MRI lower back without contrast at Sioux Falls Specialty Hospital. CPT 72148.
What Sioux Falls Specialty Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2026.
Outpatient / ER
$3,372cash price (self-pay)
$4,496list price
$122–$4,496range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| ASC Medicare | ASC Medicare | $122 |
| Amerigroup (Ia Medicaid) | Amerigroup (Ia Medicaid) | $207 |
| Amerihealth Caritas (Ia Medicaid) | Amerihealth Caritas (Ia Medicaid) | $207 |
| Aarp | Aarp | $246 |
| Aarp Medicare Advantage | Aarp Medicare Advantage | $246 |
| Aarp Medicare Complete | Aarp Medicare Complete | $246 |
| Aarp Supplemental | Aarp Supplemental | $246 |
| Ace Medicare Supplement | Ace Medicare Supplement | $246 |
| ACE USA Senior Care | ACE USA Senior Care | $246 |
| Acm | Acm | $246 |
| Administrative Concepts Inc | Administrative Concepts Inc | $246 |
| Aetna Senior Supplemental | Aetna Senior Supplemental | $246 |
| Alliance Health \T\ Life Insurance | Alliance Health \T\ Life Insuranc | $246 |
| Ama Insurance Agency Inc | Ama Insurance Agency Inc | $246 |
| American Continental Life | American Continental Life | $246 |
| American Republic | American Republic | $246 |
| American Retirement | American Retirement | $246 |
| Amerigroup Medicare | Amerigroup Medicare | $246 |
| Aspirus Health | Aspirus Health | $246 |
| Bankers Fidelity | Bankers Fidelity | $246 |
| Bankers Life And Casualty | Bankers Life And Casualty | $246 |
| BCBS Colorado Medicare | BCBS Colorado Medicare | $246 |
| Aetna Medicare | Aetna Medicare | $253 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $253 |
| Assist Health Group Incorporated | Assist Health Group Incorporated | $430 |
| BCBS | BCBS | $480 |
| BCBS (PPO HMO Blue Card | BCBS (PPO HMO Blue Card | $480 |
| BCBS (PPO HMO Blue Card) | BCBS (PPO HMO Blue Card) | $480 |
| BCBS Federal | BCBS Federal | $480 |
| Avera Health Plans | Avera Health Plans | $700 |
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