IMV’s 2026 Diagnostic X-ray Market Outlook Report describes hospital trends in general radiography procedures, the installed base of fixed general X-ray equipment, DR and purchase plans and upgrades, capital equipment budgets, and site operations characteristics. Also included in this report is a summary of respondent’s departmental priorities and the factors affecting the future outlook for X-ray at their facilities.
This report is based on surveys completed by 250 hospitals, that are projected to the IMV identified universe of U.S. hospitals with diagnostic X-ray departments.
Key Features
Diagnostic X-ray department priorities and future outlook
- What are the key department priorities for diagnostic X-ray?
- What factors will impact the outlook for diagnostic X-ray departments the most?
- What are the preferred information sources for future diagnostic X-ray purchases?
- What are the top-ranked preferred uses of AI in diagnostic X-ray departments?
Diagnostic X-ray procedures
- How have diagnostic X-ray procedure volumes changed in recent years?
- What is the trend in the diagnostic X-ray procedure mix by procedure type?
Diagnostic X-ray scanner installed base and purchase plans
- How many fixed diagnostic X-ray units are installed by site type?
- What is the trend in installed base market share by vendor?
- What is the adoption rate for key diagnostic X-ray capabilities?
- What is the anticipated age of diagnostic X-ray units upon replacement?
- What is the mix of new vs. refurbished diagnostic X-ray scanners?
- What type of service providers are diagnostic X-ray sites using?
- What is the brand loyalty of current diagnostic X-ray users?
- What are the key buying criteria for future diagnostic X-ray scanners?
Site operations characteristics
- How many technologists, nurses, administrators, imaging aides,
and secretaries are employed in diagnostic X-ray departments?
Table of Contents
Diagnostic X-ray Department Priorities and Future Outlook
- Insight to Impact: How to Utilize this Report for Strategic Advantage
- Priorities to the Mission of General X-ray Departments Over the Next Year, as of 2026 Survey
- Priorities to the Mission of X-ray Departments Over the Next Year, by Hospital Bed Size, as of 2026 Survey
- Priorities to the Mission of X-ray Departments Over the Next Year, 2010 to 2026
- Factors Affecting the Future Outlook for X-ray at your Facility Over the Next Few Years, as of 2026 Survey
- Factors Affecting the Future Outlook for X-ray at Your Facility Over the Few Next Years, by Hospital Bed Size, as of 2026 Survey
- Factors Affecting the Future Outlook for X-ray at Your Facility Over the Next Few Years, 2010 to 2026
- Priority Ranking for Using Artificial Intelligence and Machine Learning Tools in X-ray Departments, as of 2026 Survey
- Current Use and Consideration of Artificial Intelligence and Machine Learning Tools in X-ray Departments, as of 2026 Survey
- Current Use and Consideration of Artificial Intelligence and Machine Learning Tools in X-ray Departments, by Hospital Bed Size, as of 2026 Survey
- Outlook for X-ray Procedure Volume, Reimbursement, Revenue, and Net Income/Profits, as of 2026 Survey
- Outlook for X-ray Net Income/Profits, by Site Type, as of 2026 Survey
- Comparison of General X-ray Department Outlook for Procedure Volume, Reimbursement, Revenue, and Net Income/Profits, by IMV Study Year, 2013 to 2026
- AI Impact on X-ray Departments in 2025 - Summary of Open-Ended Responses
- Anticipated AI Impact on X-ray Departments in 2026 - Summary of Open-Ended Responses
- Suggestions for X-ray Equipment, Consumables & Software - Summary of Open-Ended Responses
Diagnostic X-ray Procedures
- Distribution of Sites and Procedures Performed in 2025 Using Fixed X-ray Systems, by Hospital Bed Size
- Trend in Total X-ray Procedures Performed in All Hospital Departments*, by Hospital Bed Size, 2017 to 2026
- Trend in Total X-ray Procedures Performed in Main Radiology Department, by Hospital Bed Size, 2010 to 2026
- Distribution of X-ray Procedures Performed in 2025 Using Fixed vs. Mobile/Portable General X-ray Units, by Hospital Bed Size
- Mix of 2025 General X-ray Procedures Performed in Main Radiology Departments vs. Other Locations in the Hospital, by Hospital Bed Size, as of 2026 Survey
- Distribution of Sites, by 2025 X-ray Procedures Performed in All Departments, by Hospital Bed Size
- Distribution of Sites, by 2025 X-ray Procedures Performed in Main Radiology Departments, by Hospital Bed Size
- Average Annual X-ray Procedures Performed per Main Radiology Departments, by Hospital Bed Size, 2014 to 2025
- Percent Distribution of Fixed X-ray Procedures Performed by Procedure Type, 2025
- Total Fixed X-ray Procedures Performed by Procedure Type, 2025
Diagnostic X-ray Procedures (cont.)
