{"product_id":"radiology-service-startup-costs","title":"Radiology Service Startup Costs: $328M CAPEX Opening Plan","description":"\u003cdiv class=\"container_new_design\"\u003e\n\u003cdiv class=\"text-section text-1_new_design\"\u003e\n\u003cdiv class=\"line_top\"\u003e\u003c\/div\u003e\n\u003cp\u003eYou’re funding a high-CAPEX medical operation before revenue timing is fully proven, so the opening budget must separate equipment, build-out, systems, staffing readiness, insurance, and reserves This radiology service startup budget uses researched planning assumptions of \u003cstrong\u003e$3275M in CAPEX\u003c\/strong\u003e, a \u003cstrong\u003eMonth 5 cash low point of -$1587M\u003c\/strong\u003e, and \u003cstrong\u003e$1334M EBITDA in the first operating year\u003c\/strong\u003e These ranges are planning inputs, not vendor quotes, reimbursement guarantees, or regulatory advice\u003c\/p\u003e\n\n\n\u003c\/div\u003e\n\u003cdiv class=\"image-section image-1_new_design\" id=\"main_article_image\"\u003e\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\n\n\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eEstimate Startup Costs with Calculator\u003c\/span\u003e\u003c\/h2\u003e\n\u003csection class=\"fml-capex-calculator\" aria-label=\"Radiology Service Startup CAPEX Calculator\" data-locale=\"en-US\" data-currency=\"USD\" data-default-scenario=\"base\" data-export-filename=\"Startup CAPEX calculator.xlsx\" data-source-site-name=\"Financial Models Lab\" data-source-site-url=\"https:\/\/financialmodelslab.com\" data-source-page-title=\"Radiology Service Startup CAPEX Calculator\" data-note-title=\"What this leaves out\" data-note-text=\"Excludes working capital, inventory, payroll runway, deposits, debt service, reimbursement timing gaps, and post-opening operating losses. Use a separate funding module for cash needs beyond startup assets.\"\u003e\u003cdiv class=\"fml-capex-card\"\u003e\n\u003cheader class=\"fml-capex-header\"\u003e\u003cdiv class=\"fml-capex-heading\"\u003e\n\u003cp class=\"fml-capex-eyebrow\"\u003eStartup CAPEX Calculator\u003c\/p\u003e\n\u003cp class=\"fml-capex-intro\"\u003eEstimate capitalized startup assets for a radiology service, including imaging equipment, setup, and contingency.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-scenarios\" aria-label=\"Scenario presets\"\u003e\n\u003cbutton class=\"fml-capex-scenario\" type=\"button\" data-scenario=\"lean\"\u003eLean\u003c\/button\u003e\u003cbutton class=\"fml-capex-scenario is-active\" type=\"button\" data-scenario=\"base\"\u003eBase\u003c\/button\u003e\u003cbutton class=\"fml-capex-scenario\" type=\"button\" data-scenario=\"full\"\u003eFull\u003c\/button\u003e\n\u003c\/div\u003e\u003c\/header\u003e\u003cdiv class=\"fml-capex-layout\"\u003e\n\u003cform class=\"fml-capex-inputs\"\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eMRI Scanner\u003c\/span\u003e\u003csmall\u003eCore MRI hardware for the launch setup.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"mri_scanner\" data-capex-kind=\"money\" data-capex-label=\"MRI Scanner\" data-capex-note=\"Core MRI hardware for the launch setup.\" data-lean=\"1350000\" data-base=\"1500000\" data-full=\"1650000\" name=\"mri_scanner\" type=\"text\" inputmode=\"numeric\" value=\"1,500,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eCT Scanner\u003c\/span\u003e\u003csmall\u003eCT hardware for the initial imaging mix.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"ct_scanner\" data-capex-kind=\"money\" data-capex-label=\"CT Scanner\" data-capex-note=\"CT hardware for the initial imaging mix.\" data-lean=\"720000\" data-base=\"800000\" data-full=\"880000\" name=\"ct_scanner\" type=\"text\" inputmode=\"numeric\" value=\"800,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eX-ray System\u003c\/span\u003e\u003csmall\u003ePlain film equipment and room-level setup.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"xray_system\" data-capex-kind=\"money\" data-capex-label=\"X-ray System\" data-capex-note=\"Plain film equipment and room-level setup.\" data-lean=\"180000\" data-base=\"200000\" data-full=\"220000\" name=\"xray_system\" type=\"text\" inputmode=\"numeric\" value=\"200,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eUltrasound System\u003c\/span\u003e\u003csmall\u003eUltrasound hardware for the launch mix.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"ultrasound_system\" data-capex-kind=\"money\" data-capex-label=\"Ultrasound System\" data-capex-note=\"Ultrasound hardware for the launch mix.\" data-lean=\"90000\" data-base=\"100000\" data-full=\"110000\" name=\"ultrasound_system\" type=\"text\" inputmode=\"numeric\" value=\"100,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eFacility and IT Build-out\u003c\/span\u003e\u003csmall\u003eInstallation, renovation, PACS\/RIS, computers, and fixtures.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"facility_it_setup\" data-capex-kind=\"money\" data-capex-label=\"Facility and IT Build-out\" data-capex-note=\"Installation, renovation, PACS\/RIS, computers, and fixtures.\" data-lean=\"600000\" data-base=\"675000\" data-full=\"760000\" name=\"facility_it_setup\" type=\"text\" inputmode=\"numeric\" value=\"675,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eContingency Reserve\u003c\/span\u003e\u003csmall\u003eCovers installation overruns and small scope changes.