A new mid-range single-plane cath lab in India costs ₹3.5-5.5 crore all-in. Built around a certified refurbished imaging system, the same lab commissions for ₹1.75-3 crore. A biplane lab runs ₹8-12 crore and a hybrid cath lab ₹10-18 crore. Of a new single-plane project, the imaging system alone is roughly 60-75% of the total; everything else — the shielded shell, the power, the air, the gas, the regulatory file — is the remaining quarter to forty percent, and it is entirely non-optional.
Every rupee figure below is an indicative planning range for current Indian market conditions. It is not a quotation. Imaging prices in particular move with configuration, exchange rates and OEM commercial cycles, and a real number only exists once a specific model, detector, software bundle and service term are on paper.
| Configuration | Indicative all-in cost | Typical buyer |
|---|---|---|
| Refurbished single-plane | ₹1.75 - 3 crore | First cath lab in a tier-2 / tier-3 hospital |
| New mid-range single-plane | ₹3.5 - 5.5 crore | Established cardiac programme, 600+ cases a year |
| New premium single-plane with FFR, IVUS, OCT | ₹5 - 7 crore | High-volume interventional centre, complex PCI |
| Biplane | ₹8 - 12 crore | Neurointervention, paediatric and congenital, structural |
| Hybrid cath lab / hybrid OT | ₹10 - 18 crore | TAVI, EVAR/TEVAR, hybrid revascularisation |
Our cath lab setup service page covers the turnkey scope, the shielding design method and the AERB sequence. This article is the money companion: how to think about the imaging decision, what shielding actually costs by component, what the regulatory pathway costs in time and rework risk, what the lab costs to run, and how many cases it needs before it pays for itself.
The dominant line item: new, refurbished or pre-owned imaging
Nothing else in this project comes close. Get the imaging decision right and the rest of the budget is arithmetic; get it wrong and no amount of value engineering elsewhere recovers it.
| New from OEM | Certified refurbished | Pre-owned / as-is de-installed | |
|---|---|---|---|
| Indicative capex (single-plane) | ₹2.5 - 4.5 crore | ₹80 lakh - ₹1.6 crore | ₹35 - 80 lakh |
| Source | OEM, factory-new | OEM refurbishment programme or OEM-authorised refurbisher | Broker, trader, hospital closing a unit |
| Warranty | Typically 12-24 months, tube usually covered — confirm in writing | Typically 6-12 months; tube often warranted separately by hours or exposures | None, or a short trader warranty with no engineering behind it |
| Service availability | Full OEM contract; spares supported for a defined period after end of manufacture | OEM contract usually available on current-generation platforms; check platform support end date | Independent engineers, harvested spares, no guaranteed continuity |
| Expected remaining life | 10 - 12 years | 6 - 8 years | 3 - 5 years, unpredictable |
| Tube condition | New | Low-hour or replaced tube on a properly refurbished unit — ask for the exposure count | Unknown unless independently metered |
| Image quality | Current dose-reduction and processing generation | One generation behind, usually clinically adequate for coronary work | Variable; may fail acceptance QA |
| AERB implications | Type-approved current model, clean procurement trail | Model must be AERB type-approved and procurement traceable to your institution | Highest risk — obsolete models, weak traceability, QA failures |
| Import position | Straightforward | Pre-owned and refurbished device imports are subject to conditions under Indian medical device and foreign trade rules that have been revised more than once — verify the current position before committing | Same, with less recourse if it goes wrong |
The honest argument for refurbished. A hospital doing 300-600 cases a year does not need current-generation dose-reduction software to do good coronary work. It needs a reliable flat-panel system, a service engineer who turns up, and a room that does not cause faults. A certified refurbished system cuts the dominant line item by 55-70%, which for a first cardiac programme is frequently the difference between a lab existing and not existing. Refurbished is the mainstream choice in tier-2 and tier-3 India for exactly this reason, and it is a rational one — not a compromise anyone should be embarrassed by.
