MRI lower back without contrast at Altru Hospital Devils Lake. CPT 72148.
What Altru Hospital Devils Lake publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$256cash price (self-pay)
$3,614list price
$77.49–$488range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Medicaid Managed Care Plan | $77.49 |
| Medica | Medicaid Managed Care Plan – Hmo | $77.49 |
| Bcbs Blueplus Of Mn | Medicaid Managed Care Plan | $90.52 |
| Medica | Medicare Managed Care Plan | $140 |
| Medica | All Commercial Plans | $228 |
| Aetna | Medicare Managed Care Plan | $244 |
| Sanford Health Plan | All Commercial Plans | $333 |
| Aetna | All Commercial Plans | $347 |
| Umr | All Commercial Plans | $430 |
| Bcbs Of Mn | All Commercial Plans | $438 |
| Bcbs Blueplus Of Mn | All Commercial Plans | $438 |
| United Healthcare | All Commercial Plans | $477 |
| Acuity Group | All Commercial Plans | $488 |
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