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2026 Diagnostic X-ray Market Outlook Report

Publication Date: June 25, 2026

SKU: 26-063

Tags: X-ray

Pages: 203

SKU: 26-063

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?

IMV 2026 DIAGNOSTIC X-RAY

MARKET OUTLOOK REPORT

Chart Title Page
Insight to Impact: How to Utilize this Report for Strategic Advantage 6
Priorities to the Mission of General X-ray Departments Over the Next Year, as of 2026 Survey 13
Priorities to the Mission of X-ray Departments Over the Next Year, by Hospital Bed Size, as of 2026 Survey 14
Priorities to the Mission of X-ray Departments Over the Next Year, 2010 to 2026 15
Factors Affecting the Future Outlook for X-ray at your Facility Over the Next Few Years, as of 2026 Survey 16
Factors Affecting the Future Outlook for X-ray at Your Facility Over the Few Next Years, by Hospital Bed Size, as of 2026 Survey 17
Factors Affecting the Future Outlook for X-ray at Your Facility Over the Next Few Years, 2010 to 2026 18
Priority Ranking for Using Artificial Intelligence and Machine Learning Tools in X-ray Departments, as of 2026 Survey 19
Current Use and Consideration of Artificial Intelligence and Machine Learning Tools in X-ray Departments, as of 2026 Survey 20
Current Use and Consideration of Artificial Intelligence and Machine Learning Tools in X-ray Departments, by Hospital Bed Size, as of 2026 Survey 21
Outlook for X-ray Procedure Volume, Reimbursement, Revenue, and Net Income/Profits, as of 2026 Survey 22
Outlook for X-ray Net Income/Profits, by Site Type, as of 2026 Survey 23
Comparison of General X-ray Department Outlook for Procedure Volume, Reimbursement, Revenue, and Net Income/Profits, by IMV Study Year, 2013 to 2026 24
AI Impact on X-ray Departments in 2025 – Summary of Open-Ended Responses 25
Anticipated AI Impact on X-ray Departments in 2026 – Summary of Open-Ended Responses 26
Suggestions for X-ray Equipment, Consumables & Software – Summary of Open-Ended Responses 27
Distribution of Sites and Procedures Performed in 2025 Using Fixed X-ray Systems, by Hospital Bed Size 29
Trend in Total X-ray Procedures Performed in All Hospital Departments*, by Hospital Bed Size, 2017 to 2026 30
Trend in Total X-ray Procedures Performed in Main Radiology Department, by Hospital Bed Size, 2010 to 2026 31
Distribution of X-ray Procedures Performed in 2025 Using Fixed vs. Mobile/Portable General X-ray Units, by Hospital Bed Size 32
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 33
Distribution of Sites, by 2025 X-ray Procedures Performed in All Departments, by Hospital Bed Size 34
Distribution of Sites, by 2025 X-ray Procedures Performed in Main Radiology Departments, by Hospital Bed Size 35
Average Annual X-ray Procedures Performed per Main Radiology Departments, by Hospital Bed Size, 2014 to 2025 36
Percent Distribution of Fixed X-ray Procedures Performed by Procedure Type, 2025 37
Total Fixed X-ray Procedures Performed by Procedure Type, 2025 38
Number of Sites Performing X-ray Procedures Using Fixed X-ray Syatems and Average Annual Procedures per Site Performing, by Department, 2025 39
Percent of Sites Performing X-ray Procedures, by Procedure Type, 2025 40
Trend in Percent of Sites Performing X-ray Procedures, by Procedure Type, 2009 to 2025 41
Percent of Sites Performing X-ray Procedures, by Procedure Type, by Hospital Bed Size, 2025 42
Percentage of Adult vs. Pediatric General X-ray Procedures, 2025 43
Number of Sites Performing Pediatric X-ray Procedures and Average Annual Procedures per Site Performing, by Hospital Bed Size, 2025 44
Percentage of General X-ray Procedures Performed on Obese Patients, by Hospital Bed Size, 2025 45
Trend in X-ray Inpatient vs. Outpatient vs. Emergency Procedure Mix in Main Radiology Departments, 2010 to 2025 46
Plans to Acquire Advanced Application Capabilities for Fixed General X-ray Equipment Over Next 3 Years, as of 2026 Survey 47
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 48
Whether Remote Scanning is Utilized for X-ray Procedures, as of 2026 Survey 49
Tasks Using of Live Streaming Camera Capabilities for X-ray Procedures, as of 2026 Survey 50
Use of Dynamic Digital Radiography (DDR) Capabilities for X-ray Procedures, as of 2026 Survey 51
Pediatric X-ray Exam Types Performed – Summary of Open-Ended Responses 52
