U.S. C-arms Market Trends and Insights
Expanding Ambulatory and Outpatient Procedural Volumes
The shift of surgical cases from hospital operating rooms to ambulatory care is driving demand in the United States C-arms market. CMS expanded the ASC-covered procedure list by 37 procedures in 2024 and 21 more in 2025, increasing cases requiring fluoroscopic imaging in outpatient settings, such as shoulder and ankle reconstructions and endovascular filter retrievals. Many of these procedures need intraoperative visualization, and outpatient operators seek systems that meet this demand without requiring fixed imaging rooms. MedPAC reported that moving cases to ASCs reduces patient costs by USD 684 per procedure, further supporting this migration and boosting demand for compact, efficient C-arm systems.Rising U.S. Orthopedic and Trauma Imaging Demand
Orthopedic and trauma care remain key drivers of the United States C-arms market due to their reliance on real-time imaging for procedures like fracture fixation and spinal work. The American Joint Replacement Registry’s 2025 report reviewed 4.4 million procedures, with primary total knee arthroplasties accounting for 51.2% and total hip arthroplasties for 32.4%. Outpatient trends are evident, with 72% of knee replacements performed in outpatient settings by 2024. MedPAC noted a 33% rise in Medicare total knee arthroplasties and a 34% increase in hip arthroplasties at ASCs, highlighting the growing need for mobile imaging solutions in these settings.High Capital Cost and Financing Scrutiny
Capital spending remains a key restraint in the United States C-arms market, particularly for community hospitals, independent centers, and smaller facilities. Buyers evaluate not only scanner prices but also service commitments, software upgrades, room readiness, and training needs. Mobile and fixed fluoroscopy systems compete for capital with robotic surgery systems and digital record investments, leading some providers to extend the use of older image-intensifier units despite the benefits of newer flat-panel systems. Group purchasing agreements ease some financial pressure, but financing scrutiny delays orders when facilities anticipate slow returns from productivity or procedural growth.Other drivers and restraints analyzed in the detailed report include:
- Faster Adoption of Mobile C-Arms in Hybrid and Same-Day Settings
- Workflow Improvements from Low-Dose and Flat-Panel Imaging Upgrades
- Radiation Safety Compliance Burden
Segment Analysis
In 2025, fixed C-arms accounted for 62.35% of revenue, maintaining their dominance in the United States C-arms market. Their usage is concentrated in catheterization labs, hybrid operating rooms, and interventional suites, where large-field imaging and workflow stability are prioritized over mobility. Although their growth is slower than mobile platforms, fixed systems benefit from replacement cycles as hospitals upgrade from analog to digital flat-panel units to meet modern dose management standards. The FDA's performance standard under 21 CFR 1020.32 further drives this replacement trend.Mobile C-arms are projected to grow at a 5.98% CAGR through 2031, making them the fastest-growing platform in the United States C-arms market. Their demand is fueled by hospitals, ASCs, and multi-specialty centers seeking flexible intraoperative imaging solutions without permanent infrastructure. Siemens Healthineers advanced this segment with the CIARTIC Move, which automates positioning and improves operating room efficiency. The mini C-arm niche, catering to extremity orthopedics and point-of-care needs, is also expanding, as demonstrated by Turner Imaging Systems' 500th SMART-C installation and 67% sales growth in April 2026.
Complete Report Scope:
- By Type
- Fixed C-Arms
- Mobile C-Arms
- Full-Size C-Arms
- Mini C-Arms
- By Application
- Cardiology
- Gastroenterology
- Neurology
- Orthopedics and Trauma
- Radiology and Oncology
- Other Applications
- By End User
- Hospitals
- Ambulatory Surgery Centers
- Specialty Clinics
- Other End Users
List of Companies Covered in this Report:
- Allengers
- Apelem
- Beckton Dickinson
- Canon
- DMS Imaging
- FUJIFILM
- GE Healthcare
- Hologic
- Koninklijke Philips
- Medtronic
- Orthoscan, Inc.
- PerkinElmer
- Shimadzu
- Siemens Healthineers
- Siemens Healthineers
- Stryker
- Turner Imaging System
- United Imaging Healthcare Co., Ltd.
- Varex Imaging
- Ziehm Imaging
Additional Benefits:
- The market estimate (ME) sheet in Excel format
- 3 months of analyst support
Table of Contents
Companies Mentioned (Partial List)
A selection of companies mentioned in this report includes, but is not limited to:
- Allengers Medical Systems Limited
- Apelem
- Becton, Dickinson and Company
- Canon Medical Systems Corporation
- DMS Imaging
- FUJIFILM Holdings Corporation
- GE Healthcare
- Hologic, Inc.
- Koninklijke Philips N.V.
- Medtronic plc
- Orthoscan, Inc.
- PerkinElmer Inc.
- Shimadzu Corporation
- Siemens Healthcare Private Limited
- Siemens Healthineers AG
- Stryker Corporation
- Turner Imaging Systems
- United Imaging Healthcare Co., Ltd.
- Varex Imaging Corporation
- Ziehm Imaging GmbH

