The verdict in three sentences
Custom radiology software that unifies RIS, scheduling and billing costs between 50,000 and 120,000 EUR. The most technical item is PACS/RIS integration over DICOM and opening up to teleradiology. Well designed, it cuts report production time by 25 %.
RIS, PACS, DICOM: who does what
The RIS handles the administrative flow (scheduling, worklist, billing), the PACS stores and displays images, and DICOM is the exchange format between modalities and workstations. A good project does not necessarily replace the PACS: it orchestrates it with the RIS to remove duplicate data entry.
| Component | Range EUR | Timeline |
|---|---|---|
| RIS (worklist, scheduling) | 18,000-35,000 | 6-9 wks |
| DICOM/PACS integration | 12,000-28,000 | 5-10 wks |
| Structured reporting | 10,000-22,000 | 4-7 wks |
| Billing + coding | 10,000-20,000 | 4-6 wks |
| Teleradiology | 12,000-30,000 | 6-10 wks |
| Secure hosting (annual) | 5,000-15,000 | ongoing |
What teleradiology changes in 2026
Teleradiology allows an exam to be read remotely, useful for on-call shifts and multi-site setups. It requires secure DICOM image transmission, an assignment workflow and full read traceability.
| Function | Without teleradiology | With teleradiology |
|---|---|---|
| Night/weekend reads | On site | Remote |
| Report turnaround | 24-48 h | 2-6 h |
| Multi-site coverage | Difficult | Native |
| Extra cost | - | 12,000-30,000 EUR |
| Read traceability | Partial | Full |
Mini case study
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Dr Lemaitre, associate radiologist at a Nantes practice with 3 sites, produces 90 reports per day. Each report takes 12 minutes on average. Software with structured reporting and pre-fill saves 3 minutes per exam, or 25 %. Across 90 exams: 270 minutes saved per day, about 4.5 hours. Valued at 180 EUR per radiologist hour, that is 810 EUR per day, over 170,000 EUR per year of freed capacity. The 95,000 EUR project pays back in under a year.
FAQ
How much does radiology software cost in 2026? Between 50,000 and 120,000 EUR depending on modules, plus 5,000 to 15,000 EUR/yr for secure hosting.
Must I replace the existing PACS? Not necessarily: the goal is to integrate the PACS via DICOM with the RIS to remove duplicate entry, which costs 12,000 to 28,000 EUR.
What gain on reports? Structured reporting with pre-fill saves about 25 % of time, or 3 minutes on a 12-minute exam.
Is teleradiology included? No, it is an add-on module of 12,000 to 30,000 EUR that cuts report turnaround from 24-48 h to 2-6 h.
What deployment timeline? Expect 4 to 7 months between scoping, DICOM integration and technologist training.
Let's scope your project. Tell us your number of sites, current PACS and teleradiology needs, and we'll cost the RIS/PACS integration. Detailed quote within 48 h. WhatsApp +221 77 596 93 33.
Mohamed Bah
Fondateur, Kolonell
Passionate about digital and entrepreneurship in Africa, Mohamed has been helping Sénégalese businesses with their digital transformation since 2020. Founder of Kolonell, he believes every SME deserves a professional and accessible online présence.