- Number of Sites Performing X-ray Procedures Using Fixed X-ray Syatems and Average Annual Procedures per Site
- Performing, by Department, 2025
- Percent of Sites Performing X-ray Procedures, by Procedure Type, 2025
- Trend in Percent of Sites Performing X-ray Procedures, by Procedure Type, 2009 to 2025
- Percent of Sites Performing X-ray Procedures, by Procedure Type, by Hospital Bed Size, 2025
- Percentage of Adult vs. Pediatric General X-ray Procedures, 2025
- Number of Sites Performing Pediatric X-ray Procedures and Average Annual Procedures per Site Performing, by
- Hospital Bed Size, 2025
- Percentage of General X-ray Procedures Performed on Obese Patients, by Hospital Bed Size, 2025
- Trend in X-ray Inpatient vs. Outpatient vs. Emergency Procedure Mix in Main Radiology Departments, 2010 to 2025
- Plans to Acquire Advanced Application Capabilities for Fixed General X-ray Equipment Over Next 3 Years, as of 2026 Survey
- Trend in Plans to Acquire Advanced Application Capabilities for Fixed General X-ray Equipment Over Next 3 Years, by
- IMV Study Year, 2013 to 2026
- Whether Remote Scanning is Utilized for X-ray Procedures, as of 2026 Survey
- Tasks Using of Live Streaming Camera Capabilities for X-ray Procedures, as of 2026 Survey
- Use of Dynamic Digital Radiography (DDR) Capabilities for X-ray Procedures, as of 2026 Survey
- Pediatric X-ray Exam Types Performed - Summary of Open-Ended Responses
Installed Base of Fixed General X-ray Systems in Hospitals
- Distribution of Fixed DR and CR Sites and Systems, by Hospital Bed Size, as of 2026 Survey
- Total Number of Fixed DR and CR General X-ray Systems Installed, by IMV Study Year, 2010 to 2026
- Distribution of Sites, by Number of Fixed General X-ray Systems, by Hospital Bed Size, as of 2026 Survey
- Total Fixed General X-ray Systems Installed in Hospitals, by Year of Original Installation, as of 2026 Survey
- Trend in Percent of Sites Having Fixed DR vs. CR General X-ray Systems Installed, by IMV Study Year, 2010 to 2026
- Percent of Sites Having Fixed CR Only, Fixed DR Only, or Both Types, by Hospital Bed Size, as of 2010 to 2026 Survey
- Mix of Fixed DR and CR General X-ray Systems Installed, by Hospital Bed Size, as of 2010 to 2026 Survey
- Mix of Fixed DR and CR Systems Installed, by Year of Installation, as of 2026 Survey
- Total Fixed X-ray System Installed Base Market Share, by DR* vs. CR Systems as of 2026 Survey
- Total Fixed X-ray System Installed Base Market Share, by DR* vs. CR Systems (including DR Retrofits), as of 2026 Survey
- First Call Service Support Sources for Fixed General X-ray Systems, by Hospital Bed Size, as of 2026 Survey
- Type of Contractual Arrangement Used When Service Support is Needed from an Outside Service Provider for Fixed
- General X-ray Systems, by Hospital Bed Size, as of 2026 Survey
- Type of Contractual Arrangement Used When Service Support is Needed from an Outside Service Provider for Fixed
- General X-ray Systems, by Service Support Source, as of 2026 Survey
- Total Number of Fixed DR Systems Installed, by Hospital Bed Size, as of 2026 Survey
- Total Number of Fixed DR Systems Installed, by IMV Study Year, 2010 to 2026
- Distribution of Sites, by Number of Fixed DR Systems Installed in Main Radiology Departments, by Hospital Bed Size, as of 2026 Survey
- Total DR Systems Installed in Hospitals, by Year of Original Installation, as of 2026 Survey
- Distribution of Fixed DR Systems, by Year of Installation, by Hospital Bed Size, as of 2026 Survey
Installed Base of Fixed General X-ray Systems in Hospitals (cont.)
