Cath Lab Financing Structured Around Your Build

Construction-Aligned Draws

We fund the imaging system, hemodynamic monitoring, injector, and lead-lined buildout on a draw schedule that tracks your construction milestones, with payments starting when the lab goes live.

Seven-Figure Deals, 84-Month Terms

An outpatient Azurion or Allia lab from $500,000 to $1.5 million can amortize over 60 to 84 months, keeping the monthly serviceable on a handful of cases a week.

From 5.49% APR for Strong Sponsors

Experienced interventional cardiologists with strong personal credit see rates from 5.49% APR. We structure single-physician OBLs and group labs alike across 500+ lenders.

Section 179 and Bonus Depreciation

On a seven-figure lab your CPA will usually blend Section 179 up to the annual cap with bonus depreciation on the balance, turning a large first-year deduction against facility-fee income.

An outpatient cath lab is the largest single capital decision most interventional cardiologists make, and the reason it pencils out is the site-of-service differential. The same diagnostic catheterization, coronary intervention, or peripheral case pays a facility fee no matter where it is done, but a hospital outpatient department carries far more overhead than an office-based lab. Medicare has steadily shifted reimbursement to support OBLs and ambulatory surgery centers for exactly this reason. Peripheral work, atherectomy, stenting, and interventions for peripheral artery disease, reimburses particularly well in the office setting, which is why so many interventionalists are building their own labs rather than splitting fees with a hospital.

The imaging system anchors the build. The Philips Azurion 7, in a B20 or B12 configuration, brings FlexVision Pro, ClarityIQ low-dose imaging, and integrated FFR and iFR physiology. The GE Allia IGS 7 offers Auto Right positioning and live 3D guidance. Around the C-arm you are financing a hemodynamic monitoring system such as a GE Mac-Lab, a power injector from ACIST or Medrad, boom-mounted displays, and a lead-lined, code-compliant room. All in, a fixed angiography suite for an OBL lands between $500,000 and $1.5 million depending on new versus refurbished, single-plane versus the extras, and the scope of construction. This is not a device you drop into a spare room; it is a build, and it needs to be financed like one.

Recent cath lab and OBL files:

• $1,150,000 Philips Azurion 7 outpatient lab, Phoenix. A fourteen-year interventional cardiologist, 772 score. We structured construction-aligned draws during the build, then converted to an 84-month term at 5.74% APR with 10% down and a payment near $16,700. Payments started when the lab went live, not while it was framed.
• $680,000 GE Allia IGS 7 OBL, San Antonio. A three-physician group, strong combined history, 758 sponsor credit. Placed at 5.49% APR over 72 months with 15% down.
• $1,450,000 full Azurion suite plus buildout, Las Vegas cardiovascular center. Twenty years in practice, 781 score. Priced at 5.99% APR over 84 months with 10% down.
• $520,000 refurbished GE Allia diagnostic lab, Tucson solo interventionalist. Nine years, 741 score. Funded at 6.49% APR over 72 months with 10% down.

Those were the actual approvals on those files. Seven-figure labs turn on the strength of the sponsor and the construction plan as much as the score. We quote from 5.49% APR for the strongest interventional profiles and never present it as a guarantee.

A cath lab does not need heavy volume to service its note, because the case values are large. Diagnostic catheterizations, coronary interventions, and peripheral cases carry facility fees that run from a few thousand dollars into the five figures for complex peripheral work with atherectomy and stenting. A lab running even four to six cases a day generates facility revenue that dwarfs the payment. On the Phoenix Azurion above, the note ran near $16,700 a month on an 84-month term; a modest peripheral schedule of a handful of cases a week covers that and then some, and every case you pull back from the hospital keeps the facility fee in your lab instead of theirs.

The tax treatment on a seven-figure lab is where a good CPA earns their fee. Section 179 lets you expense qualifying equipment in the year placed in service up to the annual cap, which sits above $1.2 million for 2025, so a $1.15 million imaging system can be a strong Section 179 candidate on its own. For anything above the cap, and for the balance of a larger suite, current law's 100% bonus depreciation for equipment placed in service after early 2025 picks up the rest. In practice your accountant blends the two to pull a large first-year deduction against your facility-fee income. The buildout portion follows the improvement-property rules separately. Get the allocation set at close and the first-year deduction on a lab of this size can be substantial.

A cath lab is financed like a construction project, not a single invoice, and that is exactly how we structure it. Rather than funding the whole $500,000 to $1.5 million on day one and starting payments while the room is still lead-lined and unpermitted, we align the draws to your build. The lender releases funds against milestones, the imaging deposit, the room construction, the delivery and install, so the money shows up when the vendor and contractor need it. During construction we can keep the file interest-only or fully deferred, then convert to a 60 to 84 month term once the lab is commissioned and billing.

Seven-figure OBL deals underwrite on the sponsor as much as the equipment. An experienced interventional cardiologist with strong personal credit, a real case volume history, and a credible pro forma is what a lender is buying, whether it is a solo lab or a three-physician group. As a broker across more than 500 lenders, we place these where the appetite for healthcare construction and OBL risk actually lives, not wherever your local bank happens to sit.

We pay Philips or GE and the general contractor directly on the draw schedule, keep your equipment warranty and service contract intact, and give you one amortization to plan around. Send us the imaging quote, the construction budget, and your case history, and we will structure the draws and quote the term, from 5.49% APR for the strongest interventional sponsors, so payments begin when the lab earns its first facility fee.

Can financing follow my construction schedule?

Yes. We structure construction-aligned draws that release funds against milestones, keep the file interest-only or deferred during the build, and convert to a term once the lab is commissioned and billing.

What terms are available on a seven-figure lab?

Outpatient labs from $500,000 to $1.5 million typically amortize over 60 to 84 months. The Phoenix Azurion we funded ran 84 months to keep the monthly serviceable on a modest case schedule.

Do you finance both new and refurbished angiography systems?

Yes. We fund new Philips Azurion and GE Allia suites as well as refurbished labs, like the $520,000 refurbished Allia we placed in Tucson. We match the lender to the system and the build.

How much down payment does a cath lab require?

Most OBL deals run 10% to 15% down depending on the sponsor and the construction scope. Strong, experienced interventional cardiologists see the lower end.

Is the imaging equipment eligible for Section 179?

The equipment is a strong Section 179 candidate up to the annual cap, with bonus depreciation on the balance of a larger suite. On a seven-figure lab your CPA usually blends the two. The buildout follows separate improvement-property rules.