Intelerad IntelePACS vs Orthanc

Intelerad IntelePACS9.0Visit Orthanc6.7Visit

Higher score Intelerad IntelePACS #1 in PACS Software 9.0/10 Pricing on request ✓ 3 of 4 features Visit Intelerad

vs

Orthanc #8 in PACS Software 6.7/10 Free plan Free plan✓ 3 of 4 features Visit Orthanc

• Intelerad IntelePACS fits best

  Healthcare networks with distributed imaging workflows

• Orthanc fits best

  Developers and facilities wanting free extensible PACS

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Side by side

Feature	Intelerad IntelePACS 9.0/10 Visit ↗	Orthanc 6.7/10 Visit ↗
At a glance
Editor score	9.0	6.7
Ranking	#1 in PACS Software	#8 in PACS Software
Best for	Healthcare networks with distributed imaging workflows	Developers and facilities wanting free extensible PACS
Pricing model	Paid	Free
Starting price	Not published	Not published
Free plan	Not published	✓ (best)
Free trial	—	—
Deployment	Cloud, Self-hosted	Self-hosted
Platforms	Web	Windows, macOS, Linux, Web
Support	Docs	Docs, Community
Built for	Mid-market, Enterprise	Small business, Mid-market, Enterprise
Features Intelerad IntelePACS 3/4 · Orthanc 3/4
Diagnostic viewer	✓	✓
DICOM support	✓	✓
Web viewer	✓	✓
Mobile viewing	Not published	—
Specs
Deployment	Hybrid	On-premises
Supported modalities	CT, MR, DX, CR, mammography (MG), ultrasound, PET/CT, SPECT/CT, PET/MR, nuclear medicine	DICOM modalities, including CT, MR, ultrasound, X-ray and nuclear medicine
Our review
Pros	Combines InteleViewer diagnostics with Enterprise Viewer access across systems Supports PET/CT, SPECT/CT, PET/MR and 2D/3D breast workflows Connects with HIS, RIS, EHR, VNA, voice recognition and AI applications	Free open-source edition for self-hosted DICOM storage and management REST API, DICOM networking and official DICOMweb plugin support Plugin architecture extends databases, storage and automation with Lua
Cons	Pricing requires contacting sales rather than choosing a published plan Cloud-based worklists and remote reading may exceed simpler PACS needs Documentation is the listed support channel	Self-hosted deployment requires your team to operate the infrastructure Mobile viewing is not supported Support is centered on documentation and community channels
Our verdict	Intelerad IntelePACS is an enterprise picture archiving and communication system for hospitals, radiology practices, imaging centers and distributed healthcare organizations. It centralizes medical image storage, retrieval and sharing,… Read the review →	Orthanc is an open-source, self-hosted DICOM server for storing, querying, transferring and accessing medical images. It suits healthcare organizations, imaging researchers and developers that need a PACS or DICOM gateway on their own… Read the review →

Strengths and trade-offs

• Intelerad IntelePACS — where it wins

  • Combines InteleViewer diagnostics with Enterprise Viewer access across systems
  • Supports PET/CT, SPECT/CT, PET/MR and 2D/3D breast workflows
  • Connects with HIS, RIS, EHR, VNA, voice recognition and AI applications

  Where it doesn't

  • Pricing requires contacting sales rather than choosing a published plan
  • Cloud-based worklists and remote reading may exceed simpler PACS needs
  • Documentation is the listed support channel

• Orthanc — where it wins

  • Free open-source edition for self-hosted DICOM storage and management
  • REST API, DICOM networking and official DICOMweb plugin support
  • Plugin architecture extends databases, storage and automation with Lua

  Where it doesn't

  • Self-hosted deployment requires your team to operate the infrastructure
  • Mobile viewing is not supported
  • Support is centered on documentation and community channels

• Intelerad IntelePACS9.0/10 · Pricing on request

  A broad enterprise PACS combining diagnostic viewing, specialized workflows and remote reading.

  Visit InteleradFull verdict →
• Orthanc6.7/10 · Free plan

  A free, extensible self-hosted PACS for teams that can manage infrastructure.

  Visit OrthancFull verdict →