CT abdomen and pelvis with contrast at CHI St. Alexius Health Bismarck. CPT 74177.
What CHI St. Alexius Health Bismarck publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,037cash price (self-pay)
$3,995list price
$357–$3,596range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare|All Plans | $357 |
| Medica | Medicare|All Plans | $357 |
| United | Medicare|All Plans | $357 |
| BCBS - ND | Medicare|All Plans | $364 |
| Great Plains | Medicare|All Plans | $375 |
| United | Commercial|All Plans | $530 |
| Sanford Health Plan | Commercial|All Other Plans | $618 |
| Sanford Health Plan | Commercial|NDPERS | $618 |
| Medica | Commercial|All Plans | $2,956 |
| Health Partners | Commercial|All Plans | $2,996 |
| MultiPlan | Commercial|All Plans | $3,596 |
Inpatient
$2,037cash price (self-pay)
$3,995list price
$2,956–$3,596range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Commercial|All Plans | $2,956 |
| Health Partners | Commercial|All Plans | $2,996 |
| MultiPlan | Commercial|All Plans | $3,596 |
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