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-percent\"\u003e\n\u003cinput data-capex-field=\"contingency_reserve\" data-capex-kind=\"percent\" name=\"contingency_reserve\" type=\"range\" min=\"5\" max=\"15\" step=\"1\" data-lean=\"5\" data-base=\"10\" data-full=\"15\" value=\"10\"\u003e\u003coutput data-capex-output=\"contingencyValue\"\u003e10%\u003c\/output\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/form\u003e\n\u003caside class=\"fml-capex-results\" aria-live=\"polite\"\u003e\u003cspan class=\"fml-capex-tag\"\u003eTotal CAPEX\u003c\/span\u003e\u003cdiv class=\"fml-capex-total\"\u003e\n\u003cspan\u003eTotal startup CAPEX\u003c\/span\u003e\u003cstrong data-capex-output=\"totalCapex\"\u003e$3,602,500\u003c\/strong\u003e\n\u003c\/div\u003e\n\u003cdl class=\"fml-capex-result-list\"\u003e\n\u003cdiv\u003e\n\u003cdt\u003eSubtotal before contingency\u003c\/dt\u003e\n\u003cdd data-capex-output=\"subtotal\"\u003e$3,275,000\u003c\/dd\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdt\u003eContingency amount\u003c\/dt\u003e\n\u003cdd data-capex-output=\"contingencyAmount\"\u003e$327,500\u003c\/dd\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdt\u003eLargest cost driver\u003c\/dt\u003e\n\u003cdd data-capex-output=\"largestDriver\"\u003eMRI Scanner\u003c\/dd\u003e\n\u003c\/div\u003e\n\u003c\/dl\u003e\n\u003cdiv class=\"fml-capex-chart\" aria-label=\"CAPEX cost category breakdown\"\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eMRI\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"mri_scanner\" style=\"--fml-capex-share: 46%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"mri_scanner\"\u003e46%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eCT\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"ct_scanner\" style=\"--fml-capex-share: 24%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"ct_scanner\"\u003e24%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eX-ray\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"xray_system\" style=\"--fml-capex-share: 6%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"xray_system\"\u003e6%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eUltrasound\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"ultrasound_system\" style=\"--fml-capex-share: 3%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"ultrasound_system\"\u003e3%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eSetup\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"facility_it_setup\" style=\"--fml-capex-share: 21%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"facility_it_setup\"\u003e21%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cbutton class=\"fml-capex-export\" type=\"button\" data-capex-export\u003eEXPORT XLSX\u003c\/button\u003e\u003c\/aside\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-note\"\u003e\n\u003cspan class=\"fml-capex-note-icon\" aria-hidden=\"true\"\u003e!\u003c\/span\u003e\u003cp\u003e\u003cstrong\u003eWhat this leaves out\u003c\/strong\u003e Excludes working capital, inventory, payroll runway, deposits, debt service, reimbursement timing gaps, and post-opening operating losses. Use a separate funding module for cash needs beyond startup assets.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003c\/section\u003e\u003cbr\u003e\u003cdiv class=\"container_new_design_blog\"\u003e\n\n\u003cdiv class=\"text-section_blog text-2_new_design_blog\"\u003e\n\n\u003cdiv class=\"line_top_blog\"\u003e\u003cbr\u003e\u003c\/div\u003e\n\n\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eWhat should the CAPEX screenshot show?\u003c\/span\u003e\u003c\/h3\u003e\n\n\u003cp\u003eScreenshot shows CAPEX categories, launch timing, cost amounts, depreciation, and amortization; open \u003ca href=\"\/products\/radiology-service-financial-model\"\u003eRadiology Service Financial Model Template\u003c\/a\u003e to adjust assumptions.\u003c\/p\u003e\n\n\u003ch4\u003eKey screenshot checks\u003c\/h4\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eEquipment and build-out\u003c\/li\u003e\n\u003cli\u003eRamp and staffing timing\u003c\/li\u003e\n\u003cli\u003eFunding gap and payback\u003c\/li\u003e\n\u003c\/ul\u003e\n\n\u003c\/div\u003e\n\n\u003cdiv class=\"image-section_blog image-2_new_design_blog\"\u003e\n\n\u003cdiv class=\"preview-card\" data-preview-src=\"\/cdn\/shop\/files\/radiology-service-financial-model-capex-financialmodelslab_70b51611-0754-4e17-afd3-2409635ad203.webp\"\u003e\n\u003cimg class=\"preview-img\" width=\"100%\" height=\"auto\" src=\"\/cdn\/shop\/files\/radiology-service-financial-model-capex-financialmodelslab_70b51611-0754-4e17-afd3-2409635ad203.webp?width=500\" alt=\"Radiology Service Financial Model capex inputs showing capital expenditure drivers, equipment purchases, installation and depreciation assumptions users can customize for capex planning and scenario-ready forecasts\"\u003e\n\u003cdiv class=\"preview-overlay\"\u003e\n\u003cbutton class=\"preview-btn\" type=\"button\" style=\"align-items: center; vertical-align: middle; display: inline-flex; justify-content: center; gap: 6px; line-height: 1;\"\u003e\nPREVIEW \u003csvg fill=\"#fff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\" role=\"presentation\" viewbox=\"0 0 448 512\" width=\"14\"\u003e\u003cpath d=\"M416 176V86.63L246.6 256L416 425.4V336c0-8.844 7.156-16 16-16s16 7.156 16 16v128c0 8.844-7.156 16-16 16h-128c-8.844 0-16-7.156-16-16s7.156-16 16-16h89.38L224 278.6L54.63 448H144C152.8 448 160 455.2 160 464S152.8 480 144 480h-128C7.156 480 0 472.8 0 464v-128C0 327.2 7.156 320 16 320S32 327.2 32 336v89.38L201.4 256L32 86.63V176C32 184.8 24.84 192 16 192S0 184.8 0 176v-128C0 39.16 7.156 32 16 32h128C152.8 32 160 39.16 160 48S152.8 64 144 64H54.63L224 233.4L393.4 64H304C295.2 64 288 56.84 288 48S295.2 32 304 32h128C440.8 32 448 39.16 448 48v128C448 184.8 440.8 192 432 192S416 184.8 416 176z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n\u003c\/button\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\n\n\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eHow much does radiology equipment cost for a startup?