PacsOne
PacsOne: A free, self-hosted PACS option, but its Basic Edition is no longer maintained.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.
At a glance
- Editor score8.2 / 10
- PricingFree plan · pricing on request · 45-day trial
- Best forBudget-conscious sites needing free PACS administration
- Free planYes
- DeploymentOn-premises
- Facts checked24 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- The free Basic Edition is no longer maintained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 Basic Edition is free and may be modified or distributed under the vendor’s stated conditions, but it is no longer maintained.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
All 2 PacsOne plans and prices →
PacsOne fact sheet
| Free plan | Yes |
|---|---|
| Paid from | Not verified |
| Deployment | On-premises |
| Diagnostic viewer | Not verified |
| Supported modalities | CT, MRI, CR, ultrasound, nuclear medicine |
| DICOM support | Yes |
| Web viewer | Yes |
| Mobile viewing | Not verified |
| Free trial | 45 days |
| Deployment | Self-hosted |
| Platforms | Windows, Linux, macOS, Web |
| Compliance & security | HIPAA |
| Support | Email, Phone, Docs, Community |
| Built for | Small business, Mid-market, Enterprise (editorial estimate) |
| Integrations | 7 integrations: HL7, MySQL, MariaDB, Apache HTTP Server, PHP, AWS DICOMweb … |
| Pricing | Free plan · pricing on request · 45-day trial (source) |
| Website | pacsone.net |
| Facts checked | 24 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
- Intelerad IntelePACSA broad enterprise PACS combining diagnostic viewing, specialized workflows and remote reading.9.3
- Fujifilm Synapse PACSA broad diagnostic viewer for health systems bringing multiple imaging specialties together.9.2
- Sectra PACSCompliant PACS with 2D/3D/MPR review, web access, and RIS/EMR integration.9.1
See all PacsOne alternatives →
Also Ranked In
PacsOne is ranked in 2 of our directories.
Used PacsOne? Be the first to review it
The editor score above is our own research. What this page doesn't have yet is a reader's view — what you used PacsOne for, what worked and what didn't. No stars are seeded and no review is paid for; an editor reads every one before it appears.
Write a reviewTwo minutes · verified accounts only · read by an editor before it appears
Featured on iTechGuides
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.
Last updated · How we research and update
