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
61130 X-RAY OF THE LEFT SHOULDER 550.1
61135 X-RAY OF THE RIGHT SHOULDER 548.17
72115 X-RAY OF THE RIGHT KNEE, MORE THAN TWO VIEWS 536.34
72110 X-RAY OF THE LEFT KNEE, MORE THAN TWO VIEWS 535
74105 X-RAY OF THE RIGHT ANKLE 523.12
65145 X-RAY OF THE RIGHT SCAPHOID 521.6
74100 X-RAY OF THE LEFT ANKLE 519.9
56110 X-RAY OF THE RIGHT HIP 508.79
52100 X-RAY OF THE THORACIC SPINE, ONE OR TWO VIEWS 507.2
65135 X-RAY OF THE RIGHT WRIST 502.7
56100 X-RAY OF THE LEFT HIP 502.37
65130 X-RAY OF THE LEFT WRIST 502.09
63105 X-RAY OF THE RIGHT ELBOW 496.4
63100 X-RAY OF THE LEFT ELBOW 496.4
61120 X-RAY OF THE LEFT ACROMIO-CLAVICULAR JOINT 496.4
61125 X-RAY OF THE RIGHT ACROMIO-CLAVICULAR JOINT 496.4
65100 X-RAY OF THE LEFT HAND 486.9
65105 X-RAY OF THE RIGHT HAND 482.99
61100 X-RAY OF THE LEFT CLAVICLE 480.5
61105 X-RAY OF THE RIGHT CLAVICLE 477.9
51110 X-RAY OF THE CERVICAL SPINE, ONE OR TWO VIEWS 476.31
73100 X-RAY OF THE LEFT LOWER LEG 475.76
64100 X-RAY OF THE LEFT FOREARM 464.7
73105 X-RAY OF THE RIGHT LOWER LEG 464.7
64105 X-RAY OF THE RIGHT FOREARM 464.7
62100 X-RAY OF THE LEFT HUMERUS 464.7
71105 X-RAY OF THE RIGHT FEMUR 463.69
71100 X-RAY OF THE LEFT FEMUR 463.22
62105 X-RAY OF THE RIGHT HUMERUS 463.02
74125 X-RAY OF THE RIGHT FOOT 442.6
74120 X-RAY OF THE LEFT FOOT 439.69
72100 X-RAY OF THE LEFT KNEE ONE OR TWO VIEWS 439.52
72105 X-RAY OF THE RIGHT KNEE ONE OR TWO VIEWS 439.38
20100 X-RAY OF SOFT TISSUE OF THE NECK 433.1
74135 X-RAY OF THE RIGHT CALCANEUS 433.1
74130 X-RAY OF THE LEFT CALCANEUS 433.1
65120 X-RAY OF A FINGER 422.1
74145 X-RAY OF A TOE 422.1
52100 X-RAY OF THE THORACIC SPINE ONE OR TWO VIEWS 400.5
11120 X-RAY OF THE NASAL BONES 377.8
72105 MUSCLE AND NERVE STIMULATING CURRENTS. 85.13
Urine Tests
NAMAF Code Description Avg Paid per Claim
4268 ORGANIC ACIDS: QUANTITATIVE: GCMS 2,496.92
4326 CATECHOLAMINES (HPLC) 1,783.30
4194 AMINO ACIDS: QUANTITATIVE (POST DERIVATISATION HPLC) 1,783.30
4238 5HIAA (HPLC) 1,783.30
4327 IMMUNOFIXATION: TOTAL PROTEINIGGIGAIGMKAPPALAMBDAI 1,070.20
4232 Metabolites (Gaschromatography/Mass spectrophotometry) 924.78
4228 FETAL LUNG MATURITY 834.6
4233 Pharmacological/Drugs of abuse: Metabolites HPLC (High Pressure Liquid Chromatography) 764.3
4231 Metabolites HPLC (High Pressure Liquid Chromatography) 764.3
4369 PORPHYRIN QUANTITIVE ANALYSIS BY TLCHPLC: 684.8
4367 PORPHYRIN QUALITATIVE ANALYSIS BY TLC: 456.6
4198 ARSENIC 413.6
