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  • Imaging centers can you make money?

    Posted by afazio.uk_887 on August 19, 2023 at 5:55 pm

     
    Kinda crazy, but the small town I work in (but don’t live in) doesn’t have an imaging center.  I always entertained the idea of leaving the hospital contract and opening an imaging center across the street.  I could easily pouch all the good tech talent as I know them all.   Not to mention, I have friendly relations with all local Docs and could get them as investors (this is legal apparently).   Do they still make money?  Seems to be it is a tough business to make money in.  It is unfortunate because as Rads this is one area where we actually have an edge compared to other business types. 

    fahma066_701 replied 1 year, 1 month ago 4 Members · 5 Replies
  • 5 Replies
  • g.giancaspro_108

    Member
    August 19, 2023 at 6:15 pm

    If you are serious then yes it is possible but it takes a lot of work.
    You can make money on CT, MRI and mammo and lose money on xray and fluoro.  Ultrasound could go either way depending on staffing and volume.  IR can make a lot of money if busy and handled properly (including followup clinic).  The equipment is very expensive.  The techs are very expensive and may be flaky.  Some insurers will steer outpatients your way.  Getting referrals may be tricky especially if anyone is employed by the hospital.  Neurosurgery and urology are good sources if they’re independent. The hospital will forbid their employed docs, NPs and PAs from sending anything outside the hospital imaging department.  The hospital may also badmouth your imaging center to the referrings which will carry more weight than you would think, for example “that imaging center took the worst techs, it did us a favor, they were dangerous and we were going to fire them. ”  Before considering this, you might consider a detailed analysis of the volume required to keep the doors open and how much volume you can realistically expect.  There are companies that can provide these analyses for you but I cannot speak to their accuracy.
    We still have freestanding group owned imaging centers, but fewer than before DRA and less profitable.  We try to avoid conflict with the local hospital and they generally don’t bother us, but they do forbid referrals to us by their employed physicians.

  • fahma066_701

    Member
    August 19, 2023 at 6:17 pm

    Very difficult. Similar experience. Didn’t work. All investors sold out to hospital.

    • radiologistkahraman_799

      Member
      August 19, 2023 at 7:03 pm

      The goal is to make it just profitable and a nuisance to the hospital to make them want to buy it from you for a premium.  They may shut it down afterwards or not, but you don’t care

      • afazio.uk_887

        Member
        August 19, 2023 at 7:14 pm

         
        Seems this is a loser.  Again, it is a shame because we Rads have an edge in this business line. 

        • fahma066_701

          Member
          August 19, 2023 at 7:30 pm

          Unfortunately you are correct. Deck is stacked against it.