CT abdomen and pelvis with contrast at Sanford Vermillion Hospital. CPT 74177.
What Sanford Vermillion Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$4,324cash price (self-pay)
$5,405list price
$1,594–$4,865range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan Align | Medicare Replacement | $1,594 |
| Wellmark SD | Medicare Replacement | $1,643 |
| Ucare | Medicare Replacement | $1,762 |
| Aetna | Medicare Replacement | $1,784 |
| Great Plains Medicare Advantage | Medicare Replacement | $1,784 |
| Health Partners | Medicare Replacement | $1,784 |
| United Healthcare | Medicare Replacement | $1,784 |
| Primewest | Medicare Replacement | $1,816 |
| Sanford Health Plan | SD Exchange True | $2,140 |
| Sanford Health Plan | Group Health/True | $2,440 |
| Sanford Health Plan | SD Exchange Commercial | $2,518 |
| Sanford Health Plan | Commercial/ND Pers | $2,871 |
| Security Health Plan | Commercial | $2,973 |
| Health Partners | State Employees | $3,567 |
| Health Partners | Commercial | $4,054 |
| Medica | Choice | $4,459 |
| United Healthcare | Commercial +20 | $4,513 |
| Wellmark | PPO | $4,648 |
| Aetna | Commercial | $4,697 |
| Ucare | Commercial | $4,749 |
| Medica | Elect | $4,767 |
| First Choice Health Network | Commercial | $4,865 |
| Healthez | Commercial | $4,865 |
| Multiplan | Commercial | $4,865 |
Inpatient
$4,324cash price (self-pay)
$5,405list price
$2,140–$4,865range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | SD Exchange True | $2,140 |
| Sanford Health Plan | Group Health/True | $2,440 |
| Sanford Health Plan | SD Exchange Commercial | $2,518 |
| Sanford Health Plan | Commercial/ND Pers | $2,871 |
| Security Health Plan | Commercial | $2,973 |
| Health Partners | State Employees | $3,567 |
| Health Partners | Commercial | $4,054 |
| Medica | Choice | $4,459 |
| United Healthcare | Commercial +20 | $4,513 |
| Aetna | Commercial | $4,697 |
| Wellmark | PPO | $4,702 |
| Ucare | Commercial | $4,749 |
| Medica | Elect | $4,767 |
| First Choice Health Network | Commercial | $4,865 |
| Healthez | Commercial | $4,865 |
| Multiplan | Commercial | $4,865 |
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