CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: South Florida Baptist Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $1,634
Cash Discount Price: $2,511
vs. Medicare Baseline: 6.70x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at South Florida Baptist Hospital is $1,634. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,511. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.70x the Medicare baseline. Located in 301 N Alexander St, Plant City, FL.

Cash / Self-Pay

$2,511

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,634

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $2,511 (1030%)

Insurance Median: $1,634 (670%)

Cash: $2,511 (1030% of Medicare)

Ins. Median: $1,634 (670% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 670% of the Medicare baseline (a markup of 570%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Clear Health Alliance	$155	64%
UnitedHealthcare	$156 - $3,766	64%
Aetna	$157 - $3,411	64%
Humana	$159 - $303	65%
Freedom Health	$161	66%
Molina Healthcare	$161	66%
Simply Healthcare	$161 - $753	66%
Sunshine Health	$161	66%
Florida Community Care	$168	69%
Baycareplus	$243	100%
Blue Cross Blue Shield	$243 - $2,215	100%
Solis Health	$267	110%
Cigna	$279 - $3,641	114%
Wellcare	$340	139%
Ambetter / Centene	$546 - $4,185	224%
Molina	$753 - $2,473	309%
Freedom	$837	343%
Optimum	$837	343%
Careplus	$956	392%
Ultimate Health Plan	$1,256	515%
Avmed	$1,297 - $2,051	532%
Evolutions	$2,092 - $3,892	858%
First Health	$3,557	1459%
Multiplan	$3,766	1545%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,511.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72148.

Insurance In-Network Protection Plan

Contact your insurance company to confirm South Florida Baptist Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72148.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.