MRI lower back without contrast at Sanford Clear Lake Medical Center. CPT 72148.
What Sanford Clear Lake Medical Center publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$3,129cash price (self-pay)
$3,911list price
$1,156–$3,637range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| 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 | $2,006 |
| Security Health Plan | Commercial | $2,151 |
| Ucare | Medicare Replacement | $2,155 |
| Wellmark SD | Medicare Replacement | $2,155 |
| Aetna | Medicare Replacement | $2,175 |
| Great Plains Medicare Advantage | Medicare Replacement | $2,175 |
| Health Partners | Medicare Replacement | $2,175 |
| United Healthcare | Medicare Replacement | $2,175 |
| Primewest | Medicare Replacement | $2,218 |
| Health Partners | State Employees | $2,530 |
| Sanford Health Plan | SD Exchange True | $2,711 |
| Health Partners | Commercial | $2,933 |
| Sanford Health Plan | Group Health/True | $3,091 |
| Sanford Health Plan | SD Exchange Commercial | $3,189 |
| Medica | Choice | $3,227 |
| United Healthcare | Commercial + Top 20 | $3,266 |
| Wellmark | PPO | $3,363 |
| Aetna | Commercial | $3,399 |
| Ucare | Commercial | $3,436 |
| Medica | Elect | $3,450 |
| Cigna | Commercial | $3,520 |
| First Choice Health Network | Commercial | $3,520 |
| Healthez | Commercial | $3,520 |
| Multiplan | Commercial | $3,520 |
| Sanford Health Plan | Commercial/ND Pers | $3,637 |
Inpatient
$3,129cash price (self-pay)
$3,911list price
$2,151–$3,637range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $2,151 |
| Health Partners | State Employees | $2,530 |
| Sanford Health Plan | SD Exchange True | $2,711 |
| Health Partners | Commercial | $2,933 |
| Sanford Health Plan | Group Health/True | $3,091 |
| Sanford Health Plan | SD Exchange Commercial | $3,189 |
| Medica | Choice | $3,227 |
| United Healthcare | Commercial + Top 20 | $3,266 |
| Aetna | Commercial | $3,399 |
| Wellmark | PPO | $3,403 |
| Ucare | Commercial | $3,436 |
| Medica | Elect | $3,450 |
| Cigna | Commercial | $3,520 |
| First Choice Health Network | Commercial | $3,520 |
| Healthez | Commercial | $3,520 |
| Multiplan | Commercial | $3,520 |
| Sanford Health Plan | Commercial/ND Pers | $3,637 |
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