OsiriX MD
OsiriX MD: A feature-rich macOS imaging workstation, priced from $69.99 per month. Ranked #18 of 26 in Medical Imaging Software by our editors (7.6/10); pricing: Paid; best for mac users needing advanced DICOM viewing and PACS tools.
At a glance
- Editor score7.6 / 10
- PricingPaid
- Best forMac users needing advanced DICOM viewing and PACS tools
- Free planNo
- Paid from$69.99/mo
- DeploymentOn-premise
- Founded2010 · Bernex, Geneva area, Switzerland
- Facts checked24 Sep 2026
Where it wins
- Combines 2D, 3D and 4D imaging, including fusion and cardiac support
- DICOM networking, worklists and PACS server mode in one workstation
- Includes reporting, anonymization, export and plugin architecture
Where it doesn't
- Available only for macOS
- Monthly subscription starts at $69.99
- No AI features
Our verdict on OsiriX MD
OsiriX MD is a macOS medical-imaging workstation for radiologists, clinicians and institutions that need DICOM study review alongside PACS connectivity. It covers 2D viewing with measurements and annotations, plus 3D reconstruction, 4D cardiac and perfusion support, and fusion for PET-CT, PET-MR and SPECT-CT. Its feature breadth makes it relevant to teams handling varied imaging workflows; Mac availability is essential, so organizations standardized on other desktop platforms should look elsewhere.
Imaging workflow depth is a defining strength. DICOM network query, send and retrieve functions and worklists connect the viewer to PACS workflows, while PACS server mode supports DICOM and web access. A SQLite database stores and indexes studies. Reporting, anonymization and image export round out the workflow, and a plugin architecture with HIS/RIS integration APIs offers extension points. This is a broad workstation rather than a narrow viewer, but the listed capabilities do not include AI tools.
According to the vendor's pricing information, the Monthly Subscription costs $69.99 per month and includes the complete edition, a DICOM viewer and PACS connectivity. A Yearly Subscription is also available with the complete edition, but its price is not stated here. The product is paid, with no free plan. That makes the monthly tier a clear entry point, though buyers comparing ongoing costs should weigh it against their need for the full imaging and PACS feature set. OsiriX MD suits Mac-based practices seeking extensive imaging tools in one product; it is a poor fit for teams requiring cross-platform access or AI-assisted imaging.
Your product? Our editors can test OsiriX MD in depth and publish a review, labelled as paid · from $149/mo →
OsiriX MD pricing
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OsiriX MD fact sheet
| Free plan | No |
|---|---|
| Paid from | $69.99/mo |
| Deployment | On-premise |
| DICOM viewer | Yes |
| PACS storage | Yes |
| Modalities supported | CT, MRI, US, XA, RX, PET-CT, SPECT-CT |
| AI tools | No |
| DICOM worklist | Yes |
| Deployment | Desktop, Self-hosted |
| Platforms | macOS |
| Support | Email, Docs |
| Built for | Solo, Small business, Mid-market, Enterprise (editorial estimate) |
| Integrations | 4 integrations: PACS, DICOM, RIS, HIS |
| Pricing | Paid (source) |
| Website | osirix-viewer.com |
| Facts checked | 24 Sep 2026 |
OsiriX MD integrations
OsiriX MD lists 4 integrations on its own site.
- PACS
- DICOM
- RIS
- HIS
Alternatives to OsiriX MD
- Siemens syngo CarbonA broad enterprise imaging suite for organizations consolidating viewing, archiving, workflow and reporting.9.3
- Intelerad IntelePACSEnterprise PACS combining diagnostic viewing, DICOM services, portals, and remote reading.9.2
- GE HealthCare Centricity Universal ViewerBroad image viewing and specialty workflows for teams across clinical settings.9.1
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Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
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