Distribution of Fixed DR and CR Sites and Systems, by Hospital Bed Size, as of 2026 Survey 54
Total Number of Fixed DR and CR General X-ray Systems Installed, by IMV Study Year, 2010 to 2026 55
Distribution of Sites, by Number of Fixed General X-ray Systems, by Hospital Bed Size, as of 2026 Survey 56
Total Fixed General X-ray Systems Installed in Hospitals, by Year of Original Installation, as of 2026 Survey 57
Trend in Percent of Sites Having Fixed DR vs. CR General X-ray Systems Installed, by IMV Study Year, 2010 to 2026 58
Percent of Sites Having Fixed CR Only, Fixed DR Only, or Both Types, by Hospital Bed Size, as of 2010 to 2026 Survey 59
Mix of Fixed DR and CR General X-ray Systems Installed, by Hospital Bed Size, as of 2010 to 2026 Survey 60
Mix of Fixed DR and CR Systems Installed, by Year of Installation, as of 2026 Survey 61
Total Fixed X-ray System Installed Base Market Share, by DR* vs. CR Systems as of 2026 Survey 62
Total Fixed X-ray System Installed Base Market Share, by DR* vs. CR Systems (including DR Retrofits), as of 2026 Survey 63
First Call Service Support Sources for Fixed General X-ray Systems, by Hospital Bed Size, as of 2026 Survey 64
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 65
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 66
Total Number of Fixed DR Systems Installed, by Hospital Bed Size, as of 2026 Survey 67
Total Number of Fixed DR Systems Installed, by IMV Study Year, 2010 to 2026 68
Distribution of Sites, by Number of Fixed DR Systems Installed in Main Radiology Departments, by Hospital Bed Size, as of 2026 Survey 69
Total DR Systems Installed in Hospitals, by Year of Original Installation, as of 2026 Survey 70
Distribution of Fixed DR Systems, by Year of Installation, by Hospital Bed Size, as of 2026 Survey 71
Whether Installed DR Systems were Retrofits to Conventional or CR X-ray Systems, or were Acquired New, by Installation Year, as of 2026 Survey 72
Fixed DR System Installed Base Market Share, by Whether Acquired as a Retrofit or New, as of 2026 Survey 73
Installed Base Market Share of Recently Installed DR Systems, Including DR Retrofits, as of 2026 Survey 74
Percent of Sites Having at Least One Fixed DR System Installed, by Manufacturer, as of 2026 Survey 75
Percent of DR Detectors that are Fixed and/or DR Cassettes, by Hospital Bed Size, as of 2026 Survey 76
Capabilities of DR Systems, with Percent of Sites and fixed DR Systems, by Hospital Bed Size, as of 2026 Survey 77
Percent of Sites and Fixed DR Systems that Use CR Cassettes as well as Digital Detectors, by Hospital Bed Size, as of 2026 Survey 78
Percent of Sites and Fixed DR Systems Used to Perform Long Leg or Scoliosis Exams, by Hospital Bed Size, as of 2026 Survey 79
First Call Service Support Sources for Fixed DR Systems, by Hospital Bed Size, as of 2026 Survey 80
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 81
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 82
Distribution of Fixed CR-Only General X-ray Sites and Systems, by Hospital Bed Size, as of 2026 Survey 83
Total Number of Fixed CR-Only General X-ray Systems Installed, by IMV Study Year, 2010 to 2026 84
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 85
Percent of Sites Having at Least One Fixed CR-Only X-ray System Installed, by Manufacturer, as of 2026 Survey 86
Planned Actions for Fixed CR-Only X-ray Systems Over the Next Three Years, as of 2026 Survey 87
Types of Contractual Arrangement Used When Service Support is Needed from an Outside Service Provider for Fixed CR-Only Systems, as of 2026 Survey 88
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 89
Floor-mounted or Ceiling-mounted General X-ray Systems, by Hospital Bed Size, as of 2026 Survey 90
Hospital Sites Planning to Acquire Fixed General X-ray Systems Over the Next Three Years, as of 2026 Survey 92
Percentage of Sites Planning to Purchase Fixed General X-ray Systems Over the Next Three Years, by IMV Study Year, 2010 to 2026 93
Percent of Sites Planning to Purchase Fixed General X-ray Systems Over the Next Three Years, by Hospital Bed Size, as of 2026 Survey 94
Distribution of Sites, by Number of Fixed General X-ray Systems Planned for Purchase, by Hospital Bed Size, as of 2026 Survey 95
Planned Mix of Fixed DR vs. CR Systems to be Acquired, as of 2026 Survey 96
Plans for New vs. Refurbished/Used Fixed General X-ray Systems, by Hospital Bed Size, as of 2026 Survey 97