- Whether Installed DR Systems were Retrofits to Conventional or CR X-ray Systems, or were Acquired New, by Installation Year, as of 2026 Survey
- Fixed DR System Installed Base Market Share, by Whether Acquired as a Retrofit or New, as of 2026 Survey
- Installed Base Market Share of Recently Installed DR Systems, Including DR Retrofits, as of 2026 Survey
- Percent of Sites Having at Least One Fixed DR System Installed, by Manufacturer, as of 2026 Survey
- Percent of DR Detectors that are Fixed and/or DR Cassettes, by Hospital Bed Size, as of 2026 Survey
- Capabilities of DR Systems, with Percent of Sites and fixed DR Systems, by Hospital Bed Size, as of 2026 Survey
- Percent of Sites and Fixed DR Systems that Use CR Cassettes as well as Digital Detectors, by Hospital Bed Size, as of 2026 Survey
- Percent of Sites and Fixed DR Systems Used to Perform Long Leg or Scoliosis Exams, by Hospital Bed Size, as of 2026 Survey
- First Call Service Support Sources for Fixed DR Systems, by Hospital Bed Size, as of 2026 Survey
- Type of Contractual Arrangement Used When Service Support is Needed from an Outside Service Provider for Fixed DR Systems, by Hospital Bed Size, as of 2026 Survey
- Type of Contractual Arrangement Used When Service Support is Needed from an Outside Service Provider for Fixed DR Systems, by Service Support Source, as of 2026 Survey
- Distribution of Fixed CR-Only General X-ray Sites and Systems, by Hospital Bed Size, as of 2026 Survey
- Total Number of Fixed CR-Only General X-ray Systems Installed, by IMV Study Year, 2010 to 2026
- Percent of X-ray Sites Having Fixed DR Systems Only, vw. Having at Least One CR X-ray System, by Hospital Bed Size, as of 2026 Survey
- Percent of Sites Having at Least One Fixed CR-Only X-ray System Installed, by Manufacturer, as of 2026 Survey
- Planned Actions for Fixed CR-Only X-ray Systems Over the Next Three Years, as of 2026 Survey
- Types of Contractual Arrangement Used When Service Support is Needed from an Outside Service Provider for Fixed CR-Only Systems, as of 2026 Survey
- Type of Contractual Arrangement Used When Service Support is Needed from an Outside Service Provider for Fixed CR-Only Systems, by Service Support Source, as of 2026 Survey
- Floor-mounted or Ceiling-mounted General X-ray Systems, by Hospital Bed Size, as of 2026 Survey
Purchase Plans for Fixed General X-ray Systems and DR Detector Retrofit Kits
- Hospital Sites Planning to Acquire Fixed General X-ray Systems Over the Next Three Years, as of 2026 Survey
- Percentage of Sites Planning to Purchase Fixed General X-ray Systems Over the Next Three Years, by IMV Study
- Year, 2010 to 2026
- Percent of Sites Planning to Purchase Fixed General X-ray Systems Over the Next Three Years, by Hospital Bed Size, as of 2026 Survey
- Distribution of Sites, by Number of Fixed General X-ray Systems Planned for Purchase, by Hospital Bed Size, as of 2026 Survey
- Planned Mix of Fixed DR vs. CR Systems to be Acquired, as of 2026 Survey
- Plans for New vs. Refurbished/Used Fixed General X-ray Systems, by Hospital Bed Size, as of 2026 Survey
- Plans for Purchasing Replacement vs. Additional Fixed General X-ray Systems, by Hospital Bed Size, as of 2026 Survey
- Whether Planned Fixed DR Systems will be Used for Long-leg or Scoliosis Exams, by Hospital Bed Size, as of 2026 Survey
Purchase Plans for Fixed General X-ray Systems and DR Detector Retrofit Kits (cont.)