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003eFor \u003cstrong\u003eRadiology Service\u003c\/strong\u003e, startup equipment cost depends on modality: about \u003cstrong\u003e$1.5M\u003c\/strong\u003e for an MRI scanner, \u003cstrong\u003e$800k\u003c\/strong\u003e for CT, \u003cstrong\u003e$200k\u003c\/strong\u003e for X-ray, and \u003cstrong\u003e$100k\u003c\/strong\u003e for ultrasound, plus a separate \u003cstrong\u003e$150k\u003c\/strong\u003e for installation. There isn’t one universal price, and lease or refurbished options can cut upfront cash, but delivery, calibration, warranties, and service agreements still matter because downtime hurts revenue. Here’s the quick math: model first-year pricing at \u003cstrong\u003e$1,500\u003c\/strong\u003e per MRI scan at \u003cstrong\u003e50%\u003c\/strong\u003e capacity, \u003cstrong\u003e$800\u003c\/strong\u003e per CT at \u003cstrong\u003e55%\u003c\/strong\u003e, \u003cstrong\u003e$150\u003c\/strong\u003e per X-ray at \u003cstrong\u003e60%\u003c\/strong\u003e, and \u003cstrong\u003e$400\u003c\/strong\u003e per ultrasound at \u003cstrong\u003e50%\u003c\/strong\u003e.\u003c\/p\u003e\n\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eUpfront equipment cost\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eMRI:\u003c\/strong\u003e about \u003cstrong\u003e$1.5M\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCT:\u003c\/strong\u003e about \u003cstrong\u003e$800k\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eX-ray:\u003c\/strong\u003e about \u003cstrong\u003e$200k\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eUltrasound:\u003c\/strong\u003e about \u003cstrong\u003e$100k\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eCosts beyond the scanner\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eAdd \u003cstrong\u003e$150k\u003c\/strong\u003e for installation\u003c\/li\u003e\n\u003cli\u003eLease or buy refurbished to save cash\u003c\/li\u003e\n\u003cli\u003eBudget for calibration and service\u003c\/li\u003e\n\u003cli\u003eHave a backup workflow for uptime risk\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eHow do you fund a radiology service startup?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003eFund a \u003cstrong\u003eRadiology Service\u003c\/strong\u003e startup with a lender-ready model, not just a pitch deck: lenders will want a \u003cstrong\u003eMonth 1 to Month 12 CAPEX schedule\u003c\/strong\u003e, \u003cstrong\u003e$3,275M\u003c\/strong\u003e in listed capital purchases, reimbursement assumptions, payer mix, utilization ramp, provider counts, staffing, working capital, and collateral analysis. Here’s the quick math: the model should show \u003cstrong\u003e-$1,587M\u003c\/strong\u003e minimum cash in \u003cstrong\u003eMonth 5\u003c\/strong\u003e, \u003cstrong\u003e25-month\u003c\/strong\u003e payback, \u003cstrong\u003e$1,334M\u003c\/strong\u003e Year 1 EBITDA, and \u003cstrong\u003e$16,105M\u003c\/strong\u003e Year 5 EBITDA. Keep product language secondary; the model is the tool that tests the assumptions.\u003c\/p\u003e\n\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eLender checks\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eMonth-by-month CAPEX\u003c\/strong\u003e plan\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eReimbursement\u003c\/strong\u003e assumptions\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePayer mix\u003c\/strong\u003e and utilization ramp\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCollateral\u003c\/strong\u003e and working capital\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eInvestor checks\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eProvider\u003c\/strong\u003e count by month\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStaffing\u003c\/strong\u003e plan and timing\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMinimum cash\u003c\/strong\u003e in Month 5\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePayback\u003c\/strong\u003e and EBITDA path\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eWhat hidden costs come with starting a radiology service?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003eStarting a Radiology Service costs far more than the scanner, and the hidden setup work can be the real cash drain; see \u003ca href=\"\/blogs\/how-much-makes\/radiology-service\"\u003eHow Much Does The Owner Of Radiology Service Usually Make Annually?\u003c\/a\u003e. Before the first patient, you still have \u003cstrong\u003eshielding inspections\u003c\/strong\u003e, \u003cstrong\u003emedical physicist testing\u003c\/strong\u003e, \u003cstrong\u003estate radiation safety work\u003c\/strong\u003e, \u003cstrong\u003eaccreditation prep\u003c\/strong\u003e, and \u003cstrong\u003epayer enrollment\u003c\/strong\u003e to fund. Add legal setup, medical director agreements, credentialing, staff training, launch marketing, and insurance setup, and the startup bill keeps climbing. \u003c\/p\u003e\n\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eBefore opening\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eShielding\u003c\/strong\u003e and safety checks\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePhysicist\u003c\/strong\u003e testing and sign-off\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAccreditation\u003c\/strong\u003e preparation work\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePayer\u003c\/strong\u003e and legal setup\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eAfter launch cash\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eReserve for \u003cstrong\u003e$255k\/month\u003c\/strong\u003e fixed costs\u003c\/li\u003e\n\u003cli\u003ePlan admin payroll near \u003cstrong\u003e$3375k\/month\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eModel \u003cstrong\u003e19%\u003c\/strong\u003e of Year 1 revenue for variable patient costs\u003c\/li\u003e\n\u003cli\u003eCover reimbursement lag and operating losses\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eCalculate Fuding Needs\u003c\/span\u003e\u003c\/h2\u003e\n\u003csection class=\"fml-summary-static\" aria-label=\"Radiology Service Startup Cost Summary\" data-locale=\"en-US\" data-currency=\"USD\" data-default-scenario=\"base\" data-export-filename=\"Radiology Service Startup Cost Summary.xlsx\" data-site-name=\"Financial Models Lab\" data-site-url=\"https:\/\/financialmodelslab.com\" data-source-title=\"Radiology Service Startup Cost Summary\" data-source-url=\"\"\u003e\u003cdiv class=\"fml-summary-static-card\"\u003e\n\u003cheader class=\"fml-summary-static-header\"\u003e\u003cdiv\u003e\n\u003cp class=\"fml-summary-static-eyebrow\"\u003eStartup cost summary\u003c\/p\u003e\n\u003cp class=\"fml-summary-static-description\"\u003eStartup cost summary for a radiology service, covering major imaging equipment, buildout, installation, and opening cash needs; listed CAPEX totals $3.275 million.