MRI lower back without contrast at Gulf Breeze Hospital. CPT 72148.
What Gulf Breeze Hospital publishes for this service, straight from its standard-charges file, last updated December 23, 2025.
Outpatient / ER
$918cash price (self-pay)
$6,120list price
$154–$6,120range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Community | Mcaid HMO | $154 |
| Aetna | Better Hlthy Kids | $154 |
| Cha Health Plan | HMO | $154 |
| Wellcare | Mcare HMO | $162 |
| Humana | Medicaid Ltc | $162 |
| Humana | Medicaid HMO | $162 |
| Sunshine Health | Caid HMO | $162 |
| FL Community Care Ltc | Mcaid | $165 |
| Simply Healthcare Healthy Kids | All Products | $177 |
| Bc FL Medicare PPO | All Products | $211 |
| Hospice Covenant | All Products | $243 |
| Humana | Gold Plus HMO | $247 |
| Humana | Gold Choice Pffs | $247 |
| Humana | Mcare Choice PPO | $247 |
| Humana | HMO Snp Dual Pln | $247 |
| FL Blue | Truli For Health | $405 |
| Aetna | Medicare | $692 |
| Pensacola | Christian Coll | $918 |
| FL Blue | My Blue Network | $1,095 |
| Bc FL | Medicare HMO | $1,309 |
| FL Blue | Blue Select | $1,322 |
| FL Blue | Simply Blue Network | $1,322 |
| FL Blue | Health Options HMO | $1,512 |
| Hospice Regency | All Products | $1,836 |
| FL Blue | Nwb - Blue Options | $1,837 |
| FL Blue | Ppc-Blue Choice | $2,127 |
| FL Blue | Indemnity | $2,156 |
| UHC Of FL | POS/HMO | $2,235 |
| Cigna/Great West | PPO | $2,907 |
| Hospice Emerald Coast | All Products | $3,060 |
Inpatient
$918cash price (self-pay)
$6,120list price
$692–$6,120range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wc Corvel | PPO | $5,814 |
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