Gateway to pull existing studies into the cloud VNA.
- →From other cloud PACS: Export your DICOM data and import via Medicai's Imaging API or DICOM Gateway.
- ↗To another cloud PACS: Export studies via the Medical Imaging API or download via the DICOM viewer.
- ↗To on-premise PACS: Use DICOM export tools or request a data transfer from Medicai support.
Integrations
Resources & Guides
- Resourcemedicai.io
How can I delete my Medicai account?
Deleting your Medicai account will remove all your data, so please make sure you’ve backed up any important information!
- Resourcemedicai.io
Limitless Medical Imaging Software & Telemedicine Workflows
We build medical imaging infrastructure and enterprise imaging workflows for healthcare builders and innovators. Telemedicine, cloud PACS, VNA, FHIR, HL7.
Official links
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