MRI lower back without contrast at BayCare Alliant Hospital. CPT 72148.
What BayCare Alliant Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$2,511cash price (self-pay)
$4,185list price
$155–$4,185range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Clear Health Alliance | Medicaid HMO | $155 |
| United Healthcare | Medicaid HMO | $156 |
| Humana | Medicaid HMO | $159 |
| Molina Healthcare | Medicaid HMO | $161 |
| Simply HealthCare | Medicaid HMO | $161 |
| Sunshine Health | Medicaid HMO | $161 |
| Freedom Health | Medicaid HMO | $161 |
| Aetna | Medicaid HMO | $164 |
| Florida Community Care | Medicaid HMO | $168 |
| Evolutions | Commercial Prime Network Products | $2,093 |
| United Healthcare | Indemnity | $2,720 |
| Evolutions | Commercial PPO International | $2,930 |
| Evolutions | Commercial PPO Select Network | $3,557 |
| First Health | Commercial PPO | $3,557 |
| Multiplan | Commercial PPO | $3,767 |
| Evolutions | Commercial PPO Choice | $3,892 |
| Blue Cross | Commercial HMO Health Options | $4,185 |
| Blue Cross | Commercial HMO My Blue | $4,185 |
| Blue Cross | Commercial HMO Simply Blue | $4,185 |
| Blue Cross | Commercial PPO Blue Select | $4,185 |
| Blue Cross | Commercial PPO Network Blue | $4,185 |
| Blue Cross | Commercial PPO PHS | $4,185 |
Inpatient
$2,511cash price (self-pay)
$4,185list price
$2,720–$4,185range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial PPO | $2,720 |
| United Healthcare | Indemnity | $2,720 |
| AvMed | Commercial Other | $2,888 |
| Evolutions | Commercial PPO International | $2,930 |
| AvMed | Commercial | $3,013 |
| Evolutions | Commercial PPO Select Network | $3,557 |
| First Health | Commercial PPO | $3,557 |
| Multiplan | Commercial PPO | $3,767 |
| Evolutions | Commercial PPO Choice | $3,892 |
| Cigna | Commercial PPO | $4,185 |
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