| CT head without contrast | CPT 70450 | $821.98 |
| CT head with contrast | CPT 70460 | $1,200.12 |
| CT head with and without contrast | CPT 70470 | $1,446.13 |
| CT neck with contrast | CPT 70491 | $1,594.32 |
| MRI brain without contrast | CPT 70551 | $2,052.03 |
| MRI brain with contrast | CPT 70552 | $3,036.07 |
| MRI brain with and without contrast | CPT 70553 | $3,425.89 |
| Chest X-ray single view | CPT 71045 | $173.01 |
| Chest X-ray 2 views | CPT 71046 | $240.9 |
| Chest X-ray 3 views | CPT 71047 | $271.56 |
| CT chest without contrast | CPT 71250 | $1,246.11 |
| CT chest with contrast | CPT 71260 | $1,576.8 |
| CT chest with and without contrast | CPT 71270 | $1,955.67 |
| MRI chest without contrast | CPT 71550 | $2,560.11 |
| MRI chest with contrast | CPT 71551 | $2,811.23 |
| MRI chest with and without contrast | CPT 71552 | $3,677.01 |
| Lumbosacral spine X-ray | CPT 72100 | $295.65 |
| CT cervical spine without contrast | CPT 72125 | $1,659.29 |
| CT thoracic spine without contrast | CPT 72128 | $1,461.46 |
| CT lumbar spine without contrast | CPT 72131 | $1,454.16 |
| MRI cervical spine without contrast | CPT 72141 | $1,933.77 |
| MRI thoracic spine without contrast | CPT 72146 | $1,843.98 |
| MRI lumbar spine without contrast | CPT 72148 | $1,882.67 |
| MRI lumbar spine with and without contrast | CPT 72149 | $2,636.03 |
| MRI cervical spine with and without contrast | CPT 72156 | $3,268.21 |
| MRI lumbar spine with contrast | CPT 72158 | $3,011.98 |
| CT pelvis without contrast | CPT 72192 | $1,034.41 |
| CT pelvis with contrast | CPT 72193 | $1,882.67 |
| MRI upper extremity joint without contrast | CPT 73221 | $1,529.35 |
| MRI upper extremity joint with and without contrast | CPT 73223 | $3,323.69 |
| MRI lower extremity joint without contrast | CPT 73721 | $2,040.35 |
| MRI lower extremity joint with and without contrast | CPT 73723 | $3,039.72 |
| CT abdomen without contrast | CPT 74150 | $1,067.99 |
| CT abdomen with contrast | CPT 74160 | $1,987.06 |
| CT abdomen with and without contrast | CPT 74170 | $2,284.9 |
| CT abdomen and pelvis without contrast | CPT 74176 | $1,505.26 |
| CT abdomen and pelvis with contrast | CPT 74177 | $2,894.45 |
| CT abdomen and pelvis with and without contrast | CPT 74178 | $3,357.27 |
| MRI abdomen without contrast | CPT 74181 | $1,273.12 |
| MRI abdomen with and without contrast | CPT 74183 | $2,766.7 |
| Abdominal ultrasound complete | CPT 76700 | $665.76 |
| Abdominal ultrasound limited | CPT 76705 | $475.23 |
| Retroperitoneal ultrasound complete | CPT 76770 | $486.91 |
| Obstetric ultrasound first trimester | CPT 76801 | $450.41 |
| Obstetric ultrasound after first trimester | CPT 76805 | $563.56 |
| Transvaginal ultrasound | CPT 76830 | $568.67 |
| Pelvic ultrasound complete | CPT 76856 | $492.02 |
| Scrotal ultrasound | CPT 76870 | $479.61 |
| Diagnostic mammography bilateral | CPT 77066 | $659.19 |
| Screening mammography bilateral | CPT 77067 | $576.7 |
| EKG tracing only | CPT 93005 | $168.63 |
| Transthoracic echocardiogram complete | CPT 93306 | $824.9 |
| Basic metabolic panel (BMP) | CPT 80048 | $113.15 |
| General health panel | CPT 80050 | $289.08 |
| Electrolyte panel | CPT 80051 | $89.06 |
| Comprehensive metabolic panel | CPT 80053 | $178.12 |
| Lipid panel | CPT 80061 | $181.77 |
| Renal function panel | CPT 80069 | $161.02 |
| Hepatic function panel | CPT 80076 | $166 |
| Urinalysis non-automated | CPT 81002 | $36.5 |
| Urinalysis automated | CPT 81003 | $36.52 |
| Glucose quantitative | CPT 82947 | $39.01 |
| Hemoglobin A1c | CPT 83036 | $108.73 |
| Thyroid stimulating hormone (TSH) | CPT 84443 | $169.32 |
| Complete blood count with automated differential | CPT 85025 | $99.28 |
| Complete blood count without differential | CPT 85027 | $55.48 |
| Urine culture bacterial | CPT 87086 | $81.03 |
| Urine culture identification | CPT 87088 | $48.14 |
| Tissue exam by pathologist level IV | CPT 88305 | $113.07 |
| Total shoulder arthroplasty | CPT 23472 | $73 |
| Total hip replacement | CPT 27130 | $73 |
| Total knee replacement | CPT 27447 | $73 |