# On-Prem Medical Record AI — Air-Gap Ready — Medrecords AI

> The full Medrecords stack inside your own infrastructure — local or your-cloud models, an air-gap option, and full API integration. ~4-week deployment.

Canonical page: https://medrecords.ai/plans/enterprise-on-prem/

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New — **Missing Records Detection:** flags every visit, provider, and date missing from the file. [See how →](https://medrecords.ai/product/missing-records-identification/)
[Home](https://medrecords.ai/) ›[Plans](https://medrecords.ai/plans/) › — Enterprise · On-Prem
Plan 03 · Enterprise — on-prem / private cloud

## Runs where IT requires it. Yours, end to end.

The full Medrecords stack deployed inside your infrastructure or private cloud: local or your-cloud models, an air-gap option, and nothing that ever leaves your network. Deployed in about 4 weeks.

[Scope an on-prem deployment](https://medrecords.ai/demo/)
 [Request the security package ](https://medrecords.ai/security/)
Plan · Enterprise on-prem
 annual license
MEDRECORDS AI

 deploys once, inside →
YOUR NETWORK · YOUR HARDWARE · AIR-GAP OPTION
RECORDS ARCHIVE
On your servers
LOCAL MODELS
No external calls
CITED OUTPUT
Your workspace
● runs with the network cable unplugged
 HMAC-signed audit trail
Nothing leaves your network — no telemetry, no callbacks, nothing
LICENSE
$45k/yr flat
DEPLOYMENT
$5k once
LIVE
~4 weeks
Nothing leaves your network — nothing.
What you get

### Built for the strictest room in the building.

For regulated programs, self-insured funds, and sovereignty requirements, when the answer to "can it run in someone else's cloud?" is simply no.

Pricing
**$45,000 a year + $5,000 one-time deployment fee.** Uncapped pages, no per-page metering. Scoped to your environment, seats, and air-gap needs on the call.
The complete platform on your infrastructure (same capabilities, same outputs)
Local model inference — or models in your private cloud, your choice
Air-gap option — fully offline operation for sovereign environments
Full API + claims-system integration inside your perimeter
HMAC-signed, append-only audit trail — auditable by your team or a third party
Fixed annual license + one-time deployment fee — scoped with your infra and security teams
The deployment

### About 4 weeks, scoped together.

WEEK 1
Scope & provision
Architecture review with your infra team; environment provisioned to your security baseline.

WEEK 2
Install & integrate
Stack deployed, models loaded, claims-system API wired, SSO against your IdP.

WEEK 3
Validate
Your files, your reviewers, your audit trail, validated against the same outputs as our cloud.

WEEK 4 →
Go live
Desks live inside your perimeter, quarterly security reviews on the calendar.

ROI · run your own numbers

### What would on-prem unlock?

$45,000 a year + $5,000 one-time deployment, uncapped pages on your own infrastructure. Built for institutional volume: the more you process, the lower your effective cost per page.

Assumptions
**Uncapped pages** on your servers — no per-page fee, no metering, ever.
Runs on **your existing infrastructure** — no cloud bill, local models included.
Review time drops **~90%** : your team reads the cited output, not the raw file.
Deployment fee is one-time — year-2 savings run **$5,000 higher** than shown.
The $45k license is the **floor** — final price scoped to your environment, seats, and air-gap needs.
ROI calculator · On-Prem — $45k/yr + $5k deployment
Pages / month40,000
What review costs you today / page30¢
In-house review · minutes / page3 min
Loaded hourly rate$75/hr
FASTER
Review hours freed / yr — 21,600h
Per-page read — 3 min → seconds
CHEAPER
Effective cost / page — 30¢ → 10¢
Review spend / yr — $144,000 → $50,000
Year-1 plan cost — $45k license + $5k deployment
NET YEAR-1 SAVINGS
 +$1,714,000
fees saved + $1,620,000 of staff time returned
Year-1 numbers, deployment included. Below ~37,500 pages a month, [AI Enablement](https://medrecords.ai/plans/ai-enablement/) or [Self-Service](https://medrecords.ai/plans/self-service/) is usually the cheaper start.

### The other 2 plans, at a glance.

[Compare all 3 + plan-fit quiz ](https://medrecords.ai/plans/)
[
Self-Service →
From 10¢ to as low as 5¢ a page, duplicates free, in our HIPAA cloud, **start today** .

](https://medrecords.ai/plans/self-service/)
 [
AI Enablement →
Inference in your own tenancy, your keys. **Live in a week** .

](https://medrecords.ai/plans/ai-enablement/)
✓ THIS PLAN
Enterprise · On-Prem
The full stack on your infrastructure, air-gap option: **~4 weeks** .

### If it can't leave the building, bring the building.

Scope the deployment with your infra and security teams. About 4 weeks to a live, contained system.

[Scope an on-prem deployment](https://medrecords.ai/demo/)
 [Request the security package ](https://medrecords.ai/security/)