Pricing
Quoted from your asset count and the size of your schedule, never from the values we conclude.
Your fee is fixed when you engage us. It does not change based on what we find.
Half at engagement, balance on delivery. Fees are exclusive of any applicable Texas sales or use tax, which will be added to the invoice if due.
Market Read
FreeMarket Read
A single machine you are curious about, or a first look before you commit to anything.
- You send
- The make and model — a photo of the data plate is enough.
- We do
- We pull every recorded price point we hold for that model and read the spread: where the market is thick, where it is thin, and what the range actually looks like.
- You get
- A written read on what that machine is doing in the market. No charge and no obligation. It is not an appraisal and it does not pretend to be one.
Schedule Review
$495Schedule Review
Credited in full toward either appraisal.
A practice that already has an equipment schedule and does not know whether to trust it.
- You send
- Your existing schedule, however rough — a spreadsheet, an export, a photograph of a page.
- We do
- We price every line we can identify against the recorded market and rank the lines by how far they sit from it.
- You get
- A written report showing which lines are carrying the distance, so the decision to appraise is made on evidence rather than on a feeling. The full fee is credited toward either appraisal if you go ahead.
Single-Asset Opinion
$950Single-Asset Opinion
For your file. One reader: you.
Both purposes $1,425 — engaging both purposes: the first at full, the second at half.
One machine that matters on its own — a buyout, a departing partner, a dispute, a single high-value unit.
- You send
- Make, model, serial, age, condition and configuration for that one asset.
- We do
- A full comparable workup on that unit, reconciled to a value conclusion by an appraiser rather than by a formula.
- You get
- A signed, dated opinion of value on one asset, with the evidence behind it attached and the intended use stated on its face.
Equipment Review
$950Equipment Review
For your file. One reader: you.
Both purposes $1,425 — engaging both purposes: the first at full, the second at half.
First 40 lines included, then $15 a line.
A practice that wants its whole equipment schedule valued, for its own file.
- You send
- Your CPA's fixed-asset schedule and your broker's declarations page.
- We do
- We value every line we can identify against recorded market evidence.
- You get
- A Restricted Appraisal Report. One reader: you.
Desktop Appraisal
from $2,000Desktop Appraisal
For the people who need to believe it.
Both purposes $3,000 — engaging both purposes: the first at full, the second at half.
First 40 lines included, then $30 a line.
A practice or clinic whose equipment is well documented and does not need to be physically verified.
- You send
- The schedule plus supporting detail — invoices, service records and photographs where we ask for them.
- We do
- Every asset is researched and valued against recorded market evidence. No visit; the work is done from records.
- You get
- A signed, dated, USPAP-conformant appraisal report covering the whole schedule, with intended use and intended user named on its face and every conclusion traceable to the evidence under it.
On-Site Appraisal
from $5,000On-Site Appraisal
For the people who are allowed to argue with it.
Sold combined only. The visit is the expensive part; once we are in the room the second standard of value costs almost nothing to add.
First 40 lines included, then $60 a line.
A practice whose schedule has drifted from the room — assets sold, replaced, moved or never recorded.
- You send
- The schedule you have, and access to the building.
- We do
- Everything in the desktop engagement, plus a physical inspection: we walk the space, read plates and option lists, and record what is actually installed against what is on paper. Four things cannot be determined from documents at all — equipment that is gone, equipment nobody recorded, configuration, and what it would genuinely cost to put a machine back in that room.
- You get
- The report, plus a verified asset list. Equipment that no longer exists comes off and equipment nobody recorded goes on — usually the first time in a long while that the schedule and the room have agreed. A conclusion drawn from a machine that was seen, photographed and recorded on a stated date is a different kind of evidence from one drawn off a spreadsheet, and it holds up differently.
Facility Appraisal
from $19,500Facility Appraisal
A surgery center, hospital department group or multi-department facility.
- You send
- A department list or floor plan, and a biomed or facilities contact.
- We do
- Inspection across departments, coordinated with your biomed team, with assets grouped the way the facility is actually organized.
- You get
- The report plus a department-level schedule, so each cost center can be reconciled on its own and the total is built from parts that someone can defend.
