Pain Management C-Arm Financing

C-arm and table in one application

Fluoro guidance needs both. We bundle the OEC or Ziehm and the radiolucent Oakworks table into a single app, so you are not closing two loans on two timelines to build one clinical system.

Application-only up to $150,000

Most C-arm and table bundles clear on an application alone, no full financials, no tax returns. That is how the Houston deal closed in about 72 hours and had the practice booking fluoro cases the following week.

New or refurbished, your call

We finance a new OEC Elite the same way we finance a clean refurbished 9900. The lender cares about the practice and the collateral, and we position both to the right desk.

Section 179 in the first year

A C-arm and table together often sit well under the Section 179 cap, so many practices deduct the full cost the year it is placed in service. Check the numbers with your CPA.

Interventional pain is guided by fluoroscopy, and fluoroscopy needs two pieces of capital that have to work together: a C-arm and a table the beam can pass through. On the C-arm side, the GE OEC Elite and the older but workhorse OEC 9900 dominate US pain practices, with the Ziehm Vision RFD, Siemens Cios, and Philips Zenition also common. The choice between a flat-panel detector and an image intensifier affects both image quality and price. The table is the piece physicians underestimate. A standard exam table has a metal frame and rails that block the beam and ruin your fluoro angles. A radiolucent procedure table from Oakworks, Steris, or Biodex has a carbon-fiber top and a cantilevered base, so you can drive the C-arm to any oblique you need for a transforaminal epidural, a medial branch block, or a sacroiliac injection. Buy the C-arm without the right table and you have a beautiful imaging chain you cannot actually use for spine work. That is why we bundle them: the two pieces are one clinical system, so they should be one financing decision, closed together on one schedule.

Representative interventional pain approvals. Every file is priced on its own merits.

• $145,000, GE OEC Elite CFD with an Oakworks CFPM301 table. Interventional pain practice in Houston, 5 years in practice, 698 credit. Approved at 6.49% APR, 60 months, application-only, no money down.
• $92,000, refurbished GE OEC 9900 Elite with a radiolucent table. Solo pain physician opening a first suite, 3 years in practice, 682 credit. Approved at 6.79% APR, 48 months, 10% down.
• $168,000, Ziehm Vision RFD Hybrid Edition with an Oakworks table. Multi-provider spine and pain group, 9 years in operation, 726 credit. Approved at 5.99% APR, 66 months, no money down.
• $74,000, Philips Zenition 30 with a Steris table. ASC-based pain practice, 7 years in practice, 711 credit. Approved at 6.24% APR, 54 months, application-only.

The Houston bundle is the one we get asked about: OEC Elite and table on one application, no full financials, funded in about 72 hours so the practice could book fluoro cases the following week.

A C-arm pays for itself through volume. Fluoroscopic guidance is built into most interventional pain codes now, and the procedures themselves carry the revenue: transforaminal epidural steroid injections (CPT 64483 and 64484), medial branch blocks and facet joint injections (64490 through 64495), and sacroiliac joint injections (27096 or 64451). A practice doing even a modest daily injection schedule generates enough technical revenue that a $90,000 to $150,000 C-arm and table bundle is often covered several times over within the term.

The tax treatment is straightforward and favorable at this ticket. A C-arm and radiolucent table together commonly land well under the Section 179 cap, which currently sits near $2.5 million, so many pain practices deduct the entire purchase in the year it is placed in service rather than depreciating it over five or seven years. With 100% bonus depreciation also available, the first-year write-off can cover essentially the whole cost. The mechanics depend on your entity and taxable income, so run the numbers with your CPA. We size the term so the after-tax cost of the equipment is comfortably below what the fluoro suite brings in.

Two things make pain C-arm deals move quickly. First, the ticket size is right for application-only underwriting. Bundles up to $150,000 usually clear on a one-page application with no tax returns and no full financial package, which is how the Houston deal funded in about 72 hours. Second, the collateral is liquid and well understood: OEC and Ziehm C-arms hold value, so lenders are comfortable with new and refurbished units alike. That means a solo physician three years in with challenged credit can still get a clean refurbished OEC 9900 financed, and an established group can put a new Elite and a top-end table on one schedule. As a broker with more than 500 lenders, we position the practice and the equipment to the desk most likely to say yes, rather than letting the first decline set the outcome. New or refurbished, solo or multi-provider, the process is the same: one application, one approval, one schedule that covers both the C-arm and the table.

What does pain management C-arm financing include?

The C-arm itself (GE OEC Elite, OEC 9900, Ziehm Vision RFD, Siemens Cios, or Philips Zenition) and the radiolucent procedure table from Oakworks, Steris, or Biodex. We bundle both into one application so the practice closes a single deal.

Can I finance a refurbished C-arm?

Yes. A clean refurbished OEC 9900 with a table often lands near $60,000 and is very financeable. We arrange new and refurbished systems the same way; the lender focuses on the practice and the collateral value.

How fast can a C-arm and table deal close?

Bundles up to $150,000 are usually application-only, with no full financials required. The Houston interventional pain practice we funded went from application to funded in about 72 hours.

What will a C-arm and table cost?

New systems with a table can run past $180,000; refurbished bundles start near $60,000. Most interventional pain setups land between those figures depending on detector type and table model.

What rates and terms apply?

Rates start from 6.24% APR for qualified practices, with terms commonly 48 to 66 months. Pricing reflects credit, time in practice, and whether the equipment is new or refurbished. Rates are quoted per file and not guaranteed.