Medicai is live · pricing from $209/mo billed annually · last verified 22 Oct 2026 · viability healthy

Medicai

Medicai

Medicai is a cloud PACS with a DICOM Gateway, zero-footprint DICOM viewer, Imaging API, and radiology AI co-pilot.

80/100Safe BetFrom $209/mo billed annuallyPaid

Medicai's real product is the DICOM Gateway and Imaging API — the plumbing that moves studies out of partner PACS and into your own software, with no VPN. If you need multi-site exchange plus a viewer, patient portal, and REST API under one openly listed price, it is a credible option: Standard at $749/mo month-to-month ($639/mo billed yearly) covers 2 TB and one connected location. If you want deep subspecialty reading tools, or a single clinic needs a live Gateway on a sub-$250/mo budget, the connected-location math works against you — look at Ambra Health or Sectra instead.

Verdict generated

Verified 8d ago · liveness 80/100 · cite: rightaichoice.com/tools/medicai

Best for
  • Radiology groups wiring multiple sites and imaging partners into one cloud PACS
  • Teleradiology providers needing secure study sharing and remote reads without VPNs
  • Health IT teams embedding DICOM viewing into EHRs or digital health products via the REST API
  • Hospitals and imaging centers moving off on-premise PACS to cloud infrastructure
Not ideal for
  • Organizations that require in-country physical on-premise storage for data residency
  • Small clinics that need a live DICOM Gateway connection on a sub-$250/mo budget
  • Teams that want to train custom diagnostic AI models on their own datasets
Visit Website

IntermediateA 14-day free trial with Starter features activates without a credit card, so portal, viewer, and mobile app access is typically usable the same day. The DICOM Gateway is marketed as a few-minutes install with no VPN, but count on a $1,000 one-time per-location setup fee if Medicai deploys the node. Enterprise HL7/FHIR integration and custom-tenant work follow a scoping call.Web · Mobile · APIAPI available3.0k viewsVerified 8d ago
Pricing
From $209/mo billed annually
Paid6 plans5 hidden costs
Learning curve
Intermediate
A 14-day free trial with Starter features activates without a credit card, so portal, viewer, and mobile app access is typically usable the same day. The DICOM Gateway is marketed as a few-minutes install with no VPN, but count on a $1,000 one-time per-location setup fee if Medicai deploys the node. Enterprise HL7/FHIR integration and custom-tenant work follow a scoping call.
Runs on
WebMobileAPI
API available · 3 integrations
Who it's for
Health IT lead at a digital health companyOperations manager at a multi-site imaging centerTeleradiology group director
Live sentiment
Is Medicai actually worth it?

We scan live Reddit threads, YouTube comments, X posts, G2 reviews and other communities — and hand you an honest verdict in under a minute.

  • Honest verdict, not marketing
  • Real pros & cons from real users
  • Attributed quotes with receipts
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Skip it if

Skip Medicai if you need a DICOM Gateway pulling from a local PACS on a sub-$250/mo budget — Starter at $249/mo has no connected locations, so that work starts at Standard's $749/mo month-to-month rate.

Skip-it-if note generated
The 30-second take
Biggest gripe

Going past 50 GB/month of data transfer on Starter or 200 GB/month on Standard triggers additional usage charges, billed on top of your plan.

Price reality

Startup or single-site clinic: Starter at $249/mo month-to-month ($209/mo billed yearly) covers 500 GB and unlimited users but zero connected locations, so imaging teams that need the Gateway start at Standard, $749/mo month-to-month ($639/mo billed yearly). Multi-site networks land on Enterprise custom pricing. Against Ambra Health and Sectra, Medicai competes on open list prices and API-first access rather than subspecialty clinical depth.

Generated

In short

Medicai — Medicai is a cloud PACS with a DICOM Gateway, zero-footprint DICOM viewer, Imaging API, and radiology AI co-pilot. Best for Radiology groups wiring multiple sites and imaging partners into one cloud PACS, Teleradiology providers needing secure study sharing and remote reads without VPNs, Health IT teams embedding DICOM viewing into EHRs or digital health products via the REST API. Plans from $209/mo billed annually.

No head-to-head comparison for Medicai yet — the alternatives below are the closest matches we list.

What is Medicai?

Medicai — Medicai is a cloud PACS with a DICOM Gateway, zero-footprint DICOM viewer, Imaging API, and radiology AI co-pilot. Best for Radiology groups wiring multiple sites and imaging partners into one cloud PACS, Teleradiology providers needing secure study sharing and remote reads without VPNs, Health IT teams embedding DICOM viewing into EHRs or digital health products via the REST API. Plans from $209/mo billed annually.

