| Psychoses | MS-DRG | 885 | 9 | $8,604.91 |
| MRI brain with and without contrast | CPT | 70553 | 8 | $2,233.59 |
| MRI lumbar spine without contrast | CPT | 72148 | 8 | $1,701.43 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 8 | $1,825.04 |
| MRI cervical spine without contrast | CPT | 72141 | 8 | $1,701.42 |
| MRI thoracic spine without contrast | CPT | 72146 | 8 | $1,701.42 |
| MRI cervical spine with and without contrast | CPT | 72156 | 8 | $2,037.19 |
| MRI lumbar spine with contrast | CPT | 72158 | 8 | $2,037.19 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 8 | $2,213.79 |
| CT head without contrast | CPT | 70450 | 8 | $1,207.2 |
| CT chest without contrast | CPT | 71250 | 8 | $1,159.36 |
| CT chest with contrast | CPT | 71260 | 8 | $1,815.09 |
| CT cervical spine without contrast | CPT | 72125 | 8 | $1,294.69 |
| CT thoracic spine without contrast | CPT | 72128 | 8 | $1,324.44 |
| CT lumbar spine without contrast | CPT | 72131 | 8 | $1,290.84 |
| MRI brain without contrast | CPT | 70551 | 8 | $1,716.42 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 8 | $2,489.05 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 8 | $2,668.08 |
| Abdominal ultrasound complete | CPT | 76700 | 8 | $1,233.39 |
| Abdominal ultrasound limited | CPT | 76705 | 8 | $866.7 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 8 | $857.83 |
| Chest X-ray single view | CPT | 71045 | 8 | $278.49 |
| Chest X-ray 2 views | CPT | 71046 | 8 | $310.75 |
| Lumbosacral spine X-ray | CPT | 72100 | 8 | $393.45 |
| Shoulder X-ray | CPT | 73030 | 8 | $350.49 |
| Humerus X-ray | CPT | 73060 | 8 | $293.28 |
| Hand X-ray 3 views | CPT | 73130 | 8 | $319.86 |
| Knee X-ray 1-2 views | CPT | 73560 | 8 | $281.04 |
| Ankle X-ray 3 views | CPT | 73610 | 8 | $328.76 |
| CT pelvis without contrast | CPT | 72192 | 8 | $1,292.28 |