Member login
Symptom Workup · Swelling and Breathlessness

Heart Failure
Ultrasound

A detailed echocardiogram and a bilateral lower extremity venous Doppler, to evaluate your heart's pumping ability and the veins behind swollen legs and feet — telling apart swelling caused by the heart from swelling caused by failing vein valves, varicose veins, or a blood clot.

For someone whose legs are already swelling, or who is short of breath.

Falmouth Imaging Center — $697 We Come to You — $897

Booking at the Falmouth imaging center? Spread the $697: $348.52 at checkout, then 4 monthly payments of $87.12. Set up a payment plan

✓Registered cardiac & vascular sonographer
✓ASE Member — Echo Standards
✓Read in an IAC-accredited lab
✓Board-Certified Cardiologist Review
An echocardiogram probe on the chest with the heart image on screen

The Reason for Both

Why Swelling Needs Two Scans, Not One

Swollen legs and ankles have more than one cause, and they look identical from the outside. Telling them apart is the whole point of this package.

The heart is not pumping strongly enough

When the heart weakens, fluid backs up into the legs and lungs. An echocardiogram measures the pumping function directly — ejection fraction, chamber size, valve function.

The vein valves in the legs have failed

Healthy leg veins have one-way valves. When they leak, blood pools and the ankle swells — with a completely normal heart. A venous Doppler sees the valves working, or not.

A clot is obstructing the vein

A deep vein clot causes swelling too, and it is the one cause that is urgent. The same venous scan rules it in or out, in both legs.

A heart scan alone cannot tell you which of these it is. An echocardiogram showing a normal pump does not explain the swelling — it only removes one of three explanations. This package examines the heart and the leg veins in one visit, so the cardiac and venous explanations can be told apart rather than guessed at.

What Is Included

What Each Scan Shows

Echocardiogram — about 45 minutes

A moving ultrasound of the heart. Measures ejection fraction, valve function, chamber size and wall motion — the direct evidence of whether the pump is failing. More on echocardiograms →

Bilateral Lower Extremity Venous Doppler — about 45 minutes

Both legs. Examines the vein valves for reflux, maps varicose veins, and rules out deep vein clots. More on venous ultrasound →

All performed in the same visit by the same sonographer, and all read by the same cardiologist — so the findings are interpreted together rather than in isolation.

Is This For Me?

Who Should Consider
This Package?

No referral needed. Book directly if any of the following apply to you:

Not sure which package fits? Take the two-minute health score — it asks about your history and points you to the right one. Or compare all packages.

What Happens

Your Visit, Step by Step

About an hour and a half, start to finish. No needles, no radiation.

Before you come

Eat normally, take your medications as usual. Wear something easy to change out of — the echo needs chest access and the venous study needs both legs.

The echocardiogram — about 45 minutes

You lie on your left side. The probe moves across the chest and under the ribs, with a few short breath-holds. You can watch your own heart on the screen.

Both legs, groin to ankle — about 45 minutes

The probe presses gently along the length of each leg — that compression is how a clot is found. Valve function is tested by having you breathe or bear down.

A cardiologist reads both

Board-certified, in a lab holding IAC accreditation in Echocardiography and Vascular Testing. Read together, so the heart findings inform the leg findings.

Your report, within 24–48 hours

Written, with measurements, and formatted for your own physician.

What We Detect

Conditions This Package
Can Identify

Combining these studies gives your cardiologist a comprehensive view that no single scan can provide.

The Honest Part

If We Find Something

Most people are checked and get reassurance. Some do not — and that is the point of imaging. Here is exactly what happens in that case.

The Numbers

Package vs Buying Separately

Separately — $794

Two studies at $397 each, booked one at a time. Separate appointments, separate trips, and reports read in isolation.

As a package — $697

One appointment, about an hour and a half. Every study read together by the same cardiologist, in one report. $97 less than booking them one at a time, and two appointments become one.

No referral. No insurance. No prior authorization. The price you see is the price you pay, due at the appointment — HSA and FSA cards are accepted.

Why BlackPoint

The BlackPoint Difference

Quality cardiovascular imaging shouldn't require a hospital visit, a referral, or a weeks-long wait. Our sonographer performs cardiovascular imaging daily alongside physicians — clinical-grade diagnostics delivered with genuine convenience.