The honest argument against. The risk is not image quality, it is the tail. Three questions decide it. What is the OEM’s declared end-of-support date for this platform, in writing? What is the tube’s exposure count, and what does a replacement tube cost today for this specific model — because on an older platform it can approach a third of what you paid for the whole system? And is there a service contract available from an entity with an engineering bench and a spares depot, at a price quoted now rather than negotiated after you are dependent?
Where “pre-owned” earns its discount and why we generally advise against it. A de-installed system bought as-is with no OEM involvement is genuinely cheap and genuinely risky. The failure mode is not dramatic — it is a lab that works for eighteen months, then loses a component that no longer exists, and sits dark while the hospital carries the depreciation and the roster. In a project where downtime costs ₹20-40 lakh a month in carrying cost and foregone contribution, an extra ₹60 lakh of capex for a certified system with a service contract is cheap insurance.
The decision rule. Match imaging generation to case complexity, not to budget alone. Diagnostic angiography and routine PCI are well served by certified refurbished. Complex bifurcation work, chronic total occlusions, structural intervention and any programme that intends to run FFR, IVUS or OCT should be on a current-generation platform, because the physiology and imaging modules are tightly coupled to the system generation and retrofitting them later is expensive or impossible.
Single-plane, biplane or hybrid — the cost delta and who actually needs each
| Single-plane | Biplane | Hybrid | |
|---|---|---|---|
| Imaging capex | ₹2.5 - 4.5 Cr new | ₹6 - 10 Cr new | ₹4 - 8 Cr imaging inside a full modular OT |
| Infrastructure sub-total | ₹75 L - ₹1.5 Cr | ₹1.3 - 2.5 Cr | ₹2.5 - 5 Cr |
| Procedure room area | 40 - 55 sq m | 55 - 70 sq m | 65 - 85 sq m |
| Shielded barrier area | Baseline | +25 - 40% | +25 - 40%, plus cleanroom envelope |
| Electrical and cooling demand | Baseline | Roughly double | Double, plus laminar-flow AHU |
| Build programme | 16 - 24 weeks | 26 - 36 weeks | 26 - 36 weeks |
| Clinically justified by | Adult coronary and peripheral intervention, pacing, IABP | Neurointervention, paediatric and congenital cardiac, complex structural, some EP | TAVI/TAVR, EVAR/TEVAR, hybrid coronary revascularisation |
The relevant test for biplane is contrast load and procedure time, not prestige. Two simultaneous orthogonal views from one injection matters enormously in a three-kilogram neonate and matters very little in a routine adult LAD stent. If your projected case mix does not contain a meaningful volume of paediatric, neuro or complex structural work, biplane roughly doubles your imaging capex to buy capability you will use in single-digit percentages of cases.
Hybrid is a different animal again, because AERB radiation requirements and ISO 14644 cleanroom requirements apply to the same room simultaneously. The lead barrier and the laminar-flow plenum compete for the same ceiling void, and the two designs have to be resolved together on one drawing. This is the single most common reason hybrid projects overrun.
