MRI lower back without contrast at Allina Health Faribault Medical Center. CPT 72148.
What Allina Health Faribault Medical Center publishes for this service, straight from its standard-charges file, last updated June 16, 2026.
Outpatient / ER
$1,240cash price (self-pay)
$2,345list price
$227–$2,475range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| All Other Medicaid (V) | All Other Medicaid (V) | $227 |
| Medicaid MA | Medicaid MA (V) | $227 |
| Allina Aetna Medicare (V) | Allina Aetna Medicare (V) | $234 |
| South Country Health Alliance | SCHA PMAP (V) | $234 |
| Medicare Other | All Other Medicare (V) | $244 |
| Medicare | Medicare (V) | $246 |
| Medica Medicare | Medica Medicare (V) | $256 |
| BCBS | BC Medicare (V) | $256 |
| Scha Msho (V) | Scha Msho (V) | $269 |
| Blue Cross Blue Shield | BC PMAP (B D O S V) | $317 |
| UCare PMAP (A B C D E G N O S U R H) | UCare PMAP (ABDMNORSUV) | $472 |
| Blue Cross | Allina Health BluePrint (BDOSHV) | $651 |
| Blue Cross Blue Shield | BC State Health Plan (B D O S V) | $661 |
| Blue Cross Blue Shield of Minnesota | BC Premier (B D O S V) | $736 |
| Medica Health System | Medica Dual Solutions (B D V O S) | $796 |
| HealthPartners | HPI (BDOV) | $816 |
| Blue Cross Blue Shield | BC AEHP (B D O S V) | $866 |
| Health Partners | HPI Cigna (BDOV) | $890 |
| Blue Cross Blue Shield of Minnesota | BC High Value/Performance Networ | $930 |
| Blue Cross Blue Shield | BC AWARE/Blue Plus (B D O S V) | $979 |
| Aetna | Aetna Elevate (BDOSV) | $1,044 |
| Aetna | Aetna Performance (BDOSV) | $1,103 |
| Medica Health System | Medica Elect (B D O S V) | $1,158 |
| Medica | Medica Essentials (B D O S V) | $1,209 |
| Medica MHPS | Medica MHPS (BDOSV) | $1,209 |
| Medica Health System | Medica Choice (B D O S V) | $1,272 |
| Aetna Direct/Indirect Regional Network | Aetna Direct/Indirect Regiona | $1,394 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $1,809 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $1,970 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $1,970 |
Inpatient
$1,240cash price (self-pay)
$2,345list price
$984–$2,475range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Elevate (BDOSV) | $1,042 |
| Aetna | Aetna Performance (BDOSV) | $1,101 |
| Aetna Direct/Indirect Regional Network | Aetna Direct/Indirect Regiona | $1,390 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $1,809 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $1,970 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $1,970 |
| All Other Contracted Care (A B C D E G H N O R S U) | All Other Contra | $2,345 |
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All common services at Allina Health Faribault Medical Center