MRI lower back without contrast at Hca Florida Raulerson Hospital. CPT 72148.
What Hca Florida Raulerson Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$11,587cash price (self-pay)
$11,587list price
$391–$9,849range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $391 |
| Freedom Health | MGMCR | $996 |
| Optimum | MGMCR | $996 |
| AvMed | HIX | $1,132 |
| Aetna | QHP | $1,499 |
| Simply Healthcare Plans | MGMCR | $1,506 |
| Aetna | HMO | $1,831 |
| Aetna | HMO-Gated | $1,927 |
| Aetna | PPO | $2,012 |
| Aetna | PPO-NonGated | $2,118 |
| Molina | MCR | $2,202 |
| CorVel Corporation | WORKERSCOMP | $2,345 |
| CareWorks (Rockport) | WORKERSCOMP | $2,394 |
| Prime Health | WORKERSCOMP | $2,394 |
| Health Sun Health Plan | MGMCR | $2,468 |
| Sunshine State Health Plan | QHP | $2,955 |
| Molina | HIX | $3,128 |
| Aetna | ASA | $3,476 |
| AvMed | Empower | $3,710 |
| AvMed | Engage | $3,710 |
| AvMed | Flex | $3,710 |
| AvMed | Focus | $3,710 |
| AvMed | FullyInsured | $3,710 |
| AvMed | Select | $3,710 |
| AvMed | ASOEO | $4,112 |
| United PPO | OptionsPPO | $4,959 |
| AmeriHealth Caritas | HIX | $5,098 |
| United | GlobalBenefitPlanAppendix | $5,214 |
| AvMed | JacksonFirstNetworkOON | $5,794 |
| Plotkin Health | COMM | $5,794 |
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