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PacsOne

Freemium#11 of 16 in PACS SoftwareMedical Imaging Software

PacsOne: A free, self-hosted PACS option, but its Basic Edition is no longer maintained. Ranked #11 of 16 in PACS Software by our editors (8.2/10); pricing: Free plan · pricing on request · 45-day trial; best for budget-conscious sites needing free PACS administration.

8.2/10Editor score
PacsOne8.2 Visit PacsOne

At a glance

  • Editor score
    8.2 / 10
  • Pricing
    Free plan · pricing on request · 45-day trial
  • Best for
    Budget-conscious sites needing free PACS administration
  • Free plan
    Yes
  • Deployment
    On-premises
  • Facts checked
    24 Sep 2026
  • Where it wins

    • Stores, queries, retrieves and routes DICOM 3.0 images
    • Browser access, worklists, synchronization and image printing
    • Integrates with HL7, MySQL, MariaDB and cloud DICOMweb
  • Where it doesn't

    • The free Basic Edition is no longer maintained
    • Premium license pricing is provided on request
    • Diagnostic-viewer capability is not specified

Our verdict on PacsOne

PacsOne Server is a self-hosted DICOM 3.0 PACS that combines image storage, query and retrieval with browser-based administration and image access. It is intended for sites managing imaging across modalities including CT, MRI, CR, ultrasound and nuclear medicine. The software runs on Windows and Linux, with Mac OS X support also documented by the vendor. Its free Basic Edition may appeal to budget-conscious sites, while Premium is the commercial edition for organizations that need its additional administrative functions.

The editions make maintenance status an important buying consideration. Basic Edition is free and may be modified or distributed under the vendor’s stated conditions, but it is no longer maintained. Premium Edition has a commercial license and a 45-day evaluation license; according to the vendor’s pricing information, full license pricing is supplied on request. Premium adds an HL7 message interface, access control, automated routing, synchronization, monitoring and other administration capabilities. Buyers comparing editions should weigh the free license against the maintenance tradeoff rather than treating it as an equivalent ongoing alternative to Premium.

PacsOne’s scope centers on PACS administration and image handling: it supports DICOM Modality Worklist querying, DICOM media import and export, browser uploads, scheduled remote-study synchronization, and color and grayscale printing. Integration options include HL7, MySQL, MariaDB, Apache HTTP Server, PHP, AWS DICOMweb and Azure DICOMweb. User privileges, a system journal and monitoring support administration, and the listed support channels include email, phone, documentation and community. A browser-based image access feature is available, but diagnostic-viewer capability is not specified. Sites needing a maintained commercial PACS with administrative and integration features may consider Premium; organizations requiring a defined diagnostic viewing workflow should assess viewer needs before choosing PacsOne.

Your product? Our editors can test PacsOne in depth and publish a review, labelled as paid · from $149/mo →

PacsOne pricing

Plans Free plan · pricing on request · 45-day trialFreemium A usable free plan; paid tiers unlock the limits above. Prices checked 24 Sep 2026.
See plans on pacsone.net

All 2 PacsOne plans and prices →

PacsOne fact sheet

Free planYes
Paid fromNot verified
DeploymentOn-premises
Diagnostic viewerNot verified
Supported modalitiesCT, MRI, CR, ultrasound, nuclear medicine
DICOM supportYes
Web viewerYes
Mobile viewingNot verified
Free trial45 days
DeploymentSelf-hosted
PlatformsWindows, Linux, macOS, Web
Compliance & securityHIPAA
SupportEmail, Phone, Docs, Community
Built forSmall business, Mid-market, Enterprise (editorial estimate)
Integrations7 integrations: HL7, MySQL, MariaDB, Apache HTTP Server, PHP, AWS DICOMweb …
PricingFree plan · pricing on request · 45-day trial (source)
Websitepacsone.net
Facts checked24 Sep 2026

PacsOne integrations

PacsOne lists 7 integrations on its own site.

  • HL7
  • MySQL
  • MariaDB
  • Apache HTTP Server
  • PHP
  • AWS DICOMweb
  • Azure DICOMweb

Alternatives to PacsOne

See all PacsOne alternatives →

Also Ranked In

PacsOne is ranked in 2 of our directories.

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Featured on iTechGuides

Featured on iTechGuides — PacsOne 8.2/10

PacsOne is listed in our PACS Software directory. Add the badge to your site — it links back to this page.

<a href="https://www.itechguides.com/products/pacsone/"><img src="https://www.itechguides.com/best/badge/pacsone.svg" alt="Featured on iTechGuides" width="230" height="46"></a>

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Advertiser disclosure: iTechGuides is reader-supported. Vendors can pay for top positions in our rankings and for a place on other products' pages, and we may earn a commission when you click some links. Bought places stand at the number bought; this page and our disclosure say so. Paying vendors may get a fuller, more detailed review from our editors, and that review can change their score. How we rank.

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