CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: HCA Florida Englewood Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $2,529
Cash Discount Price: $11,566
vs. Medicare Baseline: 10.37x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at HCA Florida Englewood Hospital is $2,529. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,566. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.37x the Medicare baseline. Located in 700 Medical Blvd, Englewood, FL.

Cash / Self-Pay

$11,566

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,529

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: $11,566 (4745%)

Insurance Median: $2,529 (1037%)

Cash: $11,566 (4745% of Medicare)

Ins. Median: $2,529 (1037% 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 1037% of the Medicare baseline (a markup of 937%). 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
United	$518 - $5,205	212%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$544	223%
Access 2 Healthcare Physicians Freedom Health	$833	342%
Access 2 Healthcare Physicians Optimum	$833	342%
Freedom Health Care	$902	370%
Optimum Healthcare	$902	370%
Avmed	$1,080 - $3,418	443%
Aetna	$1,101 - $3,470	452%
Simply Healthcare	$1,781	731%
Molina	$2,198 - $3,123	902%
Corvel Corporation	$2,529	1037%
Rockport Healthcare Group	$2,529	1037%
Prime Health	$2,583	1060%
Sunshine State Health Plan	$2,949	1210%
Behealthy America	$4,511	1851%
Evolutions Healthcare Systems	$5,783 - $10,641	2372%
Plotkin Health	$5,783	2372%
Prime Health Sheriff	$5,783	2372%
Multiplan	$8,675 - $9,831	3559%

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 $11,566.
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 HCA Florida Englewood 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.