Compare · Real Radiology

Real Radiology LLC teleradiology cost from 41 Army and VA contracts, plus the alternatives

The short answer

Real Radiology, LLC is a radiologist-owned teleradiology practice in Omaha, Nebraska, and it publishes no rate card. The checkable prices are 41 federal prime awards from 2011 to 2022 worth $7,647,695, with a $109,057 median. Most were Army hospitals and VA clinics buying multi-year plain film and CT coverage, a shape between vRad small orders and ONRAD annual contracts.

Search for Real Radiology and the first page is the company's own site, its LinkedIn profile, a careers page and job boards. That last part tells you who most of the searchers are: radiologists looking at the practice as an employer. If you are on the other side of the table, a hospital or imaging center pricing an outsourced reading contract, there is almost nothing written for you, and nothing with a number on it.

Real Radiology does not publish pricing, and neither do the other national reading services. So this page does not invent a per-study rate. What does exist is the federal record. The Department of the Army, the Department of Veterans Affairs and the Indian Health Service have bought reads from Real Radiology since December 2011, and every one of those purchases is public. The tables below come from USAspending.gov, pulled on September 24, 2026. Every recipient name and description was read one row at a time: all 41 awards went to the same legal entity, Real Radiology, LLC, and every description is radiology work.

The second thing to know is what kind of company you would be signing with. Real Radiology describes itself as 100 percent radiologist-owned, with physician owners who read cases themselves and no private equity backing. It is Joint Commission accredited, reports an average 20-minute turnaround in its own 2019 announcement, and in August 2018 it acquired Argus Radiology Consultants of Columbia, Missouri. That ownership model is the real contrast with vRad, which sits inside Radiology Partners, and with StatRad, which belongs to the Australian imaging group I-MED.

There is also a third option that a provider-versus-provider comparison leaves out, and it is why this page sits on a software site. Outsourcing fixes a capacity problem: more studies than radiologist hours. Buying reads is one answer. Making the hours you already pay for cover more of the list is the other, and a lot of groups end up doing both.

The Reading Station

Assistant ready

Worklist

Not for diagnostic use

Structured report

Draft

Run the assistant to draft this report for review.

You review & sign

Decision support. The radiologist reviews and signs every study.

Drafted in · you review & sign Worklist re-prioritized

Decision support for qualified clinicians. Radiological.ai does not provide a diagnosis and is not a substitute for professional judgment.

See the comparison

Flag · prioritize · draft · you review and sign

Real Radiology is a radiologist-owned national teleradiology practice that sells radiologist reads, preliminary and final, by contract. Radiological.ai sells none of that: it is an assistant inside your own reading room that flags suspected findings, prioritizes the worklist and drafts the structured report, so the radiologist hours you already pay for cover more of the list.

Side by side

What US federal agencies actually paid Real Radiology

The ten largest prime contract awards to Real Radiology, LLC, each traceable to a contract number. Not a private rate card, but the only verifiable Real Radiology pricing that exists in public.

What was bought	Award amount	Term and what it tells you
Army, plain films	$954,596	April 2019 to March 2022. Three years of plain film reads and the largest single award in the record. Radiographs are the volume work, so this is what steady daytime overflow costs at federal rates.
Army, computed tomography (CT)	$863,827	June 2013 to March 2017. Almost four years of CT coverage on one vehicle, bought as a separate line from plain films.
Army, plain films	$482,104	April 2017 to March 2019. The two-year plain film award that the $954,596 line above replaced, which is roughly a year of radiographs for about $240,000.
Army, teleradiology services	$438,960	March 2016 to October 2019. A multi-year teleradiology vehicle running alongside the modality-specific awards.
Army, teleradiology services	$426,212	April 2017 to March 2023. The longest term in the record, six years on one award.
VA VISN 16, medical centers and outpatient clinics, FY 2014	$374,364	October 2013 to September 2014. One fiscal year for a regional network of VA hospitals and community clinics across the South Central region.
Army, teleradiology plain films	$360,822	September 2017 to February 2019. Another plain film line, bought separately from the CT work.
Army, reads for Fort Sill	$336,205	December 2011 to March 2017. The first award in the whole record, covering one Army installation for more than five years.
VA VISN 16, Fayetteville, FY 2015	$321,046	October 2014 to September 2015. A single medical center and its clinics for one fiscal year, which is a useful benchmark for a mid-size hospital.
Army, teleradiology services	$295,479	October 2019 to October 2021. Two years of coverage, followed by a six-month $140,418 bridge in 2021.

