Same PACS, same viewer, either way. Compare on-premise licenses against cloud hosting below, or jump straight to the plan that fits.
The feature set is identical. What changes is who hosts it, who holds the images, and how you pay.
| On-premise | Cloud | |
|---|---|---|
| Who hosts the server | You, on your own hardware | Orion PACS, Inc. |
| Where your images live | Your network — never sent to us | Our infrastructure, reachable from approved locations |
| Billing | One-time purchase, or monthly | Monthly, by storage tier |
| Updates & maintenance | Self-managed (or bundled on monthly plans) | Handled for you |
| Backups | Your responsibility, or add Cloud Backup | Included |
| Private network link | Not required | Included with every plan |
| Best for | Full control of PHI on your own network | Practices that don't want to run a server |
Buy the license once and it's yours forever, or pay month-to-month to bundle software use, updates, and support in a single recurring bill. Same features either way, same intended-use scope.
Single-provider practice getting off film or CD.
Multi-provider clinics with HL7 requirements.
Multi-site imaging groups needing SSO and API.
All prices in USD. 30-day money-back guarantee. Cancel anytime from your Stripe billing portal. Software deactivates when subscription ends. Volume & academic discounts: talk to us.
|
Orion Desktop
$1,995
one-time · + $395/yr maint.
|
Orion Studio Popular
$4,995
one-time · + $995/yr maint.
|
Orion Enterprise
$12,995
one-time · + $2,595/yr maint.
|
|
|---|---|---|---|
| Deployment | |||
| Workstations | 1 | Server + 5 | Unlimited |
| Concurrent readers | 1 | Up to 5 | Unlimited |
| Studies & storage | Unlimited* | Unlimited* | Unlimited* |
| Windows 11 & Server 2016+ | ✓ | ✓ | ✓ |
| Viewer & workflow | |||
| Web viewer (pan/zoom/W-L/measure) | ✓ | ✓ | ✓ |
| MPR & 3D volume rendering | — | ✓ | ✓ |
| Reporting templates | Basic | Advanced | Advanced + custom |
| Integration | |||
| DICOM C-STORE / DICOMweb | ✓ | ✓ | ✓ |
| HL7 ORM/ORU | — | ✓ | ✓ |
| REST API | — | — | ✓ |
| SSO (SAML / OIDC / AD) | — | — | ✓ |
| Security & support | |||
| Local AES-256 at rest & audit log | ✓ | ✓ | ✓ |
| Multi-user roles | — | ✓ | ✓ |
| Support SLA | Email · 24h | Chat · 4h | Named eng · 1h |
| On-site install | — (or $495 remote) | $995 remote | Included |
* Uses your own storage. Practical limit is the size of the disk you point Orion at.
Tiers are by storage. Measure what you actually have before you choose — it is usually about half what the folder says.
A single provider starting out.
A solo practice with a few years of history.
A small clinic with more than one room.
A medium clinic reading daily.
A large clinic or a small health network.
A multi-site network.
Outgrown your tier? Move up at any time and the new capacity applies immediately. Larger than 3 TB: talk to us.
We move your archive off your old system and index it, so your history is searchable from day one.
Not sure which size? Measure it first — the survey report names the package that fits.
Your scanners send studies to us over a private tunnel rather than the open internet. This is set up with every cloud account, not sold as an upgrade, because patient images should never cross the internet unprotected.
Every capacity on this page depends on one number, and almost nobody knows it. Run our survey tool on the PC that holds your images and it tells you: how many studies, how many gigabytes will really move, how fast you are growing, and which plan that comes to.
The folder size is not the answer. LG CR workstations keep a raw file and two previews beside every exam. The last archive we measured showed 161 GB in Windows and held 80 GB of images.
Download the survey toolIt is a plain-text script. Your IT can read it first.
Every add-on below is opt-in. Turn one on to enable that capability. Turn it off, you're back to the base plan.
| Module | What it does | PHI leaves your network? | Price | |
|---|---|---|---|---|
| Cloud Backup | Hourly off-site copy of your database and images on Backblaze B2, kept in your own isolated storage area. Restore a specific day from the Orion console. | Your studies, in your own storage area | 3 capacities 250 GB · 1 TB · 5 TB |
Choose size |
| Remote Viewing Gateway | Read from home over encrypted tunnel. Zero-config VPN alternative. | In-transit only; studies stay on your PACS | $79/mo | |
| Teleradiology Bridge | Route selected studies to a remote radiologist group. Auto-return of reports via HL7. | Routed studies only, in transit | $99/mo |
Pick a capacity. Orion backs up your database and images to Backblaze B2 every hour, into a storage area scoped to your installation only. No metering, no egress surprises: one predictable line on your invoice.
Single-modality clinics, roughly 1,500 studies.
Multi-modality practices, roughly 6,000 studies.
Imaging centres and multi-site groups.
Pick a capacity above. Your cloud storage area is provisioned for you. Nothing to sign up for at Backblaze.
In the portal, open Tools → Backups, switch the destination to Cloud, and choose an hourly or daily schedule.
Backups are additive: deleting a study locally never removes it from your off-site copies. The console shows the last run and what it contained.
Every backup is a restore point. Pick a date from the last 7 days and restore that exact state from the console.
Cancel anytime. Your PACS and your local data keep working; only the off-site copies stop. Storage beyond your tier pauses new uploads rather than billing you a surprise.
Volume licensing, site licenses, and per-facility support contracts available.
Contact sales