Full line-item breakdown, single-plane lab
Infrastructure — everything except the imaging system — for a standard single-plane installation inside an existing building shell:
| Line item | Indicative cost | Share of infra | What moves it |
|---|---|---|---|
| Civil works and modular interiors (procedure, control and technical rooms) | ₹18 - 32 L | ~24% | Suite area, panel material (PPGI vs SS304), whether the slab needs cutting for a cable trench |
| Radiation shielding — walls, doors, viewing window | ₹8 - 18 L | ~12% | Adjoining occupancy, barrier area, required mm Pb, manual vs automatic doors |
| Precision HVAC — procedure room plus technical room | ₹12 - 22 L | ~15% | Technical room heat rejection (5-15 kW continuous), redundancy, humidity control method |
| UPS, isolation transformer and electricals | ₹10 - 20 L | ~13% | UPS kVA and whether the imaging chain is on UPS, dedicated transformer, feeder length |
| Medical gas pipeline and pendants | ₹6 - 12 L | ~8% | Pendant count and configuration, distance to the existing manifold |
| Hemodynamic monitoring and resuscitation equipment | ₹15 - 35 L | ~23% | Channel count, defibrillator, IABP provision, anaesthesia machine if included |
| Furniture, storage and personal radiation protection | ₹5 - 12 L | ~7% | Apron count and quality, ceiling-suspended lead acrylic screen, table-side skirt |
| Infrastructure sub-total | ₹75 L - ₹1.5 Cr | 100% |
Two lines sit outside that sub-total in most quotations, and they are the reason two bids can look ₹10-15 lakh apart when the scope is identical:
| Frequently separate line | Indicative cost | Note |
|---|---|---|
| IT, network and PACS/CVIS integration | ₹4 - 12 L | Structured cabling, VLAN segregation, DICOM integration with PACS and HIS, reporting workstations, storage. Some vendors fold this into “electricals”, some quote it separately, some omit it and invoice it later |
| Regulatory package — shielding design, eLORA submission, QA test, radiation survey, licence support | ₹3 - 8 L | Includes third-party QA and survey agency charges. Statutory fees are payable in addition per the current AERB schedule |
Ask every bidder explicitly where these two sit. It is the fastest way to find out whether you are comparing like with like.
What radiation shielding actually costs, and why it must be designed first
Shielding is not a blanket thickness. It is a barrier-by-barrier calculation from workload in mA-minutes per week, operating kVp, distance from the scattering volume to a point beyond the barrier, the occupancy factor of the space on the other side, and the shielding design goal for that space — stricter for uncontrolled public areas than for controlled areas entered only by monitored radiation workers. In a cath lab the primary beam is intercepted by the flat-panel detector, so scatter from the patient dominates and every barrier is a secondary barrier.
The commercial translation: your shielding cost is set by what is on the other side of your walls, and by how many cases you plan to do.
A lab surrounded by a corridor, a plant room and a stairwell will land at the bottom of the range. The same lab sandwiched between a ward, a public waiting area and an occupied office above will land at the top, because low-occupancy spaces attenuate nothing but they do reduce the required attenuation. Doubling the distance from the scattering volume to the far side of a barrier quarters the dose, which is why moving a wall 800 mm at drawing stage can be worth more than adding a millimetre of lead.
Indicative component costs for a single-plane room:
| Component | Typical specification | Indicative cost |
|---|---|---|
| Lead-lined wall barriers | 1.5 - 2 mm Pb, bonded lead-ply or lead-gypsum behind the modular panel, lead carried to 2.1 - 2.4 m; 55 - 75 sq m of barrier in a 6.5 × 7 m room | ₹2.5 - 6 L |
| Additional full-height lead | Where there is occupancy above the standard lead height or a wall stops short of the soffit | ₹0 - 2.5 L |
| Lead-lined main sliding door | 2 mm Pb, 1.4 - 1.5 m clear opening, lapped frame, lead continued into the pocket and past the opening edge | ₹2.5 - 5 L manual, ₹5 - 9 L automatic |
| Lead-lined personnel / secondary door | 2 mm Pb hinged, lapped frame | ₹1 - 2.5 L each |
| Lead glass viewing window and frame | 2 mm Pb equivalent, 1.0 - 1.5 sq m, direct sightline to the table | ₹2 - 3.5 L |
| Penetration collars, baffles, lead capping of fixings, joint overlaps | Every conduit, duct, gas pipe, socket box and frame crossing a barrier | ₹0.5 - 1.5 L |
A conventional single-plane room with manual doors and a favourable adjoining occupancy lands near ₹8-10 lakh. Automatic sliding doors, full-height lead on two or three barriers, a second personnel door and a 2.5-3 mm requirement against an occupied uncontrolled space take it to ₹18 lakh and beyond. That spread is real engineering, not vendor margin — which is why a shielding quotation with no calculation behind it should be treated as a guess.