- Detectors Types being Planned for Fixed DR Systems, by Hospital Bed Size, as of 2026 Survey
- Planned Floor-mounted or Ceiling-mounted Systems, by Hospital Bed Size, as of 2026 Survey
- Percent of Sites Mentioning Manufacturers Being Considered for Next General X-ray System Purchase, as of 2026 Survey
- Brand Loyalty: Vendor Being Considered by Current Fixed General X-ray Installed Base, as of 2026 Survey
- Brand Loyalty: Vendor Being Considered by Current Fixed DR X-ray Installed Base, as of 2026 Survey
- Whether Decisions for Purchasing X-ray Systems are Made at the Corporate HQ or at the Individual Facility Level, by IMV Study Year, as of 2013 to 2026 Survey
- Trend in Whether the Influence of Corporate HQ in Purchase Decisions for X-ray Systems is Increasing or Decreasing,
- Compared to 2-3 Years Ago, by IMV Study Year, 2013 to 2026
- Preferred General X-ray Manufacturers in Healthcare System/Organization, as of 2026 Survey
- Hospital Sites Planning to Acquire DR Detector Retrofit Kits Over the Next Three Years, as of 2026 Survey
- Percent of Sites Mentioning Manufacturers Being Considered for DR Detector Retrofit Kit Purchases, as of 2026 Survey
- Hospital Sites Planning to Acquire Fixed General X-ray Systems and/or DR Detector Retrofit Kits Over the Next Three Years, as of 2026 Survey
- Whether Sites Plan to Purchase Fixed General X-ray Systems and/or DR Detector Retrofit Kits, as of 2026 Survey
- Whether Sites Plan to Purchase Fixed General X-ray Systems and/or DR Detector Retrofit Kits, by Hospital Bed Size, as of 2026 Survey
- Percent of Sites Planning to Purchase Fixed General X-ray Systems, DR Retrofit Kits, or Both Equipment Types, by Current Fixed X-ray System Capability Type, as of 2026 Survey
- Current Fixed General X-ray System Capability Types of Sites Planning to Purchase Fixed General X-ray Systems and/or DR Detector Retrofit Kits, as of 2026 Survey
- Mix of Fixed DR and CR X-ray Systems vs. DR Detector Retrofit Kits Planned, by Hospital Bed Size, as of 2026 Survey
- Budgetary Status of Planned Fixed General X-ray Systems, by Year of Planned Purchase, as of 2026 Survey
- Distribution of 2026 X-ray Capital Equipment Budgets
- Distribution of 2026 X-ray Capital Equipment Budgets, by Budget Year, 2025 to 2028, as of 2026 Survey
- Planned Capabilities of DR Systems, with Percent of Sites and Planned X-ray Systems, by Hospital Bed Size, as of 2026 Survey
- Average Age of Fixed General X-ray Systems Upon Replacement, by IMV Study Year, 2010 to 2026
Installed Base and Purchase Plans for Mobile General X-ray Units
- Whether Radiology Owns/Manages Mobile/Portable General X-ray Units, by Hospital Bed Size, as of 2026 Survey
- Total Number of Mobile/Portable General X-ray Units Owned/Managed by Radiology/Imaging Department, by Hospital Bed Size, as of 2026 Survey
- Percent of Sites Having Fixed DR vs. CR General X-ray Systems Installed, by Hospital Bed Size, as of 2026 Survey
- Mix of Mobile/Portable General X-ray Units Using DR Technology vs. CR Cassettes Only, by Hospital Bed Size, as of 2026 Survey
- Distribution of Sites, by Number of Mobile/Portable DR Units by Hospital Bed Size, as of 2026 Survey
- Percent of Sites Having at Least One Mobile/Portable General X-ray Unit by Manufacturer, for DR vs. CR Units, as of 2026 Survey
- Locations/Departments where Mobile/Portable General X-ray Units are Used, as of 2026 Survey
- Distribution of Sites, by 2025 X-ray Procedures Performed Using Mobile General X-ray Units, by Hospital Bed Size
Installed Base and Purchase Plans for Mobile General X-ray Units (cont.)
