MRI lower back without contrast at Sanford Westbrook Hospital. CPT 72148.
What Sanford Westbrook Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$3,190cash price (self-pay)
$3,987list price
$254–$3,748range 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 | $1,706 |
| Ucare | Medicare Replacement | $1,830 |
| Wellmark SD | Medicare Replacement | $1,830 |
| Aetna | Medicare Replacement | $1,850 |
| Great Plains Medicare Advantage | Medicare Replacement | $1,850 |
| Health Partners | Medicare Replacement | $1,850 |
| United Healthcare | Medicare Replacement | $1,850 |
| Primewest | Medicare Replacement | $1,884 |
| Primewest | Medicaid Managed Care | $2,017 |
| Security Health Plan | Commercial | $2,193 |
| Health Partners | State Employees | $2,747 |
| Sanford Health Plan | Group Health/True | $3,147 |
| Sanford Health Plan | SD Exchange True | $3,147 |
| Health Partners | Commercial | $3,190 |
| United Healthcare | Commercial + Top 20 | $3,329 |
| Aetna | Commercial | $3,465 |
| Ucare | Commercial | $3,503 |
| Medica | Choice | $3,505 |
| Cigna | Commercial | $3,588 |
| First Choice Health Network | Commercial | $3,588 |
| Healthez | Commercial | $3,588 |
| Multiplan | Commercial | $3,588 |
| Sanford Health Plan | Commercial/ND Pers | $3,703 |
| Sanford Health Plan | SD Exchange Commercial | $3,703 |
| Medica | Elect | $3,748 |
Inpatient
$3,190cash price (self-pay)
$3,987list price
$2,193–$3,772range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $2,193 |
| Health Partners | State Employees | $2,747 |
| Sanford Health Plan | Group Health/True | $3,147 |
| Sanford Health Plan | SD Exchange True | $3,147 |
| Health Partners | Commercial | $3,190 |
| United Healthcare | Commercial + Top 20 | $3,329 |
| Aetna | Commercial | $3,465 |
| Ucare | Commercial | $3,503 |
| Medica | Choice | $3,525 |
| Cigna | Commercial | $3,588 |
| First Choice Health Network | Commercial | $3,588 |
| Healthez | Commercial | $3,588 |
| Multiplan | Commercial | $3,588 |
| Sanford Health Plan | Commercial/ND Pers | $3,703 |
| Sanford Health Plan | SD Exchange Commercial | $3,703 |
| Medica | Elect | $3,772 |
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