| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $121.50 | $162.00 | |
| Abdominal X-ray, 1 view CPT 74018 | $522.75 | $697.00 | |
| Ankle X-ray, 3 or more views CPT 73610 | $586.50 | $782.00 | |
| Bone density scan (DEXA), hips and spine CPT 77080 | $1,409.25 | $1,879.00 | |
| Breast ultrasound, one breast, complete CPT 76641 | $362.25 | $483.00 | |
| Breast ultrasound, one breast, limited CPT 76642 | $362.25 | $483.00 | |
| Chest X-ray, 1 view CPT 71045 | $293.25 | $391.00 | |
| Chest X-ray, 2 views CPT 71046 | $1,461.00 | $1,948.00 | |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $7,178.25 | $9,571.00 | |
| CT angiogram of the head CPT 70496 | $10,870.50 | $14,494.00 | |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $4,240.50 | $5,654.00 | |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $5,284.50 | $7,046.00 | |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $3,485.25 | $4,647.00 | |
| CT scan of the abdomen, without contrast CPT 74150 | $2,607.00 | $3,476.00 | |
| CT scan of the chest, with contrast CPT 71260 | $3,747.75 | $4,997.00 | |
| CT scan of the chest, without contrast CPT 71250 | $2,773.50 | $3,698.00 | |
| CT scan of the head, without contrast CPT 70450 | $2,772.00 | $3,696.00 | |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $3,534.00 | $4,712.00 | |
| CT scan of the pelvis, with contrast CPT 72193 | $5,704.50 | $7,606.00 | |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,607.00 | $3,476.00 | |
| Diagnostic mammogram, both breasts CPT 77066 | $809.25 | $1,079.00 | |
| Diagnostic mammogram, one breast CPT 77065 | $681.00 | $908.00 | |
| Foot X-ray, 3 or more views CPT 73630 | $655.50 | $874.00 | |
| Hand X-ray, 3 or more views CPT 73130 | $516.00 | $688.00 | |
| Knee X-ray, 3 views CPT 73562 | $557.25 | $743.00 | |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,817.25 | $2,423.00 | |
| Leg or arm vein ultrasound, one side CPT 93971 | $668.25 | $891.00 | |
| Lower back X-ray, 2 or 3 views CPT 72100 | $863.25 | $1,151.00 | |
| MRI of both breasts, without and with contrast CPT 77049 | $6,786.00 | $9,048.00 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $6,749.25 | $8,999.00 | |
| MRI of the brain, without and with contrast CPT 70553 | $5,787.75 | $7,717.00 | |
| MRI of the brain, without contrast CPT 70551 | $4,271.25 | $5,695.00 | |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $4,946.25 | $6,595.00 | |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $7,777.50 | $10,370.00 | |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $6,936.00 | $9,248.00 | |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $7,329.00 | $9,772.00 | |
| MRI of the pelvis, without and with contrast CPT 72197 | $9,830.25 | $13,107.00 | |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $7,176.75 | $9,569.00 | |
| Neck X-ray, 2 or 3 views CPT 72040 | $821.25 | $1,095.00 | |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,365.75 | $1,821.00 | |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,426.50 | $1,902.00 | |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $931.50 | $1,242.00 | |
| Screening mammogram, both breasts CPT 77067 | $531.00 | $708.00 | |
| Shoulder X-ray, 2 or more views CPT 73030 | $516.00 | $688.00 | |
| Transvaginal pregnancy ultrasound CPT 76817 | $1,269.00 | $1,692.00 | |
| Transvaginal ultrasound CPT 76830 | $1,075.50 | $1,434.00 | |
| Ultrasound of the abdomen, complete CPT 76700 | $1,507.50 | $2,010.00 | |
| Ultrasound of the neck or thyroid CPT 76536 | $1,152.75 | $1,537.00 | |
| Wrist X-ray, 3 or more views CPT 73110 | $557.25 | $743.00 | |
| X-ray of the lower back, 4 or more views CPT 72110 | $1,071.75 | $1,429.00 | |