Why the shielding layout must precede civil work
Because lead goes behind the finished surface. The sequence is: calculate, get the layout approved, line the walls, then panel over the lining. Reverse any two of those steps and the remedy is demolition.
The scenario plays out the same way every time. Civil work proceeds to a generic “2 mm everywhere” assumption. The layout goes to AERB late, and the reviewer asks about the occupied office above, or the waiting area behind the control room. A barrier needs upgrading. The panels are already up, the pendant grid is anchored, the flooring is laid, and now a wall has to be opened, re-lined and re-finished. Indicative cost of that rework: ₹3-10 lakh in direct works, three to six weeks of programme, and — the expensive part — three to six weeks of a finished lab sitting unlicensed while the hospital carries interest, depreciation and a clinical roster it has already hired.
Every duct, conduit and gas pipe crossing a barrier also needs an offset or baffled penetration, which means HVAC routing and shielding design have to be coordinated on the same drawing rather than negotiated on site. A straight-through duct penetration is an invisible hole in an otherwise correct shield, and it shows up when a surveyor puts a meter against the wall.
AERB licensing: what the pathway costs in time, money and rework risk
A cath lab is a regulated radiation installation. Nothing is imaged in it lawfully until AERB has licensed it. Treat the pathway as a critical-path item running concurrently with construction, not as paperwork to be handled at the end.
The shape of the process, at a level we are confident is accurate — verify current requirements, forms and fees on eLORA, AERB’s online regulatory portal, because they are revised periodically:
| Stage | Typical elapsed time | Typical direct cost | Note |
|---|---|---|---|
| Institution registration on eLORA | Days to a few weeks | Nominal | Do it early; it costs almost nothing to have the account ready |
| Layout approval — room layout plus barrier-by-barrier shielding calculations | Weeks once a complete submission is filed | Professional design fee ₹1.5 - 4 L; statutory fee per the current schedule | Before construction. Incomplete adjoining-occupancy detail is the most common cause of delay |
| Equipment type approval and procurement traceability | Runs with the purchase order | Nil to the hospital | Confirm the model and supplier are AERB-recognised before the PO, particularly for refurbished and imported systems |
| RSO nomination, certification and approval | Months — governed by fixed course and examination cycles | Course and examination fees, plus the nominee’s time | The single most common reason a physically complete lab cannot yet be licensed. Start at design stage |
| OEM installation and acceptance testing | 3 - 5 weeks | Within the imaging contract | |
| QA testing and pre-commissioning radiation survey | 1 - 3 weeks | ₹50,000 - ₹1.5 L to a recognised agency | Leakage measured at every barrier, door edge, window frame, console position and the spaces above and below |
| Licence application and issue | Weeks after complete submission | Statutory fee per the current schedule | Licence issued to the hospital, commonly for a term in the region of five years, renewed through the same portal |
Two things follow from that table.
The direct regulatory spend is small — typically well under ₹5 lakh including professional fees — and the cost of getting it wrong is not. Rework on a shielded barrier is ₹3-10 lakh of works. Programme delay on a finished lab is ₹20-40 lakh a month once you add interest and depreciation on a ₹3-5 crore asset, an already-hired cath lab team, and the contribution the lab is not earning. The regulatory file is the cheapest insurance in the project and the most frequently deferred.
The licence is always issued to the hospital, never to a contractor. Any vendor promising to “get your AERB licence” is describing something that does not exist. What a competent partner actually owns is everything AERB reads — the layout submission, the shielding calculations, the drawing set, coordination of QA and survey, and assembly of the licence documentation — plus flagging early the items that sit unavoidably with you, RSO certification above all. Licensing is also not a one-time event: TLD monitoring, periodic QA, record-keeping and intimation to AERB when equipment is replaced or relocated are continuing obligations of the hospital and its RSO.
