How Much Does a Cloud PACS Really Cost in Latin America? (2026)

"How much does a PACS cost?" is probably the first question any director of an imaging center, clinic, or laboratory asks when evaluating how to digitize their radiology operation. And it's also the hardest question to answer, because most vendors don't publish their prices.

In this article we break down the real costs of implementing a PACS in the cloud in Latin America in 2026, compare against the on-premise model, and show you exactly what you can expect to pay.

On-premise PACS vs cloud PACS: total cost of ownership

Before talking about monthly prices, it's important to understand both alternatives and their total cost of ownership (TCO):

On-premise PACS (local server)

Cloud PACS (SaaS)

The difference is clear: an on-premise PACS can cost $45,000–$190,000 USD in the first year. A cloud PACS can cost less than $1,000 USD in the first year with the right vendor.

What do cloud PACS providers in LATAM actually charge?

This is where things get interesting. We gathered data from the main cloud PACS providers operating in Latin America:

Important note: The prices for PACSonWEB, Eden PACS, and RIACS are estimates based on market references, as none of these providers publish pricing publicly. Actual costs may vary depending on negotiation, volume, and contract terms.

Why do most vendors not publish prices?

It's a common practice in medical software: vendors prefer to keep pricing private so they can adjust it based on client size, negotiation, and urgency. This gives them commercial flexibility, but it also creates:

• Lack of transparency — You have no way of knowing if you're being charged more than other customers.
• A slower buying process — You must request a quote, wait, and negotiate.
• Difficulty comparing options — Without public prices, comparing vendors becomes an exercise in estimation.

But the monthly price isn't everything: hidden costs

When evaluating a cloud PACS, the monthly price is only part of the total cost. These are the costs many vendors won't mention until you're already deep in the buying process:

1. Activation / implementation fee

2. Minimum contract length

3. Features billed separately

This is critical. The monthly price you're quoted may not include everything you actually need:

When you add up the modules others charge separately, the "cheap" $200/mo PACS can end up costing $400–$600/mo. Davix at $53/mo already includes everything.

What if I only need PACS? Isn't something more basic enough?

This is a fair question. If your center only needs to store and view DICOM images, why pay for a platform with 14 modules?

The answer is simple: with Davix you don't pay for the 14 modules. You pay only for PACS/RIS, and that costs $53 USD/mo. The other modules (LIS, HIS, Gestión Comercial, WhatsApp, Firma Electrónica) are separate products with their own prices. You only activate them when you need them.

The advantage of Davix over solutions that only do PACS is that:

1. It's cheaper ($53/mo vs $150–500/mo from competitors).
2. It already includes more (RIS, clinical viewer, patient portal, mobile viewer).
3. If your center grows, you don't have to switch vendors. Need a lab module? Activate LIS (from $31/mo). Need billing? Activate Gestión Comercial (from $15/mo). Everything already integrated, no migration required.

Davix is a comprehensive and modular solution: buy only what you need today, but when you need more, it's already there.

Frequently asked questions

What is the cheapest cloud PACS in Latin America?

Among providers actively operating in LATAM, Davix PACS/RIS Essential is the most affordable with public pricing: $53 USD/mo (~S/.169/mo). It includes PACS, basic RIS, clinical viewer, patient portal, and mobile viewer. Other providers (PACSonWEB, Eden, RIACS) don't publish prices, but their estimated ranges are between $150 and $500 USD/mo.

How much does it cost to migrate from on-premise PACS to the cloud?

A typical migration includes transferring existing DICOM studies, configuring equipment, and training staff. With Davix, the activation cost (which includes migration) ranges from S/.900 to S/.1,440 (~$280 to $450 USD) depending on the plan. Other vendors charge between $2,000 and $5,000 USD for implementation.

What happens to my data if I cancel the service?

With Davix, client data is retained for an additional 90 days after cancellation to allow for migration. It's always important to ask any vendor about this before signing a contract.

Does the price include unlimited storage?

Davix's monthly plan includes cloud storage. Additionally, each processed study has a variable cost based on modality: from S/.0.56 per X-ray up to S/.3.85 per PET/CT (Enterprise plan). These per-study costs are significantly lower than the cost of maintaining a local server.

Conclusion

The real cost of a cloud PACS in Latin America varies enormously depending on the vendor:

• The market range is $150 to $500 USD/mo for most providers.
• Davix breaks that range by offering PACS/RIS from $53 USD/mo with more features included.
• Hidden costs (activation fees, long contracts, add-on modules) can double the advertised price of competitors.
• Transparency matters — Davix is the only cloud PACS provider in LATAM with 100% public pricing.

If you want to see exactly what each module, plan, and per-study rate costs, visit davix.ai/precios/. Everything is published, no surprises.