FDA clearance expected · Fall 2026
AI cardiovascular intelligence · For outpatient imaging centers

A new line item, on the scanners you already own.

Differentiate your screening program. Grow revenue from every mammogram you already take.

Avera adds a quantitative cardiovascular score to every routine mammogram — no new hardware, no acquisition change, no extra time on the technologist's day. Your center becomes the one in town that reads a woman's heart from a scan she was already coming in for.

Installed base Hologic · GE · LORAD
New acquisition None
Tech workflow change Zero
Hardware to buy
Noneruns on your installed scanners

Hologic, GE, LORAD — the dominant US mammography base. No retrofit, no new licence on the device.

Per-inference SaaS
$610starts at, volume tiers

Anchor pricing for a typical community center. Cash-pay add-ons price ~$40–60 to the patient.

Time on the technologist
0seconds added per scan

Avera reads the DICOM after acquisition. The tech's day, room turnaround and patient flow are unchanged.

Pilot setup
2–4wksDICOM router · PACS read

From signed pilot to first scored scan. Manual DICOM uploads work from day one; PACS integration follows. No IT lift on your end past day one.

01The opportunity

You already do this scan. 40 million times a year.

Adding a cardiovascular read isn't a new procedure. It's a new line item that better serves patients — and a key differentiator for the physicians who refer to you.

Every screening mammogram you already do carries a second signal — the calcified arteries that warn of cardiovascular disease. Avera reads it. You bill it, market it, and refer on it.

  • Differentiation Be the only center in your zip code reading cardiovascular risk on the same visit.The clearest answer to "why pick us" a CRO has had in a decade.
  • Revenue Cash-pay add-on or sponsored screening — $40–60 to the patient, run as a wellness program.Per-inference cost in single digits; gross margin holds even at low uptake.
  • Volume Drives the screening visit itself — referring physicians have a new reason to send patients to a participating center.BAC programs in literature lift adherence to annual screening 4–7%.
  • Pull-through Cardiology referrals stay in-network when you have a partner cardiology group or own downstream imaging.Severe BAC carries 2.8–3.3× MACE risk — a real clinical pathway, not a marketing claim.
02The unit economics

Move the sliders. See the math.

A directional model on your actual scan volume. Built to answer the only question that matters before a center signs a pilot: does this make money?

Inputs · your center

Tell us about your screening volume.

20,000
$8/scan
$49/scan
35%
$240/referral
Modeled · year one, illustrative

Net contribution to the imaging center.

Estimated net contribution · year 1
$182,300est.
Add-on revenue
$343,000
Avera cost
$160,000
Severe-tier referrals
280/yr
Referral revenue captured
$67,200

Directional. Assumes 8% severe-tier prevalence in screened population (per published validation). Real engagement varies by market, payer mix and clinical pathway. We'll build a numbers page on your actual data during the pilot brief.

03Pricing

Per-inference SaaS. Transparent, volume-tiered.

Volume-tiered, billed monthly against scans actually processed. No hardware fee, no per-seat licence, no minimum commitment in pilot.

Tier 01 · single site

Pilot

$10/scan
Up to 10,000 scans / yr
  • One imaging center, one PACS integration
  • Patient & referrer collateral kit included
  • Quarterly outcomes report · uptake, severe-tier yield, referrals
  • Three-month minimum, no annual lock-in
Tier 02 · most common

Growth

$8/scan
10,000 – 40,000 scans / yr
  • Up to 5 imaging centers, one or many PACS
  • Co-branded patient one-pager · referrer brief
  • Monthly outcomes report & market-share dashboard
  • 12-month term, volume true-up at year end
Tier 03 · network

Network

From $6/scan
40,000+ scans / yr · multi-site
  • Unlimited sites, central PACS or distributed
  • Full collateral suite & staff training program
  • Custom analytics, EHR write-back, MSA pricing
  • Multi-year term; renewal aligned to FDA-cleared rollout

Indicative pricing. Final per-inference rate set after pilot scoping (PACS, volume, sites, payer mix). Cash-pay collection & downstream referral economics are yours; we charge only the inference fee.

04In your operation

Five steps. Four of them you already do.