Room and civil requirements that drive cost
The suite, not just the procedure room:
| Space | Area | Cost-relevant requirement |
|---|---|---|
| Procedure room | 40 - 55 sq m single-plane, 55 - 70 sq m biplane | AERB’s safety code sets a regulatory floor for interventional rooms, generally in the region of 25 sq m — that is a legal minimum, not a design target. Full C-arm angular sweep, longitudinal table travel, ceiling rails, anaesthesia position and a crash-cart zone all have to fit |
| Control room | 12 - 20 sq m | Direct sightline through the lead glass window; console, hemodynamic workstation, reporting position for two or three staff |
| Technical / equipment room | 12 - 20 sq m | Generator cabinet, image processing racks, UPS, isolation transformer, distribution boards. Rejects 5-15 kW continuously and needs dedicated redundant cooling on essential power. Routinely under-sized |
| Patient prep and recovery | 4 - 8 bays at 7 - 9 sq m | Monitoring, oxygen, suction, nurse station. Recovery capacity, not lab capacity, usually caps daily throughput — femoral cases need extended bed rest |
| Support | Sterile store, consumable store, clean and dirty utility, staff change with apron rack, reporting room | The consumable store is bigger than promoters expect; stents, balloons, catheters and guidewires are the unit’s largest working-capital item |
Vertical dimension is the most common disqualifier. Slab-to-slab of at least 3.4-3.6 m is needed for a ceiling-mounted gantry, leaving a finished ceiling near 2.9-3.0 m under the rails once the structural grid, ducting and cable trays are in. Floor-mounted systems still want 3.2 m or more. Below about 3.2 m, a retrofit location generally fails regardless of how attractive it is in every other respect — and finding that out late costs a design cycle.
Floor loading is a structural engineering item, not a fixing detail. The gantry, monitor suspension, pendants and ceiling-suspended lead screen hang from a load-bearing steel grid anchored to the structural slab and designed to the OEM’s point loads. It never hangs from a false ceiling. On a retrofit, the slab’s capacity has to be verified against those loads before anything else is decided; strengthening, if needed, is a five-to-six-figure item and a programme risk.
Cable trenching is the retrofit cost nobody budgets. Cabling between the technical room and the gantry and table bases needs a floor trench or an underslab conduit route. Where the existing slab cannot be cut — post-tensioned, thin, or structurally committed — the alternative is a raised floor with a ramp, which costs more, eats ceiling height you may not have, and changes the trolley access detail. Establish which one applies during the site survey.
Across the suite, the built envelope excluding imaging and clinical equipment typically works out to ₹4,000-7,500 per sq ft of suite area — three to five times a general ward fit-out, and a useful cross-check on any civil quotation you receive.
Running costs: the lines that continue after handover
| Recurring cost | Indicative amount | Note |
|---|---|---|
| OEM comprehensive maintenance contract on imaging | Typically 6-10% of imaging capital cost per year after warranty | ₹21-35 L a year on a ₹3.5 Cr new system; ₹8-15 L on a ₹1.2 Cr refurbished one. The single largest recurring line in the lab |
| X-ray tube replacement | ₹40 L - ₹1 Cr on a new-generation system; ₹20 - 45 L on an older platform | The most expensive predictable event in a cath lab’s life. Tube life is commonly expressed in exposures or heat units rather than years — get the figure for your specific model and reserve against it from year one |
| Consumables | ₹4,000 - 9,000 per diagnostic angiogram; ₹40,000 - ₹1.2 L per PCI depending on stent count and adjunct devices | Largest working-capital item. Stent pricing is subject to NPPA ceiling regulation, which is revised periodically |
| Infrastructure AMC | 6 - 10% of infrastructure capex per year | HVAC and filtration, UPS and isolation transformer, gas pipeline, pendants, modular interiors, shielding integrity |
| UPS battery replacement | ₹3 - 6 L per replacement cycle | VRLA banks every 3-5 years; lithium longer at higher capex. A predictable cost usually omitted from the operating model |
| HVAC filters and validation | ₹1.5 - 3 L a year | Filter changes, temperature and humidity validation, technical-room cooling service |
| Electricity | ₹1.5 - 3 L a month for the suite | Peak demand is 100-150 kVA on a cine run but average draw is modest; HVAC is the bigger continuous consumer |
| Radiation safety programme | ₹0.5 - 1.5 L a year | TLD badge monitoring for every radiation worker, apron integrity testing, periodic QA, survey around renewal |
Note the split of responsibility. Imaging service sits with the OEM under a separate contract; infrastructure AMC sits with whoever built the room. Both are necessary, they overlap at several interfaces — power quality, technical room temperature, earthing — and the most common failure is a fault that each party attributes to the other. Get the boundary written down before either contract starts.
