MRI lower back without contrast at Hca Florida Fort Walton-destin Hospital. CPT 72148.
What Hca Florida Fort Walton-destin Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$14,000cash price (self-pay)
$14,000list price
$518–$14,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $518 |
| Simply | MGMCR | $2,156 |
| CorVel Corporation | WORKERSCOMP | $2,519 |
| Prime Health | WC | $2,572 |
| Careworks (Rockport Community) | WORKERSCOMP | $2,651 |
| Molina Healthcare | MGMCR | $2,660 |
| United | OptionsPPO | $2,884 |
| AvMed | HMOFI | $3,266 |
| Aetna | QHP | $3,399 |
| Sunshine State Health Plan | QHP | $3,570 |
| AvMed | ASOEO | $3,623 |
| Aetna | ASA | $4,200 |
| Molina Healthcare | HIX | $4,480 |
| Aetna | HMO | $5,100 |
| Aetna | PPO | $5,100 |
| Aetna | HMO/PPO | $5,368 |
| United | GlobalBenefitPlan | $6,300 |
| AvMed | HIXOON | $7,000 |
| Plotkin Health | COMM | $7,000 |
| Prime Health Sheriff | COMM | $7,000 |
| Prime Health Sheriff | WORKERSCOMP | $7,000 |
| Evolutions Healthcare | MANAGEDCAREPPO | $9,100 |
| Naphcare | Prison | $9,100 |
| Multiplan | Primary | $10,920 |
| Evernorth | BHCOMM | $11,200 |
| Multiplan | Complementary | $11,900 |
| PPO Next | COMM | $11,900 |
| PPO Next | PPO | $11,900 |
| Evolutions Healthcare | TRADITIONALPPO | $12,600 |
| NovaNet | COMM | $12,600 |
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All common services at Hca Florida Fort Walton-destin Hospital