MRI lower back without contrast at New Ulm Medical Center. CPT 72148.
What New Ulm Medical Center publishes for this service, straight from its standard-charges file, last updated June 16, 2026.
Outpatient / ER
$908cash price (self-pay)
$1,892list price
$234–$2,163range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allina Aetna Medicare (N) | Allina Aetna Medicare (N) | $234 |
| Medicare | Medicare (N) | $246 |
| Blue Cross Blue Shield of Minnesota | BC PMAP (N) | $331 |
| UCare PMAP (A B C D E G N O S U R H) | UCare PMAP (ABDMNORSUV) | $381 |
| Medica Health System | Medica PMAP (N) | $748 |
| Blue Cross Blue Shield of Minnesota | BC State Health Plan (N) | $817 |
| Medicaid | Medicaid MA (N) | $828 |
| Medicare Other | All Other Medicare (N) | $838 |
| Medica | Medica Medicare (R) | $841 |
| Medica Health System | Medica Dual Solutions (R) | $852 |
| BCBS | BC Medicare (N) | $880 |
| All Other Medicaid | All Other Medicaid (N) | $908 |
| BC AWARE/Blue Plus (NR) | BC AWARE/Blue Plus (NR) | $917 |
| South Country Health Alliance | SCHA MSHO (N) | $937 |
| South Country Health Alliance | SCHA PMAP (N) | $981 |
| Blue Cross Blue Shield of Minnesota | BC Premier(N) | $1,050 |
| Aetna | Aetna Elevate (N R) | $1,171 |
| BCBS | Bc Aehp (N) | $1,235 |
| Aetna | Aetna Performance (N R) | $1,265 |
| Blue Cross Blue Shield of Minnesota | BC High Value/Performance Networ | $1,326 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $1,460 |
| Medica UBH PMAP | Medica UBH PMAP (N) | $1,514 |
| Hpi-Cigna | Hpi Cigna (N) | $1,548 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $1,590 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $1,590 |
| Medica UBH (N) | Medica UBH (N) | $1,590 |
| Aetna Direct/Indirect Network | Aetna Direct/Indirect Network (N R) | $1,617 |
| All Other Contracted Care (A B C D E G H N O R S U) | All Other Contra | $1,892 |
Inpatient
$908cash price (self-pay)
$1,892list price
$994–$2,163range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Elevate (N R) | $1,159 |
| Aetna | Aetna Performance (N R) | $1,253 |
| Medica UBH (N) | Medica UBH (N) | $1,325 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $1,460 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $1,590 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $1,590 |
| Aetna Direct/Indirect Network | Aetna Direct/Indirect Network (N R) | $1,601 |
| All Other Contracted Care (A B C D E G H N O R S U) | All Other Contra | $1,892 |
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