MRI lower back without contrast at Hca Florida Capital Hospital. CPT 72148.
What Hca Florida Capital Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,637cash price (self-pay)
$3,637list price
$518–$3,637range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $518 |
| Simply | MGMCR | $560 |
| Molina Healthcare | MGMCR | $691 |
| United | OptionsPPO | $738 |
| Sunshine State Health Plan | QHP | $928 |
| Aetna | ASA | $1,091 |
| Molina Healthcare | HIX | $1,164 |
| Aetna | QHP | $1,256 |
| United | GlobalBenefitPlan | $1,637 |
| AvMed | HIXOON | $1,819 |
| Plotkin Health | COMM | $1,819 |
| Prime Health Sheriff | COMM | $1,819 |
| Prime Health Sheriff | WORKERSCOMP | $1,819 |
| Aetna | HMO | $1,885 |
| Aetna | PPO | $1,885 |
| Aetna | HMO/PPO | $1,984 |
| CorVel Corporation | WORKERSCOMP | $2,318 |
| Prime Health | WC | $2,367 |
| Careworks (Rockport Community) | WORKERSCOMP | $2,440 |
| Multiplan | Primary | $2,837 |
| Evernorth | BHCOMM | $2,910 |
| Evolutions Healthcare | TRADITIONALPPO | $3,092 |
| Multiplan | Complementary | $3,092 |
| PPO Next | COMM | $3,092 |
| PPO Next | PPO | $3,092 |
| AvMed | HMOFI | $3,266 |
| NovaNet | COMM | $3,274 |
| AvMed | ASOEO | $3,623 |
| Beacon Health Options | MCR | $3,637 |
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