What Does the MODULITH® SLX-F2 »FD21« Cost?

Price-range estimate for a premium stationary SWL lithotripter with integrated flat-panel detector — no aggregate MedSource quote data yet; article will be updated as confirmed quotes accrue.

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STORZ MEDICAL does not publish list pricing for the MODULITH® SLX-F2 »FD21«, and no GSA schedule entry or publicly accessible 510(k) pricing disclosure exists for this configuration as of this writing. Secondary-market data for the broader SLX-F2 platform (all variants) shows used units trading at the high end of the general lithotripter resale range. New premium stationary ESWL systems with integrated digital flat-panel detectors from major European manufacturers have historically landed in a $350,000–$700,000+ USD range depending on option packages, imaging components, installation scope, and service tier — but MedSource has not yet collected confirmed invoice or quote data specific to the FD21 variant, and that figure cannot be treated as a verified list price. Buyers should solicit at least three competitive quotes before benchmarking any number. The principal cost drivers are the integrated 21 × 21 cm dynamic flat-panel detector, dual-focus shock wave source, optional LithoPos automated positioning, and the structural room-build requirements of a fully stationary installation.

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What the Typical Range Is

No aggregate quote data for the FD21 configuration has been collected by MedSource at publication time. The ranges below are derived from secondary-market listings, segment-level pricing reported by secondary resellers, and comparisons to documented pricing for analogous stationary ESWL platforms.

Scenario	Indicative Range (USD)	Basis
New system, base configuration	Not publicly posted	Manufacturer quote only
New system, fully optioned (LithoPos, extended FPD, StorM-Base)	Not publicly posted	Manufacturer quote only
Certified used/refurbished SLX-F2 (any variant)	~$80,000–$250,000	DOTmed secondary listings
Broad lithotripter market (all makes/models, used)	$50,000–$200,000	DOTmed platform data

DOTmed listings show active buyer demand for functional Storz Modulith SLX-F2 lithotripters , though ask prices for individual used units are typically disclosed only upon request, not posted publicly. Secondary market sources describe the lithotripter category broadly as ranging from $50,000 to $200,000 depending on manufacturer and features — a floor-level estimate that does not fully reflect the premium positioning of a new stationary FPD system like the FD21.

This article will be updated when verified invoice or quote data for the FD21 configuration becomes available.

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What Pushes Price Up — Features, Certifications, Support Tier

Several specification-level choices materially increase unit cost:

• Flat-panel detector size and type. The 21 cm × 21 cm X-ray flat-panel detector enables in-situ stone monitoring during treatment. Integrated dynamic FPDs command a significant premium over systems relying on external C-arm fluoroscopy.

• Dual-focus shock wave source. The FD21 offers a dual focus, allowing selection of shock wave parameters best suited to the patient's specific indication. Single-focus systems in the same family are priced lower.

• Extended penetration depth option. The SLX-F2 platform supports an optional therapy source with a penetration depth of up to 180 mm and a weight limit of 225 kg — both bariatric-capable specifications that add cost.

• Automated positioning add-on. The optional automated LithoPos stone positioning system integrates into the StorM-Touch platform. Automated positioning modules typically add five to low-six figures to a base quote.

• Regulatory certifications. Storz Medical devices hold CE, MDSAP, and FDA certifications; the MODULITH SLX-F2 is the only SWL system with FDA approval for kidney stone therapy in children aged over 3 years in the USA. This pediatric clearance is clinically differentiated and is reflected in the system's positioning as a premium platform.

• DICOM/HL7 integration tier. The FD21 integrates with existing hospital networks via DICOM and HL7 interface standards. The StorM-Base patient database module and full PACS connectivity are typically separately priced.

• Service contract tier. Full-coverage OEM service agreements on stationary lithotripters commonly run 8–15% of capital cost annually. Selecting the highest response-time tier (e.g., next-business-day on-site) pushes total cost of ownership substantially higher than mid-tier coverage.

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What Pushes Price Down — Refurbished, Older Generation, Lease, GPO Contracts

• Certified used SLX-F2 platforms. A 2017 Storz Modulith SLX-F2 lithotripter with an OEC 9800 C-arm, described as complete, in clinical use, and patient-ready, has appeared on the US secondary market. Refurbished units from reputable biomedical resellers typically carry a 90-day to 12-month parts warranty and are priced well below new, though they may lack the FD21's integrated FPD.

• Base (non-FPD) configuration. The SLX-F2 platform supports multiple X-ray system pairings, including combination with mobile C-arcs for localization — configurations that reduce the capital outlay compared to an FD21 with its built-in flat-panel.

• Operating lease or equipment finance. For ASCs or lower-volume hospital programs, a 60–84-month capital lease can reduce initial cash outlay to roughly 1.5–2.5% of equipment cost per month, though total cost over the lease term typically exceeds outright purchase by 15–30%.

• GPO/IDN contracts. US health systems purchasing through Premier, Vizient, or comparable GPOs may access negotiated pricing below standard list. Confirm whether KARL STORZ/STORZ MEDICAL holds a current GPO tier before benchmarking any quote.

• End-of-fiscal-year timing. Capital equipment negotiations in Q4 (September–October for many health systems, December for others) often yield 5–12% concessions on accessories and service bundles.

