Finance a 3D Mammography Suite and Keep the Screening Episode In-House

3D Drives Volume and Downstream Studies

Tomosynthesis improves detection and reduces callbacks, which keeps a screening panel loyal and full. Each Genius 3D or Pristina exam also feeds diagnostic ultrasound, MRI, and biopsy revenue that stays inside your walls.

Draw Schedules Tied to Your Buildout

A mammography suite goes in alongside construction. We can release funds in draws as the room, the power, and the shielding come together, so you are not carrying full payments on equipment that is not yet live.

One Application, 500-Plus Lenders

Whether you are a solo OB-GYN adding screening or a multi-site radiology group, we route the file to the lender that fits. Strong credit and challenged credit both fund.

Section 179 on a Six-Figure Asset

A 3D mammography system is exactly the kind of capital equipment Section 179 and bonus depreciation were built for. The first-year deduction on a $250,000 suite can be substantial. Confirm with your CPA.

Pricing follows the platform and the configuration. A new Hologic 3Dimensions or Genius 3D system, the workhorse of most dedicated women's centers, generally runs $250,000 to $400,000 once you add C-View synthetic 2D, the acquisition workstation, and CAD. The GE Senographe Pristina, known for the Dueta patient-assisted compression that helps with repeat screeners, typically lands in the $200,000 to $320,000 band. Certified refurbished Selenia Dimensions units open 3D to smaller and rural centers starting around $150,000 to $200,000.

Then there is everything around the gantry. An MQSA-certified installation, room shielding, the reading workstation, and often a biopsy platform such as the Hologic Affirm all sit on top of the machine. ACR accreditation is a gating step before you bill, and it takes lead time. We routinely finance the full package, machine plus biopsy plus install, as one amount so the center has a single payment. A realistic all-in for a new, fully equipped 3D suite with biopsy runs $300,000 to $420,000, and that is the figure we structure the term and any draw schedule around.

The volume math is what makes a mammography suite pencil out. Screening tomosynthesis (CPT 77067 with 3D) reimburses more than 2D, and Medicare plus commercial payers put the technical and professional components together in a range that, at even 15 to 20 screening exams a day, builds into meaningful annual revenue. The larger return is downstream: every abnormal screen generates diagnostic mammography, ultrasound, sometimes breast MRI, and image-guided biopsy, and a center that keeps those studies in-house rather than referring them out captures the full episode. 3D specifically lowers recall rates, which protects patient satisfaction and keeps the annual screening panel intact year over year.

On tax, a mammography system is textbook Section 179 property. Under the 2025 tax law the deduction cap was raised to $2,500,000 with 100% bonus depreciation restored, so a suite well under those limits can generally be expensed in the year it is placed in service. On a $340,000 system, a center in a 32% bracket is looking at a first-year deduction that can offset a large share of early payments. Financing lets you claim that deduction while spreading the cash over the term. Verify the current figures with your CPA, since limits and phase-outs change.

Recent women's imaging deals, structured to the buildout and the balance sheet:

• $340,000 Hologic 3Dimensions suite for a 7-year Newark, New Jersey women's imaging center. Credit 738, 5.99% APR over 66 months, funded in draws tied to the buildout milestones.
• $228,000 GE Senographe Pristina for a 12-year Charlotte, North Carolina OB-GYN group adding screening. Credit 751, 5.49% APR over 60 months with 10% down.
• $175,000 certified refurbished Hologic Selenia Dimensions for a 5-year rural breast center in Lubbock, Texas. Credit 702, 6.49% APR over 60 months, $15,000 down.
• $395,000 Hologic 3Dimensions with Affirm biopsy for a 15-year multi-site radiology group in Miami, Florida. Credit 769, 5.74% APR over 72 months, $25,000 down.

The Newark deal is the one worth studying: draws released against construction progress meant the center did not carry full payments on a machine sitting in an unfinished room.

We build mammography deals around two realities: the equipment is expensive, and it goes in during a construction project. That is why the draw schedule matters. Rather than fund the entire $340,000 on day one, we can release it in stages as the room, the shielding, and the power pass inspection, which keeps your payments aligned with when the suite actually starts scanning.

Common structures:

• Draw funding during buildout, converting to a fixed payment when the suite goes live.
• Deferred first payment, 60 to 90 days, to cover ACR accreditation lead time before you can bill.
• $1 buyout for centers keeping the platform long term, or FMV lease for groups that refresh technology on a cycle.

We finance new, demo, and certified refurbished Hologic and GE systems, and we can wrap the Affirm biopsy platform, workstation, and install into the note. Application-only works for smaller adds; larger suites may want basic financials, and we can pre-qualify before you sign the OEM quote. All credit profiles are reviewed across more than 500 lenders, so a solo OB-GYN and a 15-year radiology group each land with the right source.

How much does a 3D mammography machine cost?

New digital breast tomosynthesis systems run roughly $150,000 to $400,000. A Hologic 3Dimensions or Genius 3D typically lands in the $250,000 to $400,000 range fully configured, while a GE Senographe Pristina and certified refurbished Selenia Dimensions units come in lower.

Can financing include the biopsy add-on and workstation?

Yes. Prone or upright biopsy systems like the Hologic Affirm, the acquisition workstation, and MQSA-related install can be bundled into the financed amount, so the whole screening-plus-diagnostic package is one payment.

Do you finance refurbished mammography systems?

We do. Certified refurbished Hologic Selenia Dimensions and GE systems fund regularly and let a newer or rural center enter 3D at a lower price. Rates typically run a bit above new-equipment pricing.

What credit is required?

Files above 720 see our best rates from 5.49% APR. Practices with challenged credit still fund through lenders that underwrite on center cash flow and referral volume. We review all credit profiles.

How long before I am approved?

Larger imaging deals may need basic financials, but decisions commonly come back in one to three business days. We can pre-qualify a suite before you sign the equipment quote so you negotiate from a known budget.

Can I finance the room buildout with the machine?

Often yes. Shielding, electrical, and install can be included, and we can structure a draw schedule so funds release as the buildout progresses rather than all at once.