MRI lower back without contrast at Jackson West Medical Center. CPT 72148.
What Jackson West Medical Center publishes for this service, straight from its standard-charges file, last updated September 23, 2026.
Outpatient / ER
$245cash price (self-pay)
$2,939list price
$151–$4,849range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Hlth Mcaid | Aetna Better Hlth Mcaid | $151 |
| Amerihealth Mcaid | Amerihealth Mcaid | $151 |
| Comm Care Mcaid - All Other Plans | Comm Care Mcaid - All Other Plans | $151 |
| UHC Mcaid | UHC Mcaid | $151 |
| Wellcare Mcaid | Wellcare Mcaid | $151 |
| Molina Mcaid | Molina Mcaid | $158 |
| Aetna Better Hlth Chip | Aetna Better Hlth Chip | $166 |
| Wellcare Hlthy Kids - All Other Plans | Wellcare Hlthy Kids - All Othe | $166 |
| Pace Mcaid - All Other Plans | Pace Mcaid - All Other Plans | $196 |
| Tricare - All Plans | Tricare - All Plans | $199 |
| Simply Hlth Mcr | Simply Hlth Mcr | $217 |
| Leon Hlth Mcr - All Plans | Leon Hlth Mcr - All Plans | $224 |
| Pace Mcr Adv | Pace Mcr Adv | $224 |
| Avmed Mcr Adv | Avmed Mcr Adv | $237 |
| Humana Mcr Adv | Humana Mcr Adv | $242 |
| Centene Bh Mcr - All Plans | Centene Bh Mcr - All Plans | $249 |
| Doctors Hlthcare Mcr Adv - All Plans | Doctors Hlthcare Mcr Adv - All | $249 |
| Preferred Care - All Plans | Preferred Care - All Plans | $249 |
| UHC Mcr Adv | UHC Mcr Adv | $249 |
| Molina Mcare | Molina Mcare | $274 |
| Ambetter Exch - All Plans | Ambetter Exch - All Plans | $274 |
| Align Mcr Adv - All Plans | Align Mcr Adv - All Plans | $279 |
| Avmed Exch | Avmed Exch | $346 |
| Amerihealth Exch - All Other Plans | Amerihealth Exch - All Other Plan | $349 |
| UHC Indiv Exch | UHC Indiv Exch | $414 |
| BCBS FL Blue Bsl | BCBS FL Blue Bsl | $859 |
| BCBS FL Blue HMO | BCBS FL Blue HMO | $1,064 |
| BCBS FL Blue Nwb | BCBS FL Blue Nwb | $1,222 |
| Avmed Select/First Ntwrk | Avmed Select/First Ntwrk | $1,259 |
| Cigna HMO/PPO - All Other Plans | Cigna HMO/PPO - All Other Plans | $1,400 |
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