Pricing
Clinical Platform pricing philosophy — pay for what you use, free trial, no contracts, and transparent fees for users, PACS, dictation, viewer, and workstations.
Our Philosophy
Section titled “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.
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
Section titled “Optional provider add-ons”| 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 costs associated with the SureScripts network and EPCS (electronic prescribing of controlled substances) when eRx is enabled for that provider. See Inviting Users — Can Prescribe. |
You only pay add-ons for providers who need those capabilities.
$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
Section titled “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). Rooms & PACS covers setup and integration.
Dictation
Section titled “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
Section titled “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.
Workstations
Section titled “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)
Section titled “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.
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Section titled “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
Section titled “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
Section titled “Other Usage-Based Fees”| Item | Price | Details |
|---|---|---|
| AutoChart | $0.25/session | AI visit recording and chart note generation — AutoChart |
| On-prem PACS appliance | $300 one-time | Hardware only (no setup fees) — On-Prem Servers |
Connect & Study Sharing
Section titled “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
Section titled “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
Section titled “Questions”For volume discounts (PACS, enterprise deployments), trial access, or a walkthrough of how fees apply to your workflow, contact support@avarasoftware.com.