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-summary-static-actions\"\u003e\n\u003cdiv class=\"fml-summary-static-scenarios\" aria-label=\"Highlight scenario\"\u003e\n\u003cbutton class=\"fml-summary-static-scenario\" type=\"button\" data-scenario=\"low\"\u003eLow\u003c\/button\u003e\u003cbutton class=\"fml-summary-static-scenario is-active\" type=\"button\" data-scenario=\"base\"\u003eBase\u003c\/button\u003e\u003cbutton class=\"fml-summary-static-scenario\" type=\"button\" data-scenario=\"high\"\u003eHigh\u003c\/button\u003e\n\u003c\/div\u003e\n\u003cbutton class=\"fml-summary-static-export\" type=\"button\" data-summary-export\u003eEXPORT XLSX\u003c\/button\u003e\n\u003c\/div\u003e\u003c\/header\u003e\u003csection class=\"fml-summary-static-metrics\" aria-live=\"polite\"\u003e\u003cdiv class=\"fml-summary-static-metric is-primary\"\u003e\n\u003cspan\u003eHighlighted CAPEX\u003c\/span\u003e\u003cstrong data-summary-metric=\"capex\"\u003e$2,950,000\u003c\/strong\u003e\u003csmall data-summary-metric=\"scenario\"\u003eBase planning example\u003c\/small\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-summary-static-metric is-warning\"\u003e\n\u003cspan\u003eExcluded cash needs\u003c\/span\u003e\u003cstrong data-summary-metric=\"working\"\u003e$1,587,000\u003c\/strong\u003e\u003csmall\u003eOutside CAPEX total\u003c\/small\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-summary-static-metric\"\u003e\n\u003cspan\u003eFunding need\u003c\/span\u003e\u003cstrong data-summary-metric=\"funding\"\u003e$4,537,000\u003c\/strong\u003e\u003csmall\u003eCAPEX + excluded cash needs\u003c\/small\u003e\n\u003c\/div\u003e\u003c\/section\u003e\u003cdiv class=\"fml-summary-static-table-wrap\"\u003e\u003ctable class=\"fml-summary-static-table\"\u003e\n\u003cthead\u003e\u003ctr\u003e\n\u003cth scope=\"col\"\u003eCost Category\u003c\/th\u003e\n\u003cth scope=\"col\" class=\"fml-summary-static-estimate-header\" data-summary-estimate-header\u003eBase Estimate\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eMain Cost Driver\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eCAPEX Calculator\u003c\/th\u003e\n\u003c\/tr\u003e\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr data-summary-row data-low=\"1350000\" data-base=\"1500000\" data-high=\"1800000\" data-capex=\"true\"\u003e\n\u003ctd\u003eMRI scanner\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$1,500,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eScanner package, vendor setup, and delivery scope\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-summary-row data-low=\"720000\" data-base=\"800000\" data-high=\"960000\" data-capex=\"true\"\u003e\n\u003ctd\u003eCT scanner\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$800,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eScanner model, imaging specs, and installation scope\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-summary-row data-low=\"240000\" data-base=\"300000\" data-high=\"390000\" data-capex=\"true\"\u003e\n\u003ctd\u003eFacility renovation\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$300,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eSuite buildout, shielding, and clinical space changes\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-summary-row data-low=\"120000\" data-base=\"150000\" data-high=\"195000\" data-capex=\"true\"\u003e\n\u003ctd\u003eEquipment installation\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$150,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eRigging, hookup, testing, and commissioning\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-summary-row data-low=\"170000\" data-base=\"200000\" data-high=\"240000\" data-capex=\"true\"\u003e\n\u003ctd\u003eX-ray equipment\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$200,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eImaging unit price and site commissioning\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr class=\"is-excluded\" data-summary-row data-low=\"1400000\" data-base=\"1587000\" data-high=\"1820000\" data-capex=\"false\"\u003e\n\u003ctd\u003eOpening cash buffer\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$1,587,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eMonth 5 cash trough, fixed overhead, and payroll timing\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill is-no\"\u003eNo\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\u003c\/div\u003e\n\u003cfooter class=\"fml-summary-static-note\"\u003e\u003cspan class=\"fml-summary-static-note-icon\" aria-hidden=\"true\"\u003e!\u003c\/span\u003e\u003cp\u003e\u003cstrong\u003ePlanning note:\u003c\/strong\u003e Ranges reflect researched planning assumptions and exclude non-CAPEX launch cash needs.\u003c\/p\u003e\u003c\/footer\u003e\n\u003c\/div\u003e\u003c\/section\u003e\u003cbr\u003e\n\n\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eRadiology Service Core Five Startup Costs\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\u003cbr\u003e\n\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eImaging Equipment Acquisition And Installation Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eCAPEX Load\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eImaging hardware is the biggest startup hit. A starter mix can mean a \u003cstrong\u003e$1.5M MRI scanner\u003c\/strong\u003e, \u003cstrong\u003e$800k CT scanner\u003c\/strong\u003e, \u003cstrong\u003e$200k digital X-ray system\u003c\/strong\u003e, \u003cstrong\u003e$100k ultrasound system\u003c\/strong\u003e, plus about \u003cstrong\u003e$150k\u003c\/strong\u003e for delivery, rigging, calibration, acceptance testing, warranties, service contracts, training, and a backup workflow.