Enterprise Program
from $65,000/yrEnterprise Program
An operator running several sites that need to stay current rather than be valued once.
- You send
- Site list, schedules and a single point of contact.
- We do
- A standing program: sites are appraised on a rotation and the schedule is re-issued as the market and the equipment move.
- You get
- A schedule that stays current across every site, at a fee agreed for the year, so the number in front of a carrier is never the one from three renewals ago.
The floor, from the schedule you already have
Two documents you already have: your CPA's fixed-asset schedule and your broker's declarations page. The fee is the greater of the floor for your band and the per-line rate. Both purposes apply the same rule: the first at full, the second at half.
| Your stated schedule | Equipment Review | Desktop | On-site |
|---|---|---|---|
| Under $1M | $950 | $2,000 | $5,000 |
| $1M – $5M | $2,000 | $4,000 | $8,500 |
| $5M – $15M | $4,000 | $7,500 | $15,000 |
| Over $15M | Quoted | Quoted | Quoted |
If this report has to leave your office, it moves up a tier.
Term
Year one is year one. The term buys you the renewals.
| Term | Prepaid in full | Billed annually |
|---|---|---|
| 3 years | 15% off | 10% off · rate locked 3 years |
| 5 years | 25% off | 10% off · rate locked 5 years |
| 10 years | Not offered | 10% off · rate locked 10 years |
Rate locked ten years, billed annually. Your year-nine update costs what your year-one update cost.
If you stop early. Refunded at the rate that would have applied at the term actually served, not at the discounted rate. Never refundable.
If you sell the practice. Permitted on the sale of the practice, at the acquirer's election.
What moves the number
Every one of these is settled from what you tell us before the engagement letter is signed, and fixed there. Desktop and on-site only — Facility and Enterprise are quoted from scope.
| What it is | The move |
|---|---|
| the register is built from invoices and a physical walk rather than read Applies when client states no fixed-asset schedule exists. | +25% |
| each unidentified line is researched to a specific make and model before it can be priced Applies when client's register is missing model or serial on more than 20% of lines. | +10% |
| these classes have few transferable comparables; the cost approach and its depreciation basis must be developed and disclosed per asset Applies when client names current-generation MRI, CT, PET, linear accelerator, OEM-restricted surgical robot, or closed-system analyzer. | +15% |
| replacement cost, market value and liquidation value are three different questions; each is developed separately Applies when client requires more than one standard of value in one report. | +20% |
| ownership and inclusion must be determined line by line before anything is valued Applies when client states leased, loaner, consigned or shared equipment on the schedule. | +10% |
| every party who may rely expands the firm's exposure Applies when client names a party beyond the client who may rely on the report. | +$750 ea |
| each site is scheduled, travelled to and reconciled separately Applies when client states more than one site. | +$1,200 ea |
| the register is cleaned, tagged and delivered in a form the client's systems can consume Applies when client requests the tagged register as a working file. | +$1,500 ea |
| the assignment is sequenced ahead of the queue Applies when client requests priority sequencing. | +30% |
| the report is re-opened, re-checked and re-signed Applies when client requests a reissue after delivery. | +$450 ea |
| client returns the fixed-asset schedule in the template CAA supplies, complete Reverses if the register does not arrive complete before work begins. | −10% |
| client supplies nameplate photographs for the assets CAA flags Reverses if photographs are not supplied within the agreed intake. | −5% |
| full fee at engagement instead of the 50/50 split Reverses if not applicable — settled at signing. | −3% |
| all locations engaged at once rather than sequentially Reverses if a location is withdrawn from the engagement. | −8% |
| client accepts scheduling at CAA's discretion Reverses if client later requires priority sequencing, in which case expedite applies instead. | −10% |
| the default — one named intended user Reverses if a further party is named, in which case additional_intended_user applies. | 0% |
Quoted from your asset count and the size of your schedule, never from the values we conclude.
The fee does not change based on findings. This sentence appears verbatim in the engagement letter.
The band floor is set from the schedule figure you state, and credits never take a fee below it. Total credit is capped at 20%.
What the Schedule Review settles
The Schedule Review is not a teaser. It asks for the two documents you already have — your accountant's fixed-asset schedule and your broker's declarations page — and those two documents are exactly what set every modifier above.