PaidIntermediateAPI availableWeb · Mobile · API

Medicai sells medical imaging infrastructure as a subscription: a DICOM Gateway pulls studies from your local PACS and modalities into a cloud PACS, where radiologists, patients, and partner sites view them in a zero-footprint DICOM viewer. The Gateway installs in minutes with no VPN and no networking project — the pitch aimed at hospitals and imaging centers still exchanging CDs and couriering discs between sites. The stack includes a Vendor Neutral Archive for long-term retention, per-study access control lists, a Doctor Imaging Portal, a Patient Imaging Portal for delivering images and reports, iOS and Android apps with an integrated mobile DICOM viewer, structured reporting templates, a Radiology AI Co-Pilot, and a Teleradiology Focus Mode with workflow automation for high-volume reads. For health IT teams the Medicai Imaging API is a RESTful interface for embedding imaging into EHRs, EMRs, and digital health products, alongside embeddable HTML5 viewers (FlexView, MedDream, OsiriX) and FDA-cleared and CE-marked viewer options. Compliance is HIPAA and GDPR following OWASP guidelines, and Enterprise lets you keep data in your own tenant. Starter is $249/mo month-to-month ($209/mo billed yearly) for 500 GB with no connected locations; Standard is $749/mo month-to-month ($639/mo billed yearly) for 2 TB and one Gateway location. It competes with Ambra Health and Sectra on cloud-native, API-first plumbing rather than subspecialty clinical depth.

Key features

  • Cloud PACS for storing, managing, and retrieving DICOM studies
  • DICOM Gateway connects local PACS and modalities in minutes without VPNs
  • Zero-footprint web DICOM viewer with no local install
  • iOS app with integrated mobile DICOM viewer
  • Android app with integrated mobile DICOM viewer
  • FDA-cleared and CE-marked DICOM viewer options
  • Radiology AI Co-Pilot for AI-supported diagnostics in the Doctor Portal
  • Structured reporting templates for radiology reads
  • Teleradiology Focus Mode with automation and advanced workflows
  • Medical Imaging RESTful API for embedding imaging in EHRs and health apps
  • Vendor Neutral Archive for long-term imaging storage
  • Per-study granular access control lists with keep-data-in-tenant option
  • Patient Imaging Portal for secure image and report delivery
  • Embeddable HTML5 DICOM viewers including FlexView, MedDream, and OsiriX
  • Automatic CD ingestion, manual upload, and Medicai Sync folder syncing

Behind the verdict

Medicai is best understood as imaging infrastructure rather than a radiology reading suite. The parts that matter most are unglamorous: a DICOM Gateway that installs in minutes without a VPN or networking project, automatic CD ingestion, Medicai Sync at $120/mo for folder syncing, and a REST Imaging API you can embed in an EHR or a digital health product. Those are exactly the pieces hospitals and imaging centers struggle to build themselves. Around that core sit the things a buyer will actually touch day to day — a zero-footprint web DICOM viewer with no local install, iOS and Android apps with a mobile DICOM viewer, a Doctor Imaging Portal, a Patient Portal for delivering images and reports, structured reporting templates, a Radiology AI Co-Pilot, and a Teleradiology Focus Mode with automation for high-volume reads. Embeddable viewers (FlexView, MedDream, OsiriX) and FDA-cleared or CE-marked viewer options cover teams with regulatory constraints. HIPAA and GDPR compliance following OWASP guidelines, per-study access control lists, and the Enterprise option to keep data in your own tenant address the two questions health IT always asks first. Commercial honesty is a genuine strength: pricing is published, and the four cost drivers are stated plainly — storage, data transfer, connected modality locations via the DICOM Gateway, and HL7/FHIR integration. Data transfer for sharing and remote access is included with no egress fees, though each plan caps it (50 GB/mo on Starter, 200 GB/mo on Standard) and overage is billed by usage. Watch the add-ons: the DICOM Gateway carries a $1,000 one-time setup per location if Medicai orders and deploys the node, and Medicai Sync is $120/mo. Where it fits: multi-site radiology groups, teleradiology providers, and health IT teams embedding DICOM viewing into their own products. Where it doesn't: organizations that must keep imaging physically on-premise in-country, buyers wanting to train custom diagnostic models on their own datasets, and small clinics whose budget tops out below $250/mo — Starter has no connected locations at all, so the Gateway requires Standard or Enterprise. Recent blog output (viewer comparisons for Windows and Mac, a radiology software category guide, a teleradiology vendor comparison, USCDI/FHIR explainers) suggests a company investing in education and top-of-funnel content rather than shipping visible product releases — worth noting, since no changelog was reachable this run.

