CT abdomen and pelvis with contrast at Sioux Falls Specialty Hospital. CPT 74177.
What Sioux Falls Specialty Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2026.
Outpatient / ER
$1,331cash price (self-pay)
$1,774list price
$192–$1,774range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| ASC Medicare | ASC Medicare | $192 |
| Amerigroup (Ia Medicaid) | Amerigroup (Ia Medicaid) | $338 |
| Amerihealth Caritas (Ia Medicaid) | Amerihealth Caritas (Ia Medicaid) | $338 |
| Avera Health Plans | Avera Health Plans | $350 |
| Avera Total Choice | Avera Total Choice | $350 |
| Aarp | Aarp | $358 |
| Aarp Medicare Advantage | Aarp Medicare Advantage | $358 |
| Aarp Medicare Complete | Aarp Medicare Complete | $358 |
| Aarp Supplemental | Aarp Supplemental | $358 |
| Ace Medicare Supplement | Ace Medicare Supplement | $358 |
| ACE USA Senior Care | ACE USA Senior Care | $358 |
| Acm | Acm | $358 |
| Administrative Concepts Inc | Administrative Concepts Inc | $358 |
| Aetna Senior Supplemental | Aetna Senior Supplemental | $358 |
| Alliance Health \T\ Life Insurance | Alliance Health \T\ Life Insuranc | $358 |
| Ama Insurance Agency Inc | Ama Insurance Agency Inc | $358 |
| American Continental Life | American Continental Life | $358 |
| American Republic | American Republic | $358 |
| American Retirement | American Retirement | $358 |
| Amerigroup Medicare | Amerigroup Medicare | $358 |
| Aspirus Health | Aspirus Health | $358 |
| Bankers Fidelity | Bankers Fidelity | $358 |
| Bankers Life And Casualty | Bankers Life And Casualty | $358 |
| BCBS Colorado Medicare | BCBS Colorado Medicare | $358 |
| Aetna Medicare | Aetna Medicare | $369 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $369 |
| BCBS | BCBS | $540 |
| BCBS (PPO HMO Blue Card | BCBS (PPO HMO Blue Card | $540 |
| BCBS (PPO HMO Blue Card) | BCBS (PPO HMO Blue Card) | $540 |
| BCBS Federal | BCBS Federal | $540 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.