CT abdomen and pelvis with contrast at Douglas County Memorial Hospital. CPT 74177.
What Douglas County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 9, 2026.
Outpatient / ER
$6,163cash price (self-pay)
$6,848list price
$93.67–$6,848range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Medicare Advantage | $292 |
| United Healthcare | All Commercial Plans | $5,821 |
| Avera Health | All Plans | $6,506 |
| Sanford Health Plan | All Commercial Plans | $6,643 |
| Wellmark Blue Cross Blue Shield | All Plans | $6,848 |
Inpatient
$5,821cash price (self-pay)
$6,848list price
$5,821–$6,848range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | All Commercial Plans | $5,821 |
| Avera Health | All Plans | $6,506 |
| Sanford Health Plan | All Commercial Plans | $6,643 |
| Wellmark Blue Cross Blue Shield | All Plans | $6,848 |
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