\u003c\/p\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl_2\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-tips-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eBudget Inputs\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eEstimate this from \u003cstrong\u003eunits\u003c\/strong\u003e, \u003cstrong\u003enew versus refurbished\u003c\/strong\u003e, and \u003cstrong\u003epurchase versus lease\u003c\/strong\u003e. The base quote is the machine price, then add install scope, site readiness, and ramp support. One MRI can dominate the budget, so the choice has to match room design, staffing, and payer demand, not just sticker price.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eCash Control\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eTo cut cash burn without hurting quality, buy refurbished only with clear service history, warranty terms, and calibration records. Leasing can protect cash in year one, but it raises fixed monthly cost. Don’t skip training or backup coverage; downtime on one scanner can wipe out the savings fast.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"card_smpl\"\u003e\u003cdiv class=\"double_border\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-pin-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eVolume Math\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eMatch the capex to throughput. At \u003cstrong\u003e100 MRI treatments\u003c\/strong\u003e a month, \u003cstrong\u003e50%\u003c\/strong\u003e capacity, and \u003cstrong\u003e$1,500\u003c\/strong\u003e per scan, Year 1 MRI revenue is \u003cstrong\u003e$150,000\u003c\/strong\u003e monthly. CT is \u003cstrong\u003e120\u003c\/strong\u003e at \u003cstrong\u003e55%\u003c\/strong\u003e and \u003cstrong\u003e$800\u003c\/strong\u003e for \u003cstrong\u003e$96,000\u003c\/strong\u003e; X-ray is \u003cstrong\u003e250\u003c\/strong\u003e per technologist at \u003cstrong\u003e60%\u003c\/strong\u003e and \u003cstrong\u003e$150\u003c\/strong\u003e for \u003cstrong\u003e$37,500\u003c\/strong\u003e; ultrasound is \u003cstrong\u003e130\u003c\/strong\u003e at \u003cstrong\u003e50%\u003c\/strong\u003e and \u003cstrong\u003e$400\u003c\/strong\u003e for \u003cstrong\u003e$52,000\u003c\/strong\u003e.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eFacility Build-Out, Shielding, And Site Readiness Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eBuild-Out Cost\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003e\u003cstrong\u003e$300k\u003c\/strong\u003e in renovation CAPEX and \u003cstrong\u003e$75k\u003c\/strong\u003e for furniture and fixtures covers the non-equipment work: leasehold improvements, reception, changing rooms, control rooms, ADA access, patient flow, HVAC, electrical upgrades, floor loading, MRI safety zones, CT room construction, X-ray shielding, signage, and inspections. This is separate from scanners, and site rules can move the opening budget fast.\u003c\/p\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-tips-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eSite Scope\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eBuild-out pricing should be split by room and trade, not lumped together. Use architect plans, contractor bids, and modality needs to price the shell work, then add shielding and power for each room. A simple radiology site budget should keep \u003cstrong\u003eCAPEX\u003c\/strong\u003e separate from opening-month rent, because the lease, not the build, drives early cash burn.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003ePrice rooms one by one\u003c\/li\u003e\n\u003cli\u003eQuote shielding by modality\u003c\/li\u003e\n\u003cli\u003eCheck floor loading early\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl_2\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eCut Overruns\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eSave money by locking scope before demolition and by matching the site to the scanners you plan to install. The biggest mistake is mixing general renovation with modality work. Use separate quotes for \u003cstrong\u003eMRI\u003c\/strong\u003e, \u003cstrong\u003eCT\u003c\/strong\u003e, and \u003cstrong\u003eX-ray\u003c\/strong\u003e shielding, and keep change orders tight. That usually protects schedule more than it saves cash.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eFreeze scope before work starts\u003c\/li\u003e\n\u003cli\u003eTrack change orders weekly\u003c\/li\u003e\n\u003cli\u003eGet site-specific quotes\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"card_smpl\"\u003e\u003cdiv class=\"double_border\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-pin-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eOperating Load\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eDo not put \u003cstrong\u003e$15k\/month\u003c\/strong\u003e lease, \u003cstrong\u003e$25k\/month\u003c\/strong\u003e utilities, or \u003cstrong\u003e$12k\/month\u003c\/strong\u003e property maintenance into startup CAPEX. Those are operating costs, and they matter because they add \u003cstrong\u003e$52k\/month\u003c\/strong\u003e before volume ramps. What this estimate hides is state and site variation: older buildings, tougher shielding rules, or utility upgrades can push opening cost up fast.