  • Registered cardiac & vascular sonographer — Not a technician. A registered cardiovascular imaging specialist with nearly 20 years of clinical experience, who performs every scan personally.
  • Board-Certified Cardiologist Review — Read by a physician whose lab holds IAC Accreditation in Echocardiography and Vascular Testing — the same standard hospitals are held to.
  • Read Together, Not Separately — One cardiologist sees every study in the same sitting. Findings in one inform the reading of the others.
  • Results in 24–48 Hours — With measurements included, in a form your own physician can use.
  • Transparent Pricing — $697 all-inclusive. No referral, no insurance, no surprise bill.

Patient Reviews

Every Review, Unedited

BlackPoint holds a 5.0 rating — every review it has ever received. All of them are below, exactly as written. Nothing curated, nothing left out.

★★★★★

“Excellent service. Emanuel was very professional, explained every step of the process in plain language and made sure I was comfortable the whole time. I strongly recommend the services!”

Google review · Echocardiogram
★★★★★

“Used BlackPoint for an echocardiogram and it from beginning to end all went smoothly, no surprises and expectations exceeded. Same equipment that was used in a prestigious DC area hospital. Report with my heart EF % arrived within 24 hours which was awesome. Happy I have a new baseline and will definitely use the service for another in 3 months.”

Google review · Echocardiogram
★★★★★

“Excellent service! Emanuel was friendly, professional, and vert efficient. I received my report within a few hours. Highly recommend.”

Google review · Ultrasound
★★★★★

“Excellent experience right in my own living room! Emanuel was very professional and courteous! I am thrilled that I had it done and would highly recommend him.”

Google review · Falmouth Imaging Center
★★★★★

“Very good service. Very thorough.”

Google review · Ultrasound
★★★★★

“Recently had an echocardiogram with Emanuel. Office was clean, and quite, he explained everything before and during the procedure. He was very down to earth, and friendly. Made the ultrasound not feel as cold and medical, a much more relaxed feel to the appointment. Would highly recommend. A quick easy was to make sure your heart is healthy!”

Google review · Echocardiogram
★★★★★

“My recent echocardiogram with Emanuel was such a positive experience. Emanuel was professional and informative. The atmosphere of the office was clean, quiet and calming. I was able to get scheduled quickly and received my results the very next day. I would definitely recommend BlackPoint diagnostics for affordable, quick and accurate results.”

Google review · Echocardiogram
★★★★★

“I recently had an echocardiogram done with Emanuel, and he was wonderful. He was very professional, kind, and took the time to explain everything he was doing during the procedure, which really helped put me at ease. I received my results within 48 hours, which was impressive. Excellent experience overall — thank you, Emanuel!”

Google review · Echocardiogram
★★★★★

“Emanuel was respectful and knowledgeable. I was brought in on time and was kept informed of what he was doing along with detailed explanations. The room was clean, quiet, and private. I received my results within 48 hours with a follow up email from Emanuel. Highly recommend.”

Google review · Ultrasound
★★★★★

“Emanuel was helpful and full of great information. It is great to be able to know up front the cost of testing and to have complete, accurate results with measurements included to send to my PCP. I didn't have to wait to schedule, and he was prompt, courteous, and knowledgeable.”

Google review · Ultrasound
★★★★★

“Emanuel was extremely friendly and respectful, I felt very informed and helped by the services he provides in his business. Would most definitely recommend coming here for cardio/vascular ultrasounds”

Google review · Vascular Ultrasound
★★★★★

“I had a very thorough and detailed ultrasound scan. The technologist was professional and made me feel comfortable. It was a breeze to get in and out of the office. Thank you”

Google review · Ultrasound
★★★★★

“This process was simple to understand. I felt safe and respect which is huge for me. He talked to me and 40 minutes flew by like that.”

Google review · Ultrasound

… and more every month.

Verified Google reviews. See them on Google →

Common Questions

Frequently Asked Questions

My ankles swell but my doctor said my heart is fine. Is this still worth it?

That is exactly the situation this package is built for. A normal heart removes one of three explanations and leaves two unexamined — failing vein valves and a deep vein clot both cause the same swelling with a perfectly normal echocardiogram. The venous study is what answers the remaining question.

Is this the same as the test my doctor would order for a clot?

The venous portion is the same study — a bilateral lower extremity venous duplex, performed by a registered cardiac and vascular sonographer and read by a cardiologist. If you have sudden, painful, one-sided swelling, do not book your study: go to an emergency department today.

Do I need a referral in Maine?

No. You can book directly, with no referral, prior authorization or insurance approval. Your report gives your physician everything needed to act on any finding.

How long does it take?

About an hour and a half for both studies in a single visit. No needles, no radiation.

Book Today

Heart Failure
Package Booking

No referral, no insurance, no waiting. Book your heart failure package today and receive your cardiologist report within 24–48 hours.

Book at Falmouth — $697