| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 30 | $15,021 |
| MRI brain with and without contrast | CPT | 70553 | 26 | $4,777.51 |
| MRI lumbar spine without contrast | CPT | 72148 | 26 | $3,599.51 |
| MRI chest without contrast | CPT | 71550 | 26 | $3,316.77 |
| MRI chest with and without contrast | CPT | 71552 | 26 | $4,757.48 |
| MRI cervical spine without contrast | CPT | 72141 | 26 | $3,572.48 |
| MRI thoracic spine without contrast | CPT | 72146 | 26 | $3,414.96 |
| MRI cervical spine with and without contrast | CPT | 72156 | 26 | $4,886.25 |
| MRI lumbar spine with contrast | CPT | 72158 | 26 | $4,898.24 |
| MRI upper extremity joint without contrast | CPT | 73221 | 26 | $3,554.02 |
| CT head without contrast | CPT | 70450 | 26 | $1,983.38 |
| CT head with contrast | CPT | 70460 | 26 | $2,109.54 |
| CT head with and without contrast | CPT | 70470 | 26 | $2,440.46 |
| CT neck with contrast | CPT | 70491 | 26 | $2,381.43 |
| CT chest without contrast | CPT | 71250 | 26 | $2,657.64 |
| MRI brain without contrast | CPT | 70551 | 26 | $3,390.16 |
| CT chest with and without contrast | CPT | 71270 | 26 | $3,501.68 |
| CT cervical spine without contrast | CPT | 72125 | 26 | $2,917.27 |
| CT thoracic spine without contrast | CPT | 72128 | 26 | $2,607.94 |
| CT lumbar spine without contrast | CPT | 72131 | 26 | $2,589.76 |
| CT pelvis without contrast | CPT | 72192 | 26 | $2,633.77 |
| CT pelvis with contrast | CPT | 72193 | 26 | $3,095.45 |
| Chest X-ray single view | CPT | 71045 | 26 | $286.42 |
| Chest X-ray 2 views | CPT | 71046 | 26 | $319.35 |
| Chest X-ray 3 views | CPT | 71047 | 26 | $419.09 |
| Lumbosacral spine X-ray | CPT | 72100 | 26 | $493.47 |
| Shoulder X-ray | CPT | 73030 | 26 | $361.65 |
| Humerus X-ray | CPT | 73060 | 26 | $335.55 |
| Hand X-ray 3 views | CPT | 73130 | 26 | $367.88 |
| CT chest with contrast | CPT | 71260 | 26 | $3,114.27 |