On-site supervision · Critical access ready

Site Hours of Supervision
Physicians & Radiologists
Median Response Time
Missed Reactions
Critical access volume cannot carry a radiologist salary.
Most of Iowa's counties are served by critical access hospitals running a handful of contrast studies a day. A full-time physician against that volume does not pencil out, so contrast capability becomes intermittent and patients get routed to Des Moines or Iowa City for studies their local hospital could perform. Tether staffs the coverage on a model that fits the volume, and trains your technologists so the team on the ground is ready when a reaction happens.
What changes when coverage is never the question
Stop canceling for want of coverage
Coverage priced to your volume, not a salary
Technologists who walk in ready
Audit-ready without the paperwork
Virtual-ready the day your state moves
From first call to first supervised scan
Step one — the twenty-minute call
We scope your sites, modalities, operating hours, and current coverage. You get a straight answer on what your program looks like and what it costs, usually before we hang up.
Step two — we prepare your center
Hardware deployment, physician credentialing and state licensure, technologist training, reaction kit placement, and your supervision documentation. Setup is our job, not yours.
Step three — ready when you need it
A credentialed clinician is scheduled at your imaging center to meet your state’s on-site supervision requirements. Your team gets dependable coverage, documented workflows, and the same Tether clinical support behind every shift.
Serving imaging centers across Iowa

Des Moines
Cedar Rapids
Davenport
Sioux City
Iowa City
Waterloo
Ames
Council Bluffs
Dubuque
Ankeny
central Iowa, the Cedar Rapids and Iowa City corridor, the Quad Cities, and the state's rural counties
Where Iowa stands today
Iowa currently calls for an on-site supervision model for contrast administration, and Tether delivers it statewide. Tether is actively engaged on the regulatory and legislative pathways that would open virtual supervision in Iowa.
Nearby states
Important note
This page is provided for general informational purposes and does not constitute legal advice. Supervision requirements vary by facility type, license category, modality, and payer and accreditation requirements, and they change over time. Facilities should confirm applicable requirements with their own counsel.
Can we use virtual contrast supervision in Iowa?
How fast does a Tether physician actually respond?
Do we need clinical staff on site in Iowa?
How quickly can we go live in Iowa?
Do you cover imaging centers outside Des Moines?
What do we get besides the supervision itself?
Twenty minutes to a contrast program that holds
Book a twenty-minute call. We will scope your sites and operating hours and tell you exactly what your program looks like, what it costs, and how fast you can be live. Most facilities are running within weeks. Call +1 (832) 974-0401 or email info@tethersupervision.com.