LIS Comparison
Diagnose vs. Orchard Software
Orchard is a great system — if you have the budget for it. But you shouldn't need a six-figure setup fee and a multi-year contract to run a 20-person lab. And you definitely shouldn't be finding out about claim problems 60 days after the work is done.
| Feature | Orchard Software | Diagnose |
|---|---|---|
| Setup Cost | $20-300K+ | $2,500 (implementation) |
| Monthly Cost | $5-15K+ (depends on modules + users) | Starting $4,500/mo (all included) |
| User Pricing | $100-300/user/month | Unlimited users included |
| Contract Length | Multi-year commitment | Month-to-month |
| Deployment | On-premise / hybrid | True cloud — nothing to install |
| Client Portal | Paid add-on | Included |
| Claim Defense | Post-analytic billing | Pre-analytic verification |
| Eligibility Verification | Separate integration | Built-in (PVerify) |
| Configuration Changes | Vendor professional services | Self-service with support available |
| Implementation Timeline | 3-12 months | Weeks |
| IT Requirements | Servers, IT staff | Web browser |
Values shown are representative ranges from common evaluations and may vary by contract structure, modules, and deployment scope.
Where Diagnose Wins
Pre-Analytic Claim Defense
This is the biggest differentiator. Orchard treats billing as a downstream process — you do the work, submit the claim, and hope it gets paid. Diagnose runs three layers of verification on every insurance order before the lab touches the sample. Invalid ICD-10? Caught at order entry. Lapsed insurance? Caught at order entry. Frequency violation? Caught at order entry.
Total Cost of Ownership
When you add up setup fees, per-user costs, add-on modules, professional services for configuration changes, and IT infrastructure for on-premise deployment, total ownership cost can rise quickly. Diagnose uses a single monthly pricing model with core platform features included.
No Lock-In
Orchard requires a multi-year contract commitment. Diagnose is month-to-month. If it doesn't work for your lab, you can leave. We believe our software should earn your business every month — not hold you hostage with a contract.
When Orchard Might Be the Better Fit
We believe in being honest. Orchard may be a better fit if your lab is a large hospital reference lab with 50+ users, complex multi-site requirements, and a large IT team already managing on-premise infrastructure. If you have the budget and the staff to support it, Orchard is a well-established system.
But if you're a small to mid-size lab (1-30 users) looking for modern technology, transparent pricing, and built-in billing intelligence — Diagnose was built for you.
Ready to Compare?
Book a demo and see how Diagnose stacks up against what you're paying today.