CT abdomen and pelvis with contrast at CHI St. Alexius Health Williston. CPT 74177.
What CHI St. Alexius Health Williston publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$211cash price (self-pay)
$2,321list price
$160–$4,021range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Medicare|All Plans | $1,021 |
| BCBS - ND | Medicare|All Plans | $1,042 |
| Sanford Health Plan | Commercial|All Plans | $1,393 |
| BCBS - ND | Medicaid|All Plans | $1,439 |
| United | Commercial|New Business | $1,694 |
| United | Commercial|All Other Plans | $1,903 |
| Health Partners | Commercial|All Plans | $2,182 |
| Medica | Commercial|All Plans | $2,182 |
| MultiPlan | Commercial|All Plans | $2,182 |
Inpatient
$211cash price (self-pay)
$2,321list price
$218–$4,021range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Commercial|All Plans | $1,393 |
| United | Commercial|New Business | $1,694 |
| United | Commercial|All Other Plans | $1,903 |
| Health Partners | Commercial|All Plans | $2,182 |
| Medica | Commercial|All Plans | $2,182 |
| MultiPlan | Commercial|All Plans | $2,182 |
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