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Lung Nodule AI Software Cost and ClearRead CT Pricing From VA Orders

Single-site VA ClearRead CT orders run from $24,000 to $48,750, while multi-module or regional orders reach $246,790. Compare named orders, per-study assumptions and the contract terms that shape lung nodule AI cost.

By the Radiological.ai team

October 2026 · 8 min read

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The short answer: lung nodule AI software cost has a public benchmark in VA ClearRead CT orders. Single-site orders run from $24,000 to $48,750, while multi-module or regional orders run from $97,500 to $246,790. These are negotiated purchases, not a published ClearRead CT price list. Compare the scope before treating an amount as your budget.

This guide is for an imaging director, screening program lead or practice owner comparing lung nodule CAD cost before signing a quote. It covers purchase evidence, cost per study and contract questions. For a product comparison alongside the numbers, see ClearRead CT alternatives.

Sources are the verified USAspending prime-award records, award types A to D, and openFDA 510(k) records collected October 20, 2026. Product statements are attributed to the vendor. Economic findings come from the 2023 Insights into Imaging study and the 2025 UK NIHR systematic review. Assumptions in the worked example are labeled.

How much does lung nodule AI software cost?

Use $24,000 to $48,750 as the single-site ClearRead CT benchmark, then ask what your quote includes. The larger orders below include broader licenses, modules or maintenance descriptions. The public descriptions do not establish an identical term or entitlement across purchases.

OrderBuyer and dateWhat it boughtAmount
36C10B26F0396VA, September 16, 2026ClearRead CT and ClearRead X-ray maintenance and licensing, via Minburn Technology Group$246,790
36A79721N0377VA, June 25, 2021ClearRead CT upgrade including Vessel Suppress and Detect$213,120
36C24125P0163VA, December 18, 2024Riverain ClearRead software$212,663
36C26025P0217VA, December 10, 2024ClearRead Bone Suppress and Vessel Suppress software, support and maintenance$108,487
36C26121P0765VA, March 30, 2021ClearRead$101,000
36C25821N0321VA, July 15, 2021Riverain ClearRead licenses$97,500
36C24421P0592VA, June 30, 2021ClearRead CT Vessel and Suppress software$97,500
36C26123P0223VA, December 1, 2022ClearRead CT imaging AI software and licenses$74,760
36C26021P1062VA, September 3, 2021Modality license description naming CT Vessel Suppress and Detect and another CT modality item$48,750
36C24422P0762VA, September 28, 2022ClearRead CT Vessel Suppression and Detect software$48,750
36C24725F0273VA, July 18, 2025ClearRead CT software$24,000
36C24621N0734VA, April 7, 2021ClearRead CT imaging software$24,000
36C24725P0413VA, May 25, 2025ClearRead PM services, base of 4$20,048

A federal order is one buyer's negotiated price on one date. It is a benchmark, not a list price. The $20,048 services order is not a detection license, and a description saying only ClearRead cannot establish which CT modules were included. Do not turn these rows into interchangeable packages.

For a ClearRead CT cost comparison, ask the supplier to reconcile its quote with the relevant order description. A package naming CT and X-ray maintenance answers a different purchasing question from a CT detection license. Keep the order identifier in your comparison sheet so the scope remains attached to the amount.

What do the 92 Riverain orders tell a buyer?

USAspending records 92 prime awards to Riverain Technologies, all from the Department of Veterans Affairs, totaling $17,167,903, about $17.17 million. The median award is $86,750. Those figures describe Riverain's VA award record, not a typical lung nodule license.

Many orders sit under the VHA National Teleradiology Program, or NTP, by Veterans Integrated Service Network, or VISN, and carry descriptions such as XR CT. Peak years are 2023 at $4.92 million and 2024 at $4.00 million. The mix matters when researching Riverain ClearRead pricing because broader X-ray and CT purchases cannot establish a CT-only rate.

The named-product table also includes a reseller purchase through Minburn, distinct from the direct Riverain recipient search. When repeating a keyword search, exclude Optelec ClearReader magnifiers. Those are unrelated low-vision devices, despite the similar name, and including them corrupts a ClearRead software comparison.

How much does ClearRead CT cost per study?

The public orders do not supply a universal per-study price. A worked example can still make a quote comparable. Start with the $48,750 ClearRead CT order and assume 2,000 low-dose CT screens a year over three years. Both the volume and the allocation period are assumptions, not published license terms.

CalculationResult
Assumed annual screens multiplied by assumed years2,000 multiplied by 3 equals 6,000 studies
Order amount divided by assumed studies$48,750 divided by 6,000 equals $8.125 per study, about $8.13

This allocates the purchase amount only. It excludes any separately quoted maintenance, integration or renewal charges and does not assume the order grants three years of use. Replace the denominator with eligible studies and the numerator with your quoted total over the same period.

