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MRI lower back without contrast at Hca Florida Northwest Hospital. CPT 72148.

What Hca Florida Northwest Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

$11,264cash price (self-pay)
$11,264list price
$391–$9,574range insurers pay
Insurance planNegotiated rate
United | AllPayerAppendix$391
Freedom Health | MGMCR$969
Optimum | MGMCR$969
Aetna | QHP$1,060
AvMed | HIX$1,132
Aetna | HMO$1,462
Simply Healthcare Plans | MGMCR$1,464
Aetna | HMO-Gated$1,539
Freedom Health | MGMCD$1,802
Aetna | PPO$2,012
Aetna | PPO-NonGated$2,118
Molina | MCR$2,140
AvMed | FullyInsured$2,225
Health Sun Health Plan | MGMCR$2,399
AvMed | ASOEO$2,469
MMM of FL (Health Advantage Plan) | MCR$2,591
United PPO | OptionsPPO$2,591
CorVel Corporation | WORKERSCOMP$2,739
CareWorks (Rockport) | WORKERSCOMP$2,797
Prime Health | WORKERSCOMP$2,797
Sunshine State Health Plan | QHP$2,974
AvMed | Empower$3,041
AvMed | Engage$3,041
AvMed | Flex$3,041
AvMed | Focus$3,041
AvMed | JHSSelect$3,041
AvMed | MDCSelect$3,041
AvMed | Select$3,041
Molina | HIX$3,041
Aetna | ASA$3,379
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All common services at Hca Florida Northwest Hospital