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Managed DICOM / PACS Server

Managed Orthanc Hosting

Lightweight DICOM server for 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, forming 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 →

Frequently asked questions

Which DICOM services and study limits does each plan include?

Starter covers C-STORE, C-FIND, C-MOVE, and REST API access for up to 10,000 studies. Business adds the OHIF Viewer plugin, DICOMweb (WADO-RS/STOW-RS), and S3 object storage up to 100,000 studies. Enterprise is unlimited with multi-site routing and custom plugins.

Can we configure DICOM routing rules to forward studies automatically?

Yes. Orthanc's Lua-based routing engine lets us set up rules that forward studies to other PACS nodes, modality destinations, or external DICOMweb endpoints. We configure and test routing rules as part of the deployment.

Does managed Orthanc support DICOMweb for web-based PACS viewers?

Yes, on Business and Enterprise plans. We enable the DICOMweb plugin (WADO-RS, STOW-RS, QIDO-RS) so OHIF Viewer or any DICOMweb-compliant client can connect directly.

Can I migrate an existing DICOM archive to PACSNova?

Yes. We migrate your archive using C-MOVE or STOW-RS from your current PACS or Orthanc instance. Tell us your approximate study count before sign-up so we can plan storage and downtime.

Ready to get started with Orthanc?

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

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