CT abdomen and pelvis with contrast at Sanford Chamberlain Medical Center. CPT 74177.
What Sanford Chamberlain Medical Center publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$4,680cash price (self-pay)
$5,850list price
$2,001–$5,265range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan Align | Medicare Replacement | $2,001 |
| Ucare | Medicare Replacement | $2,147 |
| Wellmark SD | Medicare Replacement | $2,147 |
| Aetna | Medicare Replacement | $2,170 |
| Great Plains Medicare Advantage | Medicare Replacement | $2,170 |
| Health Partners | Medicare Replacement | $2,170 |
| United Healthcare | Medicare Replacement | $2,170 |
| Primewest | Medicare Replacement | $2,211 |
| Sanford Health Plan | SD Exchange Commercial | $3,205 |
| Security Health Plan | Commercial | $3,218 |
| Sanford Health Plan | Group Health/TRUE | $3,655 |
| Sanford Health Plan | Exchange True | $3,771 |
| Health Partners | State Employees | $3,785 |
| Sanford Health Plan | Commercial/ND Pers | $4,300 |
| Health Partners | Commercial | $4,388 |
| Medica | Choice | $4,826 |
| United Healthcare | Commercial + Top 20 | $4,885 |
| Wellmark SD | Commercial | $5,031 |
| Aetna | Commercial | $5,084 |
| Ucare | Commercial | $5,140 |
| Medica | Elect | $5,160 |
| First Choice Health Network | Commercial | $5,265 |
| Healthez | Commercial | $5,265 |
| Multiplan | Commercial | $5,265 |
Inpatient
$4,680cash price (self-pay)
$5,850list price
$3,205–$5,265range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | SD Exchange Commercial | $3,205 |
| Security Health Plan | Commercial | $3,218 |
| Sanford Health Plan | Group Health/TRUE | $3,655 |
| Sanford Health Plan | Exchange True | $3,771 |
| Health Partners | State Employees | $3,785 |
| Sanford Health Plan | Commercial/ND Pers | $4,300 |
| Health Partners | Commercial | $4,388 |
| Medica | Choice | $4,826 |
| United Healthcare | Commercial + Top 20 | $4,885 |
| Aetna | Commercial | $5,084 |
| Wellmark SD | Commercial | $5,090 |
| Ucare | Commercial | $5,140 |
| Medica | Elect | $5,160 |
| First Choice Health Network | Commercial | $5,265 |
| Healthez | Commercial | $5,265 |
| Multiplan | Commercial | $5,265 |
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