MRI lower back without contrast at Memorial Hospital West. CPT 72148.
What Memorial Hospital West publishes for this service, straight from its standard-charges file, last updated May 27, 2026.
Outpatient / ER
$3,823cash price (self-pay)
$5,678list price
$249–$6,962range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Value Management | Transplants - Medicare | $257 |
| Florida Community Care | Dual Eligible | $267 |
| Humana | Medicare Advantage | $269 |
| Aetna | Managed Medicare | $277 |
| Health Sun | Medicare | $284 |
| Florida PACE Centers | Medicare | $287 |
| Align Senior Care | Medicare | $304 |
| Longevity | Medicare | $311 |
| Sunshine | Ambetter Exchange | $405 |
| Community Care Plan | Commercial | $539 |
| Molina | Exchange | $550 |
| Amerihealth Caritas | QHP | $578 |
| Broward County | Arrestee | $718 |
| Aetna | Qualified Health Plan | $862 |
| AvMed | Medicare | $868 |
| Cigna | Ifp | $904 |
| Aetna Better Health | Healthy Kids | $908 |
| AvMed | Commercial | $994 |
| Employers Health Network | Commercial | $1,014 |
| CIGNA | Surefit Benefit Plan | $1,100 |
| CIGNA | HMO/Local Plus Benefit/Network/Open Access/POS/Pathwell - Bene | $1,196 |
| Aetna | Gatekeeper | $1,325 |
| AvMed | Exchange | $1,741 |
| AvMed | Select Network | $1,747 |
| Health Value Management | Transplants - Medicaid | $1,987 |
| Corvel | Workers Compensation | $2,739 |
| First Health | Worker's Compensation | $2,739 |
| Employers Choice Network | Worker's Compensation | $2,739 |
| Gallagher Bassett | Workers Compensation | $2,739 |
| Emerging Therapy Solutions | Transplants | $3,407 |
Inpatient
$3,823cash price (self-pay)
$5,678list price
$1,912–$6,962range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Value Management | Transplants - Medicaid | $1,987 |
| Health Value Management | Transplants - Medicare | $1,987 |
| Sunshine | Ambetter Exchange | $2,385 |
| Broward County | Arrestee | $2,726 |
| Emerging Therapy Solutions | Transplants | $3,407 |
| Allianz | PPO | $3,691 |
| Axis | Commercial | $3,691 |
| Desjardins Financial Security Life Assurance Company | Commercial | $3,691 |
| Global Health Claims | Non-Domestic | $3,691 |
| Global Reach Health | Commercial | $3,691 |
| Global Medical Management | Commercial | $3,691 |
| National Healthcare Solutions | Commercial | $3,691 |
| Plotkin | Commercial | $3,691 |
| Quality Health Management | Commercial | $3,691 |
| Quebec Inc | Commercial | $3,691 |
| Star Healthcare Network | Commercial | $3,691 |
| World Medical Care | Commercial | $3,691 |
| Worldwide Managed Care Partners | Commercial | $3,691 |
| Worldwide Medical Assurance | Commercial | $3,691 |
| Dimension Health | PPO | $3,833 |
| Gallagher Bassett | Workers Compensation | $4,542 |
| Global Health Claims | Domestic | $4,826 |
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