CT abdomen and pelvis with contrast at Mobridge Regional Hospital and Clinics. CPT 74177.
What Mobridge Regional Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated July 16, 2026.
Outpatient / ER
$2,014cash price (self-pay)
$5,484list price
$765–$5,319range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica Mcare Advan | Medica Mcare Advan | $2,084 |
| UHC Mcare Advan | UHC Mcare Advan | $2,084 |
| Medica Msho Mcare | Medica Msho Mcare | $2,188 |
| Medica Mn Health Care | Medica Mn Health Care | $2,188 |
| Wellmark Indem/PPO-All Plans | Wellmark Indem/PPO-All Plans | $4,278 |
| UHC All Payer/Options PPO-All Other Plans | UHC All Payer/Options PPO- | $4,491 |
| Medica Comm-All Other Plans | Medica Comm-All Other Plans | $4,661 |
| Avera/Dakotacare-All Plans | Avera/Dakotacare-All Plans | $5,319 |
| Sanford Healthplan-All Plans | Sanford Healthplan-All Plans | $5,319 |
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All common services at Mobridge Regional Hospital and Clinics