MRI lower back without contrast at Hca Florida Lake Monroe Hospital. CPT 72148.
What Hca Florida Lake Monroe Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$6,223cash price (self-pay)
$6,223list price
$448–$5,601range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Freedom Health | MCR | $448 |
| Optimum | MGMCR | $448 |
| United | AllPayerAppendix | $518 |
| Simply | MGMCR | $958 |
| Molina Healthcare | MGMCR | $1,182 |
| Aetna | QHP | $1,580 |
| Sunshine State Health Plan | QHP | $1,587 |
| Aetna | ASA | $1,867 |
| Aetna | HMO | $1,947 |
| Aetna | PPO | $1,947 |
| Molina Healthcare | HIX | $1,991 |
| Aetna | HMO/PPO | $2,049 |
| United | OptionsPPO | $2,079 |
| CorVel Corporation | WORKERSCOMP | $2,496 |
| Prime Health | WC | $2,548 |
| Careworks (Rockport Community) | WORKERSCOMP | $2,627 |
| United | GlobalBenefitPlan | $2,800 |
| AmeriHealth Caritas | HIX | $3,112 |
| AvMed | HIXOON | $3,112 |
| Plotkin Health | COMM | $3,112 |
| Prime Health Sheriff | COMM | $3,112 |
| Prime Health Sheriff | WORKERSCOMP | $3,112 |
| AvMed | HMOFI | $3,266 |
| AvMed | ASOEO | $3,623 |
| Multiplan | PRIMARYPPO | $4,667 |
| Three Rivers Provider Network | WorkersComp | $4,667 |
| Multiplan | Primary | $4,854 |
| Multiplan | Complementary | $5,290 |
| Multiplan | COMPLEMENTARYPPO | $5,290 |
| PPO Next | COMM | $5,290 |
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