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Managed DICOM / PACS Server

Managed Orthanc

Lightweight DICOM server — your PACS without the enterprise price tag

License: GPL-3.0 GitHub: 1.5K stars Infra: 1–2 GB RAM, 2 vCPU, 50 GB+ storage

What is Orthanc?

Orthanc is an open-source, lightweight DICOM server for healthcare and medical research. It provides a RESTful API for DICOM storage, retrieval, and routing — making it the backbone of modern medical imaging workflows.

Use cases

  • Private imaging centers replacing expensive commercial PACS
  • Research institutions managing large study archives
  • Telemedicine platforms with DICOM image sharing
  • Clinics migrating from legacy PACS systems

Features

  • Full DICOM server with C-STORE, C-FIND, C-MOVE
  • REST API for programmatic access to studies
  • Plugin system (OHIF Viewer, PostgreSQL, S3, DICOMweb)
  • DICOM routing and forwarding rules
  • Web-based management console
  • PostgreSQL backend for scalable metadata storage

Simple, transparent pricing

Same software, fraction of the cost.

Starter

Up to 10K studies

From $80 /mo
  • Orthanc Server + PostgreSQL
  • Up to 10,000 stored studies
  • REST API access
  • Web management console
  • Daily backups (30-day retention)
  • Email support
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Most popular

Business

Up to 100K studies

From $100 /mo
  • Everything in Starter
  • Up to 100,000 studies
  • OHIF Viewer plugin included
  • DICOMweb (WADO-RS, STOW-RS)
  • S3-compatible object storage
  • Priority support
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Enterprise

Unlimited studies

From $150 /mo
  • Everything in Business
  • Unlimited study storage
  • Multi-site routing configuration
  • Custom plugins on request
  • SLA-backed uptime guarantee
  • Dedicated account manager
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Every plan includes

Managed hosting

Dedicated bare-metal servers

Automated backups

Daily backups with 30-day retention

SSL included

Automatic HTTPS with Let's Encrypt

Monitoring

24/7 uptime monitoring and alerting

Compliance-ready hosting

Every managed deployment runs on EU infrastructure. Medical-specific Data Processing Agreement available on request. All services covered under a single DPA.

View compliance documentation →

Ready to get started with Orthanc?

Your instance is provisioned in days. No credit card required for a consultation.

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