US imports of Mechano-therapy appliances

US imports under HTS 9019 at a glance

Between March and July 2026, US importers entered $2.44 billion of mechano-therapy appliances under HTS heading 9019, from 44 of the 55 origin countries covered here and across 10 ten-digit tariff lines — roughly $488 million a month of customs value under a single four-digit heading.

Chapter 90 covers optical, photographic, measuring and medical instruments; heading 9019 is one of its larger entries by value, which is why the duty treatment below is worth checking line by line.

Who exports mechano-therapy appliances to the United States

Singapore, China and Mexico together account for 73.2% of the heading. Singapore leads with $715 million (29.3%), ahead of China at 24% and Mexico at 19.9%. Concentrated but not captive: alternatives exist, and buyers who qualify a second origin early keep some leverage when duties move.

Mexico and Canada sit near the top of the table, and the duty numbers reflect it: Mexico entered 94.9% of its value free of duty and Canada entered 97.2% of its value free of duty. Cargo that qualifies under USMCA and is claimed correctly at entry pays nothing; cargo that does not qualify, or that is never claimed, pays the ordinary rate. The certification is the whole difference.

What importers actually paid in duty

Duty treatment is split. 25.3% of the entered value was dutiable and the rest came in free, usually under a trade agreement or a duty-free provision in the tariff schedule. CBP collected $60.7 million in all, an effective 9.8% on the dutiable value and $2.49 per $100 of goods once the free entries are counted.

The spread between origins is real. Among origins with at least 2% of the heading, Sweden paid the most duty relative to value — $6.68 per $100 — while Singapore paid $0.02. On a $250,000 purchase order that gap is about $17,000 in duty alone, which is worth pricing into a sourcing decision rather than discovering on the entry summary.

The 10-digit lines under heading 9019

10 ten-digit lines carried trade under this heading in the period. The largest, 9019.20.00.00 (ozone therapy, oxygen therapy, aerosol therapy), took 70.9% of the heading at $1.73 billion. 9019.10.20.45, 9019.10.20.90 and 9019.10.20.35 follow. Rates diverge between those lines, so the classification your broker files is worth checking against the goods rather than carried over from the last entry.

What the duty stack looks like

The rate on an entry is not one number. It is a stack: the general (column 1) rate for the 10-digit line, less any trade-agreement preference the goods qualify for, plus whatever additional duties apply to that product and origin, all applied to the customs value declared. The $2.49 per $100 above is what that stack averaged across every entry in this heading — a benchmark, not a quote.

For the origins carrying the most volume, the per-country breakdowns go a level deeper: Singapore (9019.20.00), China (9019.10.20) and Australia (9019.20.00). To price a specific shipment, put your 10-digit code and country of origin into the tariff simulator.

What this means for your next shipment

The practical sequence is: confirm the 10-digit line against the actual goods, confirm origin under the substantial-transformation rules rather than the shipping address, then price the duty on that pair. Airlift USA moves the cargo and coordinates classification and entry filing through our licensed broker network, so the code agreed at booking is the one on the entry.

For the operational side rather than the tariff side, see the Medical Devices Logistics Guide guide for how this cargo moves, the China to USA lane for transit times and ports and the heading index to compare against the rest of chapter 90.