Models under the hood

Radiology AI Co-Pilot (proprietary model)

as of 2026-10-23

Limitations

  • Pricing is driven by cloud storage, data transfer, the number of modality locations connected via DICOM Gateway, and HL7/FHIR integration.
  • Starter is $249/mo month-to-month ($209/mo billed yearly) with 500 GB storage, unlimited users, and no connected locations; Standard is $749/mo month-to-month ($639/mo billed yearly) with 2 TB and one connected location.
  • Enterprise pricing is custom.
  • There is no free plan — only a 14-day free trial.

as of 2026-10-18

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Is Medicai still active?

Medicai is live · pricing from $209/mo billed annually · last verified 22 Oct 2026 · viability healthy.

Viability score

80/100
Safe Bet

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

Recent activity
90
Traction
100
Site health
95
User sentiment
39
What the vendor publishes
60

Last calculated: October 2026

How we score →

What's new in Medicai

Checked 6 days ago

Across the latest 4 updates: 1 community discussion and 3 news mentions.

What do users say about Medicai?

What people actually say about Medicai — is it worth it?

We scanned public community sources for Medicai on Oct 15, 2026 and could not establish that the discussion we found is about this tool rather than something else sharing its name. Only 1 of the posts we fetched could be positively tied to Medicai. Rather than publish a sentiment score built on the wrong subject, we publish nothing here and re-run the scan.

How we verified this

Every listed fact about Medicai— pricing, features, links, status — is re-read from the vendor's own pages by our verification pipeline and each change is logged with a date; the last pass ran on 22 Oct 2026. Pages mix model-assisted synthesis with human review; see how we verify.

Verification history

We have re-verified Medicai 20 times since . Each pass re-reads the vendor's own pages and re-checks every listed field against that evidence; passes where nothing had changed are marked as such.

  1. — changed pricing page, limitations
  2. — changed switching out, use cases, description, summary, who it suits, who should skip it, our verdict, setup time, pricing fit, features, hidden costs, pricing tiers, limitations, switching in
  3. — changed features, description, summary, who should skip it, who it suits, pricing tiers, our verdict
  4. — changed limitations, pricing page
  5. — changed who should skip it, features, summary, description, who it suits, pricing tiers, our verdict
  6. — changed pricing page

Showing the 6 most recent of 20 verification passes.

Free to cite with attribution — this page re-verifies continuously.

How much does Medicai cost in 2026?

Medicai: Plans from $209/mo billed annually. Pricing last verified 22 Oct 2026.

12-month cost

Project the real annual outlay, including the implied monthly cost when only an annual tier is published.

Annual total
—
Contact sales for a quote
Effective monthly
—
—

Vendor list price only. Add-on usage, seat overages, and contract minimums are surfaced under Hidden costs & gotchas.

Hidden costs & gotchas

What the public pricing page doesn't put in bold. Captured from pricing-page footnotes, contract terms, and recurring complaints.

  • Going past 50 GB/month of data transfer on Starter or 200 GB/month on Standard triggers additional usage charges, billed on top of your plan.
  • Deploying the DICOM Gateway costs $1,000 one-time per location when Medicai orders and installs the node, which lands as a surprise next to the monthly fee.
  • Medicai Sync, which syncs a local folder to the PACS, is a $120/mo add-on rather than part of the base plan.
  • Buying Starter yearly at $209/mo means paying the full annual amount upfront, and refunds are not available for partial periods.
  • Standard includes only one connected location, so a second site pushes you into Enterprise custom 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.

Startup or single-site clinic: Starter at $249/mo month-to-month ($209/mo billed yearly) covers 500 GB and unlimited users but zero connected locations, so imaging teams that need the Gateway start at Standard, $749/mo month-to-month ($639/mo billed yearly). Multi-site networks land on Enterprise custom pricing. Against Ambra Health and Sectra, Medicai competes on open list prices and API-first access rather than subspecialty clinical depth.

Hidden-cost and price-fit notes generated

Has Medicai's pricing changed?

No plan price for Medicai has moved since we began logging in Aug 2026; the pricing page is re-read on every verification pass.

Who should pick Medicai?

Pick Medicai if you are Radiology groups wiring multiple sites and imaging partners into one cloud PACS, Teleradiology providers needing secure study sharing and remote reads without VPNs, Health IT teams embedding DICOM viewing into EHRs or digital health products via the REST API, Hospitals and imaging centers moving off on-premise PACS to cloud infrastructure.