Plans for Purchasing Replacement vs. Additional Fixed General X-ray Systems, by Hospital Bed Size, as of 2026 Survey 98
Whether Planned Fixed DR Systems will be Used for Long-leg or Scoliosis Exams, by Hospital Bed Size, as of 2026 Survey 99
Detectors Types being Planned for Fixed DR Systems, by Hospital Bed Size, as of 2026 Survey 100
Planned Floor-mounted or Ceiling-mounted Systems, by Hospital Bed Size, as of 2026 Survey 101
Percent of Sites Mentioning Manufacturers Being Considered for Next General X-ray System Purchase, as of 2026 Survey 102
Brand Loyalty: Vendor Being Considered by Current Fixed General X-ray Installed Base, as of 2026 Survey 103
Brand Loyalty: Vendor Being Considered by Current Fixed DR X-ray Installed Base, as of 2026 Survey 104
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 105
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 106
Preferred General X-ray Manufacturers in Healthcare System/Organization, as of 2026 Survey 107
Hospital Sites Planning to Acquire DR Detector Retrofit Kits Over the Next Three Years, as of 2026 Survey 108
Percent of Sites Mentioning Manufacturers Being Considered for DR Detector Retrofit Kit Purchases, as of 2026 Survey 109
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 110
Whether Sites Plan to Purchase Fixed General X-ray Systems and/or DR Detector Retrofit Kits, as of 2026 Survey 111
Whether Sites Plan to Purchase Fixed General X-ray Systems and/or DR Detector Retrofit Kits, by Hospital Bed Size, as of 2026 Survey 112
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 113
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 114
Mix of Fixed DR and CR X-ray Systems vs. DR Detector Retrofit Kits Planned, by Hospital Bed Size, as of 2026 Survey 115
Budgetary Status of Planned Fixed General X-ray Systems, by Year of Planned Purchase, as of 2026 Survey 116
Distribution of 2026 X-ray Capital Equipment Budgets 117
Distribution of 2026 X-ray Capital Equipment Budgets, by Budget Year, 2025 to 2028, as of 2026 Survey 118
Planned Capabilities of DR Systems, with Percent of Sites and Planned X-ray Systems, by Hospital Bed Size, as of 2026 Survey 119
Average Age of Fixed General X-ray Systems Upon Replacement, by IMV Study Year, 2010 to 2026 120
Whether Radiology Owns/Manages Mobile/Portable General X-ray Units, by Hospital Bed Size, as of 2026 Survey 122
Total Number of Mobile/Portable General X-ray Units Owned/Managed by Radiology/Imaging Department, by Hospital Bed Size, as of 2026 Survey 123
Percent of Sites Having Fixed DR vs. CR General X-ray Systems Installed, by Hospital Bed Size, as of 2026 Survey 124
Mix of Mobile/Portable General X-ray Units Using DR Technology vs. CR Cassettes Only, by Hospital Bed Size, as of 2026 Survey 125
Distribution of Sites, by Number of Mobile/Portable DR Units by Hospital Bed Size, as of 2026 Survey 126
Percent of Sites Having at Least One Mobile/Portable General X-ray Unit by Manufacturer, for DR vs. CR Units, as of 2026 Survey 127
Locations/Departments where Mobile/Portable General X-ray Units are Used, as of 2026 Survey 128
Distribution of Sites, by 2025 X-ray Procedures Performed Using Mobile General X-ray Units, by Hospital Bed Size 129
Hospitals Sites Planning to Acquire Mobile/Portable General X-ray Units Over the Next Three Years, as of 2026 Survey 130
Percent of Sites Planning to Acquire Mobile/Portable General X-ray Units Over the Next Three Years, by IMV Study Year, 2015 to 2026 131
Distribution of Sites, by Number of Mobile/Portable General X-ray Units Planned for Purchase, by Hospital Bed Size, as of 2026 Survey 132
Locations/Departments where Planned Mobile/Portable General X-ray Units will be Used, as of 2026 Survey 133
Planned Mix of Mobile/Portable DR vs. CR-only General X-ray Units to be Acquired, as of 2026 Survey 134
Percent of Sites Mentioning Manufacturers Being Considered for Next Mobile/Portable DR Purchase, as of 2026 Survey 135
2026 X-ray/DR/CR Survey Hospital Universe, by Hospital Bed Size 137
Distribution of General X-ray Sites in Survey Universe, by Location Type and Hospital Bed Size, as of 2026 Survey 138
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 139
Trend in Average Annual X-ray Procedures per Fixed General X-ray Room in Main Radiology Departments, by Hospital Bed Size, 2013 to 2025 140
