MRI lower back without contrast at Sanford Jackson Hospital. CPT 72148.
What Sanford Jackson Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$3,192cash price (self-pay)
$3,990list price
$254–$3,751range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ucare | Medicaid Managed Care | $254 |
| Blue Cross Blue Shield of Minnesota | PMAP | $578 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $1,156 |
| Blue Cross Blue Shield of Minnesota | State Employees | $1,156 |
| Sanford Health Plan Align | Medicare Replacement | $1,253 |
| Ucare | Medicare Replacement | $1,345 |
| Wellmark SD | Medicare Replacement | $1,345 |
| Aetna | Medicare Replacement | $1,357 |
| Great Plains Medicare Advantage | Medicare Replacement | $1,357 |
| Health Partners | Medicare Replacement | $1,357 |
| United Healthcare | Medicare Replacement | $1,357 |
| Primewest | Medicare Replacement | $1,383 |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $1,383 |
| Primewest | Medicaid Managed Care | $1,492 |
| Sanford Health Plan | Group Health/True | $2,138 |
| Sanford Health Plan | SD Exchange True | $2,138 |
| Security Health Plan | Commercial | $2,195 |
| Sanford Health Plan | Commercial/ND Pers | $2,515 |
| Sanford Health Plan | SD Exchange Commercial | $2,515 |
| Health Partners | State Employees | $2,749 |
| Health Partners | Commercial | $3,192 |
| United Healthcare | Commercial + Top 20 | $3,332 |
| Aetna | Commercial | $3,467 |
| Ucare | Commercial | $3,506 |
| Medica | Choice | $3,507 |
| Cigna | Commercial | $3,591 |
| First Choice Health Network | Commercial | $3,591 |
| Healthez | Commercial | $3,591 |
| Multiplan | Commercial | $3,591 |
| Medica | Elect | $3,751 |
Inpatient
$3,192cash price (self-pay)
$3,990list price
$2,138–$3,775range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Group Health/True | $2,138 |
| Sanford Health Plan | SD Exchange True | $2,138 |
| Security Health Plan | Commercial | $2,195 |
| Sanford Health Plan | Commercial/ND Pers | $2,515 |
| Sanford Health Plan | SD Exchange Commercial | $2,515 |
| Health Partners | State Employees | $2,749 |
| Health Partners | Commercial | $3,192 |
| United Healthcare | Commercial + Top 20 | $3,332 |
| Aetna | Commercial | $3,467 |
| Ucare | Commercial | $3,506 |
| Medica | Choice | $3,527 |
| Cigna | Commercial | $3,591 |
| First Choice Health Network | Commercial | $3,591 |
| Healthez | Commercial | $3,591 |
| Multiplan | Commercial | $3,591 |
| Medica | Elect | $3,775 |
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