Look elsewhere if you are Organizations that require in-country physical on-premise storage for data residency, Small clinics that need a live DICOM Gateway connection on a sub-$250/mo budget, Teams that want to train custom diagnostic AI models on their own datasets, Buyers who need deep subspecialty clinical reading tools rather than imaging infrastructure.

Skip it if Skip Medicai if you need a DICOM Gateway pulling from a local PACS on a sub-$250/mo budget — Starter at $249/mo has no connected locations, so that work starts at Standard's $749/mo month-to-month rate.

Generated

Real-world workflow fit

Concrete scenarios for the personas Medicai actually fits — and what changes day-one when you adopt it.

Health IT lead at a digital health company

You need to display patient imaging inside your own web app without building DICOM handling. You wire the Medicai Imaging API into your product, embed the HTML5 DICOM viewer, and route studies through the cloud PACS.

Outcome: Imaging appears in your app without a PACS build or DICOM expertise on staff, at the Starter rate of $249/mo month-to-month for 500 GB with unlimited user accounts.

Operations manager at a multi-site imaging center

Studies sit in on-prem PACS at two locations and arrive on CDs from partners. You move to Standard, deploy the DICOM Gateway at one location, use automatic CD ingestion for the rest, and give referrers access through the Doctor Imaging Portal.

Outcome: Studies are retrievable from one cloud PACS instead of couriered discs, with reporting handled through structured templates and the AI Co-Pilot.

Teleradiology group director

Reads are distributed across radiologists who need mobile access and a shared queue. You use the Teleradiology Focus Mode with automation, distribute cases with per-study access control lists, and deliver reports through the Patient Portal.

Outcome: Radiologists read from the web viewer or the iOS/Android app, and patients receive images and reports through a secure portal.

Workflow scenarios generated

Use cases

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.

A 14-day free trial with Starter features activates without a credit card, so portal, viewer, and mobile app access is typically usable the same day. The DICOM Gateway is marketed as a few-minutes install with no VPN, but count on a $1,000 one-time per-location setup fee if Medicai deploys the node. Enterprise HL7/FHIR integration and custom-tenant work follow a scoping call.

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.

Migrating in
  • →From on-premise PACS: stand up the DICOM Gateway at each location to pull existing studies into the cloud PACS, then keep the on-prem system in place for hybrid workflows.
  • →From CDs and couriered discs: use automatic CD ingestion and the Image Uploader to get legacy studies into the cloud PACS.
  • →From a local folder archive: Medicai Sync at $120/mo keeps a local folder mirrored to the PACS.
  • →From an EHR-only viewer: embed the HTML5 DICOM viewer or connect through the Imaging API instead of replacing the EHR.
Migrating out
  • ↗To another cloud PACS: export DICOM studies from the Vendor Neutral Archive and re-point modality destinations at the new system's DICOM endpoint.
  • ↗To an on-premise PACS: retrieve archived studies over the network before the subscription ends, since access stops at the end of the billing cycle.
  • ↗To a subspecialty reading platform: keep Medicai for storage and sharing while moving the reading workflow to the specialist tool via the viewer.

Integrations

FlexViewMedDreamOsiriX

Tutorials & Learning

YouTube returned 6 videos for “Medicai”, and we withheld 6: 6 could not be judged, because “Medicai” is a single word that other videos use for other things. We are showing none, because we could not prove any of them are about Medicai.

What are the best Medicai alternatives?

The closest alternatives to Medicai we list are Kaapana, CARPL.ai and Viz.ai. Ranked by direct product-type match, not category overlap.

Closest alternatives to Medicai
AlternativePricingStarts atLast verified
KaapanaFreeFree—
CARPL.aiContact SalesCustom pricing—
Viz.aiContact SalesCustom pricing—

Alternatives to Medicai

View all
Kaapana

Kaapana

Open-source toolkit from DKFZ for building medical imaging platforms, from DICOM curation to federated analysis.

FreeTry
CARPL.ai

CARPL.ai

Radiology AI orchestration: one PACS/RIS integration, 300+ third-party AI apps, validated on your own data before you deploy.

Contact SalesTry
Viz.ai

Viz.ai

Viz.ai uses AI care coordination to auto-detect stroke and cardiac disease from imaging and alert the on-call specialist in seconds.

Contact SalesTry

Tools that pair well with Medicai

Common stack mates teams adopt alongside Medicai, with the specific reason each pairing earns its keep.

Frequently asked questions

Used Medicai? Help shape our editorial sentiment research.