| imaging |
| CT head without contrast | CPT | 70450 | 3 | $2,670 | $2,670 | $2,003 | $2,136 | 10.3× | $2,670 |
| CT head with contrast | CPT | 70460 | 3 | $2,104 | $2,104 | $1,578 | $1,683 | 7.2× | $2,104 |
| CT head with and without contrast | CPT | 70470 | 3 | $3,239 | $3,239 | $2,429 | $2,591 | 9.7× | $3,239 |
| Chest X-ray single view | CPT | 71045 | 3 | $427 | $427 | $320 | $342 | 3.6× | $427 |
| Chest X-ray 2 views | CPT | 71046 | 3 | $432 | $432 | $324 | $346 | 3.5× | $432 |
| CT chest without contrast | CPT | 71250 | 3 | $2,675 | $2,675 | $2,006 | $2,140 | 10.0× | $2,675 |
| CT chest with contrast | CPT | 71260 | 3 | $4,862 | $4,862 | $2,595 | $3,553.5 | 12.6× | $4,862 |
| CT chest with and without contrast | CPT | 71270 | 3 | $3,985 | $3,985 | $2,989 | $3,188 | 10.9× | $3,985 |
| CT cervical spine without contrast | CPT | 72125 | 3 | $2,836 | $2,836 | $2,127 | $2,269 | 11.3× | $2,836 |
| CT pelvis with contrast | CPT | 72193 | 3 | $3,447 | $3,447 | $2,585 | $2,758 | 9.8× | $3,447 |
| CT abdomen with contrast | CPT | 74160 | 3 | $3,306 | $3,306 | $2,480 | $2,645 | 9.2× | $3,306 |
| CT abdomen with and without contrast | CPT | 74170 | 3 | $3,806 | $3,806 | $2,855 | $3,045 | 9.1× | $3,806 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 3 | $5,928 | $5,928 | $4,446 | $4,742 | 13.0× | $5,928 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 3 | $6,848 | $6,848 | $5,136 | $5,478 | 10.0× | $6,848 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 3 | $9,013 | $9,013 | $6,760 | $7,210 | 12.5× | $9,013 |
| Abdominal ultrasound complete | CPT | 76700 | 3 | $759 | $759 | $569 | $607 | 4.1× | $759 |
| Abdominal ultrasound limited | CPT | 76705 | 3 | $762 | $762 | $572 | $610 | 4.2× | $762 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 3 | $884 | $884 | $663 | $707 | 4.9× | $884 |
| Transvaginal ultrasound | CPT | 76830 | 3 | $699 | $699 | $524 | $559 | 3.8× | $699 |
| EKG tracing only | CPT | 93005 | 3 | $165 | $165 | $124 | $132 | 1.1× | $165 |
| inpatient |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 9 | $170,953 | $170,953 | $1,200 | $1,750 | 0.11× | $170,953 |
| Heart failure & shock w MCC | MS-DRG | 291 | 9 | $90,864 | $90,864 | $1,200 | $1,750 | 0.14× | $90,864 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 9 | $32,149 | $32,149 | $1,200 | $1,750 | 0.23× | $32,149 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 9 | $127,847 | $127,847 | $1,200 | $1,750 | 0.22× | $127,847 |
| Kidney/UTI w MCC | MS-DRG | 689 | 9 | $33,894 | $33,894 | $1,200 | $1,750 | 0.15× | $33,894 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 9 | $41,336 | $41,336 | $1,200 | $1,750 | 0.09× | $41,336 |
| preventive |
| Upper GI endoscopy diagnostic | CPT | 43235 | 3 | $1,900 | $1,900 | $1,425 | $1,520 | 1.7× | $1,900 |
| Colonoscopy diagnostic | CPT | 45378 | 3 | $2,567 | $2,567 | $1,925 | $2,054 | 2.3× | $2,567 |