Compiled September 24, 2026 from USAspending.gov, the US government public record of federal contract awards. A recipient search for REAL RADIOLOGY, filtered to prime award actions of type A, B, C and D with award periods from October 1, 2007 through September 24, 2026, returns 41 awards totaling $7,647,695, all to Real Radiology, LLC. Every recipient name and description was read individually. These are public-sector awards bought under federal contracting rules, so they are not a quote for a private hospital or imaging center. Figures are award values rather than amounts finally paid out. Verify any award yourself at usaspending.gov before using it in a negotiation.

The shape of the business

What 41 federal Real Radiology awards tell a hospital buyer

The total is modest. The shape is what matters: how the work was bought, by whom and for how long.

Measure	Figure	What it means for your contract
Total award value across 41 contracts	$7,647,695	Eleven years of visible federal work. Smaller than vRad at $16.5 million or ONRAD at $21.9 million, which fits a practice that grew mainly on commercial hospital and imaging center clients.
Median award	$109,057	Between vRad at $2,914 and ONRAD at $201,333. Expect a coverage contract measured in years and modalities, not per-order reads.
Middle half of awards	$45,832 to $258,208	The interquartile range. A realistic federal year of plain film or CT coverage for one facility sits in this band.
Awards of $100,000 or more	21 of 41	Just over half. The top ten awards hold 63 percent of all dollars, so a few long Army vehicles carry the book.
Split by agency	Army $5.67M, VA $1.97M, IHS $10,631	Twenty-seven Army awards across installations such as Fort Sill, Fort Polk, Fort Leonard Wood, Fort Leavenworth and Fort Wainwright, thirteen VA awards concentrated in VISN 16, and one Indian Health Service order.
Modality-specific buying	Plain film and CT bought separately	The Army bought radiographs and CT as different awards with different terms. Ask any provider to price modalities separately too, so a shift in your CT share does not reprice your radiographs.
Most recent prime award start date	September 7, 2022	An Indian Health Service order for the Uintah and Ouray service unit. As with vRad and ONRAD, that is a fact about prime awards under this name, not proof of anything about current federal work.

All figures computed September 24, 2026 from the USAspending.gov pull described above: 41 prime awards to Real Radiology, LLC, all with a recorded value above zero. The vRad and ONRAD comparisons use the 357-award and 80-award pulls published on our vRad and ONRAD pages.

Side by side

Radiological.ai vs Real Radiology, honestly

A fair look at what each does well. Both are capable tools. Here is where they differ.

What matters	Radiological.ai	Real Radiology
What you are buying	Software your own radiologists use. It flags suspected findings, prioritizes the worklist and drafts the structured report into your template.	Radiologist reads. US board-certified radiologists on the Real Radiology panel read your studies and sign preliminary or final reports.
Who signs the report	Your radiologist, every time. No outside physician touches the study.	A Real Radiology radiologist, licensed and credentialed at your facility.
Unit of cost	Per reading radiologist per month, published on our pricing page from $199 billed annually.	Per study or as a coverage contract. Not published; quoted per facility.
Overnight and weekend coverage	None. We do not read studies, so a 3am study still needs a radiologist.	Core of the offer: 24 hours a day, 365 days a year.
Turnaround	Depends on your radiologists; the assistant moves urgent studies to the top of their list.	The company reported a 20-minute average in July 2019. Ask for current figures by priority level, written into the contract.
Ownership	Independent software company. We do not employ radiologists or run imaging centers.	Radiologist-owned, with no private equity backing, according to the company.
Marginal cost of one more study	Zero. The price does not move with volume.	Direct under per-study pricing, or renegotiated at renewal under a coverage contract.
Best suited for	Groups whose own radiologists cannot get through a growing daytime list.	Hospitals and clinics with real coverage gaps: nights, weekends, small or remote sites.

Comparison reflects general, publicly understood positioning. Capabilities change, so check each product for the latest.

