MRI lower back without contrast at Grand Itasca Clinic and Hospital. CPT 72148.
What Grand Itasca Clinic and Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$128cash price (self-pay)
$1,099list price
$48.05–$1,914range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | PMAP | $114 |
| Medica | AccessAbility | $124 |
| Medica | Managed Medicaid | $124 |
| Medica | Medicare Advantage Non-SNP | $124 |
| Blue Cross of Minnesota | PMAP | $133 |
| Itasca Medical Care | Managed Medicaid | $138 |
| Primewest | Managed Medicaid | $138 |
| UCare | PMAP | $152 |
| Itasca Medical Care | Medicare Advantage/MSHO | $154 |
| Medica | MSHO-Dual/Medicare Advantage SNP | $154 |
| Primewest | MSHO | $154 |
| Sanford Health Plan | Medicare Advantage | $154 |
| Security Health Plan | Medicare Advantage | $154 |
| United Healthcare | Medicare Advantage | $154 |
| WellCare | Medicare Advantage | $154 |
| Blue Cross of Minnesota | Medicare Advantage | $160 |
| UCare | Medicare Advantage/MSHO | $162 |
| Health Partners | Medicare Advantage | $163 |
| Health Partners | Medicare Cost | $169 |
| UCare | Individual and Family Plans | $370 |
| Medica | Commercial | $454 |
| Blue Cross of Minnesota | Aware Federal | $509 |
| Blue Cross of Minnesota | Aware/Blue Plus | $518 |
| Sanford Health Plan | Commercial | $647 |
| United Healthcare | Commercial | $661 |
| Health Partners | Federal | $754 |
| Health Partners | Commercial | $768 |
| Health Partners | Cigna Commercial | $806 |
| Security Health Plan | Commercial | $821 |
| First Health | Commercial | $901 |
Inpatient
$805cash price (self-pay)
$1,895list price
$862–$1,886range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicare Cost | $862 |
| Health Partners | PMAP | $878 |
| Sanford Health Plan | Commercial | $1,116 |
| Security Health Plan | Commercial | $1,421 |
| Health Partners | Federal | $1,482 |
| Health Partners | Commercial | $1,509 |
| United Healthcare | Commercial | $1,522 |
| First Health | Commercial | $1,554 |
| Medica | Commercial | $1,577 |
| Health Partners | Cigna Commercial | $1,584 |
| MultiPlan | Commercial | $1,611 |
| Private Healthcare Systems | Commercial | $1,611 |
| Wisconsin Physician Services | Commercial | $1,706 |
| America's PPO | Commercial/EZCare/Health EZ | $1,743 |
| Health Partners | Cigna Great West | $1,886 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.