MRI lower back without contrast at Essentia Health St. Mary's-Detroit Lakes. CPT 72148.
What Essentia Health St. Mary's-Detroit Lakes publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,853cash price (self-pay)
$2,886list price
$164–$2,482range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Primewest | Medicaid | $236 |
| Itasca Med Care | Medicaid | $242 |
| Advocare/Security Health | Medicare | $254 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $254 |
| Freedom Blue PPO | Medicare | $254 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $254 |
| IMCARE MSHO PCC PRIME | Medicare | $254 |
| IMCARE MSHO REF REQ | Medicare | $254 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $254 |
| MEDICA MSHO/Dual Solutions | Medicare | $254 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $254 |
| MEDICARE ADV PFFS | Medicare | $254 |
| ND VA ADMINISTRATION | Medicare | $254 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $254 |
| PRIMEWEST MSHO | Medicare | $254 |
| Platinum Blue/Vantage Blue | Medicare | $254 |
| SECURE BLUE MSHO | Medicare | $254 |
| SECURITY HEALTH MEDICARE | Medicare | $254 |
| UBH COST PLAN | Medicare | $254 |
| UBH MSHO/MEDICARE REPLACEMENT | Medicare | $254 |
| UBH MSHO | Medicare | $254 |
| BCBS MN | Medicaid | $731 |
| BCBS PLUS PMAP PCC PRIME | Medicaid | $731 |
| Sanford HealthPlan | Commercial-NDPERS | $833 |
| Sanford HealthPlan | Commercial | $866 |
| HealthPartners CARE PMAP | Medicaid | $1,123 |
| MN BCBS Commercial | BCBS MN | $1,189 |
| BCBS WI | Commercial | $1,338 |
| Medica Uplan | Commercial | $1,836 |
| HealthPartners | SHP | $1,939 |
Inpatient
$1,853cash price (self-pay)
$2,886list price
$1,238–$2,482range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford HealthPlan | Commercial-NDPERS | $1,238 |
| Sanford HealthPlan | Commercial | $1,303 |
| Ucare | Commercial | $1,899 |
| BCBS MN | Medicaid | $1,929 |
| BCBS PLUS PMAP PCC PRIME | Medicaid | $1,929 |
| WEA | Commercial-Narrow Network | $2,078 |
| MN BCBS Commercial | BCBS MN | $2,144 |
| BCBS WI | Commercial | $2,193 |
| WEA | Commercial | $2,222 |
| America's PPO | Commercial | $2,237 |
| WPS | Commercial | $2,395 |
| Aetna First Health | Commercial | $2,453 |
| HealthEOS | Commercial | $2,482 |
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All common services at Essentia Health St. Mary's-Detroit Lakes