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Veterinary · head to head

IDEXX Neo vs Visage Imaging

IDEXX Neo logo

IDEXX Neo

Veterinary

Cloud practice management from IDEXX, designed around IDEXX analysers and reference laboratories

From
On request
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: IDEXX Neo the value depends on running IDEXX diagnostics, so a practice that later changes analyser or reference laboratory supplier loses the main reason it chose the software and faces two migrations instead of one.; 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: IDEXX Neo covers IDEXX analyser integration, 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 IDEXX Neo and Visage Imaging actually diverge.

Attributes where IDEXX Neo and Visage Imaging differ
AttributeIDEXX NeoVisage Imaging
PlatformsWeb, iOS, AndroidWindows, macOS, Web, iOS, Cloud
CategoryVeterinaryHealthcare

Identical on both: starting price (On request), pricing model (quote), free tier (No), user rating (Not yet rated).

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 IDEXX Neo

  • IDEXX analyser integration
  • Reference laboratory integration
  • Cloud hosting
  • Templated medical records
  • Scheduling and reminders
  • Invoicing and inventory

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.

IDEXX Neo

  • A one to three doctor small animal clinic that already runs IDEXX in-house analysersnot Visage Imaging
  • A practice moving off a server-based system that wants hosting and backup to stop being its problemnot Visage Imaging
  • A new clinic opening with IDEXX diagnostics that wants the laboratory workflow set up on day onenot Visage Imaging
  • A practice whose staff turnover is high and which needs software simple enough to train someone on in a daynot Visage Imaging

Visage Imaging

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

Where each one falls short

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

IDEXX Neo

  • The value depends on running IDEXX diagnostics, so a practice that later changes analyser or reference laboratory supplier loses the main reason it chose the software and faces two migrations instead of one.
  • Software pricing is often folded into a diagnostics purchase agreement, which makes it hard to see what the practice management system actually costs and harder still to compare it against a neutral vendor.
  • It is designed for small single-site practices, so multi-location groups quickly hit limits in reporting, consolidated inventory and cross-site records and are steered towards Cornerstone instead.
  • Reporting and inventory management are basic by design, so a practice that wants detailed production analysis by veterinary surgeon or tight stock control will need to export and work outside the system.
  • The third-party integration surface is narrower than open cloud systems, so specialist tools for communication, imaging or wellness plans may not connect without manual work.

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

IDEXX Neo

On request
  • IDEXX Neo$undefined/year
    • Quoted per practice, frequently as part of a diagnostics agreement
    • Cloud hosting, backup and updates included
    • Data conversion charged separately

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 IDEXX Neo if

  • You need idexx analyser integration.
  • You work on Web, iOS, Android.
  • You also want reference laboratory integration.
IDEXX Neo 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 IDEXX Neo or Visage Imaging better?
Neither clearly leads. IDEXX Neo starts at On request and Visage Imaging at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, IDEXX Neo or Visage Imaging?
IDEXX Neo starts at On request and Visage Imaging at On request.
Does IDEXX Neo or Visage Imaging run on more platforms?
IDEXX Neo runs on Web, iOS, Android. Visage Imaging runs on Windows, macOS, Web, iOS, Cloud.
What is IDEXX Neo best used for?
IDEXX Neo is most often used for a one to three doctor small animal clinic that already runs idexx in-house analysers, a practice moving off a server-based system that wants hosting and backup to stop being its problem, a new clinic opening with idexx diagnostics that wants the laboratory workflow set up on day one, a practice whose staff turnover is high and which needs software simple enough to train someone on in a day. Of those, a one to three doctor small animal clinic that already runs idexx in-house analysers and a practice moving off a server-based system that wants hosting and backup to stop being its problem are not what Visage Imaging is typically brought in for.
What can IDEXX Neo do that Visage Imaging cannot?
IDEXX Neo covers IDEXX analyser integration, Reference laboratory integration, Cloud hosting, Templated medical records. Visage Imaging covers Server-side rendering, One Viewer, Native multi-dimensional tools, Digital breast tomosynthesis reading.

Answered from the vendors’ own pages

IDEXX Neo: Do I have to use IDEXX diagnostics?

No, but almost all the advantage of choosing Neo over a neutral cloud system comes from the IDEXX analyser and reference laboratory integration.

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.

IDEXX Neo: How is Neo different from Cornerstone?

Cornerstone is the older on-premise product for larger and multi-site hospitals, with much deeper inventory and reporting. Neo is cloud, simpler and aimed at small practices.

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.

IDEXX Neo: Is pricing published?

No. It is quoted per practice and is frequently negotiated alongside diagnostics commitments, so ask for the software price as a standalone figure.

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.

IDEXX Neo: Can I export my records if I leave?

Data extracts are available on request, but plan the extract and test it before you commit, because migration off a diagnostics-linked system is usually a bigger project than expected.

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.

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