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Healthcare · head to head

Cliniko vs Fujifilm Synapse

Cliniko logo

Cliniko

Healthcare

Clinic management software for health practitioners

From
Free
Rated
-
Full reviewWebsite
Fujifilm Synapse logo

Fujifilm Synapse

Healthcare

Enterprise imaging platform covering PACS, VNA, cardiology and 3D from Fujifilm Healthcare

From
On request
Rated
-
Full reviewWebsite

The short version

  • Only Cliniko has a free tier, so it costs nothing to try first.
  • Each has a real cost: Cliniko priced in practitioner bands rather than per seat, so a clinic adding a sixth practitioner jumps from $95 to $145 a month; Fujifilm Synapse pACS, VNA, Cardiovascular and 3D are separately licensed and separately versioned, so an enterprise deployment means four upgrade cycles and four support relationships under one brand rather than one platform upgrade.
  • They diverge on capability: Cliniko covers Appointment Scheduling, Fujifilm Synapse covers Synapse PACS.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Cliniko and Fujifilm Synapse actually diverge.

Attributes where Cliniko and Fujifilm Synapse differ
AttributeClinikoFujifilm Synapse
Starting priceFreeOn request
Pricing modelsubscriptionquote
Free tierYesNo
PlatformsWeb, MobileWeb, Windows, iOS, Android
Founded2012Unknown

Identical on both: 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 Cliniko

  • Appointment Scheduling
  • Online Booking
  • Client Management
  • Invoicing
  • Patient Portal
  • Telehealth
  • Payment processors
  • Online forms

Only in Fujifilm Synapse

  • Synapse PACS
  • Synapse VNA
  • Synapse Cardiovascular
  • Synapse 3D
  • Synapse Mobility
  • Deconstructed PACS support
  • Cloud services

What people use each for

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

Cliniko

  • Practice management for allied health clinicsnot Fujifilm Synapse
  • Appointment scheduling and online bookingsnot Fujifilm Synapse
  • Clinical notes and patient recordsnot Fujifilm Synapse
  • Telehealth consultationsnot Fujifilm Synapse
  • Invoicing and payment tracking for a multi-practitioner clinicnot Fujifilm Synapse

Fujifilm Synapse

  • A hospital replacing PACS that wants the archive decoupled from its scanner vendor so future modality purchases stay competitivenot Cliniko
  • A health system consolidating radiology, cardiology, ophthalmology and wound images into one vendor neutral archive with a single retention policynot Cliniko
  • An outpatient imaging chain that needs one worklist across multiple sites and radiologists reading remotelynot Cliniko
  • A site pursuing a deconstructed PACS strategy that wants to replace the viewer later without touching the archivenot Cliniko

Where each one falls short

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

Cliniko

  • Priced in practitioner bands rather than per seat, so a clinic adding a sixth practitioner jumps from $95 to $145 a month
  • The top published band stops at 200 practitioners
  • SMS is charged separately at 10 cents a message
  • Telehealth requires entering card details before it unlocks, even during the trial
  • There is no free tier, only a 30 day trial

Fujifilm Synapse

  • PACS, VNA, Cardiovascular and 3D are separately licensed and separately versioned, so an enterprise deployment means four upgrade cycles and four support relationships under one brand rather than one platform upgrade.
  • Synapse 3D is licensed by concurrent user and sized from average concurrency, which leaves radiologists queued for advanced visualisation at the morning reading peak and forces an unplanned licence purchase.
  • As an independent informatics vendor Fujifilm has less privileged access to proprietary modality data than Philips or Siemens have on their own scanners, so some vendor specific post processing is not available.
  • The vendor neutral archive absorbs non DICOM object types only after per specialty configuration work, and departments such as ophthalmology and dermatology usually need bespoke ingestion projects that were not in the original scope.
  • Migrating a decade of priors from a legacy archive is a large professional services line that Fujifilm quotes separately, and these migrations regularly run past the contracted go live date.