Viability: how many cases justify a lab
Assumptions, all replaceable with your own: staffing of two cath lab technologists, three to four nurses, allocated RSO and housekeeping time; interest and depreciation over ten years; a case mix of 60% diagnostic angiography and 40% PCI; net contribution per case is what the hospital keeps after consumables and the interventionist’s share, not the billed tariff; scheme cases carry materially lower contribution than private cases and shift the blended figure down.
| Refurbished single-plane (₹2.5 Cr) | New mid-range single-plane (₹4.5 Cr) | |
|---|---|---|
| Interest and depreciation | ₹4 - 5 L / month | ₹7.5 - 9.5 L / month |
| Imaging maintenance contract | ₹1 - 1.5 L / month | ₹2 - 3 L / month |
| Staffing | ₹4 - 6 L / month | ₹5 - 7 L / month |
| HVAC, power, infrastructure AMC | ₹2 - 3.3 L / month | ₹2.5 - 4 L / month |
| Allocated overhead | ₹2 - 3 L / month | ₹3 - 4.5 L / month |
| Total fixed monthly cost | ₹13 - 19 L | ₹20 - 28 L |
Against that, break-even case volume at different blended contributions per case:
| Blended net contribution per case | Refurbished lab (₹16 L fixed) | New lab (₹24 L fixed) |
|---|---|---|
| ₹12,000 | 133 cases / month | 200 cases / month |
| ₹16,000 | 100 cases / month | 150 cases / month |
| ₹20,000 | 80 cases / month | 120 cases / month |
| ₹25,000 | 64 cases / month | 96 cases / month |
| ₹30,000 | 53 cases / month | 80 cases / month |
As a planning heuristic: a refurbished single-plane lab generally needs 70-100 cases a month to wash its face; a new mid-range lab needs 130-180. That is three to four, and six to seven, cases per working day respectively.
Below roughly 40-50 cases a month, the honest answer is usually that the hospital does not yet need its own lab. The alternatives are real and under-used — a referral arrangement with a nearby centre, a shared or leased arrangement, or building the cardiac programme’s clinical volume first and the lab second. A cath lab is not a marketing asset. An underused one consumes ₹15-25 lakh a month whether or not a patient walks in, and it will do so for a decade.
Two variables move break-even more than case count itself. Payer mix, because scheme package rates for angiography and PCI are materially below private tariffs and are revised periodically — check the current health benefit package master for your state rather than modelling from a remembered figure. And operator availability, because a lab is only as productive as the interventionist rostered to it; a single visiting cardiologist two days a week caps you well below break-even no matter what the machine can do.
How to compare cath lab quotations
Imaging system
- Exact model, generation and manufacture year. For refurbished: the original build year, the refurbishment date, and who did the refurbishment.
- Detector size and type. A 20 × 20 cm detector suits coronary work; larger detectors for peripheral and structural work cost materially more.
- Tube specification, heat capacity, and — for anything not factory-new — the exposure count and the replacement cost of that tube today.
