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Healthcare · head to head

MDLive vs Sectra

MDLive logo

MDLive

Healthcare

On-demand telehealth and virtual doctor visits

From
Free
Rated
-
Full reviewWebsite
Sectra logo

Sectra

Healthcare

Enterprise imaging and PACS from a Swedish vendor that also sells the pathology and cardiology modules on one platform

From
On request
Rated
-
Full reviewWebsite

The short version

  • Only MDLive has a free tier, so it costs nothing to try first.
  • Each has a real cost: MDLive wide price ranges ($0-89, $0-179, $0-299) indicate insurance-dependent costs with minimal baseline transparency; Sectra sectra does not make scanners, so it cannot cross-subsidise software against modality hardware the way an integrated manufacturer can, and it often loses on headline price in a bundled tender.
  • They diverge on capability: MDLive covers Video Consultations, Sectra covers Sectra IDS7.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which MDLive and Sectra actually diverge.

Attributes where MDLive and Sectra differ
AttributeMDLiveSectra
Starting priceFreeOn request
Pricing modelusage-basedquote
Free tierYesNo
PlatformsWeb, MobileWindows, Web, Cloud, On-premise
Founded2002Unknown

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 MDLive

  • Video Consultations
  • Mental Health Services
  • Psychiatry
  • Prescription Services
  • Urgent Care
  • Insurance
  • EHR Systems
  • HIPAA

Only in Sectra

  • Sectra IDS7
  • Digital pathology module
  • Sectra VNA
  • Sectra UniView
  • Image Exchange Portal
  • Sectra Amplifier
  • Breast imaging workflow
  • Sectra One Cloud

What people use each for

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

MDLive

  • Telemedicine urgent care visitsnot Sectra
  • Mental health counseling and psychiatrynot Sectra
  • Dermatology consultationsnot Sectra
  • Primary care wellness screeningsnot Sectra

Sectra

  • A hospital group digitising histopathology that does not want a second image archive and a second integration project alongside radiologynot MDLive
  • A regional health service replacing several departmental PACS with one archive and one clinician viewernot MDLive
  • An imaging provider moving off a capital refresh cycle to a cloud subscription with predictable annual costnot MDLive
  • A trust that needs to send and receive studies with neighbouring organisations routinely, where the Image Exchange Portal is already the regional normnot MDLive

Where each one falls short

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

MDLive

  • Wide price ranges ($0-89, $0-179, $0-299) indicate insurance-dependent costs with minimal baseline transparency
  • Cancellation fees up to $50 for mental health appointments apply within 24 hours
  • Pricing varies substantially based on insurance coverage with no guaranteed maximum out-of-pocket

Sectra

  • Sectra does not make scanners, so it cannot cross-subsidise software against modality hardware the way an integrated manufacturer can, and it often loses on headline price in a bundled tender.
  • Diagnostic AI is not built in house; Amplifier orchestrates third party algorithms, so the algorithms themselves need separate licences, separate clinical validation and separate information governance sign off.
  • Sectra One Cloud is priced against a committed annual study volume, and organisations whose imaging activity grows faster than forecast meet overage charges partway through the term.
  • The pathology module assumes you have already solved slide scanning and laboratory workflow, which is the larger and more expensive part of digitising histopathology and is not in Sectra scope.
  • Depth of Epic and Oracle Health integration varies by region and by which modules you buy, so a reference site in Sweden is a weak predictor of what integration will cost a United States buyer.

Pricing, plan by plan

MDLive

Free
  • Urgent Care$null/visit
    • $0-89 per visit with insurance
    • Immediate care access
  • Primary CareFree
    • $0 wellness screenings for eligible insurance plans
    • Upfront pricing shown before appointment
  • Mental Health Talk Therapy$null/visit
    • $0-179 initial appointments
    • $140 follow-up sessions before insurance
  • Mental Health Psychiatry$null/visit
    • $0-299 initial appointments
    • $159 follow-up sessions before insurance

Sectra

On request
  • Sectra Enterprise Imaging$undefined/year
    • Perpetual licence plus annual maintenance, or Sectra One Cloud subscription
    • Priced on committed annual study volume and modules selected
    • Pathology, cardiology and ophthalmology licensed as separate modules

Which should you pick?

Choose MDLive if

  • You need video consultations.
  • You want to start without paying.
  • You work on Web, Mobile.
  • You also want mental health services.
MDLive review

Choose Sectra if

  • You need sectra ids7.
  • You work on Windows, Web, Cloud, On-premise.
  • You also want digital pathology module.
Sectra review

Questions people ask

Is MDLive or Sectra better?
Neither clearly leads. MDLive starts at Free and Sectra at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, MDLive or Sectra?
MDLive has a free tier; the other does not. Paid plans start at Free for MDLive and On request for Sectra.
Does MDLive or Sectra run on more platforms?
MDLive runs on Web, Mobile. Sectra runs on Windows, Web, Cloud, On-premise.
Can I use MDLive for free?
Yes. MDLive has a free tier, so you can try it without paying. Sectra starts at On request.
What is MDLive best used for?
MDLive is most often used for telemedicine urgent care visits, mental health counseling and psychiatry, dermatology consultations, primary care wellness screenings. Of those, telemedicine urgent care visits and mental health counseling and psychiatry are not what Sectra is typically brought in for.
What can MDLive do that Sectra cannot?
MDLive covers Video Consultations, Mental Health Services, Psychiatry, Prescription Services. Sectra covers Sectra IDS7, Digital pathology module, Sectra VNA, Sectra UniView.

Answered from the vendors’ own pages

MDLive: What is the cost of an urgent care visit through MD Live?

Urgent care visits cost $0-89 per visit depending on insurance coverage. Pricing is shown upfront before confirming appointment. Most major credit and debit cards accepted for uninsured patients.

Source
Sectra: Does Sectra include diagnostic AI?

No. Sectra Amplifier is a marketplace and orchestration layer for third party algorithms, each licensed and validated separately.

MDLive: What cancellation fees apply if I need to reschedule?

Wellness visits incur $25 cancellation fee if cancelled within 24 hours. Routine care $25 if cancelled within 2 hours. Mental health $50 if cancelled within 24 hours. Medicaid and Medicare members exempt from fees.

Source
Sectra: Is pathology really on the same platform as radiology?

Yes, the pathology module uses the same archive and workflow engine, which is the main reason buyers digitising histopathology shortlist Sectra.

MDLive: Are follow-up mental health sessions cheaper than initial appointments?

Talk therapy follow-ups are $140 before insurance (versus $0-179 for initial). Psychiatry follow-ups are $159 before insurance (versus $0-299 for initial). Insurance copays may apply on top of these base rates.

Source
Sectra: How is Sectra One Cloud priced?

On committed annual study volume plus the modules selected, as a subscription rather than a capital purchase. The vendor does not publish rates.

Sectra: Is Sectra CE marked and FDA cleared?

The diagnostic viewing software carries CE marking under the medical device regulation and FDA 510(k) clearance for diagnostic interpretation, but the exact cleared indications differ per module and per market, so confirm for pathology specifically.

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