MRI lower back without contrast at Sleepy Eye Medical Center. CPT 72148.
What Sleepy Eye Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1,190cash price (self-pay)
$4,379list price
$124–$4,248range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B MN J6 | Default | $124 |
| BCBSMN Blue Plus MCD Rep Plan DOS after 1/1/19 | Default | $446 |
| Blue Cross Blue Shield of MN | Default | $1,190 |
| Blue Cross Blue Shield of MN | PPO | $1,190 |
| Aetna | Medicare Advantage | $1,759 |
| HealthPartners | Medicare Advantage | $1,759 |
| Humana | Medicare Advantage | $1,759 |
| Medica | Medicare Advantage | $1,759 |
| Medicare A MN J6 | Default | $1,759 |
| Prime West | Medicare Advantage | $1,759 |
| South Country Health Alliance SCHA | Medicare Advantage | $1,759 |
| Ucare | Medicare Advantage | $1,759 |
| United Healthcare | Medicare Advantage | $1,795 |
| VA Community Care Network VACCN Region 1-3 Optum | All Plans | $1,795 |
| Blue Cross Blue Shield of MN | Medicare Advantage | $1,802 |
| Medicaid Minnesota | Default | $1,919 |
| Prime West | Default | $1,919 |
| South Country Health Alliance SCHA | Medicaid Replacement | $1,919 |
| Ucare | Default | $1,919 |
| Ucare | Medicaid Replacement | $1,919 |
| TriWest | Default | $2,047 |
| Medica | Default | $3,516 |
| HealthPartners | Default | $3,849 |
| UMR Onalaska Midwest Securities | Default | $3,867 |
| UMR Wausau/UHIS | Default | $3,867 |
| United Healthcare | Default | $3,867 |
| Sanford Health Plan | Default | $4,029 |
| Cigna | Default | $4,116 |
| Companion Life Insurance Company | Default | $4,116 |
| Group Resources PHCS | Default | $4,116 |
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