| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $85.00 | | |
| Abdominal X-ray, 1 view CPT 74018 | $371.45 | | |
| Ankle X-ray, 3 or more views CPT 73610 | $371.45 | | |
| Bone density scan (DEXA), hips and spine CPT 77080 | $124.09 | | |
| Breast ultrasound, one breast, complete CPT 76641 | $501.50 | | |
| Breast ultrasound, one breast, limited CPT 76642 | $372.30 | | |
| Chest X-ray, 1 view CPT 71045 | $371.45 | | |
| Chest X-ray, 2 views CPT 71046 | $371.45 | | |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,301.35 | | |
| CT angiogram of the head CPT 70496 | $1,301.35 | | |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $2,680.05 | | |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $2,680.05 | | |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,675.35 | | |
| CT scan of the abdomen, without contrast CPT 74150 | $793.90 | | |
| CT scan of the chest, with contrast CPT 71260 | $1,301.35 | | |
| CT scan of the chest, without contrast CPT 71250 | $793.90 | | |
| CT scan of the head, without contrast CPT 70450 | $793.90 | | |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $793.90 | | |
| CT scan of the pelvis, with contrast CPT 72193 | $1,301.35 | | |
| CT scan of the sinuses or face, without contrast CPT 70486 | $793.90 | | |
| Diagnostic mammogram, both breasts CPT 77066 | $586.50 | | |
| Diagnostic mammogram, one breast CPT 77065 | $441.15 | | |
| Foot X-ray, 3 or more views CPT 73630 | $371.45 | | |
| Hand X-ray, 3 or more views CPT 73130 | $371.45 | | |
| Knee X-ray, 3 views CPT 73562 | $371.45 | | |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,106.70 | | |
| Leg or arm vein ultrasound, one side CPT 93971 | $791.35 | | |
| Lower back X-ray, 2 or 3 views CPT 72100 | $501.50 | | |
| MRI of both breasts, without and with contrast CPT 77049 | $4,581.50 | | |
| MRI of the abdomen, without and with contrast CPT 74183 | $2,680.05 | | |
| MRI of the brain, without and with contrast CPT 70553 | $2,680.05 | | |
| MRI of the brain, without contrast CPT 70551 | $1,675.35 | | |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,675.35 | | |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,675.35 | | |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,675.35 | | |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,675.35 | | |
| MRI of the pelvis, without and with contrast CPT 72197 | $2,680.05 | | |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,675.35 | | |
| Neck X-ray, 2 or 3 views CPT 72040 | $371.45 | | |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $505.75 | | |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $501.50 | | |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $501.50 | | |
| Screening mammogram, both breasts CPT 77067 | $586.50 | | |
| Shoulder X-ray, 2 or more views CPT 73030 | $371.45 | | |
| Transvaginal pregnancy ultrasound CPT 76817 | $660.45 | | |
| Transvaginal ultrasound CPT 76830 | $650.25 | | |
| Ultrasound of the abdomen, complete CPT 76700 | $631.55 | | |
| Ultrasound of the neck or thyroid CPT 76536 | $850.85 | | |
| Wrist X-ray, 3 or more views CPT 73110 | $371.45 | | |
| X-ray of the lower back, 4 or more views CPT 72110 | $501.50 | | |