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003ePACS, RIS, EHR, And Imaging IT Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eIT Stack Cost\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003e\u003cstrong\u003ePACS\u003c\/strong\u003e is the image store and router, and \u003cstrong\u003eRIS\u003c\/strong\u003e is the workflow system for orders, scheduling, and reports. For an imaging center, modeled startup CAPEX is \u003cstrong\u003e$100k\u003c\/strong\u003e for software plus \u003cstrong\u003e$50k\u003c\/strong\u003e for computers and networking. That setup also has to support EHR integration, billing, DICOM storage, patient portal access, teleradiology, cybersecurity, backups, and uptime.\u003c\/p\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-tips-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eCost Build\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThis line covers software implementation, interface setup, and the hardware needed to run it. The estimate should use \u003cstrong\u003e2 inputs\u003c\/strong\u003e: the \u003cstrong\u003e$100k\u003c\/strong\u003e PACS and RIS software CAPEX and the \u003cstrong\u003e$50k\u003c\/strong\u003e computers and networking CAPEX. It sits beside scanner and build-out spend, not inside them. One clean rule: if a function is needed before first scan, budget it upfront.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eEHR and billing connections\u003c\/li\u003e\n\u003cli\u003eDICOM storage and routing\u003c\/li\u003e\n\u003cli\u003ePortal, reports, and backups\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eControl Spend\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eKeep the first version tight. Start with the workflows you need on day one: orders, scheduling, image routing, reports, and basic billing links. Push extra features only if they change speed or compliance. The main mistake is buying more storage, modules, or devices than the center can use at launch. Simple systems are cheaper to support and easier to keep up.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eUse standard interfaces first\u003c\/li\u003e\n\u003cli\u003ePhase noncritical modules later\u003c\/li\u003e\n\u003cli\u003eMatch storage to scan volume\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"card_smpl\"\u003e\u003cdiv class=\"double_border\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-pin-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eRun Rate\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eDo not mix startup CAPEX with monthly support. The recurring software license is \u003cstrong\u003e$800\/month\u003c\/strong\u003e, or \u003cstrong\u003e$9,600\/year\u003c\/strong\u003e before storage or support fees. That matters because PACS and RIS often look affordable on day one, then the ongoing bill shows up every month. Build those costs into the opening cash plan so image volume can carry the system.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eLicensing, Accreditation, Compliance, And Professional Setup Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eWhat It Covers\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eFor an outpatient radiology center, licensing and accreditation are real startup costs, not nice-to-haves. Budget for \u003cstrong\u003estate facility licensing\u003c\/strong\u003e, \u003cstrong\u003eradiation safety registration\u003c\/strong\u003e, medical physicist inspection, quality assurance, accreditation prep, payer and Medicare enrollment when needed, legal formation, compliance consulting, policies, a medical director agreement, and credentialing.\u003c\/p\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-tips-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eHow To Budget\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eEstimate this with application fees, inspection hours, consultant quotes, and months of coverage. Costs change by state, payer, and whether you offer \u003cstrong\u003eMRI\u003c\/strong\u003e, \u003cstrong\u003eCT\u003c\/strong\u003e, \u003cstrong\u003eX-ray\u003c\/strong\u003e, \u003cstrong\u003eultrasound\u003c\/strong\u003e, or \u003cstrong\u003emammography\u003c\/strong\u003e. Model \u003cstrong\u003e$1k\/month\u003c\/strong\u003e as compliance operating expense, separate from scanner CAPEX and build-out.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003ePrice each state filing separately.\u003c\/li\u003e\n\u003cli\u003eCount payer enrollment by plan.\u003c\/li\u003e\n\u003cli\u003eKeep modality scope fixed early.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl_2\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eKeep It Lean\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThe cleanest way to control this cost is to start with one modality, complete enrollment once, and keep policies and QA templates standard. Don’t bury recurring compliance work inside equipment budgets; it belongs in monthly overhead. One line item makes cash planning and board review much easier.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"card_smpl\"\u003e\u003cdiv class=\"double_border\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-pin-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eWhat To Watch\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eRequirements vary by \u003cstrong\u003estate\u003c\/strong\u003e, \u003cstrong\u003emodality\u003c\/strong\u003e, and \u003cstrong\u003epayer\u003c\/strong\u003e, so the startup file should track each filing, inspection, and enrollment owner. If the launch includes Medicare billing, build that timeline into the opening plan early; delays there can stall revenue even when the scanner is ready.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eStaffing Readiness, Insurance, Supplies, And Launch Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eYear 1 payroll\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eUse \u003cstrong\u003e1 radiologist\u003c\/strong\u003e, \u003cstrong\u003e1 MRI technologist\u003c\/strong\u003e, \u003cstrong\u003e1 CT technologist\u003c\/strong\u003e, \u003cstrong\u003e2 X-ray technologists\u003c\/strong\u003e, and \u003cstrong\u003e1 sonographer\u003c\/strong\u003e as the base clinical team. Add admin payroll of \u003cstrong\u003e$200k\u003c\/strong\u003e CEO, \u003cstrong\u003e$120k\u003c\/strong\u003e operations manager, \u003cstrong\u003e$50k\u003c\/strong\u003e assistant, and \u003cstrong\u003e0.5 IT support at $70k\u003c\/strong\u003e, or about \u003cstrong\u003e$405k\u003c\/strong\u003e in Year 1 admin payroll before pre-opening credentialing and training.