Why Get Screened

Most Heart Attacks
Give No Warning.

Cardiovascular disease builds silently for years. By the time you feel something, it has often been growing for a decade. A 45-minute scan can show what your body isn't telling you.

ARDMS Certified Sonographer
ASE Member — Echo Standards
IAC Accredited Cardiologist
Board-Certified Cardiologist Review

For Many People, the First Symptom Is the Event

Cardiovascular disease does not build up to a warning. It builds up to an event.

50.5%

of people having a first heart attack had no documented symptoms beforehand.

First myocardial infarction dataset, 2017–2022
60–70%

of the time, the first sign of coronary artery disease is a heart attack or sudden death.

Screening asymptomatic adults for CHD, NCBI
81%

mortality once an abdominal aortic aneurysm ruptures — and most stay silent until they do.

U.S. Preventive Services Task Force

Your Annual Physical Measures Risk. Not Disease.

This is the distinction that matters, and almost nobody explains it.

What bloodwork and a physical tell you
  • Total and LDL cholesterol
  • Blood pressure
  • Blood sugar and A1c
  • Weight and BMI
  • Family history
  • Smoking status
These are risk factors. They estimate the odds that you might have disease.
What an ultrasound actually shows
  • Plaque, measured in millimetres
  • Aortic diameter
  • Valve function and leakage
  • Ejection fraction
  • Blood flow velocity
  • Clot, present or absent
These are findings. They show what is actually in your arteries right now.

A cholesterol number tells you plaque is likely. An ultrasound tells you whether it is there, how much, and where. You can have a clean lipid panel and significant carotid plaque at the same time — bloodwork cannot see it, because bloodwork does not look.

Six Things That Build Silently. All Detectable Today.

None of these announce themselves. All are visible on ultrasound. All are manageable when caught early — and dangerous when they are not.

01
Carotid Duplex Ultrasound

Stroke Risk — Carotid Plaque

Plaque builds in the carotid arteries — the vessels that supply blood to your brain — for years without symptoms. When a piece breaks loose, it causes a stroke. Eighty percent of strokes are preventable. This scan shows you where you stand.

02
Echocardiogram

Silent Heart Dysfunction

Your heart's pumping function, valve performance, and wall motion are invisible without imaging. A reduced ejection fraction or leaking valve can exist for years before symptoms appear. An echocardiogram sees it clearly — a routine EKG does not.

03
Abdominal Aortic Aneurysm Screening

Aortic Aneurysm — No Symptoms Until Rupture

An abdominal aortic aneurysm has an 81% mortality rate when it ruptures — and gives no warning beforehand. It takes 30 minutes to screen for it. Men over 65 who have ever smoked are at highest risk, but it affects non-smokers and women too.

04
Lower Extremity Venous Duplex

Deep Vein Thrombosis — The Silent Clot

DVT kills by traveling to the lungs. Swollen ankles, leg heaviness, or mild discomfort are easy to dismiss — and often are. A venous duplex maps your leg veins completely, detecting clots before they move.

05
Lower Extremity Arterial Duplex

Peripheral Artery Disease

PAD is caused by the same plaque buildup that causes heart attacks — just in the legs. It raises your risk of heart attack and stroke significantly and often presents as leg cramps or fatigue that patients dismiss as aging. It isn't aging.

06
Renal Arterial Duplex

Kidney Artery Narrowing

Narrowed renal arteries reduce blood flow to the kidneys and are a common cause of difficult-to-control high blood pressure. This is rarely screened for in standard care — and rarely suspected until kidney function begins to decline.

If Any of These Describe You, This Is Worth Doing

None of these means something is wrong. Each one raises the odds enough that finding out early is worth 45 minutes.

Not sure where you land? Take the Health Score quiz — free, two minutes, no signup.

Both Answers Are Worth Having

People put this off because they are afraid of what it might say. Here is what each result actually gives you.

If nothing is found

You get a baseline.

A normal scan is not a wasted scan. It is the measurement every future scan gets compared against. Cardiovascular disease is a story about change over time — a carotid wall that thickened, an aorta that widened a few millimetres. You cannot detect change without a first measurement, and most people reach their sixties having never had one.

If something is found

You found it early.

That is the entire point. Findings at this stage are typically monitored or managed, not operated on. An aneurysm below the surgical threshold gets an imaging interval. Early plaque changes the conversation with your physician about blood pressure and lipids. The alternative was never “no problem” — it was the same problem, found later.

