CT abdomen and pelvis with contrast at CHI St. Alexius Health Garrison. CPT 74177.
What CHI St. Alexius Health Garrison publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,605cash price (self-pay)
$2,360list price
$1,180–$2,242range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare|All Plans | $1,180 |
| Medica | Medicare|All Plans | $1,180 |
| United | Medicare|All Plans | $1,180 |
| BCBS - ND | Medicare|All Plans | $1,204 |
| United | Commercial|All Plans | $1,746 |
| Health Partners | Commercial|All Plans | $2,006 |
| Medica | Commercial|All Plans | $2,053 |
| BCBS - ND | Medicaid|All Plans | $2,053 |
| MultiPlan | Commercial|All Plans | $2,124 |
| Sanford Health Plan | Commercial|All Plans | $2,242 |
Inpatient
$1,605cash price (self-pay)
$2,360list price
$1,746–$2,242range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | Commercial|All Plans | $1,746 |
| Health Partners | Commercial|All Plans | $2,006 |
| Medica | Commercial|All Plans | $2,053 |
| MultiPlan | Commercial|All Plans | $2,124 |
| Sanford Health Plan | Commercial|All Plans | $2,242 |
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