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Healthcare · head to head

Athenahealth vs Visage Imaging

Athenahealth logo

Athenahealth

Healthcare

Cloud-based medical practice management

From
$140/month
Rated
-
Full reviewWebsite
Visage Imaging logo

Visage Imaging

Healthcare

Server-side streaming PACS built for radiologists reading very large studies over thin connections

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Athenahealth high implementation costs ranging up to $50,000+ for enterprise deployments; Visage Imaging pricing is per exam against a minimum annual volume, so an organisation whose imaging activity is flat pays a floor while a growing one sees the software line rise every year rather than amortise.
  • They diverge on capability: Athenahealth covers Electronic Health Records, Visage Imaging covers Server-side rendering.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Athenahealth and Visage Imaging actually diverge.

Attributes where Athenahealth and Visage Imaging differ
AttributeAthenahealthVisage Imaging
Starting price$140/monthOn request
Pricing modelUnknownquote
PlatformsWeb, iOS, AndroidWindows, macOS, Web, iOS, Cloud
Founded1997Unknown

Identical on both: free tier (No), user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Athenahealth

  • Electronic Health Records
  • Medical Billing
  • Patient Engagement
  • Telehealth
  • Analytics
  • Labs
  • Pharmacies
  • Clearinghouses

Only in Visage Imaging

  • Server-side rendering
  • One Viewer
  • Native multi-dimensional tools
  • Digital breast tomosynthesis reading
  • Open archive
  • Cloud PACS operations
  • AI accelerator
  • On the fly patient jacket

What people use each for

The jobs each tool is most often brought in to do.

Athenahealth

  • Patient Carenot Visage Imaging
  • Medical Recordsnot Visage Imaging
  • Practice Managementnot Visage Imaging
  • Telehealthnot Visage Imaging

Visage Imaging

  • An academic health system whose radiologists read from home and cannot tolerate a thousand slice CT taking minutes to opennot Athenahealth
  • A breast imaging service moving to tomosynthesis where study sizes have made the existing PACS unusable at volumenot Athenahealth
  • A teleradiology group covering many client sites that needs one viewer rather than a client-specific workstation per contractnot Athenahealth
  • A health system mid migration that needs priors from three legacy archives assembled into one patient jacket before the data move finishesnot Athenahealth

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Athenahealth

  • High implementation costs ranging up to $50,000+ for enterprise deployments
  • Pricing tiers not transparently listed, requiring custom quotes

Visage Imaging

  • Pricing is per exam against a minimum annual volume, so an organisation whose imaging activity is flat pays a floor while a growing one sees the software line rise every year rather than amortise.
  • Module breadth outside radiology is narrower than at Sectra or the large modality vendors, so a group planning to digitise pathology on the same platform will not find it here.
  • Server-side rendering shifts the cost to central infrastructure, so the saving on radiologist workstations is partly offset by what you spend on servers or cloud compute.
  • Pro Medicus concentrates on very large contracts, and smaller imaging groups report long sales cycles and little appetite from the vendor for deals below a certain volume.
  • Diagnostic AI is third party, surfaced through the accelerator framework rather than developed in house, so algorithm licensing, validation and monitoring remain the buyer problem.

Pricing, plan by plan

Athenahealth

$140/month

No published plan breakdown. See the Athenahealth review.

Visage Imaging

On request
  • Visage 7 enterprise contract$undefined/year
    • Transaction pricing per exam with a minimum annual volume commitment
    • Seven to ten year terms typical for health system contracts
    • Contract totals for major deals are disclosed by Pro Medicus to the ASX

Which should you pick?

Choose Athenahealth if

  • You need electronic health records.
  • You work on Web, iOS, Android.
  • You also want medical billing.
Athenahealth review

Choose Visage Imaging if

  • You need server-side rendering.
  • You work on Windows, macOS, Web, iOS, Cloud.
  • You also want one viewer.
Visage Imaging review

Questions people ask

Is Athenahealth or Visage Imaging better?
Neither clearly leads. Athenahealth starts at $140/month and Visage Imaging at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Athenahealth or Visage Imaging?
Athenahealth starts at $140/month and Visage Imaging at On request.
Does Athenahealth or Visage Imaging run on more platforms?
Athenahealth runs on Web, iOS, Android. Visage Imaging runs on Windows, macOS, Web, iOS, Cloud.
What is Athenahealth best used for?
Athenahealth is most often used for patient care, medical records, practice management, telehealth. Of those, patient care and medical records are not what Visage Imaging is typically brought in for.
What can Athenahealth do that Visage Imaging cannot?
Athenahealth covers Electronic Health Records, Medical Billing, Patient Engagement, Telehealth. Visage Imaging covers Server-side rendering, One Viewer, Native multi-dimensional tools, Digital breast tomosynthesis reading.

Answered from the vendors’ own pages

Athenahealth: What platforms does Athenahealth serve?

Athenahealth's athenaOne serves small to medium-sized physician practices and hospitals with integrated clinical, financial, and operational workflows.

Source
Visage Imaging: Who owns Visage Imaging?

Pro Medicus Limited, listed on the Australian Securities Exchange. That listing means major contract values and terms are publicly announced.

Athenahealth: What is the pricing model for athenaOne?

Athenahealth uses customized pricing with percent-based or encounter-based models. Starting price reported at $140/month with implementation costs ranging from $5,000-$20,000 for small businesses.

Source
Visage Imaging: How is Visage priced?

Per exam, against a minimum annual volume, on multi-year terms. Because Pro Medicus discloses large contract totals and durations to the market, buyers can estimate a per exam rate before entering negotiation.

Athenahealth: Does Athenahealth include revenue cycle management?

Yes, athenaOne includes network-driven claims scrubbing with 95%+ first-pass rates, denial management, and A/R optimization.

Source
Visage Imaging: Is Visage 7 FDA cleared for diagnostic interpretation?

Yes, Visage 7 holds 510(k) clearance for diagnostic viewing including mammography and tomosynthesis on validated displays. Confirm the exact cleared modality list for your intended use.

Athenahealth: What patient engagement features does Athenahealth offer?

Athenahealth provides athenaCommunicator for patient portals, automated appointment reminders, online scheduling, telehealth integration, digital intake, and broadcast messaging.

Source
Visage Imaging: Does it work as a full cloud PACS?

Yes, Visage 7 runs complete PACS operations in the cloud rather than cloud viewing over an on-premise archive.

Athenahealth: How many pre-built integrations does Athenahealth have?

Athenahealth's marketplace includes over 250 pre-integrated third-party apps, allowing practices to extend functionality without custom development.

Source
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