CT abdomen and pelvis with contrast at CHI Alexius Health Dickinson. CPT 74177.
What CHI Alexius Health Dickinson publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,373cash price (self-pay)
$3,766list price
$1,582–$3,653range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | Medicare|All Plans | $1,582 |
| BCBS - ND | Medicare|All Plans | $1,613 |
| Medica | Medicare|All Plans | $1,883 |
| BCBS - ND | Medicaid|All Plans | $2,222 |
| United | Commercial|All Plans | $2,636 |
| Sanford Health Plan | Commercial|All Plans | $2,975 |
| Medica | Commercial|All Plans | $3,276 |
| Health Partners | Commercial|All Plans | $3,578 |
| MultiPlan | Commercial|All Plans | $3,653 |
Inpatient
$2,373cash price (self-pay)
$3,766list price
$2,636–$3,653range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | Commercial|All Plans | $2,636 |
| Sanford Health Plan | Commercial|All Plans | $2,975 |
| Medica | Commercial|All Plans | $3,276 |
| Health Partners | Commercial|All Plans | $3,578 |
| MultiPlan | Commercial|All Plans | $3,653 |
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