This page covers one provider. For the other national reading services, the ONRAD cost page runs the same federal analysis on 80 awards, the vRad cost page does it on 357, and StatRad teleradiology alternatives covers the San Diego provider now owned by I-MED. If you have not decided which shape of provider you need, the teleradiology companies comparison sorts national services, regional practices and platform vendors.

For the rate card itself, teleradiology pricing works through per-study, per-hour and retainer models, and nighthawk radiology coverage cost covers the overnight shift specifically.

On the software side of the same decision, worklist prioritization covers getting urgent studies to the front of the queue, and our pricing is published so you can put both models side by side without a sales call.

Why groups pick Radiological.ai

One assistant across the whole read

Physician ownership changes the fine print

vRad belongs to Radiology Partners, which buys radiology practices, and StatRad belongs to I-MED, itself agreed for sale to Jardine Matheson in May 2026. Real Radiology says it is owned by the radiologists who read for it. That does not make the reads better or worse. It does change what assignment, change-of-control and non-solicitation clauses are likely to look like, so read them either way.

Price plain film and CT separately

The Army bought Real Radiology plain films and CT as separate multi-year awards. Copy that. A blended per-study rate hides the fact that radiographs are cheap and high volume while CT is expensive and growing, and when your mix moves the blended rate quietly stops matching what you actually send.

Outsourcing and capacity are different problems

A reading service fills hours you do not have. Software makes the hours you do have go further, by putting urgent studies first and drafting the report in your template. Groups that clear the daytime backlog usually send less overnight, because fewer studies spill over from the day.

Decision support, your radiologist always signs

Every flag is a prompt to look again and every report is a draft. The responsible radiologist reviews, edits and signs each study. We publish no accuracy figures and make no regulatory-status claims on this site.

Good questions

Real Radiology vs Radiological.ai, answered

Real Radiology publishes no price and quotes per facility. The only checkable source is the federal record: 41 prime awards to Real Radiology, LLC worth $7,647,695, with a $109,057 median and a middle half between $45,832 and $258,208. Those are multi-year Army and VA coverage awards at federal rates, so use them as a sanity check on an annual number, not as a per-study rate.

Omaha, Nebraska. Its corporate office is on North 102nd Street in Omaha, and its radiologists read remotely from across the US. It provides 24/7/365 teleradiology to hospitals, imaging centers, clinics, emergency centers and radiology groups nationally, and it holds Joint Commission accreditation.

Its radiologists. The company describes itself as 100 percent radiologist-owned and operated, managed by physician owners who read cases every day, with no private equity backing. That sets it apart from vRad, owned by Radiology Partners, and StatRad, owned by I-MED.

Yes. Real Radiology acquired Argus Radiology Consultants, a teleradiology firm in Columbia, Missouri, in a deal that closed on August 1, 2018. If you were an Argus client, your contract and reading panel now sit with Real Radiology, which is a good moment to check the assignment clause and current rates.

Size, ownership and deal shape. vRad belongs to Radiology Partners and its federal record is 357 mostly small orders with a $2,914 median. Real Radiology is radiologist-owned and its federal record is 41 multi-year Army and VA coverage awards with a $109,057 median. Both offer around-the-clock preliminary and final reads.

It depends on what you are paying to solve. If you cannot staff nights, another reading service may quote lower, so get at least three quotes priced per modality. If the real issue is a daytime list your own radiologists cannot finish, the cheaper answer is usually software that prioritizes the worklist and drafts reports, priced per radiologist, so existing hours cover more studies.

Price per modality rather than one blended rate, which reads are preliminary and which are final, turnaround by priority with a remedy if missed, how STAT is defined, what happens to price if volume moves more than 20 percent, assignment and change-of-control terms, and proof of current malpractice limits for each radiologist reading your studies.

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From the blog: what the PowerScribe 360 end of life means for radiology groups, how much radiology AI costs, and the full comparison of the best AI radiology software in 2026.

See how Radiological.ai reads alongside your group

One assistant that flags suspected findings, prioritizes the worklist, and drafts the structured report on X-ray, CT and MRI. You review and sign every study.

See pricing

Decision support for qualified clinicians. Radiological.ai does not provide a diagnosis and is not a substitute for professional medical judgment.