MEDICAL TEST COSTS BREAKDOWN
Note: The prices listed below are averages paid per claim for the specific BHF code. It’s important to highlight that these costs exclude any other services that might be rendered alongside. Particularly for blood tests, a single session might include claims for multiple codes.
MRI Scans | ||
NAMAF Code | Description | Avg Paid per Claim |
62415 | MR OF THE RIGHT UPPER ARM PRE AND POST CONTRAST | 21,165.60 |
73410 | MR OF THE LEFT LOWER LEG PRE AND POST CONTRAST | 21,165.60 |
74430 | MR OF THE LEFT FOOT PRE AND POST CONTRAST | 21,165.60 |
74435 | MR OF THE RIGHT FOOT PRE AND POST CONTRAST | 21,012.14 |
53420 | MR OF THE LUMBAR SPINE PRE AND POST CONTRAST | 20,949.93 |
41410 | MR STUDY OF THE LIVER/PANCREAS PRE AND POST CONTRAST | 20,917.58 |
20470 | MR ANGIOGRAPHY OF THE INTRA AND EXTRA CRANIAL VESSELS PLUS BRAIN, WITH CONTRAST | 20,511.60 |
43420 | MR STUDY OF PELVIC REPRODUCTIVE ORGANS - COMPLETE PRE AND POST CONTRAST | 20,414.97 |
10495 | MR OF THE BRAIN PRE AND POST CONTRAST PLUS ANGIOGRAPHY AND DIFFUSION | 20,273.10 |
10430 | MR OF THE BRAIN PRE AND POST CONTRAST | 20,213.43 |
41430 | MR STUDY OF THE ABDOMEN WITH MRCP | 19,286.30 |
34410 | MR STUDY OF THE BREAST PRE AND POST CONTRAST | 18,813.92 |
10490 | MR OF THE BRAIN, PRE AND POST CONTRAST, WITH DIFFUSION STUDIES, | 18,260.85 |
20410 | MR OF THE SOFT TISSUE OF THE NECK, PRE AND POST CONTRAST | 17,805.24 |
40430 | MR OF THE PELVIS, SOFT TISSUE, PRE AND POST CONTRAST | 17,370.16 |
10485 | MR OF THE BRAIN, WITH DIFFUSION STUDIES | 16,386.50 |
61415 | MR OF THE RIGHT SHOULDER PRE AND POST CONTRAST | 16,000.00 |
51420 | MR OF THE CERVICAL SPINE AND CRANIO-CERVICAL JUNCTION PRE AND POST CONTRAST | 15,819.74 |
12410 | MR OF THE ORBITAE, PRE AND POST CONTRAST | 15,808.37 |
10420 | MR OF THE BRAIN WITH CONTRAST | 15,751.80 |
11410 | MR OF THE FACIAL SOFT TISSUE PRE AND POST CONTRAST | 14,583.45 |
52420 | MR OF THE THORACIC SPINE PRE AND POST CONTRAST | 14,374.47 |
71400 | MR OF THE LEFT UPPER LEG | 13,441.00 |
63405 | MR OF THE RIGHT ELBOW | 13,407.90 |
65400 | MR OF THE LEFT WRIST AND HAND | 13,407.68 |
40420 | MR OF THE PELVIS, SOFT TISSUE | 13,395.50 |
74425 | MR OF THE RIGHT FOOT | 13,316.60 |
74420 | MR OF THE LEFT FOOT | 13,316.60 |
56410 | MR OF THE HIP JOINT/S | 13,295.90 |
74400 | MR OF THE LEFT ANKLE | 13,295.90 |
20400 | MR OF THE SOFT TISSUE OF THE NECK | 13,192.20 |
72405 | MR OF THE RIGHT KNEE | 13,027.65 |
34400 | MR STUDY OF THE BREAST | 12,984.80 |
12400 | MR OF THE ORBITS | 12,955.70 |
61405 | MR OF THE RIGHT SHOULDER | 12,893.38 |
53410 | MR OF THE LUMBAR SPINE | 12,341.24 |
51410 | MR OF THE CERVICAL SPINE AND CRANIO-CERVICAL JUNCTION | 12,182.23 |
72400 | MR OF THE LEFT KNEE | 12,163.06 |
52410 | MR OF THE THORACIC SPINE | 11,439.17 |
55400 | MR OF THE BONY PELVIS | 10,928.60 |
61400 | MR OF THE LEFT SHOULDER | 10,917.28 |
10410 | MR OF THE BRAIN UNCONTRASTED | 10,666.90 |
43400 | MR STUDY OF PELVIC REPRODUCTIVE ORGANS - LIMITED STUDY | 9,873.40 |
74405 | MR OF THE RIGHT ANKLE | 9,868.50 |
73405 | MR OF THE RIGHT LOWER LEG | 9,308.19 |
10400 | MR OF THE BRAIN, LIMITED STUDY | 8,737.63 |
