specification: FinOps Framework
specificationVersion: '1.0'
schema: https://www.finops.org/framework/
provider: Ambra Health
providerId: ambra-health
created: '2026-07-05'
modified: '2026-07-05'
reconciled: false
tags:
- Medical Imaging
- DICOM
- Healthcare
- PACS
- Image Exchange
- FinOps
- Cost Management
- FOCUS
description: >-
  FinOps view of Ambra Health (InteleShare) spend. Ambra is an enterprise,
  contract-priced healthcare imaging platform sold by Intelerad, not a usage-metered
  public API with per-call billing. Cost is a negotiated annual platform
  subscription driven by the modules licensed (cloud VNA / PACS, image exchange,
  patient/provider portal, viewer, research), stored image / study volume, number
  of sites and users, and support / SLA tier. The v3 Services Public API is an
  included capability of that agreement rather than a separately invoiced line item,
  so API-level cost optimization is about efficient integration (bundling calls,
  scoping study routing and retention) rather than trimming per-request spend.
notes: >-
  No public per-unit rates exist to reconcile; the dominant cost drivers are
  storage volume and licensed modules under the enterprise agreement. Confirm
  billing structure, storage tiers, and any overage terms directly with Ambra
  Health / Intelerad.
sources:
- https://ambrahealth.com/platform/developer-tools/apis/
- https://www.intelerad.com/en/interoperability/
- https://www.intelerad.com/en/press-releases/ambra-acquisiton/
- https://focus.finops.org/focus-specification/v1-3/
alignedWith:
  framework: FinOps Foundation Framework
  frameworkUrl: https://www.finops.org/framework/
  dataSpec: FOCUS
  dataSpecVersion: '1.3'
  dataSpecUrl: https://focus.finops.org/focus-specification/v1-3/
publisherName: Ambra Health (Intelerad)
serviceCategory: Healthcare Medical Imaging Platform
billingModel:
  pricingCategory: Subscription / Contract
  billingFrequency: Annual
  billingCurrency: USD
  chargeCategories:
  - Purchase
  - Usage
  - Adjustment
focusColumns:
  ServiceName: Ambra Health / InteleShare
  ServiceCategory: Healthcare Medical Imaging Platform
  ProviderName: Ambra Health
  PublisherName: Intelerad Medical Systems
  InvoiceIssuerName: Intelerad Medical Systems
  BillingCurrency: USD
  ChargeCategory: Purchase
  PricingCategory: Subscription
meters:
- name: platform_subscription
  description: Annual subscription for the licensed Ambra Health / InteleShare modules.
  unit: contract
  aggregation: sum
  dimensions:
  - account
  - modules
- name: storage_volume
  description: Stored DICOM image / study data volume in the Ambra cloud (primary cost driver).
  unit: bytes
  aggregation: sum
  dimensions:
  - account
  - namespace
- name: study_volume
  description: Studies / exams stored, exchanged, or routed through the platform.
  unit: studies
  aggregation: sum
  dimensions:
  - account
  - namespace
- name: seats
  description: Licensed users / sites under the agreement.
  unit: users
  aggregation: max
  dimensions:
  - account
principles:
- name: Visibility
  description: Track stored study and image volume per namespace/account, since storage is the dominant driver of Ambra platform cost.
- name: Allocation
  description: Map namespaces (accounts and groups) to facilities, departments, or cost centers so imaging spend is attributable.
- name: Optimization
  description: Apply retention and routing policies to avoid storing unneeded studies; use the /bundle endpoint to integrate efficiently; right-size licensed modules and seats.
- name: Accountability
  description: Review the annual agreement against actual storage and study volume; renegotiate module scope and storage tiers as imaging needs change.
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com