CT abdomen and pelvis with contrast at CHI St. Alexius Health Carrington. CPT 74177.
What CHI St. Alexius Health Carrington publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,300cash price (self-pay)
$3,965list price
$1,269–$3,806range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Medicare|All Plans | $1,269 |
| BCBS - ND | Medicare|All Plans | $1,375 |
| BCBS - ND | Medicaid|All Plans | $1,903 |
| Sanford Health Plan | Commercial|All Plans | $2,894 |
| United | Commercial|New Business | $2,894 |
| United | Commercial|All Other Plans | $3,291 |
| Health Partners | Commercial|All Plans | $3,767 |
| Medica | Commercial|All Plans | $3,806 |
Inpatient
$2,300cash price (self-pay)
$3,965list price
$2,894–$3,806range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Commercial|All Plans | $2,894 |
| United | Commercial|New Business | $2,894 |
| United | Commercial|All Other Plans | $3,291 |
| Health Partners | Commercial|All Plans | $3,767 |
| Medica | Commercial|All Plans | $3,806 |
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