MRI lower back without contrast at Fairview Bethesda Hospital. CPT 72148.
What Fairview Bethesda Hospital publishes for this service, straight from its standard-charges file, last updated January 29, 2026.
Outpatient / ER
$760cash price (self-pay)
$1,895list price
$48.05–$1,706range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | PMAP | $138 |
| UCare | PMAP | $140 |
| Medica | Minnesota Care/AccessAbility/Choice Care Government | $150 |
| Blue Cross of Minnesota | Managed Medicaid | $160 |
| Itasca Medical Care | Managed Medicaid | $183 |
| Primewest | Managed Medicaid | $183 |
| South Country Health Alliance | PMAP | $183 |
| Primewest | MSHO | $187 |
| Sanford Health Plan | Medicare Advantage | $187 |
| Security Health Plan | Medicare Advantage | $187 |
| South Country Health Alliance | Medicare Advantage | $187 |
| United Healthcare | Medicare Advantage | $187 |
| WellCare | Medicare Advantage | $187 |
| Itasca Medical Care | Medicare Advantage/MSHO | $189 |
| Blue Cross of Minnesota | Medicare Advantage | $194 |
| Health Partners | Medicare Advantage | $198 |
| Hennepin Health | PMAP | $201 |
| Medica | Medicare Advantage | $201 |
| UCare | Medicare Advantage/MSHO | $202 |
| Medica | MSHO | $205 |
| Health Partners | Medicare Cost | $205 |
| Health Partners | Federal | $301 |
| Health Partners | Commercial | $306 |
| Health Partners | Cigna Commercial | $322 |
| Health Partners | Cigna Great West | $383 |
| UCare | Individual and Family with M Health Fairview | $423 |
| UCare | Individual and Family | $519 |
| Medica | BOLD | $552 |
| Medica | Vantage SI | $598 |
| Medica | City of St Paul and Essential/Uplan | $614 |
Inpatient
$760cash price (self-pay)
$1,895list price
$507–$1,706range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of Minnesota | Managed Medicaid | $507 |
| Health Partners | Medicare Cost | $625 |
| Health Partners | PMAP | $637 |
| Medica | Minnesota Care/AccessAbility/Choice Care Government | $675 |
| Medica | MSHO | $762 |
| UCare | PMAP | $793 |
| America's PPO | EZCare | $987 |
| United Healthcare | Core | $1,004 |
| Blue Cross of Minnesota | Aware Federal | $1,065 |
| United Healthcare | Commercial | $1,082 |
| Blue Cross of Minnesota | Commercial | $1,084 |
| Sanford Health Plan | Commercial | $1,116 |
| America's PPO | Health EZ | $1,118 |
| Medica | BOLD | $1,152 |
| Medica | City of St Paul and Essential/Uplan | $1,152 |
| Medica | Vantage SI | $1,152 |
| Health Partners | Federal | $1,160 |
| Health Partners | Commercial | $1,181 |
| America's PPO | Commercial | $1,211 |
| Health Partners | Cigna Commercial | $1,240 |
| Medica | Choice | $1,281 |
| Medica | Individual and Family, Elect | $1,281 |
| Security Health Plan | Commercial | $1,421 |
| Health Partners | Cigna Great West | $1,476 |
| First Health | Commercial | $1,554 |
| MultiPlan | Commercial | $1,611 |
| Private Healthcare Systems | Commercial | $1,611 |
| Wisconsin Physician Services | Commercial | $1,705 |
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