\u003c\/p\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl_2\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-tips-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eInsurance load\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eModel insurance at \u003cstrong\u003e$3k\/month\u003c\/strong\u003e, or \u003cstrong\u003e$36k\/year\u003c\/strong\u003e, as an operating cost, not a startup asset. It should sit beside payroll in the launch budget, because it starts before volume ramps. The quick math is simple: fixed coverage plus staffing means cash burn is real from day one, so opening cash has to cover both.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eSupply mix\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eVariable consumables should be tied to revenue. Budget \u003cstrong\u003emedical supplies at 6%\u003c\/strong\u003e, \u003cstrong\u003econtrast agents at 4%\u003c\/strong\u003e, \u003cstrong\u003edisposables at 5%\u003c\/strong\u003e, and \u003cstrong\u003epatient supplies at 4%\u003c\/strong\u003e, for \u003cstrong\u003e19%\u003c\/strong\u003e total variable supply cost before labor and rent. That keeps the model honest because every scan adds some use cost, and higher volume should scale these lines with it.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eTrack each modality by scan type.\u003c\/li\u003e\n\u003cli\u003eSeparate contrast from general supplies.\u003c\/li\u003e\n\u003cli\u003eReprice if waste runs high.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"card_smpl\"\u003e\u003cdiv class=\"double_border\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-pin-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eLaunch budget\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eKeep \u003cstrong\u003epre-opening payroll\u003c\/strong\u003e, \u003cstrong\u003ecredentialing\u003c\/strong\u003e, \u003cstrong\u003etraining\u003c\/strong\u003e, and \u003cstrong\u003elaunch marketing\u003c\/strong\u003e separate from ongoing payroll. That split matters because startup cash gets used before first revenue, and mixing one-time setup with monthly burn hides the real runway need. One clean budget line for launch spend makes opening timing and working capital easier to control.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eCompare 3 Startup Cost Scenarios\u003c\/span\u003e\u003c\/h2\u003e\n\u003csection class=\"fml-scenario-table\" aria-label=\"Radiology Service Startup Cost Scenarios\" data-site-name=\"Financial Models Lab\" data-site-url=\"https:\/\/financialmodelslab.com\" data-source-title=\"Radiology Service Startup Cost Scenarios\" data-note-label=\"Planning note\" data-note-text=\"These ranges are researched planning assumptions from the model structure, not vendor quotes, bids, or exact financing terms.\"\u003e\u003cdiv class=\"fml-scenario-table-card\"\u003e\n\u003cheader class=\"fml-scenario-table-header\"\u003e\u003cdiv\u003e\n\u003cp class=\"fml-scenario-table-eyebrow\"\u003eStartup cost scenarios\u003c\/p\u003e\n\u003cp class=\"fml-scenario-table-description\"\u003eA lean imaging center can start with one modality and less buildout, while the base model needs a full outpatient mix. Full launch pushes spend higher with more staff, more shielding, and more working capital.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-scenario-table-actions\"\u003e\u003cbutton class=\"fml-scenario-table-export\" type=\"button\" data-scenario-export\u003eEXPORT XLSX\u003c\/button\u003e\u003c\/div\u003e\u003c\/header\u003e\u003cdiv class=\"fml-scenario-table-wrap\"\u003e\u003ctable class=\"fml-scenario-table-grid\"\u003e\n\u003ccaption\u003eLean, base, and full launch cost comparison for a radiology service.\u003c\/caption\u003e\n\u003cthead\u003e\u003ctr\u003e\n\u003cth class=\"fml-scenario-table-stub\" scope=\"col\" data-export-value=\"Scenario\"\u003eScenario\u003c\/th\u003e\n\u003cth class=\"fml-scenario-table-column\" scope=\"col\" data-export-value=\"Lean Launch\"\u003e\n\u003cspan class=\"fml-scenario-column-title\"\u003eLean Launch\u003c\/span\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eLow capex\u003c\/span\u003e\n\u003c\/th\u003e\n\u003cth class=\"fml-scenario-table-column\" scope=\"col\" data-export-value=\"Base Launch\"\u003e\n\u003cspan class=\"fml-scenario-column-title\"\u003eBase Launch\u003c\/span\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eModel match\u003c\/span\u003e\n\u003c\/th\u003e\n\u003cth class=\"fml-scenario-table-column\" scope=\"col\" data-export-value=\"Full Launch\"\u003e\n\u003cspan class=\"fml-scenario-column-title\"\u003eFull Launch\u003c\/span\u003e\u003cspan class=\"fml-scenario-badge is-warning\"\u003eCapital heavy\u003c\/span\u003e\n\u003c\/th\u003e\n\u003c\/tr\u003e\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Launch model\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-launch\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-launch-model.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003eLaunch model\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"Uses one modality or a leased or refurbished setup to keep capex down, and it is below the researched base case.\"\u003eUses one modality or a leased or refurbished setup to keep capex down, and it is below the researched base case.\u003c\/td\u003e\n\u003ctd data-export-value=\"Uses the researched outpatient mix with MRI, CT, X-ray, and ultrasound, with $3,275,000 in capex and a Month 5 cash low point of -$1,587,000.