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
Sheldon, IA
See all hospitals reporting CPT 74177 →Price type
Sanford Sheldon Medical Center’s median price of $3.5k is 365% above the median hospital's median price ($757), higher than 89% 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, 29 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 | Wellmark hmo other · outpatient | $832.37 | $832.37 | $832.37 – $832.37 |
| 2 | Wellmark ppo other · outpatient | $916.89 | $916.89 | $916.89 – $916.89 |
| 3 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,592 | $1,592 | $1,592 – $1,592 |
| 4 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,709 | $1,709 | $1,709 – $1,709 |
| 5 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,726 | $1,726 | $1,726 – $1,726 |
| 6 | Bcbs Nd medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,726 | $1,726 | $1,726 – $1,726 |
| 7 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,726 | $1,726 | $1,726 – $1,726 |
| 8 | Wellmark hmo percent of total billed charges · inpatientfrom % of charges | $2,793 | $2,793 | $2,793 – $2,793 |
| 9 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $2,905 | $2,905 | $2,905 – $2,905 |
| 10 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $2,993 | $2,993 | $2,993 – $2,993 |
| 11 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $2,993 | $2,993 | $2,993 – $2,993 |
| 12 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $2,993 | $2,993 | $2,993 – $2,993 |
| 13 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $2,993 | $2,993 | $2,993 – $2,993 |
| 14 | Sanford Health Plan commercial/nd pers percent of total billed charges · inpatientfrom % of charges | $3,521 | $3,521 | $3,521 – $3,521 |
| 15 | Sanford Health Plan commercial/nd pers percent of total billed charges · outpatientfrom % of charges | $3,521 | $3,521 | $3,521 – $3,521 |
| 16 | Sanford Health Plan sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $3,521 | $3,521 | $3,521 – $3,521 |
| 17 | Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $3,521 | $3,521 | $3,521 – $3,521 |
| 18 | Medica choice percent of total billed charges · inpatientfrom % of charges | $4,608 | $4,608 | $4,608 – $4,608 |
| 19 | Medica choice percent of total billed charges · outpatientfrom % of charges | $4,608 | $4,608 | $4,608 – $4,608 |
| 20 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $4,664 | $4,664 | $4,664 – $4,664 |
| 21 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $4,664 | $4,664 | $4,664 – $4,664 |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $4,854 | $4,854 | $4,854 – $4,854 |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $4,854 | $4,854 | $4,854 – $4,854 |
| 24 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $4,908 | $4,908 | $4,908 – $4,908 |
| 25 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $4,908 | $4,908 | $4,908 – $4,908 |
Last updated: Mar 4, 2026
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