What changes for the technologist, the radiologist, the front desk, the patient — and the cardiology partner you refer to. Spoiler: almost nothing, except a new line on the report and a new conversation at intake.

i.
Front desk

Patient opts in at intake.

A one-line addition to your screening consent. Cash-pay add-on, opt-in, $40–60 — or sponsored as part of a women's-health wellness program.

CRO & front desk · 30 sec
ii.
Acquisition

Routine mammogram. Unchanged.

Standard CC and MLO views on the Hologic, GE or LORAD scanner you already operate. No retake, no extra view, no extra dose.

Technologist · same day
iii.
Read

Avera scores the DICOM.

Pulled from PACS after acquisition. Quantitative BAC score in mm² with a severity tier. Returned to the radiology workflow within minutes.

Background · automatic
iv.
Report

Score lands on the report.

Adjunctive to the mammography read. Severity tier, dated, comparable visit-to-visit — and a templated note for the patient and the referring physician.

Radiologist · 0 added clicks
v.
Pathway

Cardiology referral, when warranted.

Severe-tier patients exit with a one-page patient letter and a templated referral to your cardiology partner. The rest gets logged for the next visit.

Your network · severe tier only
05Patient & referrer collateral

The materials your CRO actually needs. Day one.

A new line item only works if the front desk has a script, the referring OB-GYN has a one-pager, and the patient walks out with something in her hand. Every pilot ships with the full collateral set, co-branded with your center.

For the patient · take-home letter
Your mammogram, and your heart.
Explains BAC in plain language, what the score means, and what to ask her primary doctor next.
Patient one-pager.

Reading-level 6, two languages out of the box, co-branded with your center. Drops into the after-visit packet your front desk already prints.

Print & portal · EN / ES
For the referring physician
A new signal in your mammogram report.
Clinical brief for OB-GYN and primary care. What BAC means in the AHA PREVENT context, when to refer, how to read severity tiers.
Referrer brief.

Two-page PDF for the OB-GYN, primary-care and cardiology offices that send you patients. Built for the desk, not the journal club.

PDF · co-branded · faxable
For the front desk · 90-sec script
Two sentences at intake.
Word-for-word language for the consent moment. What to say, how to handle "is it covered?", and how to record opt-in cleanly.
Front-desk script & training.

Two short videos, a printed badge-card, and a Q&A for the five questions patients actually ask. Tested in pilot sites; tuned, not theoretical.

Video · cardstock · 90 sec
06Peer pilots

Centers that look like you, already running it.

The clinical-evidence story leans on Emory and Mayo. The commercial story leans on community imaging centers like the ones below — peer sites, by volume and by market.

Charlotte, NC · 3 sites · 22k scans/yr · Hologic

A women's-imaging group used Avera as the differentiator in a 4-zip-code market.

41%Opt-in uptake
+9%Screening volume YoY
186Cardiology referrals

"It was the first thing I could put on a billboard that the place across town couldn't match. Our OB-GYNs started sending us patients because of the program."

— CRO, mid-sized women's imaging group
Phoenix metro · Single site · 14k scans/yr · GE + LORAD

Independent center attached Avera to a cardiology pathway with a local group.

33%Patient-pay uptake
$11.40Avg. net contribution / scan
112Severe-tier patients flagged

"We weren't looking for a new clinical claim. We were looking for something real to offer that paid for the marketing it took to bring patients in."

— Operations Director, single-site center
Clinical anchor
Emory · Mayo Clinic · 123,762 women · Eur. Heart J. 2024

The science behind the line item — built at Emory, validated at Mayo.

Your patients aren't getting a marketing claim. The model under the hood is the same one published in the European Heart Journal, validated across five sites and three scanner manufacturers. Read the clinical page →

07Pilot program

Get ready now. Scale when it clears.

Avera today is for investigational and research-grade deployments. Bunkerhill Health is taking it through FDA clearance; the cleared version comes back to your pilot. The pilot is the path to a first-mover position the cleared rollout will reward.

The honest picture: pilot now, commercial rollout follows clearance.