40410 | MR OF THE ABDOMEN PRE AND POST CONTRAST | 8,300.00 |
65405 | MR OF THE RIGHT WRIST AND HAND | 8,257.55 |
51400 | MR OF THE CERVICAL SPINE, LIMITED STUDY | 8,214.43 |
53400 | MR OF THE LUMBAR SPINE, LIMITED STUDY | 7,968.63 |
41420 | MRCP | 7,153.53 |
52400 | MR OF THE THORACIC SPINE, LIMITED STUDY | 5,729.25 |
72405 | ALL OTHER JOINTS. | 200.8 |
72410 | FACIAL MANIPULATION | 146.01 |
CT Scans | ||
NAMAF Code | Description | Avg Paid per Claim |
40355 | CT OF THE CHEST TRIPHASIC OF THE LIVER, ABDOMEN AND PELVIS WITH CONTRAST | 19,188.77 |
40350 | CT OF THE CHEST, ABDOMEN AND PELVIS WITH CONTRAST | 17,715.61 |
70320 | CT ANGIOGRAPHY ABDOMINAL AORTA AND OUTFLOW LOWER LIMBS | 16,822.33 |
30370 | CT OF THE CHEST FOR PULMONARY EMBOLISM WITH CT VENOGRAPHY | 16,652.00 |
44310 | CT ANGIOGRAPHY OF THE PELVIS | 16,311.80 |
33310 | CT ANGIOGRAPHY OF HEART VESSELS | 15,793.67 |
40360 | CT OF THE BASE OF SKULL TO SYMPHYSIS PUBIS WITH CONTRAST | 15,423.10 |
40350 | CT OF THE CHEST ABDOMEN AND PELVIS WITH CONTRAST | 14,983.93 |
40345 | CT OF THE CHEST, ABDOMEN AND PELVIS WITHOUT CONTRAST | 14,544.60 |
70310 | CT ANGIOGRAPHY OF THE LOWER LIMB | 14,431.78 |
40340 | CT TRIPHASIC STUDY OF THE LIVER, ABDOMEN AND PELVIS PRE AND POST CONTRAST | 14,377.26 |
40337 | CT OF THE ABDOMEN AND PELVIS PRE AND POST CONTRAST | 12,674.30 |
40333 | CT OF THE ABDOMEN AND PELVIS WITH CONTRAST | 12,427.68 |
40327 | CT OF THE PELVIS PRE AND POST CONTRAST | 11,173.90 |
55340 | CT OF THE BONY PELVIS PRE AND POST CONTRAST | 10,987.30 |
30360 | CT OF THE CHEST FOR PULMONARY EMBOLISM | 10,720.33 |
61325 | CT OF THE RIGHT SHOULDER JOINT - PRE AND POST CONTRAST | 10,087.00 |
40313 | CT STUDY OF THE ABDOMEN PRE AND POST CONTRAST | 9,662.30 |
44320 | CT ANGIOGRAPHY OF THE ABDOMINAL AORTA AND PELVIS | 9,340.60 |
30330 | CT OF THE CHEST, PRE AND POST CONTRAST | 9,114.15 |
41300 | CT OF THE ABDOMEN TRIPHASIC STUDY LIVER | 8,644.40 |
74315 | CT OF THE RIGHT ANKLE/FOOT COMPLETE WITH 3D RECON | 7,842.70 |
74310 | CT OF THE LEFT ANKLE/FOOT COMPLETE WITH 3D RECON | 7,842.62 |
40330 | CT OF THE ABDOMEN AND PELVIS | 7,816.87 |
63310 | CT OF THE LEFT ELBOW COMPLETE WITH 3D RECON | 7,811.60 |
63315 | CT OF THE RIGHT ELBOW COMPLETE WITH 3D RECON | 7,811.60 |
61310 | CT OF THE LEFT SHOULDER COMPLETE WITH 3D RECON | 7,811.52 |
65315 | CT OF THE RIGHT WRIST AND HAND - COMPLETE WITH 3D RECON | 7,811.40 |
61315 | CT OF THE RIGHT SHOULDER COMPLETE WITH 3D RECON | 7,811.00 |
53320 | CT OF THE LUMBAR SPINE COMPLETE STUDY | 7,807.50 |
55320 | CT OF THE BONY PELVIS COMPLETE 3D RECON | 7,772.20 |
30320 | CT OF THE CHEST CONTRASTED | 7,746.73 |
40310 | CT STUDY OF THE ABDOMEN WITH CONTRAST | 7,736.82 |
51320 | CT OF THE CERVICAL SPINE COMPLETE STUDY | 7,701.59 |
52310 | CT OF THE THORACIC SPINE COMPLETE STUDY | 7,421.60 |
40323 | CT OF THE PELVIS WITH CONTRAST | 6,685.43 |
30355 | CT OF THE CHEST, COMPLETE HIGH RESOLUTION STUDY WITH ADDITONAL PRONE | 6,043.78 |
40300 | CT STUDY OF THE ABDOMEN | 5,478.10 |
30310 | CT OF THE CHEST UNCONTRASTED | 5,343.53 |
72300 | CT OF THE LEFT KNEE | 5,086.00 |
