Hologic has a dominant share of the mammography market in the US. Its tomosynthesis platform, sold under the Selenia Dimensions and 3Dimensions names, became the clinical reference standard for 3D breast screening after FDA approval of the tomosynthesis mode in 2011, and the company has maintained that position through successive hardware generations. For a women's health clinic or breast imaging center evaluating mammography financing, the Hologic question is usually not whether to choose Hologic but which generation and which configuration to fund.
We finance the full Hologic breast imaging and bone densitometry line. The Hologic Selenia Dimensions is the proven clinical workhorse, widely installed across hospital-affiliated and independent breast centers. The Hologic 3Dimensions is the current-generation system with updated tomosynthesis reconstruction speed and AI-assisted reading tools. The Hologic Horizon DXA bone densitometer is a separate product category, frequently purchased alongside a mammography suite as part of a women's health center build-out.
Transactions start at $50,000. Application-only approval up to roughly $400,000. Vendor closing after imaging-package review after approval.
Hologic Systems We Finance
Hologic's X-ray product line focuses on women's health imaging, with mammography as the core category and bone densitometry as a natural companion.
Selenia Dimensions Mammography
The Selenia Dimensions was the first FDA-cleared full-field digital mammography and tomosynthesis system in the US. It uses a tungsten anode tube and cesium iodide flat-panel detector, and it produces both 2D and reconstructed 3D images in a single acquisition. The system is certified for use at facilities participating in the FDA Mammography Quality Standards Act (MQSA) program, which is a baseline requirement for any breast imaging center.
Used Selenia Dimensions units are common in the secondary market, making this system a practical choice for practices adding screening capacity without the premium price of a brand-new 3Dimensions. We finance used Selenia Dimensions systems purchased from biomedical dealers and hospital disposals, provided the unit passes a recent functional test.
3Dimensions Mammography
The 3Dimensions is Hologic's current flagship mammography platform, replacing the Selenia Dimensions in new sales. It features faster tomosynthesis reconstruction, higher spatial resolution, and Hologic's Genius AI detection software, which flags regions of interest on both 2D and 3D images before the radiologist reads the study. The 3Dimensions also supports contrast-enhanced mammography as an optional upgrade. New system pricing runs $250,000 to $400,000 depending on configuration, and we finance the full package including installation and PACS connectivity.
Horizon DXA Bone Densitometry
The Horizon DXA is Hologic's current bone density scanner, used for osteoporosis screening and fracture risk assessment. It produces hip, spine, and forearm measurements and generates reports in formats required by CMS for DEXA billing. Women's health centers frequently add a Horizon DXA alongside their mammography system because the target patient population overlaps significantly: peri- and postmenopausal women who need both breast and bone screening. A combined mammography and DXA purchase can be financed in a single transaction.
Who Finances Hologic Equipment with Us
Hologic financing requests come from a consistent set of buyer types in the breast imaging market.
Hospital-affiliated women's health centers adding or replacing mammography systems as part of a capital refresh cycle. These buyers often have strong credit profiles and are financing a single large transaction every five to seven years. They frequently ask for deferred payment structures that push the first payment past the room construction and staff training period.
Independent breast imaging centers are often the most financing-active buyers in this market, because they do not have hospital capital budget backing and must finance from practice cash flow. We have worked with independent centers at every credit tier, from excellent to challenged, and the strong reimbursement for tomosynthesis screening (CPT 77063 is billed in addition to the 2D screening code at facilities with FDA-cleared tomo systems) supports the cash flow analysis.
OB/GYN and women's health practices adding screening mammography to their service mix. These are often smaller transactions centered on a single Selenia Dimensions or 3Dimensions unit, sometimes accompanied by a Horizon DXA purchase for a complete screening package. The women's health and OB/GYN clinic market is a natural fit for this combination.
Radiology groups equipping satellite screening locations. These groups sometimes structure a master lease that covers multiple Hologic units at different sites under one payment, which simplifies administration and can improve rate at higher total transaction values.