4273 PORPHOBILINOGEN/ALA: QUANTITATIVE EACH 342.4
4209 LEAD: ATOMIC ABSORPTION. 335.22
3980 BILHARZIA AG SERUM/URINE 330.9
4335 CYSTINE: QUANTITATIVE. 287.6
4261 MICRO U-ALBUMIN QUANTITATIVE 283.44
437013 CANNABINOIDS-U 283.1
437011 BENZODIAZEPINES URINE 283.1
437012 BARBITURATES URINE 283.1
437014 MANDRAX URINE 283.1
437016 OPIATES URINE 283.1
437017 AMPHETAMINES URINE 283.1
437018 METHADONE URINE 283.1
437019 PHENCYCLIDINE-URINE 283.1
437015 COCAINE URINE 259.82
4255 OROTIC ACID-URINE 215.69
4223 CREATININE CLEARANCE. 174.6
4266 THIN LAYER CHROMATOGRAPHY: TWO WAY 171.12
4093 OSMOLALITY: SERUM OR URINE 154.1
4265 THIN LAYER CHROMATOGRAPHY: ONE WAY 136.3
4197 AMYLASE. 118.3
4366 PORPHYRIN SCREEN QUALITATIVE: URINE, STOOL, 114.1
4272 PORPHOBILINOGEN QUALITATIVE SCREEN: URINE 114.1
4262 MICRO ALBUMIN-QUAL 102.7
4221 CREATININE. 84.75
4205 CALCIUM: SPECTROPHOTOMETRIC 82.6
4321 URIC ACID. 82.6
4313 PHOSPHATE. 82.6
4316 SODIUM. 82.6
4315 POTASSIUM. 82.6
4319 UREA. 82.6
4283 MAGNESIUM: SPECTROPHOTOMETRIC 82.6
4213 PROTEIN: QUANTITATIVE. 51.32
4248 REDUCING SUBSTANCES. 41.1
4218 GLUCOSE: QUANTITATIVE. 34.44
4199 ASCORBIC ACID. 33.8
4188 URINE DIPSTICK, PER STICK 24.57
4263 PH: EXCLUDING DIP-STICK METHOD 20.5
Blood Tests
NAMAF Code Description Avg Paid per Claim
Average Cost Per Patient For Blood Tests: 3,067.21
4076 BLOOD GASES: PANEL 2: PANEL 1 (4075) & ANCILLARY TESTS. 671.45
4025 CHOL/HDL/LDL/TRIG 613.45
3932 ANTIBODIES TO HUMAN IMMUNODEFICIENCY VIRUS (HIV): ELISA. 450.61
4507 THYROTROPIN (TSH). 445.86
4482 FREE THYROXINE (FT4). 397.51
3830 GLUCOSE 6-PHOSPHATE-DEHYDROGENASE: QUANTITATIVE 365.3
4171 SODIUM + POTASSIUM + CHLORIDE + CO2 + UREA 359.9
220 IMMEDIATE HYPERSENSITIVITY TESTING (TYPE I REACTION): PER ANTIGEN: 351.9
4064 GLYCOSYLATED HAEMOGLOBIN: CHROMATOGRAPHY 289.2
4156 VITAMIN D3 282.6
4144 TRANSFERRIN. 266.2
3755 FULL BLOOD COUNT (INCLUDING ITEMS 3739, 3762, 238.98
418201 C-REACTIVE PROTEIN 188.81
4147 TRIGLYCERIDE 180.41
4026 LDL CHOLESTEROL (CHEMICAL DETERMINATION) 156.41
4028 HDL CHOLESTEROL. 153.74
3893 BACTERIOLOGICAL CULTURE: MISCELLANEOUS 143.72
3783 LEUCOCYTE DIFFERENTIAL COUNT. 141.29
4131 ALANINE AMINOTRANSFERASE (ALT). 123.05
4130 ASPARTATE AMINOTRANSFERASE (AST). 123
4027 CHOLESTEROL TOTAL. 106.77
4032 CREATININE. 82.45
4057 GLUCOSE: QUANTITATIVE. 69.21
3739 ERYTHROCYTE COUNT. 51.4
3797 PLATLET COUNT 51.3
3785 LEUCOCYTES: TOTAL COUNT 41.02
3791 PACKED CELL VOLUME: HAEMATOCRIT 33.61
3762 HAEMOGLOBIN ESTIMATION 30.07