MRI lower back without contrast at indian river hospital. CPT 72148.
What indian river hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$385cash price (self-pay)
$592list price
$66.59–$1,814range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Independent Living Systems | Medicare Advantage | $73.78 |
| OPTUM | Managed Medicaid | $145 |
| AMERIHEALTH | Managed Medicaid | $153 |
| Carelon BH Strategies | Managed Medicaid | $153 |
| Medicaid | Managed Medicaid | $153 |
| MOLINA | Florida KidCare | $153 |
| MOLINA | Managed Medicaid | $161 |
| AETNA | Managed Medicaid/CHIP | $168 |
| Independent Living Systems | Managed Medicaid | $184 |
| BLUE CROSS | Medicare Advantage HMO | $243 |
| BLUE CROSS | Medicare Advantage PPO | $243 |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $243 |
| Careplus | MEDICARE ADVANTAGE | $243 |
| Freedom Health | MEDICARE ADVANTAGE | $243 |
| HUMANA | Medicare Advantage HMO | $243 |
| Aetna | Medicare Advantage | $249 |
| Avmed | Medicare Advantage | $252 |
| Independent Living Systems | MEDICARE ADVANTAGE | $255 |
| DEVOTED HEALTH | Medicare Advantage HMO | $274 |
| Clear Spring Health | ALL PRODUCTS | $278 |
| Avmed | Exchange | $381 |
| AVMED | Select | $427 |
| CIGNA | Individual Family Plan | $536 |
| Avmed | Broad | $556 |
| Blue Cross | HMO | $616 |
| Blue Cross | Bsl | $616 |
| Blue Cross | Nwb | $642 |
| Blue Cross | Nwbi | $642 |
| Cigna | Surefit | $646 |
| Cigna | All Products | $663 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.