How PACS Companies Can Monetize Radiology Dictation

The radiology workflow has a hidden revenue leak: AI-powered speech-to-text.

For years, PACS companies have sent their customers to third-party dictation vendors – PowerScribe, Rad AI, RadPair – while watching those vendors capture recurring revenue from the same customer base. Meanwhile, customers suffer through months of complex integrations, requiring IT resources, custom development, and ongoing maintenance.

Avara enables PACS companies to monetize radiology dictation with AutoScribe: the most advanced AI-powered dictation platform on the market, designed for integration in under an hour.

Leading PACS companies are already making the shift toward offering native dictation solutions. In May 2025, Intelerad announced its partnership with RADPAIR, embedding reporting directly into its Prodicy PACS. The message was clear: native dictation isn't just a feature – it's a competitive advantage and a new revenue stream.

But here's the problem: traditional dictation vendors make integration painful. PowerScribe requires months of custom development. Rad AI has waitlists stretching months (reportedly years for some partners). These legacy systems weren't built for modern PACS architectures.

The Business Case: Why PACS Companies Should Own Dictation

1. Capture New Revenue from Existing Customers

Your customers are already paying for dictation; just not to you. By embedding native dictation, you can charge volume-based pricing per study (wholesale model with markup), create a new recurring revenue stream without acquiring new customers, and increase customer lifetime value significantly.

2. Differentiate from Competitors

When two PACS platforms have comparable core features, seamless dictation becomes the tiebreaker. Customers choose the platform where radiologists can click "Dictate" and start working immediately, avoid managing separate vendor relationships, and experience unified authentication and workflow.

3. Increase Customer Retention

Native dictation creates switching costs. Once radiologists build custom templates, macros, and workflows within your PACS, moving to a competitor means starting over. Your platform becomes stickier.

4. Deliver Better Radiologist Experience

Radiologists spend 85-90% of their day making reports. The quality of your dictation experience directly impacts their daily satisfaction with your platform. Give them modern AI-powered tools – Avara's Omnibox for intent-based dictation, Ask Mode for AI queries injected directly into reports – and you become the platform they recommend to colleagues.

Why Integration Has Been Hard (Until Now)

Traditional dictation vendors were built in an era of on-premise servers and proprietary protocols. Integrating them requires:

PowerScribe:

• Months of custom development
• Complex HL7 interfaces and DICOM worklist integration
• Dedicated server infrastructure
• Limited configurability – one-size-fits-all workflows

Rad AI / RadPair:

• Similar timeline (months to years for some partners)
• Extensive API customization
• Complex data models requiring deep technical integration

The result? PACS companies either avoid offering dictation entirely, or they send customers to these vendors and lose the revenue opportunity.

AutoScribe Integrates with PACS in Seconds

While PowerScribe and legacy platforms require months of custom development, AutoScribe launches with a few lines of code.

AutoScribe was designed from day one to be embedded by PACS companies. We're not a legacy dictation system adapted for modern workflows – we're a modern, SDK-first platform built for this exact use case.

Integration in Under an Hour

Here's how it actually works:

• Language-Agnostic SDK: Our SDK supports TypeScript, Python, Java, and more. Your development team uses the tools they already know.
• Temporary Access URLs via Tokens: Generate secure, time-limited access URLs through our SDK. When a radiologist clicks "Dictate" in your PACS, your backend calls our API, receives a temporary URL, and opens AutoScribe seamlessly.
• Minimal Data Requirements: We only require the Study UID. Everything else is completely configurable based on what you want to pass.
• Flexible Data Flow: Inbound via webhook, outbound as plain text, structured JSON, or PDF – your choice.
• Authentication Built for Platforms: SSO and temporary access views supported, plus Avara Express for multi-customer complexity.

Avara Express: Multi-Tenant Made Simple

Avara Express is our platform account model – similar to Stripe Express – that handles multi-customer complexity for you:

• Host multiple customers with one platform account
• Automatic study restrictions based on organization membership – your Customer A's radiologists never see Customer B's studies
• Add new customers in seconds via API or dashboard
• We handle all permissions and access control

You focus on selling PACS. We handle user management, study security, and multi-tenant access control.

What You're Actually Getting

Unlike legacy vendors, AutoScribe delivers modern AI-powered features that make radiologists 2x faster:

• Omnibox: Intent-based dictation that automatically routes content to the correct report sections. Radiologists speak naturally – no rigid command structures.
• Ask Mode: Query AI on the fly for differential diagnoses, reference ranges, or clinical context. Responses inject directly into the report with intelligent placement.
• Auto-Generation: Impressions, follow-up recommendations, and comparison text generated automatically from findings.
• Contextualize Findings: AutoScribe contextualizes findings to empower both patients and referring providers with clear, understandable language.
• Custom Templates & Macros: Radiologists build workflows tailored to their practice – and those workflows stay within your PACS.
• 96.6% Accuracy: Industry-leading speech recognition with the lowest error rate on the market.
• 100% Customer Satisfaction: 5 out of 5 stars from radiologists using AutoScribe.

The Competitive Advantage

Let's be direct about what you're competing against:

Your customers compare PACS platforms on workflow efficiency. If your competitor offers native dictation that's ready in under an hour (Avara's AutoScribe) and you require a 3-month integration project, you lose the deal.

Pricing Model Built for PACS Partners

We use volume-based wholesale pricing that scales with your business. You pay per study, with tiered pricing based on volume. You control what you charge your customers, and markup as you see fit.

White-Label Available: Brand AutoScribe as your own native dictation solution, similar to how Stripe lets platforms offer payments under their brand.

Contact our sales team for specific volume tiers and partnership pricing.

Get Started

For PACS Executives: Start generating new revenue today. Schedule a call to discuss partnership pricing, integration timeline, and how to launch AutoScribe's AI-powered dictation to your customers.

For Technical Teams: Review our API documentation and see how simple the integration actually is. We'll provide sandbox access and hands-on support to get you live in under an hour.

• Contact Sales – Get partnership pricing and custom demo
• View API Documentation – See how simple integration really is

The radiology dictation market is shifting from bolted-on legacy systems to native, AI-powered workflows. PACS companies that move first will capture the revenue – and the customers – that competitors are leaving on the table.

Don't send your customers to PowerScribe. Give them something better with Avara's AutoScribe, and keep the revenue in-house.