Refinancing Hologic Equipment
Hologic mammography systems hold their value well in the secondary market, particularly Selenia Dimensions units in working condition. That residual value creates options for practices that own their system outright or have built up equity against an existing loan.
A Sale-Leaseback Financing on a fully paid Selenia Dimensions or 3Dimensions system can return meaningful working capital to the practice without disrupting patient workflow. We purchase the system at fair market value and lease it back immediately on fixed monthly payments. Proceeds are unrestricted and are commonly used for a second location, staffing, or marketing for screening volume growth.
Cash-out refinancing is available on Hologic systems with an existing loan balance, provided the current market value exceeds the payoff amount. Given Hologic's strong secondary market, equipment even five to seven years old often carries enough residual value to support a cash-out structure.
Hologic Financing Terms Overview
The 3Dimensions is the most expensive system in the Hologic line, typically running $250,000 to $400,000 with installation. The Selenia Dimensions, new from authorized dealers, runs lower but is being phased out in favor of the 3Dimensions. Used Selenia Dimensions units from the secondary market can be acquired for $60,000 to $120,000 depending on age and condition.
Standard term lengths for Hologic purchases are 60 to 84 months, with 60 months being most common. Longer terms reduce the monthly payment but increase total interest cost. For practices with strong cash flow, a 60-month term with an optional early payoff provision is often the best structure.
Tax treatment: Hologic systems qualify for Section 179 deduction in the year placed in service under a qualifying loan or $1 buyout lease structure. The deduction can substantially offset the after-tax cost of a 3Dimensions purchase in a profitable practice year. We recommend coordinating the purchase and financing timing with your accountant to maximize the benefit.
Related Financing Paths
Questions about Hologic Mammography Financing
Clear answers on equipment eligibility, documentation, timing, and the financing path before you send the full file.
Does the Hologic 3Dimensions Genius AI software affect how the system is financed?
The AI software is part of the system purchase or subscription cost, and either can be financed. If Genius AI is sold as a subscription, we can finance the hardware and you manage the software subscription separately. If it is purchased outright, we include it in the financed amount. The distinction matters for how it appears on your balance sheet.
Can I finance a Hologic Horizon DXA alongside a mammography system in a single transaction?
Yes. Combined purchases are common and we handle them in one transaction with one monthly payment. The Horizon DXA typically adds $60,000 to $100,000 to the total, and bundling it with a mammography system allows you to manage both under a single lease or loan structure.
Our center passed the MQSA accreditation using an older system. Will financing a 3Dimensions require us to reaccredit?
Adding a new mammography system to your FDA-certified facility requires updating your MQSA certification to include the new unit. This is an administrative process, not a full reaccreditation. Your medical physicist will need to perform acceptance testing and establish quality control baselines for the new system before you begin clinical use. These are not financing questions, but they affect your go-live timeline, which is relevant to whether a deferred-payment structure makes sense.
Is a used Selenia Dimensions still worth financing versus buying new 3Dimensions?
It depends on your volume and budget. A used Selenia Dimensions in excellent condition at $80,000 to $100,000 delivers clinically validated tomosynthesis screening at roughly a third the cost of a new 3Dimensions. If your volume is 15 to 20 exams per day and you do not need the faster reconstruction of the 3Dimensions, the used system may offer better economics. We can run payment comparisons on both scenarios.
We are opening a new women's health center. Can we finance Hologic equipment as a startup?
Startup financing for a $250,000 to $400,000 Hologic system is possible but requires a stronger file than an established practice would need. We look for physician owners with a track record in related clinical work, a signed facility lease, demonstrated community screening demand, and typically a 20 to 25 percent down payment. Screening mammography has predictable reimbursement, which helps the forward cash flow analysis.
Bring this system into your room.
Send the Hologic Mammography Financing quote, seller details, requested amount, and installation target. The imaging finance desk will map the next practical step.