- Hospitals Sites Planning to Acquire Mobile/Portable General X-ray Units Over the Next Three Years, as of 2026 Survey
- Percent of Sites Planning to Acquire Mobile/Portable General X-ray Units Over the Next Three Years, by IMV Study Year, 2015 to 2026
- Distribution of Sites, by Number of Mobile/Portable General X-ray Units Planned for Purchase, by Hospital Bed Size, as of 2026 Survey
- Locations/Departments where Planned Mobile/Portable General X-ray Units will be Used, as of 2026 Survey
- Planned Mix of Mobile/Portable DR vs. CR-only General X-ray Units to be Acquired, as of 2026 Survey
- Percent of Sites Mentioning Manufacturers Being Considered for Next Mobile/Portable DR Purchase, as of 2026 Survey
Demographic and Site Operations Characteristics
- 2026 X-ray/DR/CR Survey Hospital Universe, by Hospital Bed Size
- Distribution of General X-ray Sites in Survey Universe, by Location Type and Hospital Bed Size, as of 2026 Survey
- Average Annual 2025 X-ray Procedures per Fixed General X-ray Room in Main Radiology Departments vs. All Locations in Hospital, by Hospital Bed Size
- Trend in Average Annual X-ray Procedures per Fixed General X-ray Room in Main Radiology Departments, by Hospital Bed Size, 2013 to 2025
- Percent of Hospitals with X-ray Staff Types, by Hospital Bed Size, as of 2026 Survey
- Average FTE Staff per Site Having that Type, by Hospital Bed Size, as of 2015 to 2026 Survey
- Average Annual 2025 Fixed X-ray Procedures per Technologist FTE, by Hospital Bed Size
- Distribution of Sites, by Total Radiologists that Read X-ray Procedures, by Hospital Bed Size, as of 2026 Survey
- Whether X-ray Procedures are Read On-site or Off-site, by Hospital Bed Size, as of 2026 Survey
- Whether X-ray Procedures Performed are Read On-site or Off-site, by IMV Survey Year, 2010 to 2026
- Typical Turnaround Time for X-ray Report to be Available on PACS, by Hospital Bed Size, as of 2026 Survey
- Typical Waiting Time for Non-Emergency X-ray Outpatient Visit, by IMV Study Year, 2013 to 2026
- Hours per Weekend for Scheduled X-ray Procedures, by Hospital Bed Size, as of 2026 Survey
- Hours per Weekday for X-ray Procedures, Including Unscheduled and On-Call (Monday-Friday) by Hospital Bed Size, as of 2026 Survey
- Level of Staffing Challenges in X-ray Department, by Site Type, as of 2026 Survey
- Financial Health of X-ray Department in 2025 and 2026, by Site Type, as of 2026 Survey
- X-ray Department Staffing Challenges - Summary of Open-Ended Responses
- X-ray Department Financial Health Outlook - Summary of Open-Ended Responses
Appendix
- AI Impact on X-ray Department in 2025 – Open-Ended Responses
- AI Impact on X-ray Department in 2025 – Open-Ended Responses (continued)
- AI Impact on X-ray Department in 2025 – Open-Ended Responses (continued)
- AI Impact on X-ray Department in 2025 – Open-Ended Responses (continued)
- AI Impact on X-ray Department in 2025 – Open-Ended Responses (continued)
- Anticipated AI Impact on X-ray Department in 2026 – Open-Ended Responses
- Anticipated AI Impact on X-ray Department in 2026 – Open-Ended Responses (continued)
- Anticipated AI Impact on X-ray Department in 2026 – Open-Ended Responses (continued)
- Anticipated AI Impact on X-ray Department in 2026 – Open-Ended Responses (continued)
Appendix (cont.)
- Anticipated AI Impact on X-ray Department in 2026 – Open-Ended Responses (continued)
- X-ray Department Staffing Challenges – Open-Ended Responses
- X-ray Department Staffing Challenges – Open-Ended Responses (continued)
- X-ray Department Staffing Challenges – Open-Ended Responses (continued)
- X-ray Department Staffing Challenges – Open-Ended Responses (continued)
- X-ray Department Staffing Challenges – Open-Ended Responses (continued)
- X-ray Department Financial Health Outlook – Open-Ended Responses
- X-ray Department Financial Health Outlook – Open-Ended Responses (continued)
- X-ray Department Financial Health Outlook – Open-Ended Responses (continued)
- X-ray Department Financial Health Outlook – Open-Ended Responses (continued)
- X-ray Department Financial Health Outlook – Open-Ended Responses (continued)
- X-ray Department Financial Health Outlook – Open-Ended Responses (continued)
- X-ray Department Financial Health Outlook – Open-Ended Responses (continued)
- Suggestions for X-ray Equipment, Consumables & Software – Open-Ended Responses
- Suggestions for X-ray Equipment, Consumables & Software – Open-Ended Responses (continued)
- Suggestions for X-ray Equipment, Consumables & Software – Open-Ended Responses (continued)
- Suggestions for X-ray Equipment, Consumables & Software – Open-Ended Responses (continued)
- Suggestions for X-ray Equipment, Consumables & Software – Open-Ended Responses (continued)
- Pediatric X-ray Exam Types Performed – Open-Ended Responses
- Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued)
- Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued)
- Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued)
- Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued)
- Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued)
- Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued)
- Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued)
- Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued)
- Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued)
- Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued)
Methodology
Methodology
Study Sample (continued)
About IMV