CT abdomen and pelvis with contrast at Sanford Hospital Webster. CPT 74177.
What Sanford Hospital Webster publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$4,458cash price (self-pay)
$5,573list price
$1,750–$5,016range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan Align | Medicare Replacement | $1,750 |
| Ucare | Medicare Replacement | $1,878 |
| Wellmark SD | Medicare Replacement | $1,878 |
| Aetna | Medicare Replacement | $1,895 |
| Great Plains Medicare Advantage | Medicare Replacement | $1,895 |
| Health Partners | Medicare Replacement | $1,895 |
| United Healthcare | Medicare Replacement | $1,895 |
| Primewest | Medicare Replacement | $1,931 |
| Sanford Health Plan | SD Exchange True | $3,053 |
| Security Health Plan | Commercial | $3,065 |
| Sanford Health Plan | Group Health/True | $3,482 |
| Sanford Health Plan | SD Exchange Commercial | $3,592 |
| Health Partners | State Employees | $3,678 |
| Sanford Health Plan | Commercial/ND Pers | $4,096 |
| Health Partners | Commercial | $4,180 |
| Medica | Choice | $4,598 |
| United Healthcare | Commercial + Top 20 | $4,653 |
| Wellmark | PPO | $4,793 |
| Aetna | Commercial | $4,843 |
| Ucare | Commercial | $4,896 |
| Medica | Elect | $4,915 |
| First Choice Health Network | Commercial | $5,016 |
| Healthez | Commercial | $5,016 |
| Multiplan | Commercial | $5,016 |
Inpatient
$4,458cash price (self-pay)
$5,573list price
$3,053–$5,016range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | SD Exchange True | $3,053 |
| Security Health Plan | Commercial | $3,065 |
| Sanford Health Plan | Group Health/True | $3,482 |
| Sanford Health Plan | SD Exchange Commercial | $3,592 |
| Health Partners | State Employees | $3,678 |
| Sanford Health Plan | Commercial/ND Pers | $4,096 |
| Health Partners | Commercial | $4,180 |
| Medica | Choice | $4,598 |
| United Healthcare | Commercial + Top 20 | $4,653 |
| Aetna | Commercial | $4,843 |
| Wellmark | PPO | $4,849 |
| Ucare | Commercial | $4,896 |
| Medica | Elect | $4,915 |
| First Choice Health Network | Commercial | $5,016 |
| Healthez | Commercial | $5,016 |
| Multiplan | Commercial | $5,016 |
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