| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $32.00 | $100.00 | |
| Abdominal X-ray, 1 view CPT 74018 | $332.00 | $1,037.50 | |
| Ankle X-ray, 3 or more views CPT 73610 | $598.20 | $1,869.38 | |
| Bone density scan (DEXA), hips and spine CPT 77080 | $311.28 | $972.75 | |
| Breast ultrasound, one breast, complete CPT 76641 | $1,105.68 | $3,455.25 | |
| Breast ultrasound, one breast, limited CPT 76642 | $1,072.92 | $3,352.88 | |
| Chest X-ray, 1 view CPT 71045 | $323.92 | $1,012.25 | |
| Chest X-ray, 2 views CPT 71046 | $389.28 | $1,216.50 | |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,476.56 | $4,614.25 | |
| CT angiogram of the head CPT 70496 | $1,128.40 | $3,526.25 | |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $3,033.20 | $9,478.75 | |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $3,788.24 | $11,838.25 | |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $2,688.48 | $8,401.50 | |
| CT scan of the abdomen, without contrast CPT 74150 | $2,015.84 | $6,299.50 | |
| CT scan of the chest, with contrast CPT 71260 | $1,513.44 | $4,729.50 | |
| CT scan of the chest, without contrast CPT 71250 | $1,251.84 | $3,912.00 | |
| CT scan of the head, without contrast CPT 70450 | $1,026.88 | $3,209.00 | |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,260.72 | $3,939.75 | |
| CT scan of the pelvis, with contrast CPT 72193 | $1,986.72 | $6,208.50 | |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,308.48 | $4,089.00 | |
| Diagnostic mammogram, both breasts CPT 77066 | $153.20 | $478.75 | |
| Diagnostic mammogram, one breast CPT 77065 | $145.92 | $456.00 | |
| Foot X-ray, 3 or more views CPT 73630 | $584.64 | $1,827.00 | |
| Hand X-ray, 3 or more views CPT 73130 | $594.24 | $1,857.00 | |
| Knee X-ray, 3 views CPT 73562 | $630.96 | $1,971.75 | |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,222.72 | $3,821.00 | |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,034.16 | $3,231.75 | |
| Lower back X-ray, 2 or 3 views CPT 72100 | $443.92 | $1,387.25 | |
| MRI of both breasts, without and with contrast CPT 77049 | $1,791.92 | $5,599.75 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $2,069.84 | $6,468.25 | |
| MRI of the brain, without and with contrast CPT 70553 | $2,093.20 | $6,541.25 | |
| MRI of the brain, without contrast CPT 70551 | $1,312.32 | $4,101.00 | |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $2,415.24 | $7,547.63 | |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,515.12 | $4,734.75 | |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,633.28 | $5,104.00 | |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,715.60 | $5,361.25 | |
| MRI of the pelvis, without and with contrast CPT 72197 | $2,055.12 | $6,422.25 | |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $2,043.36 | $6,385.50 | |
| Neck X-ray, 2 or 3 views CPT 72040 | $374.00 | $1,168.75 | |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,009.04 | $3,153.25 | |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $917.76 | $2,868.00 | |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $833.60 | $2,605.00 | |
| Screening mammogram, both breasts CPT 77067 | $144.16 | $450.50 | |
| Shoulder X-ray, 2 or more views CPT 73030 | $658.80 | $2,058.75 | |
| Transvaginal pregnancy ultrasound CPT 76817 | $1,142.64 | $3,570.75 | |
| Transvaginal ultrasound CPT 76830 | $757.04 | $2,365.75 | |
| Ultrasound of the abdomen, complete CPT 76700 | $1,177.60 | $3,680.00 | |
| Ultrasound of the neck or thyroid CPT 76536 | $706.08 | $2,206.50 | |
| Wrist X-ray, 3 or more views CPT 73110 | $577.56 | $1,804.88 | |
| X-ray of the lower back, 4 or more views CPT 72110 | $744.48 | $2,326.50 | |