| MRI brain without contrast | CPT | 70551 | 15 | $2,245.87 |
| MRI brain with and without contrast | CPT | 70553 | 15 | $2,625.49 |
| MRI lumbar spine without contrast | CPT | 72148 | 15 | $2,280.03 |
| Colonoscopy diagnostic | CPT | 45378 | 15 | $2,073.37 |
| Colonoscopy with biopsy | CPT | 45380 | 15 | $2,248.96 |
| Colonoscopy with polyp removal | CPT | 45385 | 15 | $2,295.95 |
| Fetal non-stress test | CPT | 59025 | 15 | $460.43 |
| MRI chest without contrast | CPT | 71550 | 15 | $2,256.01 |
| MRI chest with and without contrast | CPT | 71552 | 15 | $2,569.2 |
| MRI cervical spine without contrast | CPT | 72141 | 15 | $2,246.12 |
| MRI thoracic spine without contrast | CPT | 72146 | 15 | $2,217.54 |
| MRI cervical spine with and without contrast | CPT | 72156 | 15 | $2,408.1 |
| MRI lumbar spine with contrast | CPT | 72158 | 15 | $2,557.66 |
| CT head without contrast | CPT | 70450 | 15 | $1,246.83 |
| CT head with contrast | CPT | 70460 | 15 | $1,320.75 |
| CT head with and without contrast | CPT | 70470 | 15 | $1,378.1 |
| CT neck with contrast | CPT | 70491 | 15 | $1,389.35 |
| CT chest without contrast | CPT | 71250 | 15 | $1,359.71 |
| CT chest with contrast | CPT | 71260 | 15 | $1,357.38 |
| CT chest with and without contrast | CPT | 71270 | 15 | $1,675.62 |
| CT cervical spine without contrast | CPT | 72125 | 15 | $1,470.93 |
| CT thoracic spine without contrast | CPT | 72128 | 15 | $1,406.3 |
| CT lumbar spine without contrast | CPT | 72131 | 15 | $1,429.52 |
| Chest X-ray single view | CPT | 71045 | 15 | $237 |
| Chest X-ray 2 views | CPT | 71046 | 15 | $264.57 |
| Lumbosacral spine X-ray | CPT | 72100 | 15 | $305.57 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 15 | $1,795.72 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 15 | $1,843.75 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 15 | $1,257.9 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 15 | $1,574.99 |