CT abdomen and pelvis with contrast at Brookings Hospital. CPT 74177.
What Brookings Hospital publishes for this service, straight from its standard-charges file, last updated May 18, 2026.
Outpatient / ER
$2,223cash price (self-pay)
$4,446list price
$169–$4,446range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica_choice_care | Commercial | $169 |
| Medica_msho | Commercial | $299 |
| Medica_medicare_adv | Medicare | $382 |
| Medicare_and_medicare_adv | Medicare | $382 |
| BCBS | Commercial | $1,119 |
| Medica | Commercial | $3,254 |
| Medica_accessibility_solution | Commercial | $3,254 |
| Medica_selectcare | Commercial | $3,254 |
| UHC | Commercial | $3,681 |
| Avera | Commercial | $4,001 |
| Humana | Commercial | $4,001 |
| Sanford_bhcag | Commercial | $4,224 |
| Multiplan | Commercial | $4,313 |
| Medicaid | Medicaid | $4,446 |
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