Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
CT ABD PELVIS W CONTRAST
Mayville, ND
See all hospitals reporting CPT 74177 →Price type
Sanford Mayville Medical Center’s median price of $2.6k is 240% above the median hospital's median price ($757), higher than 84% of the 2,632 hospitals reporting CPT 74177. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Mn pmap fee schedule · outpatient | $607.75 | $607.75 | $607.75 – $607.75 |
| 2 | Bcbs Mn commercial fee schedule · outpatient | $1,216 | $1,216 | $1,216 – $1,216 |
| 3 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,539 | $1,539 | $1,539 – $1,539 |
| 4 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,651 | $1,651 | $1,651 – $1,651 |
| 5 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,670 | $1,670 | $1,670 – $1,670 |
| 6 | Bcbs Nd medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,670 | $1,670 | $1,670 – $1,670 |
| 7 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,670 | $1,670 | $1,670 – $1,670 |
| 8 | Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges | $2,112 | $2,112 | $2,112 – $2,112 |
| 9 | Sanford Health Plan group health/true/sd exchange true percent of total billed charges · inpatientfrom % of charges | $2,460 | $2,460 | $2,460 – $2,460 |
| 10 | Sanford Health Plan group health/true/sd exchange true percent of total billed charges · outpatientfrom % of charges | $2,460 | $2,460 | $2,460 – $2,460 |
| 11 | Medica choice percent of total billed charges · inpatientfrom % of charges | $2,571 | $2,571 | $2,571 – $2,571 |
| 12 | Medica choice percent of total billed charges · outpatientfrom % of charges | $2,571 | $2,571 | $2,571 – $2,571 |
| 13 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $2,602 | $2,602 | $2,602 – $2,602 |
| 14 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $2,602 | $2,602 | $2,602 – $2,602 |
| 15 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $2,708 | $2,708 | $2,708 – $2,708 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2,708 | $2,708 | $2,708 – $2,708 |
| 17 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $2,738 | $2,738 | $2,738 – $2,738 |
| 18 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $2,738 | $2,738 | $2,738 – $2,738 |
| 19 | Medica elect percent of total billed charges · inpatientfrom % of charges | $2,748 | $2,748 | $2,748 – $2,748 |
| 20 | Medica elect percent of total billed charges · outpatientfrom % of charges | $2,748 | $2,748 | $2,748 – $2,748 |
| 21 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $2,804 | $2,804 | $2,804 – $2,804 |
| 22 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $2,804 | $2,804 | $2,804 – $2,804 |
| 23 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $2,894 | $2,894 | $2,894 – $2,894 |
| 24 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $2,894 | $2,894 | $2,894 – $2,894 |
Last updated: Mar 4, 2026
See CT scan of abdomen and pelvis with contrast pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.