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Hidden Costs — Install, Training, Calibration, Consumables, Service Contracts

Cost Category	Typical Range	Notes
Room construction / shielding	$30,000–$150,000+	Stationary fixed-gantry unit; lead shielding for X-ray required per NCRP-151
Electrical infrastructure	$10,000–$40,000	Dedicated circuit(s); verify local code
OEM installation & commissioning	$10,000–$25,000	Often bundled; confirm scope in writing
Acceptance testing / QA	$2,000–$6,000	Medical physicist required for radiation-emitting device per ACR/AAPM guidance
Initial operator training	Often included in sales contract	Confirm number of sessions and staff covered
Annual preventive maintenance	Included in service contract or ~$8,000–$20,000/year if T&M	Shock wave coil lifespan is a key variable
Therapy coil replacement	$15,000–$40,000 per coil (industry estimates)	STORZ MEDICAL's cylindrical coil has a documented long lifespan; confirm rated shock counts
Coupling gel (per procedure)	$5–$20/case	Ultrasound transmission medium; volume-dependent
Annual software/DICOM license	$2,000–$8,000/year	Confirm whether StorM-Base licensing is perpetual or subscription

All integrated system components are controlled from a touchscreen, either from a remote control panel behind lead-glass windows or directly in the treatment room — the lead-glass shielding partition is a room-build cost that buyers frequently underestimate.

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How to Negotiate — Concrete Tactics

1. Separate the imaging component. The FD21's flat-panel detector is the highest-cost subsystem. Ask for a line-item price on the FPD assembly versus the shock wave generator and table. This creates a negotiating surface: if budget is constrained, a base SLX-F2 with a mobile C-arc may be a near-equivalent starter configuration.

2. Bundle service, training, and consumables into the capital PO. Vendors have more flexibility discounting accessories and consumables (sometimes 20–35%) than on the capital unit itself, which is often subject to internal floor pricing.

3. Request an extended therapy coil warranty. The shock wave coil is the primary consumable in the system. Negotiate at least one coil replacement to be included within the first 5-year service contract.

4. Benchmark against the SLX-F2 »connect«. The »connect« variant is configured as a customized urological workstation. If your facility performs endourology procedures as well as SWL, comparing both configurations formally can shift negotiating leverage, even if the FD21 is the preferred platform.

5. Get a written trade-in or disposal credit if decommissioning a legacy lithotripter. Resellers like ALAKA Medical actively acquire used SLX-F2 and SLK units; use competing buy offers as leverage with the OEM.

6. Confirm GPO eligibility before issuing a PO. Even if your GPO does not hold an active STORZ MEDICAL contract, presenting a competing bid from Dornier (Compact Delta II) or a C-arm-paired SLK configuration creates downward price pressure.

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When the Price Feels Off — Red Flags

• New-unit quote below ~$300,000 USD for a stationary FPD configuration should trigger scrutiny. Confirm whether the quote includes the flat-panel detector module, patient table, shock wave generator, and StorM-Touch controller as a complete system, or just the therapy head.

• No site survey included. A reputable vendor will mandate a facility site survey before finalizing a quote on a stationary system. A quote issued without one may exclude critical infrastructure costs.

• "Refurbished" FD21 without documentation of coil shock count. The therapy coil's remaining rated life directly affects residual value. Demand written disclosure of total shock counts delivered and manufacturer-rated maximum life.

• Service contract that excludes the FPD panel. Flat-panel detectors are a high-cost consumable failure point. Read service contract exclusions carefully — some third-party contracts exclude imaging components.

• No FDA clearance documentation. STORZ MEDICAL devices carry CE, MDSAP, and FDA certifications. For any imported used unit, request the FDA 510(k) clearance number and confirm device registration at access.fda.gov before purchase.

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Sources

1. STORZ MEDICAL – MODULITH® SLX-F2 »FD21« Product Page (storzmedical.com): Technical specifications, detector dimensions, dual focus, DICOM/HL7 integration, LithoPos option. No pricing published. storzmedical.com/en/disciplines/swl-products-for-lithiases/modulith-slx-f2-fd21/

2. STORZ MEDICAL US – MODULITH® SLX-F2 Transportable Product Page (storzmedical.com/us): Penetration depth, patient weight capacity, modular design. storzmedical.com/us/disciplines-and-products/swl-products-for-lithiases/modulith-slx-f2-transportable/

3. DOTmed Medical Equipment Marketplace – KARL STORZ Lithotripter Category (dotmed.com): Secondary-market activity, used SLX-F2 listings, buyer demand signals, general lithotripter cost context ($50,000–$200,000 for used equipment). dotmed.com/browse/equipment/imaging/lithotripter/lithotripter/karl-storz/

4. MedicalExpo – MODULITH® SLX-F2 »FD21« Product Listing (medicalexpo.com): Corroborating specification summary; no pricing listed, directs to manufacturer for quotes. medicalexpo.com/prod/storz-medical/product-70189-972786.html

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This article reflects publicly available specification and secondary-market data as of May 2025. MedSource has not yet collected confirmed invoice or quote data for the MODULITH® SLX-F2 »FD21« and will update pricing estimates when aggregate quote data accrues. All figures should be independently verified with STORZ MEDICAL or an authorized distributor before budgeting.