\"\u003eUses the researched outpatient mix with MRI, CT, X-ray, and ultrasound, with $3,275,000 in capex and a Month 5 cash low point of -$1,587,000.\u003c\/td\u003e\n\u003ctd data-export-value=\"Builds an MRI and CT-heavy center with broader staffing, more technologists, heavier shielding, more IT storage, and more working capital.\"\u003eBuilds an MRI and CT-heavy center with broader staffing, more technologists, heavier shielding, more IT storage, and more working capital.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Typical setup\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-setup\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-typical-setup.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003eTypical setup\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"Smaller site with lighter shielding, fewer rooms, and a thin staffing plan.\"\u003eSmaller site with lighter shielding, fewer rooms, and a thin staffing plan.\u003c\/td\u003e\n\u003ctd data-export-value=\"Standard multi-modality center with core radiology staff, PACS and RIS software, and full clinical support.\"\u003eStandard multi-modality center with core radiology staff, PACS and RIS software, and full clinical support.\u003c\/td\u003e\n\u003ctd data-export-value=\"Larger site with deeper modality coverage, higher throughput, and more backup capacity.\"\u003eLarger site with deeper modality coverage, higher throughput, and more backup capacity.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Cost drivers\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-drivers\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-cost-drivers.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003eCost drivers\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"One modality; leased or refurbished gear; smaller buildout; lighter IT stack; fewer staff\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eOne modality\u003c\/li\u003e\n\u003cli\u003eleased or refurbished gear\u003c\/li\u003e\n\u003cli\u003esmaller buildout\u003c\/li\u003e\n\u003cli\u003elighter IT stack\u003c\/li\u003e\n\u003cli\u003efewer staff\u003c\/li\u003e\n\u003c\/ul\u003e\u003c\/td\u003e\n\u003ctd data-export-value=\"MRI scanner; CT scanner; X-ray and ultrasound; PACS and RIS software; core technologists\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eMRI scanner\u003c\/li\u003e\n\u003cli\u003eCT scanner\u003c\/li\u003e\n\u003cli\u003eX-ray and ultrasound\u003c\/li\u003e\n\u003cli\u003ePACS and RIS software\u003c\/li\u003e\n\u003cli\u003ecore technologists\u003c\/li\u003e\n\u003c\/ul\u003e\u003c\/td\u003e\n\u003ctd data-export-value=\"Extra MRI and CT capacity; more technologists; heavier shielding; more IT storage; higher working capital\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eExtra MRI and CT capacity\u003c\/li\u003e\n\u003cli\u003emore technologists\u003c\/li\u003e\n\u003cli\u003eheavier shielding\u003c\/li\u003e\n\u003cli\u003emore IT storage\u003c\/li\u003e\n\u003cli\u003ehigher working capital\u003c\/li\u003e\n\u003c\/ul\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Planning range\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-range\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-planning-range.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003ePlanning range\u003c\/span\u003e\u003cspan class=\"fml-scenario-row-subtitle\"\u003eCAPEX only\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"$1,000,000 - $2,500,000\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$1,000,000 - $2,500,000\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eLowest funding need\u003c\/span\u003e\n\u003c\/td\u003e\n\u003ctd data-export-value=\"$4,500,000 - $5,500,000\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$4,500,000 - $5,500,000\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eCore funding case\u003c\/span\u003e\n\u003c\/td\u003e\n\u003ctd data-export-value=\"$6,000,000 - $9,000,000\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$6,000,000 - $9,000,000\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-warning\"\u003eHighest funding need\u003c\/span\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Best fit\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-fit\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-best-fit.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003eBest fit\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"Best for founders testing demand, smaller markets, or a phased rollout.\"\u003eBest for founders testing demand, smaller markets, or a phased rollout.\u003c\/td\u003e\n\u003ctd data-export-value=\"Best for operators building a standard outpatient imaging center from the model.\"\u003eBest for operators building a standard outpatient imaging center from the model.\u003c\/td\u003e\n\u003ctd data-export-value=\"Best for sites with strong referral flow and enough cash to absorb a bigger buildout.\"\u003eBest for sites with strong referral flow and enough cash to absorb a bigger buildout.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\u003c\/div\u003e\n\u003cdiv class=\"fml-scenario-table-note\"\u003e\n\u003cspan class=\"fml-scenario-table-note-icon\" aria-hidden=\"true\"\u003e!\u003c\/span\u003e\u003cp\u003e\u003cstrong\u003ePlanning note:\u003c\/strong\u003e These ranges are researched planning assumptions from the model structure, not vendor quotes, bids, or exact financing terms.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003c\/section\u003e","brand":"FinancialModelsLab","offers":[{"title":"Default Title","offer_id":49304021958899,"sku":"radiology-service-startup-costs","price":0.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0522\/6191\/2762\/files\/radiology-service-startup-costs.webp?v=1782690540","url":"https:\/\/financialmodelslab.com\/products\/radiology-service-startup-costs","provider":"Financial Models Lab","version":"1.0","type":"link"}