| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $143.57 | $805.00 | |
| Abdominal X-ray, 1 view CPT 74018 | $127.48 | $2,488.00 | |
| Ankle X-ray, 3 or more views CPT 73610 | $112.08 | $1,263.00 | |
| Bone density scan (DEXA), hips and spine CPT 77080 | $278.93 | $1,265.00 | |
| Breast ultrasound, one breast, complete CPT 76641 | $278.93 | $1,411.00 | |
| Breast ultrasound, one breast, limited CPT 76642 | $239.58 | $875.00 | |
| Chest X-ray, 1 view CPT 71045 | $112.08 | $36,454.49 | |
| Chest X-ray, 2 views CPT 71046 | $112.08 | $1,122.00 | |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $226.60 | $3,557.56 | |
| CT angiogram of the head CPT 70496 | $226.60 | $3,221.28 | |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $454.59 | $5,769.56 | |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $454.59 | $6,891.56 | |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $307.68 | $4,524.00 | |
| CT scan of the abdomen, without contrast CPT 74150 | $135.36 | $2,588.00 | |
| CT scan of the chest, with contrast CPT 71260 | $553.86 | $8,787.56 | |
| CT scan of the chest, without contrast CPT 71250 | $135.36 | $2,114.00 | |
| CT scan of the head, without contrast CPT 70450 | $135.36 | $2,420.00 | |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $135.36 | $2,820.00 | |
| CT scan of the pelvis, with contrast CPT 72193 | $237.54 | $3,688.68 | |
| CT scan of the sinuses or face, without contrast CPT 70486 | $135.36 | $2,373.00 | |
| Diagnostic mammogram, both breasts CPT 77066 | $269.20 | $1,054.00 | |
| Diagnostic mammogram, one breast CPT 77065 | $239.58 | $875.00 | |
| Foot X-ray, 3 or more views CPT 73630 | $112.08 | $1,189.00 | |
| Hand X-ray, 3 or more views CPT 73130 | $112.08 | $1,265.00 | |
| Knee X-ray, 3 views CPT 73562 | $112.08 | $1,244.00 | |
| Leg or arm vein ultrasound, both sides CPT 93970 | $307.68 | $1,500.00 | |
| Leg or arm vein ultrasound, one side CPT 93971 | $135.36 | $1,500.00 | |
| Lower back X-ray, 2 or 3 views CPT 72100 | $135.36 | $783.00 | |
| MRI of both breasts, without and with contrast CPT 77049 | $294.12 | $6,975.44 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $476.54 | $6,570.06 | |
| MRI of the brain, without and with contrast CPT 70553 | $476.54 | $6,448.06 | |
| MRI of the brain, without contrast CPT 70551 | $322.54 | $19,991.73 | |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $322.54 | $4,469.00 | |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $322.54 | $4,469.00 | |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $720.92 | $8,938.00 | |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $303.75 | $5,960.00 | |
| MRI of the pelvis, without and with contrast CPT 72197 | $476.54 | $6,570.06 | |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $322.54 | $4,469.00 | |
| Neck X-ray, 2 or 3 views CPT 72040 | $135.36 | $977.00 | |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $270.72 | $1,843.00 | |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $141.90 | $663.00 | |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $141.90 | $1,219.00 | |
| Screening mammogram, both breasts CPT 77067 | $143.57 | $805.00 | |
| Shoulder X-ray, 2 or more views CPT 73030 | $112.08 | $1,110.00 | |
| Transvaginal pregnancy ultrasound CPT 76817 | $135.36 | $595.00 | |
| Transvaginal ultrasound CPT 76830 | $278.93 | $1,442.00 | |
| Ultrasound of the abdomen, complete CPT 76700 | $135.36 | $1,423.00 | |
| Ultrasound of the neck or thyroid CPT 76536 | $135.36 | $1,078.00 | |
| Wrist X-ray, 3 or more views CPT 73110 | $112.08 | $1,330.00 | |
| X-ray of the lower back, 4 or more views CPT 72110 | $135.36 | $1,656.00 | |