MedAI Verdict
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HeartFlow vs Hyperfine Swoop

Heartflow is paid per study. Its FY2025 10-K describes revenue as pay-per-use, and FFRct made up 98% of 2025 revenue of $176.0M, up from $125.8M in 2024. The Nasdaq-listed company raised about $364.2M gross in its August 2025 IPO. A cardiology service with steady coronary CT angiography volume buys it for CT-derived fractional flow reserve, which entered through a De Novo decision in November 2014, and for Plaque Analysis, which carries a 510(k) HeartFlow Analysis decision from October 2022. The 10-K counts 489 US accounts for Plaque Analysis at the end of 2025.

An ICU or resource-limited hospital that wants brain MRI at the bedside buys Swoop, a 0.064T portable system that needs no shielded room. Systems are owned and covered by a service agreement on 36- or 60-month terms, so Hyperfine's finances matter to that contract. It guides 2026 revenue of $20M to $22M, reports preliminary Q3 revenue of about $6.0M and cash near $37.9M, and says its runway extends into 2028.

Heartflow analyses coronary CT angiograms and images nothing else, and Swoop images the brain only.

Radiology · Reviewed November 2, 2026

HeartFlow logo

HeartFlow

by HeartFlow · founded 2007

Coronary CT angiogram analysis: CT-derived fractional flow reserve (FFRct), plaque analysis and a CCTA reading aid.

Hyperfine Swoop logo

Hyperfine Swoop

by Hyperfine

Portable 0.064T brain MRI (Swoop) with Optive AI image reconstruction. Also BrainInsight AI brain morphometry.

When to pick each one

HeartFlow

  • CT-derived FFR from coronary CT angiograms
  • Plaque Analysis, 489 US accounts at end of 2025
  • Pay-per-use billing per the 10-K
Read the full HeartFlow review

Hyperfine Swoop

  • Brain MRI at the bedside on a 0.064T portable system
  • Service agreement after a one-year warranty
  • Company guides 2026 revenue of $20M to $22M
Read the full Hyperfine Swoop review

Score

Each row shows points earned of points available under the published rubric.

HeartFlow

66of 100

Top-ranked

Hyperfine Swoop

47of 100

Solid choice
Score by dimension for HeartFlow and Hyperfine Swoop
DimensionHeartFlowHyperfine SwoopDifference
FDA clearance18 / 1818 / 180
HIPAA / SOC2 / BAA0 / 100 / 100
EHR integrations (count)0 / 4.20 / 4.20
Top-3 EHR coverage (Epic / Oracle / Athena)0 / 2.40 / 2.40
Peer-reviewed papers12.7 / 18.212.7 / 18.20
RCT / meta-analysis / systematic review7.8 / 7.80 / 7.8+7.8
Funding & adoption signal8.4 / 126 / 12+2.4
Pricing transparency2.5 / 52.5 / 50
Years in market6 / 60 / 6+6

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How scores are computed

Pricing

HeartFlow

TierMonthlyAnnualNotes
Per studyn/an/aNo public list price. The 10-K describes revenue as pay-per-use.

Hyperfine Swoop

TierMonthlyAnnualNotes
Enterprisen/an/aNo public price. Per the FY2025 10-K summary, systems are owned, with an annual software, service and support agreement after a one-year warranty on 36- or 60-month terms. Dollar amounts were not found.

Evidence

Compliance and integrations

Documented from each vendor’s own pages.

SpecHeartFlowHyperfine Swoop
Free tierNo / unverifiedNo / unverified
HIPAANo / unverifiedNo / unverified
SOC 2 Type IINo / unverifiedNo / unverified
EHR integrationsNot specifiedNot specified
Founded2007n/a
HQUSUS

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Common questions

Open the full radiology comparison

Acute-care triage, mammography screening, CCTA plaque analysis, mobile MRI. 30+ FDA-cleared platforms across stroke, oncology, cardiac. Enterprise sales only — we compared what's deployed where.