Percent of Hospitals with X-ray Staff Types, by Hospital Bed Size, as of 2026 Survey 141
Average FTE Staff per Site Having that Type, by Hospital Bed Size, as of 2015 to 2026 Survey 142
Average Annual 2025 Fixed X-ray Procedures per Technologist FTE, by Hospital Bed Size 143
Distribution of Sites, by Total Radiologists that Read X-ray Procedures, by Hospital Bed Size, as of 2026 Survey 144
Whether X-ray Procedures are Read On-site or Off-site, by Hospital Bed Size, as of 2026 Survey 145
Whether X-ray Procedures Performed are Read On-site or Off-site, by IMV Survey Year, 2010 to 2026 146
Typical Turnaround Time for X-ray Report to be Available on PACS, by Hospital Bed Size, as of 2026 Survey 147
Typical Waiting Time for Non-Emergency X-ray Outpatient Visit, by IMV Study Year, 2013 to 2026 148
Hours per Weekend for Scheduled X-ray Procedures, by Hospital Bed Size, as of 2026 Survey 149
Hours per Weekday for X-ray Procedures, Including Unscheduled and On-Call (Monday-Friday) by Hospital Bed Size, as of 2026 Survey 150
Level of Staffing Challenges in X-ray Department, by Site Type, as of 2026 Survey 151
Financial Health of X-ray Department in 2025 and 2026, by Site Type, as of 2026 Survey 152
X-ray Department Staffing Challenges – Summary of Open-Ended Responses 153
X-ray Department Financial Health Outlook – Summary of Open-Ended Responses 154
AI Impact on X-ray Department in 2025 – Open-Ended Responses 156
AI Impact on X-ray Department in 2025 – Open-Ended Responses (continued) 157
AI Impact on X-ray Department in 2025 – Open-Ended Responses (continued) 158
AI Impact on X-ray Department in 2025 – Open-Ended Responses (continued) 159
AI Impact on X-ray Department in 2025 – Open-Ended Responses (continued) 160
Anticipated AI Impact on X-ray Department in 2026 – Open-Ended Responses 161
Anticipated AI Impact on X-ray Department in 2026 – Open-Ended Responses (continued) 162
Anticipated AI Impact on X-ray Department in 2026 – Open-Ended Responses (continued) 163
Anticipated AI Impact on X-ray Department in 2026 – Open-Ended Responses (continued) 164
Anticipated AI Impact on X-ray Department in 2026 – Open-Ended Responses (continued) 165
X-ray Department Staffing Challenges – Open-Ended Responses 166
X-ray Department Staffing Challenges – Open-Ended Responses (continued) 167
X-ray Department Staffing Challenges – Open-Ended Responses (continued) 168
X-ray Department Staffing Challenges – Open-Ended Responses (continued) 169
X-ray Department Staffing Challenges – Open-Ended Responses (continued) 170
X-ray Department Financial Health Outlook – Open-Ended Responses 171
X-ray Department Financial Health Outlook – Open-Ended Responses (continued) 172
X-ray Department Financial Health Outlook – Open-Ended Responses (continued) 173
X-ray Department Financial Health Outlook – Open-Ended Responses (continued) 174
X-ray Department Financial Health Outlook – Open-Ended Responses (continued) 175
X-ray Department Financial Health Outlook – Open-Ended Responses (continued) 176
X-ray Department Financial Health Outlook – Open-Ended Responses (continued) 177
Suggestions for X-ray Equipment, Consumables & Software – Open-Ended Responses 178
Suggestions for X-ray Equipment, Consumables & Software – Open-Ended Responses (continued) 179
Suggestions for X-ray Equipment, Consumables & Software – Open-Ended Responses (continued) 180
Suggestions for X-ray Equipment, Consumables & Software – Open-Ended Responses (continued) 181
Suggestions for X-ray Equipment, Consumables & Software – Open-Ended Responses (continued) 182
Pediatric X-ray Exam Types Performed – Open-Ended Responses 183
Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued) 184
Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued) 185
Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued) 186
Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued) 187
Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued) 188
Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued) 189
Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued) 190
Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued) 191
Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued) 192
Pediatric X-ray Exam Types Performed – Open-Ended Responses (continued) 193
Methodology 194
Study Sample (continued) 197
About IMV 203

 

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