Softwr

Healthcare · head to head

Epic Systems vs Fujifilm Synapse

Epic Systems logo

Epic Systems

Healthcare

Leading electronic health records system for healthcare organizations

From
On request
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

  • Each has a real cost: Epic Systems no free version or trial; enterprise pricing only with custom negotiation required; 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: Epic Systems covers Electronic Health Records, Fujifilm Synapse covers Synapse PACS.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Epic Systems and Fujifilm Synapse actually diverge.

Attributes where Epic Systems and Fujifilm Synapse differ
AttributeEpic SystemsFujifilm Synapse
PlatformsWeb, Desktop, MobileWeb, Windows, iOS, Android
Founded1979Unknown

Identical on both: starting price (On request), pricing model (quote), 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 Epic Systems

  • Electronic Health Records
  • Revenue Cycle Management
  • Patient Portal
  • Clinical Decision Support
  • Population Health
  • Lab Systems
  • Imaging Systems
  • Pharmacy Systems

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.

Epic Systems

  • Patient Carenot Fujifilm Synapse
  • Medical Recordsnot Fujifilm Synapse
  • Practice Managementnot Fujifilm Synapse
  • Telehealthnot Fujifilm Synapse

Fujifilm Synapse

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

Where each one falls short

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

Epic Systems

  • No free version or trial; enterprise pricing only with custom negotiation required
  • Lengthy implementation timeline: 12-24 months for single hospitals, 3-5 years for multi-system rollouts
  • Customization and workflow adaptation requires extensive consulting services
  • Very high licensing costs ranging from 100,000 to 30 million USD depending on organization size

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

Epic Systems

On request

No published plan breakdown. See the Epic Systems review.

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 Epic Systems if

  • You need electronic health records.
  • You work on Web, Desktop, Mobile.
  • You also want revenue cycle management.
Epic Systems 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 Epic Systems or Fujifilm Synapse better?
Neither clearly leads. Epic Systems starts at On request and Fujifilm Synapse at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Epic Systems or Fujifilm Synapse?
Epic Systems starts at On request and Fujifilm Synapse at On request.
Does Epic Systems or Fujifilm Synapse run on more platforms?
Epic Systems runs on Web, Desktop, Mobile. Fujifilm Synapse runs on Web, Windows, iOS, Android.
What is Epic Systems best used for?
Epic Systems is most often used for patient care, medical records, practice management, telehealth. Of those, patient care and medical records are not what Fujifilm Synapse is typically brought in for.
What can Epic Systems do that Fujifilm Synapse cannot?
Epic Systems covers Electronic Health Records, Revenue Cycle Management, Patient Portal, Clinical Decision Support. Fujifilm Synapse covers Synapse PACS, Synapse VNA, Synapse Cardiovascular, Synapse 3D.

Answered from the vendors’ own pages

Epic Systems: What is Epic's market position?

Epic holds 36 percent of the U.S. EHR market and manages over 280 million patient records across 1,200+ healthcare organizations. Among hospitals with over 300 beds, Epic has 52 percent market share, and 71 percent market share in major academic medical centers as of 2026.

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.

Epic Systems: Is there a free trial or demo available?

Epic does not offer a free version or trial. The software is enterprise-only with custom pricing negotiated directly with organizations. Typical implementation timelines for single hospitals range from 12 to 24 months, and multi-hospital systems can take 3 to 5 years for phased rollouts.

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.

Epic Systems: How does Epic integrate with third-party systems?

Epic provides multiple integration pathways: FHIR R4 APIs, HL7 v2 messaging, CCDA document exchange, and proprietary APIs through Epic Showroom (formerly App Orchard). Over 1,000 certified apps are available in the marketplace, enabling real-time data synchronization and interoperability.

Source
Fujifilm Synapse: Does Synapse publish pricing?

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

Epic Systems: What is included in Epic's unified platform?

Epic provides a truly unified system spanning inpatient, outpatient, emergency department, surgical, pharmacy, laboratory, radiology, billing, and population health on a single database. It includes appointment scheduling, medical billing, clinical decision support, patient portal (MyChart), telehealth capabilities, and analytics.

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.

Share

Related pages

More on Epic Systems

More on Fujifilm Synapse

Keep looking

Other head to heads