- Your asset count, taken from your own schedule.
- The band your stated schedule figure falls in, and the floor that goes with it.
- The lines we flag as thin-evidence classes, named individually.
- A fixed written fee for the rung above it — credited in full if you go ahead.
The fee quoted from an Schedule Review is firm. It does not move on what the appraisal later finds. If the scope you described turns out to be different from the scope we observe, that is a change of scope, priced off the same published table and agreed in writing before any additional work is done.
On-site: the appraisal plus an inspection
An on-site engagement is the appraisal and a physical inspection of the assets. The inspection is priced by the day and by the drive, so a practice down the road is not subsidising a facility three hours away.
Travel
An inspection placed on the calendar before October 15 holds the current year rate.
Renewal
Renewal is 50% of your prior year fee, with a $1,250 minimum.
Commit to a term and the rate falls: 45% on a three-year term, 40% on five. The minimum is waived under term.
An appraisal has an effective date, and each one is a separate dated opinion. Two dates matter to a Texas practice: January 1 (Texas BPP assessment date), which drives your April 15 rendition, and your client policy renewal date.
We are paid to value equipment, never to trade it — no fee we earn moves with the number we report or with what your equipment later sells for.
The fee does not change based on findings. This sentence appears verbatim in the engagement letter. Inspection days, travel, expedite and any carrier-specific work are separately stated invoice lines.
Disposition Advisory — fixed fee, quoted from scope. We never take title or possession.
Houston, Texas.
Certified Machinery & Equipment Appraiser (CMEA), NEBB Institute.
Prepared and signed by a practicing commercial property underwriter.
Built by a practicing commercial property underwriter, on 394,781 market price points sourced from 7 marketplaces. As of 2026-09-06.
Clinical Asset Appraisal carries $1,000,000 professional liability and $1,000,000 / $2,000,000 general liability. Certificate available on request.
Clinical Asset Appraisal is a machinery and equipment appraisal firm. This document is prepared to describe our services.
Start with the Schedule Review.
It buys a straight answer on whether your schedule is worth a full appraisal. If it is not, we tell you that. If it is, it comes off the fee.
Everything above the Single-Asset Opinion is quoted. Call 281-560-3842 or email support@clinicalassetappraisal.com.
Why a real appraisal ends up in the room
A desktop appraisal values what you tell us you own. An on-site appraisal values what you own. Most of the time those are the same list, and when they are not, the difference is never small — because the errors do not cancel out, they compound in the same direction as whatever nobody has looked at in five years.
Assets get sold, traded in, moved to another site, or fail and get hauled off — and the schedule keeps carrying them long after. Nobody removes a line from a fixed-asset register; there is no process that does it. Every ghost asset is a value you are reporting and, on the insurance side, paying to carry.
The other direction is more common and costs more. Equipment arrives as part of a package, gets financed separately, comes in with a new partner, or is bought out of a departmental budget that never reached the register. It is in the room and it is not on the schedule, which is precisely the equipment a policy will not pay for.
Two units of the same model can differ in value by a wide margin on options, software licences, probe or detector sets, and service history. A model number tells you almost nothing about a specific machine. Reading the plate, the option list and the service tag is not something a spreadsheet can be asked to do.
Replacement cost is not the price of the machine. It is the machine plus rigging, plus the door it will not fit through, plus the shielded room, plus the calibration, plus the days the room is not earning. A desktop engagement can estimate that. Standing in the room measures it.
The inspection is also the part of the engagement that cannot be undone by an objection. A number derived from a document can be argued with by anyone holding a different document. A number derived from a machine that was photographed, tagged and recorded on a stated date is a different kind of thing.
When the desktop is the right answer, and we will say so. A recently-purchased, well-documented schedule at a single site, with invoices and photographs available and no history of unrecorded additions, does not need a visit to be valued defensibly. We would rather quote the desktop and be right than sell the inspection and be resented for it.
Tell us roughly what is in the building and we will tell you which engagement fits and what it costs. Email is the only required field. A person reads every message.
A real person — not a bot — will get back to you, usually within a day. We never send automated or spam email.
We'll use your email or phone only to reach out about your inquiry. No lists, no spam.