MRI lower back without contrast at Windom Area Health. CPT 72148.
What Windom Area Health publishes for this service, straight from its standard-charges file, last updated February 3, 2026.
Outpatient / ER
$105cash price (self-pay)
$1,880list price
$58.68–$3,425range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $714 |
| Blue Cross Blue Shield of Minnesota Blue Plus | PMAP | $714 |
| Aetna | Medicare Replacement | $827 |
| Blue Cross Blue Shield | Medicare Replacement | $827 |
| Blue Plus Minnesota Senior Health Options (MSHO) | Medicare Replacemen | $827 |
| Humana | Medicare Replacement | $827 |
| Medica | Medicare Replacement | $827 |
| Medica Minnesota Senior Health Options (MSHO) | Medicare Replacement | $827 |
| Primewest Minnesota Senior Health Options (MSHO) | Medicare Replacemen | $827 |
| UCare for Seniors | Medicare Replacement | $827 |
| Ucare Minnesota Senior Health Options (MSHO) | Medicare Replacement | $827 |
| United Healthcare | Medicare Replacement | $827 |
| Medica | PMAP | $934 |
| United Healthcare | Commercial | $1,538 |
| Blue Cross Blue Shield | Commercial | $1,577 |
| Blue Cross Blue Shield of Minnesota | Commercial | $1,577 |
| Blue Cross Blue Shield of North Dakota | Commercial | $1,577 |
| Blue Cross Blue Shield Wellmark | Commercial | $1,577 |
| Health Partners | Commercial | $1,598 |
| Avera Health Plans | Commercial | $1,748 |
| Medica | Commercial | $1,759 |
| Sanford | Commercial | $1,786 |
Inpatient
$105cash price (self-pay)
$1,880list price
$58.68–$3,374range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Managed Medicaid | $714 |
| Blue Cross Blue Shield of Minnesota Blue Plus | PMAP | $714 |
| Medica | PMAP | $934 |
| Sanford | Commercial | $1,128 |
| United Healthcare | Commercial | $1,538 |
| Health Partners | Commercial | $1,598 |
| Avera Health Plans | Commercial | $1,748 |
| Medica | Commercial | $1,759 |
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