We're not telling community centers to broadly market a non-cleared device for billing. We are running pilots — research collaborations, IRB-approved screening programs, and sponsored women's-health initiatives — that put you in position to flip on commercial reads the day clearance ships.

Today · Q2 2026
Pilot & research deployments.

IRB-approved screening programs and sponsored wellness initiatives. Per-inference SaaS pricing applies.

Investigational use
2027 target
Clearance & commercial flip-on.

Cleared model licensed back into Avera. Pilot sites flip to commercial reads, broad marketing, and a billing pathway as it matures.

Commercial rollout
Through 2027+
Reimbursement & CPT pathway.

We work alongside ACR and SBI advocates on coding and coverage; pilot sites become the case-study cohort that opens payer doors.

Reimbursement work
Get the pilot brief What "investigational" means for your center
08The honest questions

What an imaging-center operator actually asks.

Q · 01 Is Avera FDA cleared, and can I bill for this today? +
Not yet, and no — not as a routine billed service. Today Avera is offered for investigational and research-grade deployments: IRB-approved pilots, sponsored wellness programs, and research collaborations. Pilots can run as cash-pay add-ons in those frames. Our partner Bunkerhill Health is taking the model through 510(k); we expect to license the cleared version back for commercial use, at which point your pilot site flips on broader marketing and standard billing pathways.
Q · 02 If it's not cleared, what's a real pilot pathway today? +
Three frames that work right now: (1) a sponsored women's-health screening initiative, often co-branded with a local cardiology group or health plan; (2) a cash-pay research add-on under IRB oversight at your site or via our partner IRB; (3) a retrospective cohort program for centers wanting to quantify their own population first. We'll match you to the right one in the pilot brief.
Q · 03 How does this actually make my center money? +
Three lines: (1) a cash-pay add-on priced $40–60 to the patient against a $6–10 inference cost; (2) screening volume lift from referrer adoption, conservatively 4–7% in pilot data; (3) downstream cardiology referrals captured for partner groups you split economics with. Use the calculator above to model your numbers; we'll build a tighter version on your real volumes during the pilot.
Q · 04 What does my technologist have to do differently? +
Nothing. Avera reads the DICOMs your PACS already routes — standard CC and MLO views. No retake, no extra view, no extra dose, no extra patient time. The integration sits downstream of acquisition. The only operational change is at the front desk, where a two-sentence script adds the opt-in to your intake flow.
Q · 05 What does the IT integration look like? +
A DICOM router pointed at our endpoint and a structured-report write-back into your PACS / RIS. Two to four weeks from signed pilot to first scored scan for most single-site centers. On-prem, hybrid and cloud-PACS shops all work. We bring the integration spec; your IT lead reviews and signs off.
Q · 06 Can I market this to patients and referring physicians? +
In the pilot frame, yes — within the language and channels approved for your specific program. We supply the patient one-pager, the referrer brief, and the front-desk script, all reviewed and co-branded with your center. Broad billboard / paid-media marketing of a clinical service waits for clearance; pilots run under wellness or research framing today.
Q · 07 How does liability and malpractice work? +
The BAC score is reported as an adjunctive signal alongside the radiologist's read. It supports clinical decision-making rather than replacing it, which is the same posture as every other AI imaging tool you've evaluated. We carry product liability; you carry your existing professional liability. We share our clinical-pathway template, including the patient letter and severity-tier referral language, that your med-mal carrier and chief radiologist sign off on before go-live.
Q · 08 How long is the pilot? What's the off-ramp? +
Three months minimum, six months typical, with a checkpoint at month two on uptake and a checkpoint at month four on economics. No annual lock-in in pilot tier. If the numbers don't pencil for your market, we close the integration cleanly and you keep the data and the patient outcomes report.
For imaging-center operators

Get the imaging-center pilot brief.

A 20-minute call, a numbers page on your real volume, and the patient & referrer collateral kit.

  • Unit economics modeled on your annual screening count, payer mix, and market
  • Co-branded patient one-pager & referring-physician brief, ready to fax
  • PACS integration scope & pilot timeline against your IT calendar
  • Clinical pathway template — patient letter, severity-tier referral, med-mal sign-off language