MRI lower back without contrast at CHI St. Alexius Health Devils Lake. CPT 72148.
What CHI St. Alexius Health Devils Lake publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,343cash price (self-pay)
$3,246list price
$1,215–$3,129range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Medicare|All Plans | $1,233 |
| BCBS - ND | Medicare|All Plans | $1,258 |
| BCBS - ND | Medicaid|All Plans | $1,720 |
| Sanford Health Plan | Commercial|All Plans | $2,337 |
| United | Commercial|New Business | $2,370 |
| United | Commercial|All Other Plans | $2,694 |
| Medica | Commercial|All Plans | $2,986 |
| Health Partners | Commercial|All Plans | $3,084 |
Inpatient
$1,343cash price (self-pay)
$3,246list price
$2,303–$3,129range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Commercial|All Plans | $2,337 |
| United | Commercial|New Business | $2,370 |
| United | Commercial|All Other Plans | $2,694 |
| Medica | Commercial|All Plans | $2,986 |
| Health Partners | Commercial|All Plans | $3,084 |
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