Pricing

Our Philosophy

We are firm believers in pay for what you use. Your costs should scale as your business grows — you should not be priced out of great software at the beginning, and you should not have your margins cannibalized in early stages when every dollar matters. We are here to grow with you and to help enable that growth in any way we can.

We also offer a free trial to get started. Software that locks you into contracts before you have tried it often does so because the vendor is not confident they can retain you on product quality and support alone. We prefer you experience the platform first.

There are no long-term commitments, no contracts, no minimum spend, and no degradation of service based on your size. We listen to all customer feedback; when we agree a requested feature would benefit the platform, we build it. You can cancel and offboard anytime.

If you find software that serves you better and helps you deliver better care, please use it. We exist to optimize healthcare professionals’ ability to deliver care — whether through Avara or another platform. We will never punish you for leaving. We are that confident in our products.

Users

The Clinical Platform uses a per-provider subscription:

$99/month per provider

All other users are free — nurses, technologists, care coordinators, RCM staff, admins, front desk, and everyone else on your team who is not billed as a provider.

Optional provider add-ons

You only pay add-ons for providers who need those capabilities.

Add-on

Price

Why

Insurance billing (RCM)

+$2/month per provider

Covers the American Medical Association licensing fee to use CPT codes when your practice uses insurance billing workflows. See Insurance Billing (module launching Q3 2026).

E-prescribe (eRx)

+$75/month per prescribing provider

Covers Surescripts network access and EPCS for each active provider with Can Prescribe at that organization.

Prescribing agents

+$50/month per agent

Non-provider staff authorized to send non-controlled prescriptions on a provider's behalf at that organization. Referral agents remain free.

See Insurance Billing and E-Prescribe for how those add-ons are enabled.

PACS

$4.50 per study

Any imaging study Avara processes, ingests, and stores is billed at this rate. High-volume discounts are available — contact us to discuss pricing at scale.

Why we charge per study up front

HIPAA guidance requires retained imaging to be kept for seven years. Stored DICOM carries significant ongoing storage cost. We charge up front for the lifetime of the study so your costs do not balloon asymmetrically over time — you know the archive cost when the study lands, not as a surprise years later.

On-prem routing hardware is priced separately; see On-Prem Servers ($300 one-time per appliance, hardware only, no setup fees). PACS covers modality machines, worklists, and integration.

Dictation

$0.99 per report

Each dictated report includes speech-to-text and all AI-enabled features on the platform — impressions, structured reporting assistance, and the full dictation workflow you use to produce completed documentation.

For visit-based ambient documentation, AutoChart is billed separately at $0.25 per session.

Standalone AutoScribe customers follow the same dictation pricing model; see the AutoScribe overview for PACS bundling options.

Viewer

The Avara Viewer is included free, forever, for all users on the Clinical Platform.

Routine diagnostic reading, patient-facing study access in the patient portal, and staff workflows use the built-in viewer at no additional viewer license fee.

Specialty modules

Specialty modules are optional add-ons to the built-in viewer. You enable them per reader under Operations. You only pay for modules you turn on.

Module

Price

What it adds

QT Viewer

$99/month

FGV, TBV, and FGR density values plus the QT hanging protocol.

ROI and windowing units still render without a module enabled. See Specialty Modules for details.

Workstations

Most organizations do not need workstations. The built-in viewer covers routine reading for the majority of sites. See Workstations — When to Use Workstations.

For subspecialty workflows that require a third-party viewer (TeraRecon, 3mensio, OsiriX, and similar), pricing has two parts:

Gateway sizing (monthly, one per clinic)

Gateway sizing is the EC2 instance type for your clinic’s workstation node — not a per-seat fee. Pick the tier based on how many workstation users you expect.

Instance type

Monthly price

Recommended workstations

c6gn.medium

$35/month

1–3

c6gn.large

$70/month

4–8

c6gn.xlarge

$140/month

9–15

c6gn.2xlarge

$280/month

16–24

c6gn.4xlarge

$560/month

25–40

Per-study read fee

$0.20 per study read — each C-MOVE that streams DICOM through the workstation gateway to a specialty viewer. Does not apply to reading in Avara’s built-in viewer.

Full setup details: Workstations.

Patient Payments

Collecting patient payments (booking, balances, HSA/FSA) uses Stripe Connect at 3.15% + $0.30 per transaction. See Stripe Connect for refunds and payout details.

Other Usage-Based Fees

Item

Price

Details

AutoChart

$0.25/session

AI visit recording and chart note generation.

On-prem PACS appliance

$300 one-time

Hardware only (no setup fees).

See AutoChart and On-Prem Servers for the full workflows behind those line items.

Connect & Study Sharing

Clinical Platform customers receive unlimited Connect study sharing at no additional platform fee when sending and receiving through approved contacts. Connect-only pricing is documented on Connect Overview.

When You’re Charged

Platform fees (subscriptions, usage-based charges, one-time items such as on-prem appliance hardware, and related line items) are invoiced on the morning of the 3rd of each month for the previous calendar month. Usage in January is billed the morning of February 3rd, and so on.

Questions

For volume discounts (PACS, enterprise deployments), trial access, or a walkthrough of how fees apply to your workflow, contact support@avarasoftware.com.