Ask the vendor to show the same calculation for its proposed contract. If payment is per study, specify which examinations trigger a charge. If payment is per site, confirm the covered location and modules. Without those definitions, a lower headline amount does not establish a lower cost for your program.

The 2023 Insights into Imaging study found that deep-learning nodule CAD needs pricing well below EUR 6 per case under pay-per-case billing, or high workload, to break even in lung cancer screening. That finding is not a ClearRead price. The example uses dollars, so do not compare the amounts as though currencies and economic assumptions were identical. The useful lesson is to test volume before accepting a per-study rate.

Why do Coreline, Infervision and Fujifilm have no public price?

No vendor in this category publishes a price list. The verified records therefore cannot supply an AVIEW Lung Nodule CAD price, an InferRead Lung CT price or a Synapse Lung Nodule AI subscription rate. Request comparable quotes rather than assigning competitors the VA's ClearRead amounts.

Clearance records identify products, not prices. FDA product code OEB covers lung computed tomography computer-aided detection systems, a class II category under 21 CFR 892.2050. The openFDA record contains 20 OEB clearances since 2003. Its entries since 2015 include the following.

Vendor and productOEB clearance and date
Fujifilm Synapse Lung Nodule AIK254075, May 27, 2026
Coreline Soft AVIEW Lung Nodule CADK251203, December 3, 2025; earlier K221592, February 24, 2023
Infervision InferRead Lung CT.AIK240554, May 16, 2025; earlier K192880, July 2, 2020
V5med Lung AIK242919, March 27, 2025
Siemens syngo.CT Lung CAD VD30K231157, July 19, 2023; also K203258 in 2021, K193216 in 2020 and K143196 in 2015
Riverain ClearRead CTK221612, December 5, 2022; first K161201, September 9, 2016
MeVis VeolityK201501, February 23, 2021

Ask for the K number covering the quoted product and intended use. For ClearRead CT K221612, the indication is computer-assisted reading of pulmonary nodules on screening and surveillance low-dose chest CT in non-oncology patients. It is adjunctive and does not replace the original series.

Is lung nodule AI worth the cost for a screening program?

The 2025 UK NIHR systematic review found that AI-assisted reading dominated unaided reading in screening populations, but not in symptomatic populations. That supports evaluating screening economics separately. It does not establish a return for every chest CT service.

Build your AI lung cancer screening software cost model around eligible screening volume. A fixed license is spread across the studies actually processed, while a per-study quote changes with usage. Test the economics against your own workload and reading process. Do not apply a screening finding to symptomatic examinations to make the purchase look better.

Map where detection results reach the reader and how confirmed nodules reach the report before estimating savings. Our AI lung cancer screening workflow guide helps frame that review. Keep purchase economics and workflow assumptions visible to the same decision makers.

What should go in a lung nodule AI quote?

  • Pricing unit and term. State per-site versus per-study billing, covered locations, eligible examinations and the license duration. Ask how changes in volume affect payment.
  • Named modules. Separate Vessel Suppress from Detect and identify any X-ray components. Riverain says ClearRead CT suppresses vessels and then flags nodules. Specify which functions you are buying.
  • Maintenance scope. Separate support from licensing. VA order 36C24725P0413 lists $20,048 for ClearRead PM services, base of 4. That wording does not establish your annual maintenance rate or what the four cover.
  • PACS series delivery. Riverain says results appear as an extra series and work with any CT scanner and PACS. Require a demonstration in your reading environment and written integration responsibilities.
  • Input requirements. Riverain's flyer specifies slice thickness of 3 mm or less. Confirm which local protocols qualify before counting them in the volume forecast.
  • The applicable K number. Put the product version, intended use and supporting clearance in the quote. Match these to screening or surveillance examinations rather than assuming every chest CT qualifies.
  • Renewal caps and notice. Request the uplift cap, notice deadline and treatment of module additions. Put any agreed limits in the contract.

Per-site licenses, maintenance plans and per-seat subscriptions can renew on different dates and drift upward. Ask finance to track them with renewal and spend alerts so maintenance contracts do not quietly auto-renew before review. Compare the total with the other categories in our radiology AI cost guide.

Where does a reading assistant fit in the budget?

Radiological.ai is a decision-support assistant. It flags suspected findings, including suspected pulmonary nodules on chest CT, places diameter and volume measurements on nodules the radiologist confirms, and pulls the matching nodule from the prior study. It prioritizes the worklist and drafts a structured Lung-RADS report or house template with the nodule table populated.

The radiologist confirms every nodule, assigns the category and signs. The assistant works alongside existing PACS over DICOM, with results returned over HL7 or FHIR. The AI lung nodule detection workflow describes that role.

Practice includes X-ray and CT at $199 per reading radiologist per month billed annually, or $399 month to month. Budget that per-reader subscription alongside any separately purchased detection license. Review ClearRead CT alternatives for the product comparison, then use our published pricing to cost the reading-assistant part of your workflow.

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