CT abdomen and pelvis with contrast at Black Hills Surgical Hospital. CPT 74177.
What Black Hills Surgical Hospital publishes for this service, straight from its standard-charges file, last updated January 30, 2026.
Outpatient / ER
$272cash price (self-pay)
$1,132list price
$79.77–$1,631range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UMR United Medical Resources | Default | $212 |
| United Healthcare | Default | $212 |
| United Healthcare | Medicare Advantage | $212 |
| Blue Cross Blue Shield of SD Wellmark | Medicare Advantage | $214 |
| Blue Cross Blue Shield of IA and SD Medicare COB | Default | $453 |
| Blue Cross Blue Shield of IA Wellmark | Default | $453 |
| Blue Cross Blue Shield of SD Wellmark | Default | $453 |
| First Choice Health Network | Default | $1,019 |
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