Pricing, plan by plan

Cliniko

Free
  • 1 Practitioner$45/month
  • 2-5 Practitioners$95/month
  • 6-8 Practitioners$145/month
  • 9-12 Practitioners$195/month

Fujifilm Synapse

On request
  • Synapse$undefined/year
    • Each module licensed separately: PACS, VNA, Cardiovascular, 3D
    • Priced by annual study volume and concurrent diagnostic users
    • Synapse 3D licensed by concurrent user, separate from PACS

Which should you pick?

Choose Cliniko if

  • You need appointment scheduling.
  • You want to start without paying.
  • You work on Web, Mobile.
  • You also want online booking.
Cliniko review

Choose Fujifilm Synapse if

  • You need synapse pacs.
  • You work on Web, Windows, iOS, Android.
  • You also want synapse vna.
Fujifilm Synapse review

Questions people ask

Is Cliniko or Fujifilm Synapse better?
Neither clearly leads. Cliniko starts at Free and Fujifilm Synapse at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Cliniko or Fujifilm Synapse?
Cliniko has a free tier; the other does not. Paid plans start at Free for Cliniko and On request for Fujifilm Synapse.
Does Cliniko or Fujifilm Synapse run on more platforms?
Cliniko runs on Web, Mobile. Fujifilm Synapse runs on Web, Windows, iOS, Android.
Can I use Cliniko for free?
Yes. Cliniko has a free tier, so you can try it without paying. Fujifilm Synapse starts at On request.
What is Cliniko best used for?
Cliniko is most often used for practice management for allied health clinics, appointment scheduling and online bookings, clinical notes and patient records, telehealth consultations. Of those, practice management for allied health clinics and appointment scheduling and online bookings are not what Fujifilm Synapse is typically brought in for.
What can Cliniko do that Fujifilm Synapse cannot?
Cliniko covers Appointment Scheduling, Online Booking, Client Management, Invoicing. Fujifilm Synapse covers Synapse PACS, Synapse VNA, Synapse Cardiovascular, Synapse 3D.

Answered from the vendors’ own pages

Cliniko: How much does Cliniko cost for a practice?

Cliniko uses per-practitioner pricing: 1 practitioner $45/month, 2-5 practitioners $95/month, 6-8 practitioners $145/month, 9-12 practitioners $195/month, 13-25 practitioners $295/month, 26-200 practitioners $395/month.

Source
Fujifilm Synapse: Is Synapse one product or several?

Several. Synapse PACS, Synapse VNA, Synapse Cardiovascular and Synapse 3D are separately licensed products under one brand. Price and scope each one individually.

Cliniko: Does Cliniko offer a free trial?

Cliniko is free to try for the first 30 days with no credit card required initially. A credit card is required to unlock features like Telehealth after the trial begins.

Source
Fujifilm Synapse: Do I have to buy Fujifilm scanners?

No. Fujifilm sells Synapse independently of imaging hardware, which is a large part of why it wins competitive PACS replacements at mixed fleet sites.

Cliniko: What is included in all Cliniko plans?

Every Cliniko subscription includes complete feature access, unlimited admin and reception users, unlimited locations, unlimited file storage, unlimited patients, 24/7 monitoring, automatic backups, regular updates, and 24/7 customer support.

Source
Fujifilm Synapse: Does Synapse publish pricing?

No. Pricing is quoted by study volume, concurrent users, module mix and storage capacity.

Cliniko: Does Cliniko charge extra for SMS and what discounts apply?

SMS messaging costs 10 cents per message (pre-paid credits required). Annual billing includes one month free every year. Charities and educational institutions qualify for free access. Cliniko commits to no feature-specific fees beyond SMS and offers no annual commitment discounts.

Source
Fujifilm Synapse: Can Synapse VNA store non radiology images?

Yes, including visible light, ophthalmology and wound photography, but each specialty typically needs its own ingestion and metadata configuration project.

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