CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Sanford Wheaton Medical Center

Billing Code: 72148 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$506

about 2.1× the $244 Medicare rate · typically $196–$938

modeled estimate · not a bill or quote

What this hospital charges insurers

$578

About the fair price

about $72 over the fair price · 2.4× Medicare

Medicare pays $244 Fair price $506 This hospital $578 Cash price $2,810 Hospital's list price $3,512

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $79 Priciest $578

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, lower back (no contrast) is about $506 (about 2.1× the $244 Medicare rate). Sanford Wheaton Medical Center charges insurers about $578, or about $2,810 in cash — about the fair price. Located in Wheaton, MN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$1,918 - $2,933	787%
Blue Cross Blue Shieldmajor	$578 - $2,417	237%
Aetnamajor	$1,918 - $3,052	787%
Health Net	$3,161	1297%
HealthPartners	$1,918 - $2,845	787%
Medica	$3,087 - $3,322	1266%
Sanford Health Plan	$1,770 - $3,262	726%
Security Health Plan	$1,932	793%
UCare	$254 - $3,086	104%
+ 2 smaller / regional plans	$1,954 - $3,161

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,810), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72148.

Insurance Before you use insurance

Call your insurance company to confirm Sanford Wheaton Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 72148.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sanford Wheaton Medical Center

Compare: MRI, lower back (no contrast) at other MN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.