CT abdomen and pelvis with contrast at Sanford Medical Center Bismarck. CPT 74177.
What Sanford Medical Center Bismarck publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$3,757cash price (self-pay)
$4,696list price
$311–$4,226range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Commercial/ND Pers | $311 |
| Sanford Health Plan | Group Health/True | $311 |
| Sanford Health Plan | SD Exchange Commercial | $311 |
| Sanford Health Plan | SD Exchange True | $311 |
| Sanford Health Plan Align | Medicare Replacement | $339 |
| Ucare | Medicare Replacement | $364 |
| Aetna | Medicare Replacement | $368 |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $368 |
| Great Plains Medicare Advantage | Medicare Replacement | $368 |
| Health Partners | Medicare Replacement | $368 |
| United Healthcare | Medicare Replacement | $368 |
| Primewest | Medicare Replacement | $375 |
| Health Partners | Commercial | $2,160 |
| Security Health Plan | Commercial | $2,583 |
| Medica | Choice | $3,198 |
| Ucare | Commercial | $3,393 |
| Medica | Elect | $3,423 |
| United Healthcare | CSP Top 20 | $3,456 |
| United Healthcare | Commercial | $3,898 |
| Aetna | Commercial | $3,973 |
| Cigna | Commercial | $4,226 |
| First Choice Health Network | Commercial | $4,226 |
| Healthez | Commercial | $4,226 |
| Multiplan | Commercial | $4,226 |
Inpatient
$3,757cash price (self-pay)
$4,696list price
$2,583–$4,226range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $2,583 |
| Ucare | Commercial | $3,301 |
| United Healthcare | CSP Top 20 | $3,428 |
| United Healthcare | Commercial | $3,898 |
| Aetna | Commercial | $3,973 |
| Cigna | Commercial | $4,226 |
| First Choice Health Network | Commercial | $4,226 |
| Healthez | Commercial | $4,226 |
| Multiplan | Commercial | $4,226 |
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