Finance a Fixed Fluoroscopy Room as One Project, Not a Machine Plus a Construction Bill

One Room, Three Specialties of Studies

A fixed R and F suite handles GI, urologic, and pain procedures that would otherwise scatter to outside imaging. A Siemens Luminos or Shimadzu Sonialvision turns those referrals into billable studies you keep.

Install and Shielding in the Same Note

The machine is half the project. We finance rigging, lead shielding, the physicist survey, and electrical alongside the equipment, so you sign one note instead of chasing construction invoices.

Structures for Challenged Credit Too

Across more than 500 lenders, we place clean files at our best rates and route tougher credit to lenders that underwrite on practice cash flow. All credit profiles are reviewed.

Section 179 on the Full Project

The equipment and much of the qualifying install can fall under Section 179 and bonus depreciation. A fixed R and F room can generate a sizable first-year deduction. Confirm details with your CPA.

A fixed radiography and fluoroscopy room is a project, not a purchase, and the price reflects that. New systems run roughly $150,000 to $400,000. A Siemens Luminos dRF Max, a combined tableside-and-remote system with a large flat-panel detector, typically lands in the $280,000 to $375,000 range configured. The Shimadzu Sonialvision G4 and G4 LX sit in a similar band, prized for the 90/90 tilting table and dose-management features. Certified refurbished remote rooms, including the Siemens Luminos Agile, open the door around $150,000 to $220,000.

The part owners underestimate is everything the gantry sits inside. A fixed room needs rigging and delivery, lead shielding sized by a physicist, a radiation survey, and often a dedicated electrical service and floor prep. Add the acquisition workstation and PACS integration. None of that is optional, and all of it can be financed. We routinely wrap equipment, install, and shielding into a single note. A realistic all-in for a new fixed R and F suite with install lands between $250,000 and $400,000, which is the figure we structure around rather than the sticker price of the machine alone.

A fixed room earns on study mix as much as volume. Fluoroscopic and contrast studies, upper GI series, small bowel follow-throughs, voiding cystourethrograms, hysterosalpingograms, myelograms, and image-guided injections each carry technical component reimbursement that adds up when the room stays booked across GI, urology, and pain. Because one suite serves several referral sources, utilization tends to be steadier than a single-specialty machine. A room running even 6 to 10 procedures a day builds a revenue base that services the note comfortably, and it keeps studies that used to be referred out inside the practice.

On tax, a fixed R and F room is qualifying Section 179 equipment, and much of the built-in install can qualify as well. Under the 2025 tax law the Section 179 cap rose to $2,500,000 with 100% bonus depreciation restored, so a room well under those limits can generally be expensed in the year it is placed in service. On a $300,000 project, a practice in a 32% bracket can see a first-year deduction that offsets a meaningful share of early payments. Financing lets you take that deduction now while spreading the cash over the term. Confirm current limits and what portion of install qualifies with your CPA.

Recent fixed R and F deals, structured as one project rather than a machine plus a construction headache:

• $312,000 Siemens Luminos dRF Max, install and room shielding included, for an 8-year Tampa, Florida imaging center. Credit 731, 5.89% APR over 66 months, $10,000 down.
• $268,000 Shimadzu Sonialvision G4 for a 10-year Columbus, Ohio gastroenterology group. Credit 744, 5.74% APR over 60 months with 10% down.
• $189,000 certified refurbished Siemens Luminos Agile for a 6-year Phoenix, Arizona pain management practice. Credit 698, 6.59% APR over 60 months, $12,000 down.
• $375,000 Shimadzu Sonialvision G4 LX with install for a 13-year Nashville, Tennessee orthopedic and urology multispecialty group. Credit 758, 5.49% APR over 72 months, $20,000 down.

The Tampa deal is the model: the equipment, the rigging, and the lead shielding all landed on one note, so the practice made a single payment instead of reconciling an equipment loan against a stack of contractor bills.

The reason practices bring us a fixed room rather than their bank is the install. A bank finances the machine and leaves you to fund shielding and construction separately. We treat the suite as one project and put it on one note.

How we commonly structure it:

• Single-note project financing covering equipment, rigging, shielding, and the physicist survey.
• Deferred first payment, 60 to 90 days, so the room is passing inspection and scheduling patients before payments begin.
• $1 buyout for practices keeping the room long term, or FMV lease for those who plan to upgrade the detector or table down the line.

We finance new, demo, and certified refurbished Siemens and Shimadzu systems. Smaller adds can go application-only; a full room with construction may want basic financials, and we can pre-qualify the project before you sign the buildout contract so you know the payment first. All credit profiles are reviewed across more than 500 lenders, which is how a 698 pain practice and a 758 multispecialty group both funded competitively.

What does a fixed fluoroscopy room cost?

New fixed R and F systems run roughly $150,000 to $400,000. A Siemens Luminos dRF Max or Shimadzu Sonialvision G4 fully configured lands in the $250,000 to $375,000 range, while certified refurbished remote systems come in lower.

Can shielding and installation be financed?

Yes, and it is one of the main reasons practices call us. Lead shielding, rigging, the physicist survey, and electrical can be rolled into one note with the equipment, so you are not funding construction out of pocket.

Do you finance refurbished R and F systems?

We do. Certified refurbished Siemens Luminos Agile and Shimadzu units fund regularly and are a common way for a pain or GI practice to add fluoroscopy at a lower entry cost.

What studies justify a fixed room over a C-arm?

A tilting table with remote fluoroscopy handles barium swallows, upper GI, voiding cystourethrograms, hysterosalpingograms, myelograms, and arthrograms that a portable C-arm cannot do well. The room pays for itself on study mix, not just volume.

How long does approval take?

Smaller adds can be application-only with same-week decisions. A full room with install may want basic financials, and we can pre-qualify the project before you commit to the buildout.

What credit score do I need?

Above 720 sees our lowest rates, from 5.49% APR. Challenged credit still funds through lenders weighing practice revenue and time in business. We review all credit profiles.