The problem for imaging centers looking at enterprise PACS platforms is an old one. Sectra and Intelerad both don’t post a price list, and sales calls can drag on for weeks before a real number emerges. This guide collects what is actually knowable about sectra vs intelerad, from KLAS satisfaction data to how each vendor lays out its contracts.
Sectra and Intelerad are both enterprise PACS vendors but they are very different in satisfaction and pricing model. KLAS’s large PACS rankings for 2024 and 2025 placed Sectra PACS at 88.6 and 91.0 respectively, while Intelerad IntelePACS was ranked 60.5 and 58.7 for 2024 and 2025, respectively. Both vendors price enterprise contracts on a quote-only basis, so imaging centers must ask for volume-banded proposals to compare true cost.
This article breaks down pricing structure, KLAS performance, cloud VNA fit and where Agfa HealthCare fits as a third option worth checking against the both.
Sectra PACS Pricing: How Imaging Facilities Pay
Sectra does not publish list prices. No vendor in the enterprise on-prem segment publishes a price and Sectra, Intelerad, RamSoft, Konica Minolta Exa and Carestream Vue all sell on quote. Instead, contracts are based on study volume, number of sites and whether the center prefers on-premise archiving or Sectra’s cloud option. Sectra continues to expand its Sectra One Cloud offering and many customers are planning to migrate in the future, which is an indication of where the new pricing tiers are likely to go in the next few contract cycles. * It’s advisable for buyers to confirm directly with vendors if migration services are included in their quote, as this may significantly affect the total cost.
What drives the Sectra quote up or down
The final number will be affected by site count, annual study volume and bundling of digital pathology modules with the radiology PACS. KLAS categorizes centers performing fewer than 300,000 studies per year as “small PACS,” a segment where Sectra PACS achieved a score of 91.0 in 2024 and 93.0 in 2025, a tier that typically negotiates smaller multi-year commitments than large hospital systems.
Intelerad PACS Pricing for Mid-Size Practices
Intelerad also doesn’t publish its prices. Intelerad pricing is available on request – meaning users will have to contact an advisor. This is the same pattern for listings on Capterra, GetApp and Software Advice. The company uses a cloud-first pricing model for new deployments. Intelerad sells lower predictable costs by eliminating complex on-premise costs in favor of a fee-per-study model, and moving to the cloud, which provides a fee-per-study pricing model where the facility pays per medical image. That structure can work for smaller imaging centers with lower, steadier volumes because the per-study rate avoids big upfront capital costs for on-premise hardware.
Enterprise Level Contract Scale
Intelerad enterprise PACS can be large. In January 2025, Intelerad was awarded a £49.85 million contract over four years by the West of England Imaging Network, illustrating the scale of multi-site, multi-module contracts the vendor seeks in health system deals, aside from smaller independent imaging center contracts.
Sectra vs Intelerad Side-by-Side KLAS Satisfaction Ratings
KLAS Research is the most frequently cited independent source for PACS satisfaction, and the gap between these two vendors has been consistent across multiple report cycles.
| Vendor | 2024 KLAS Score (Large PACS) | 2025 KLAS Score (Large PACS) | Change |
|---|---|---|---|
| Sectra PACS | 88.6 | 91.0 | +2.4 |
| Agfa Enterprise Imaging | 75.6 | 87.2 | +11.6 |
| Intelerad IntelePACS | 60.5 | 58.7 | -1.8 |
Source: KLAS Research, 2025.
According to the “PACS 2025” report released April 28, 2025, Sectra’s picture archiving and communication system platform was named 2025 Best in KLAS. For the past 13 years (2013-2026), Sectra has been awarded “Best in KLAS,” a title that no other competing PACS vendor can claim. That satisfaction gap is worth factoring into the total cost of ownership, not just the sticker price, for a buyer weighing the long-term quality of support against a lower quote.
Cloud VNA and Integration Appropriate for Each Vendor
Both vendors have moved to cloud native for archiving, but they package it differently.
Sectra
Sectra is further expanding its Sectra One Cloud offering and all interviewees in the KLAS report plan to stay with the vendor. The advantage of a unified viewer approach is that radiology and pathology images are on the same platform and do not require separate VNA integration work.
Intelerad
Intelerad Cloud provides private cloud hosting for IntelePACS plus Clario, long-term archiving, disaster recovery, and enterprise VNA for image exchange and patient portals. This modular architecture can work for imaging centers that want to purchase VNA and long-term archive separately from the core PACS license, rather than a bundled package.
Where Agfa HealthCare Fits in as a Third Option
Buyers who searched for Sectra vs Intelerad also considered Agfa HealthCare. The biggest jump in a single year among large PACS vendors tracked by KLAS was made by Agfa Enterprise Imaging, from 75.6 in 2024 to 87.2 in 2025. While its pricing is also in the quote-only pattern like the other two, Agfa is closer to the satisfaction tier of Sectra. Where imaging centers don’t have a full commitment to the Sectra or Intelerad, asking for an Agfa quote as a stand-in for both can help surface pricing leverage, as vendors in this category know they are competing for the same shortlist.
FAQs
What is the difference between Intelerad PACS and Sectra?
One unified viewer across radiology and digital pathology is the basis for Sectra PACS, which has ranked number one in KLAS satisfaction rankings for 13 consecutive years in the US. Intelerad IntelePACS aims at multi-site workflow orchestration using InteleOrchestrator and image sharing with InteleShare and is frequently selected by big radiology networks managing distributed reading groups instead of for its satisfaction rates.
What is the cheapest PACS vendor for mid-size imaging centers?
Neither vendor has list prices; both sell enterprise PACS on quote-only deals tied to study volume, sites and modules. Industry pricing guides show contracts can be in the low six figures for small sites to tens of millions for multi-year terms, so mid-size imaging centers should ask for volume-banded quotes from both vendors instead of assuming one is cheaper.
How well does Sectra or Intelerad integrate with a cloud VNA?
Both vendors provide cloud-native archiving, but they do it differently. Sectra is growing its Sectra One Cloud offering with many of its current customers planning to migrate. Intelerad markets a separate suite of cloud services including VNA, long-term archive and disaster recovery that can be packaged independently of IntelePACS.
Does KLAS rate Sectra PACS higher than Intelerad?
Yes. Sectra was the Best in KLAS winner for PACS in 2025, scoring 91.0 on the large-PACS (300,000+ studies) report, while Intelerad IntelePACS scored 58.7 in the same category, more than 30 points behind. Sectra also dominated the small-PACS segment with a score of 93.0.
Does Agfa HealthCare compete on price with Sectra and Intelerad?
Agfa Enterprise Imaging is normally listed with Sectra and Intelerad as an enterprise PACS option and also sells on a quote only basis. Among large PACS vendors, Agfa had the largest year-over-year KLAS improvement, moving from 75.6 to 87.2, which places it closer to Sectra’s satisfaction tier than Intelerad’s.
How to Get the Right Quote for Your Imaging Center
The sectra vs intelerad decision often comes down to whether an imaging center values the consistent KLAS-leading satisfaction of Sectra and its unified pathology-radiology viewer or Intelerad’s modular cloud fee-per-study pricing and multi-site orchestration tools. You won’t see either number without a direct quote and both vendors build contracts around study volume and site count not a flat rate.
Before you sign with either vendor, get pull quotes from all three of the platforms covered here. Explore detailed vendor profiles of Sectra, Intelerad and Agfa HealthCare on the Software Finder radiology hub to match features to your study volume before your next sales call.
