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
Bismarck, ND
See all hospitals reporting CPT 74177 →Price type
Sanford Medical Center Bismarck’s median price of $3.2k is 329% above the median hospital's median price ($757), higher than 87% 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 | Sanford Health Plan commercial/nd pers fee schedule · outpatient | $310.91 | $310.91 | $310.91 – $310.91 |
| 2 | Sanford Health Plan group health/true fee schedule · outpatient | $310.91 | $310.91 | $310.91 – $310.91 |
| 3 | Sanford Health Plan sd exchange commercial fee schedule · outpatient | $310.91 | $310.91 | $310.91 – $310.91 |
| 4 | Sanford Health Plan sd exchange true fee schedule · outpatient | $310.91 | $310.91 | $310.91 – $310.91 |
| 5 | Sanford Health Plan medicare replacement case rate · outpatient | $339.27 | $339.27 | $339.27 – $339.27 |
| 6 | Ucare medicare replacement case rate · outpatient | $364.27 | $364.27 | $364.27 – $364.27 |
| 7 | Aetna medicare replacement case rate · outpatient | $367.84 | $367.84 | $367.84 – $367.84 |
| 8 | Bcbs Nd medicare replacement case rate · outpatient | $367.84 | $367.84 | $367.84 – $367.84 |
| 9 | UnitedHealthcare medicare replacement case rate · outpatient | $367.84 | $367.84 | $367.84 – $367.84 |
| 10 | Bcbs Nd commercial other · outpatient | $691.22 | $691.22 | $691.22 – $691.22 |
| 11 | Medica choice percent of total billed charges · outpatientfrom % of charges | $3,198 | $3,198 | $3,198 – $3,198 |
| 12 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $3,301 | $3,301 | $3,301 – $3,301 |
| 13 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $3,393 | $3,393 | $3,393 – $3,393 |
| 14 | Medica elect percent of total billed charges · outpatientfrom % of charges | $3,423 | $3,423 | $3,423 – $3,423 |
| 15 | UnitedHealthcare csp top 20 percent of total billed charges · inpatientfrom % of charges | $3,428 | $3,428 | $3,428 – $3,428 |
| 16 | UnitedHealthcare csp top 20 percent of total billed charges · outpatientfrom % of charges | $3,456 | $3,456 | $3,456 – $3,456 |
| 17 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $3,898 | $3,898 | $3,898 – $3,898 |
| 18 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $3,898 | $3,898 | $3,898 – $3,898 |
| 19 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $3,973 | $3,973 | $3,973 – $3,973 |
| 20 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $3,973 | $3,973 | $3,973 – $3,973 |
| 21 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $4,226 | $4,226 | $4,226 – $4,226 |
| 22 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $4,226 | $4,226 | $4,226 – $4,226 |
| 23 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $4,226 | $4,226 | $4,226 – $4,226 |
| 24 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $4,226 | $4,226 | $4,226 – $4,226 |
Last updated: Mar 4, 2026
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