CT abdomen and pelvis with contrast at Sanford Canton Inwood Medical Center. CPT 74177.
What Sanford Canton Inwood Medical Center publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$3,592cash price (self-pay)
$4,490list price
$1,536–$4,041range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan Align | Medicare Replacement | $1,536 |
| Ucare | Medicare Replacement | $1,648 |
| Wellmark | Medicare Replacement | $1,648 |
| Aetna | Medicare Replacement | $1,666 |
| Great Plains Medicare Advantage | Medicare Replacement | $1,666 |
| Health Partners | Medicare Replacement | $1,666 |
| United Healthcare | Medicare Replacement | $1,666 |
| Primewest | Medicare Replacement | $1,697 |
| Sanford Health Plan | SD Exchange True | $2,460 |
| Security Health Plan | Commercial | $2,470 |
| Sanford Health Plan | Group Health/True | $2,805 |
| Sanford Health Plan | SD Exchange Commercial | $2,894 |
| Health Partners | State Employees | $2,905 |
| Sanford Health Plan | Commercial/ND Pers | $3,300 |
| Health Partners | Commercial | $3,368 |
| Medica | Choice | $3,704 |
| United Healthcare | Commercial + Top 20 | $3,749 |
| Wellmark | PPO | $3,861 |
| Aetna | Commercial | $3,902 |
| Ucare | Commercial | $3,945 |
| Medica | Elect | $3,960 |
| First Choice Health Network | Commercial | $4,041 |
| Healthez | Commercial | $4,041 |
| Multiplan | Commercial | $4,041 |
Inpatient
$3,592cash price (self-pay)
$4,490list price
$2,460–$4,041range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | SD Exchange True | $2,460 |
| Security Health Plan | Commercial | $2,470 |
| Sanford Health Plan | Group Health/True | $2,805 |
| Sanford Health Plan | SD Exchange Commercial | $2,894 |
| Health Partners | State Employees | $2,905 |
| Sanford Health Plan | Commercial/ND Pers | $3,300 |
| Health Partners | Commercial | $3,368 |
| Medica | Choice | $3,704 |
| United Healthcare | Commercial + Top 20 | $3,749 |
| Aetna | Commercial | $3,902 |
| Wellmark | PPO | $3,906 |
| Ucare | Commercial | $3,945 |
| Medica | Elect | $3,960 |
| First Choice Health Network | Commercial | $4,041 |
| Healthez | Commercial | $4,041 |
| Multiplan | Commercial | $4,041 |
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