MRI lower back without contrast at Mahnomen Health Center. CPT 72148.
What Mahnomen Health Center publishes for this service, straight from its standard-charges file, last updated July 16, 2026.
Outpatient / ER
$3,825cash price (self-pay)
$4,250list price
$242–$4,038range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Medicare Advantage | $242 |
| United Healthcare | Managed Medicaid | $254 |
| UCare Minnesota | Medicare Advantage | $254 |
| Medica | Minnesota Senior Health Options/Select Solution/Prime Solutio | $871 |
| Medica | Choice Care | $889 |
| Blue Cross Blue Shield of Minnesota | Minnesota Health Care Programs ( | $1,196 |
| Medica | Commercial | $1,573 |
| Medica | Medicare Advantage | $1,913 |
| United Healthcare | Medicare Advantage | $2,083 |
| United Healthcare | Commercial | $2,805 |
| Blue Cross Blue Shield of Minnesota | Blue Cross Blue Plus | $3,061 |
| Sanford Health Plan | Commercial | $4,038 |
Inpatient
$4,250cash price (self-pay)
$4,250list price
—range insurers pay
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