- Software: which packages are included versus licensed separately. FFR, IVUS, OCT, rotational angiography, dose-reduction and advanced stent-enhancement packages are frequently quoted separately and can add ₹40 lakh to ₹1 crore.
- Warranty term, exactly what it covers, and whether the tube is inside or outside it.
- Post-warranty service contract price quoted now, comprehensive versus non-comprehensive, guaranteed uptime, penalty for breach, and response time in hours.
- Declared end-of-support date for the platform.
- AERB type approval status of the model and confirmation that procurement will be recorded traceably to your institution.
Shielding and civil
- Is a barrier-by-barrier calculation included, or a blanket thickness? Ask to see the calculation basis, not just the conclusion.
- mm Pb specified per barrier, and to what height. Full-height lead where required, or lead stopping at 2.1 m with an occupied space above?
- Shielding material: bonded lead sheet, or barytes plaster? Barytes needs far greater thickness for the same attenuation, adds dead load, and depends on uniform on-site mixing.
- Door type per opening — manual or automatic, sliding or hinged, and whether the frame is lead-lapped.
- Are penetration details specified — lead collars, offsets, capped fixings, minimum joint overlap?
- Is the post-installation radiation survey and any resulting remediation included, or is remediation a variation?
- Structural: whose scope is the ceiling grid design, and is it engineered to the OEM’s stated point loads with a structural certificate?
- Floor trench or raised floor, and who verifies the slab can be cut?
Services
- HVAC: separate systems for procedure and technical rooms? Technical room heat rejection assumed, redundancy quoted, and is the cooling on essential power?
- Procedure room design conditions stated numerically — temperature, RH, air changes, pressure regime, filtration grade.
- UPS: kVA, online double-conversion or otherwise, autonomy in minutes, battery chemistry, and critically whether the imaging chain is on the UPS or only monitoring and lighting. This one answer changes UPS sizing, battery footprint and electrical room layout, and two quotations that differ on it are not comparable.
- Dedicated transformer and feeder included or assumed existing? What voltage regulation is guaranteed at the generator cabinet during a cine run?
- Earthing specification and equipotential bonding, with a measured resistance value committed.
- Isolated power supply with line isolation monitoring in the patient vicinity — in or out?
Regulatory, IT and delivery
- Who prepares the eLORA layout submission, and is resubmission after a query included?
- Are statutory fees included or payable at actuals?
- Is the QA test and pre-commissioning radiation survey by a recognised agency in scope?
- Is RSO support in scope — and is the bidder honest that certification is a hospital obligation running on fixed examination cycles?
- PACS/CVIS integration: DICOM connectivity, storage, reporting workstations, and integration with your existing HIS. In or out?
- Validation and handover documentation: as-built drawings for architecture, shielding, HVAC, gas and electrical; survey and QA reports; O&M manuals.
- Payment milestones tied to demonstrable completion events, not calendar dates.
- One accountable contract with a named project manager, or several parallel subcontracts you will coordinate yourself in a room where the lead barrier, the air plenum, the cable trench and the pendant grid all compete for the same space.
Related reading
- ICU Setup Cost Per Bed in India: Level I, II and III Compared — the companion cost model for critical care, including the CCU that a cath lab programme will need alongside it.
- Cath Lab Setup services — turnkey scope, shielding design method, AERB sequence and project timeline.
Working out whether a location is licensable, what a realistic budget looks like, or whether a quotation you have received is complete? Request a project assessment and we will run the shielding feasibility and a line-item budget against your actual floor plate and case-mix projection.
About this article
Written by RayMedico Projects Editorial Team for RayMedico Projects. Cost figures, timelines, and specifications given here are indicative planning ranges drawn from current Indian market conditions — they are not quotations. Accreditation and statutory requirements are revised periodically; verify current requirements with the relevant authority for your project. For a project-specific assessment, request a quote.