You're not buying a brand.You're hiring someone to go find the right one.

It depends almost entirely on your state, not on us. Some states offer a 30 or 60 day grace period after registration; others require shielding plan review and a physicist survey before the first patient, and review alone can take several weeks. Tell us your state early and we'll map the realistic timeline before you commit to a delivery date — that's the number that should drive the purchase order, not the shipping lead time.

For medial branch blocks and routine facet work on average-sized patients, often no — a well-maintained 7.5 kW image intensifier handles it. You need the output when you're taking clean laterals, working on larger patients, or running longer cases. The honest question isn't how much power, it's how often you'll be at the limit. We'd rather size it right than sell you headroom you never use.

Flat panel gives uniform response, no geometric distortion, a more compact detector and generally better dose efficiency. It also costs materially more to buy and to repair. Plenty of high-volume pain practices are still running image intensifiers deliberately. For IR spine and urology, flat panel earns its cost more often. We'll quote both when both are reasonable.

Deliberately, none in particular. We source across every major manufacturer, new and refurbished, which is the only way the recommendation can actually follow from your procedure list rather than from our inventory. If you already have a brand in mind we'll price it — and we'll price two alternatives at the same configuration alongside it so you can see what the premium is buying.

Frame rate and recording. A modified barium swallow needs continuous fluoroscopy captured at 30 frames per second with video or cine storage and frame-by-frame playback, because the pharyngeal swallow lasts about a second. A unit offering pulsed fluoroscopy at 15 fps with last-image-hold produces beautiful stills and is still the wrong tool. You also need arc clearance to image a seated adult at head and neck level with an MBS chair in the beam. Generator power, by contrast, barely matters here.

Ask for tube hours and detector condition in writing, and ask whether the refurbishment was factory recertification or third-party. Refurbishment quality varies enormously in this category — paint is not refurbishment. We'll tell you what we know about a specific unit's history, and where we don't know, we'll say so rather than guess.

It's 100% equipment financing for qualified buyers, so nothing is due at signing on qualifying systems. It's credit-dependent — a young practice with thin revenue may see a deposit or a personal guarantee requested, and we'll tell you that early rather than after you've spent two weeks on it. Terms are set by the lender, not by us.

On qualifying programs and subject to credit approval, yes — no payment due for twelve months. Two honest caveats. First, not every applicant or transaction qualifies; 90 days is the more common structure and we'll tell you which one you're looking at before you get invested. Second, deferral is not free money — depending on the lender's structure, deferred interest may be added to the balance or the term may extend, so the total cost of a 12-month deferral can exceed a 90-day one. We'll put both structures in front of you with the total cost on each, because on a purchase this size the difference is worth seeing rather than being told about.

Two, mostly. Financing at $0 out of pocket with the first payment deferred roughly ninety days is what solves this for most practices — the system is generating collections before it starts costing you monthly, which is usually the real concern rather than the total. Leasing structures are also available if you'd rather not own the asset at the end. RGS Healthcare doesn't do short-term rentals, so if daily-rate rental is genuinely what you need we're not the right call — but run the calculator above first, because at a full and consistent procedure list ownership tends to win by a wide margin once you count what rental costs over a year.

That's most of what we do. Tell us the ceiling on the monthly payment or the capital number and we'll build backward from it, showing what you gain or give up at each level rather than quoting one configuration and hoping it lands.

Operator credentialing requirements vary by state — some require a licensed radiologic technologist, others permit trained physician operators under defined conditions. We scope applications training into the quote and will point you at your state's actual requirement rather than guessing at it.