74300 | CT OF THE LEFT ANKLE/FOOT | 5,086.00 |
74305 | CT OF THE RIGHT ANKLE/FOOT | 5,086.00 |
71300 | CT OF THE LEFT FEMUR | 5,086.00 |
71305 | CT OF THE RIGHT FEMUR | 5,086.00 |
73300 | CT OF THE LEFT LOWER LEG | 5,086.00 |
42300 | CT OF THE RENAL TRACT FOR A STONE | 5,081.14 |
62305 | CT OF THE RIGHT UPPER ARM | 5,052.90 |
64300 | CT OF THE LEFT FOREARM | 5,052.90 |
63305 | CT OF THE RIGHT ELBOW | 5,052.00 |
30350 | CT OF THE CHEST, COMPLETE HIGH RESOLUTION STUDY | 4,980.30 |
40365 | CT COLONOSCOPY | 4,793.02 |
55310 | CT OF THE BONY PELVIS COMPLETE UNCONTRASTED | 4,749.86 |
40320 | CT OF THE PELVIS | 4,278.00 |
51300 | CT OF THE CERVICAL SPINE LIMITED STUDY | 3,941.00 |
51310 | CT OF THE CERVICAL SPINE REGIONAL STUDY | 2,885.30 |
52305 | CT OF THE THORACIC SPINE REGIONAL STUDY | 2,885.30 |
53310 | CT OF THE LUMBAR SPINE REGIONAL STUDY | 2,885.30 |
50300 | CT QUANTITIVE BONE MINERAL DENSITY | 2,453.80 |
30300 | CT OF THE CHEST, LIMITED STUDY | 1,970.50 |
72325 | SUCTION: LEVEL 2 (SUCTION WITH INVOLVEMENT OF LAVAGE AS A TREATMENT IN A SPECIAL UNIT | 156.88 |
72310 | NEURAL TISSUE MOBILISATION | 129.76 |
72300 | VIBRATION | 92.27 |
72305 | RE-EDUCATION OF MOVEMENT/ EXERCISES | 74.72 |
X-RAYS | ||
NAMAF Code | Description | Avg Paid per Claim |
50110 | X-RAY OF THE SPINE SCOLIOSIS VIEW AP AND LATERAL INCLUDING STRESS VIEWS | 2,930.70 |
61160 | X-RAY ARTHROGRAPHY SHOULDER JOINT INCLUDING INTRODUCTION OF CONTRAST | 2,502.30 |
50120 | X-RAY BONE DENSITOMETRY | 1,805.73 |
51130 | X-RAY OF THE CERVICAL SPINE, MORE THAN TWO VIEWS INCLUDING STRESS VIEWS | 1,273.09 |
53130 | X-RAY OF THE LUMBAR SPINE, MORE THAT TWO VIEWS INCLUDING STRESS VIEWS | 1,188.70 |
61170 | X-RAY GUIDANCE AND INTRODUCTION OF CONTRAST INTO SHOULDER JOINT ONLY | 1,171.30 |
56160 | X-RAY GUIDANCE AND INTRODUCTION OF CONTRAST INTO HIP JOINT ONLY | 1,171.30 |
70120 | X-RAY OF THE LOWER LIMBS FULL LENGTH STUDY | 1,021.20 |
30155 | X-RAY OF THE CHEST AND RIBS | 1,001.62 |
61140 | X-RAY OF THE LEFT SHOULDER PLUS SUBACROMIAL IMPINGEMENT VIEWS | 980.36 |
56120 | X-RAY PELVIS AND HIPS | 948.84 |
65150 | X-RAY OF THE LEFT WRIST, SCAPHOID AND STRESS VIEWS | 940.93 |
61145 | X-RAY OF THE RIGHT SHOULDER PLUS SUBACROMIAL IMPINGEMENT VIEWS | 935.8 |
30150 | X-RAY OF THE RIBS | 757.2 |
72125 | X-RAY OF THE RIGHT KNEE INCLUDING PATELLA | 730.3 |
72120 | X-RAY OF THE LEFT KNEE INCLUDING PATELLA | 730.29 |
53120 | X-RAY OF THE LUMBAR SPINE, MORE THAN TWO VIEWS | 705.93 |
63110 | X-RAY OF THE LEFT ELBOW WITH STRESS | 686 |
51120 | X-RAY OF THE CERVICAL SPINE, MORE THAN TWO VIEWS | 677.91 |
53100 | X-RAY OF THE LUMBAR SPINE STRESS STUDY ONLY | 654.4 |
51100 | X-RAY F THE CERVICAL SPINE, STRESS VIEWS ONLY | 654.4 |
54110 | X-RAY OF THE SACRO-ILIAC JOINTS | 648.1 |
52110 | X-RAY OF THE THORACIC SPINE, MORE THAN TWO VIEWS | 632.3 |
11100 | X-RAY OF THE FACIAL BONES | 621.2 |
54100 | X-RAY OF THE SACRUM AND COCCYX | 584.69 |
55100 | X-RAY OF THE PELVIS | 569.19 |
15100 | X-RAY TEMPERO-MANDIBULAR JOINT, LEFT | 562.7 |
15110 | X-RAY TEMPERO-MANDIBULAR JOINT, RIGHT | 562.7 |
53110 | X-RAY OF THE LUMBAR SPINE, ONE OR TWO VIEWS | 561.25 |