Your report goes to you in plain language, to share with any physician you choose. We do not treat, prescribe, or replace your doctor — we give you and your doctor something to work from.

Hospital Standards. No Hospital Required.

BlackPoint is not a health-fair screening service. Every study follows the clinical protocols used in accredited hospital imaging departments.

Performed by an ARDMS-certified sonographer

Every study is performed personally by Emanuel Papadakis, RDCS, RVT — registered in both cardiac and vascular sonography, with 20 years of hospital imaging experience.

Read by a board-certified cardiologist

Every study is interpreted by Dr. Glenn Gandelman, MD, MPH, FACC, FASE — IAC-accredited. Not a technician summary. A physician read, with real measurements.

The same protocol an accredited lab follows

The complete set of views, measurements, and Doppler assessments a hospital lab performs — not an abbreviated health-fair screening.

Hospital-grade equipment

The same class of ultrasound system used in accredited diagnostic imaging departments — brought to you, rather than the other way round.

One Price.
No Surprises. Ever.

$397
PER INDIVIDUAL SCAN — ALL INCLUSIVE
  • The scan itself — full clinical protocol
  • Emanuel's time — from arrival to departure
  • Written cardiologist report — Dr. Gandelman
  • Delivered to your inbox in 24–48 hours
  • HSA and FSA cards accepted
  • No facility fees, reading fees, or billing surprises
View All Pricing & Packages →
BlackPoint vs Hospital
Echocardiogram
In Maine: $357–$2,917
BlackPoint: $397
Carotid Duplex
Maine average: not published
BlackPoint: $397
Renal Arterial
Maine average: not published
BlackPoint: $397
All 6 scans
Varies widely by facility
BlackPoint: $2,197
Maine figures are average total payments published by the state on CompareMaine, run by the Maine Health Data Organization — the same echocardiogram ranges from $357 to $2,917 depending on the facility. Look up any Maine provider yourself. Those are insured payments; BlackPoint’s price is flat self-pay.

Want Ongoing Monitoring,
Not Just One Scan?

The BlackPoint Concierge membership gives you one clinical scan per month, cardiologist-reviewed results every time, and a rate that is locked in and guaranteed — forever. Cardiovascular disease doesn't take months off. Your monitoring shouldn't either.

Three tiers. One commitment. Your rate locked for life.
Start with a 3-month enrollment, then continue month to month at your locked rate. Members save up to $14,000 compared to hospital out-of-pocket costs over 12 months. Tier 2 and Tier 3 members also receive 40% off all wellness screening packages — anytime.
Concierge — from $249/mo Concierge Premier — from $299/mo Concierge Premier Duo — from $349/mo (2 people)
See Membership Plans →

Simple Answers
to Real Questions.

Do I need a referral from my doctor? +
No. You book directly through our website — no physician referral required, no insurance pre-authorization, no prior visit needed. If you want to share your results with your doctor afterward, you are in complete control of that.
Will my insurance or Medicare cover this? +
BlackPoint is a self-pay service. We do not bill insurance directly. However, you will receive an itemized receipt that you can submit to your insurance for potential reimbursement — some plans will reimburse for preventive cardiovascular imaging. HSA and FSA cards are accepted at checkout. Most patients find that BlackPoint costs the same or less than their out-of-pocket cost under insurance, without any of the wait.
How do I receive my results? +
Your written cardiologist report is delivered directly to your email inbox within 24–48 hours of your appointment via Paubox — a HIPAA-compliant encrypted email platform built for healthcare. It goes to you first. You decide whether and when to share it with your physician.
What happens if something is found? +
Your cardiologist report will clearly describe any findings, their significance, and recommended next steps. Our clinical team is available to walk you through your results and answer questions. If a finding requires follow-up, your report gives your physician everything they need to act quickly — rather than waiting weeks for results through a traditional imaging pathway. Finding something early is the entire point.
Can I use my HSA or FSA card? +
Yes. Cardiovascular ultrasound screenings are qualified medical expenses under both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). Use your HSA or FSA card at checkout like a regular credit card.
What should I expect during the appointment? +
Our sonographer arrives at your home with all necessary equipment — a portable medical-grade ultrasound system, table, and supplies. The scan itself is painless and non-invasive. You lie comfortably while the imaging is performed. Most individual scans take 30–60 minutes. You can go about your day immediately afterward. See our Patient Guides page for a full walkthrough.

The Best Time to Find Out
Is Before Something Happens.

Book a single scan, take the Health Score quiz, or explore a monthly membership. Any of those is a better choice than waiting.