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Are you catering to your staff needs? Does the department have a break room, cleaning cupboard and toilets? Are there a few vending machines and water dispensers for the staff? I suspect this is your issue.
I ensure my radiologists have a nice environment to sit in (their little office), nearby food and bathrooms and that they can have breaks (note my current hospital can comfortably meet the needs of a full A&E and general surgery unit with only one X-ray room). My radiology departments have never dipped below 2 1/2 stars and are usually 3 1/2 or more.
Also note, you absolutely can add individual imaging rooms into other departments. Need an extra X-ray just for orthopaedics? No problem. Make sure the orthopaedic department is set up such that there are nearby toilets and sources of food for the radiologist and build the room as usual. The room is effectively part of orthopaedics and will use all the orthopaedic facilities but technically the imaging room itself is radiology. It will be cleaned by the orthopaedic janitors as well. Actually now I think about it I've never tested if you can share waiting rooms this way because I always put a couple of benches, a vending machine and a water dispenser down when I do this to make a small waiting room.