CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Sanford Medical Center Fargo

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,305
Cash Discount Price: $3,834
vs. Medicare Baseline: 6.47x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Sanford Medical Center Fargo is $2,305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,834. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.47x the Medicare baseline. Located in 801 Broadway North, Fargo, ND.

Cash / Self-Pay

$3,834

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,305

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $3,834 (1076%)

Insurance Median: $2,305 (647%)

Cash: $3,834 (1076% of Medicare)

Ins. Median: $2,305 (647% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 647% of the Medicare baseline (a markup of 547%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$280 - $679	79%
Sanford Health Plan	$311	87%
Sanford Health Plan Align	$339	95%
Ucare	$364 - $3,369	102%
Aetna	$368 - $4,098	103%
Health Partners	$368 - $1,965	103%
Medicare (plans)	$368	103%
UnitedHealthcare	$368 - $4,175	103%
Primewest	$375 - $403	105%
Medica	$2,157 - $2,305	605%
Security Health Plan	$2,636	740%
Cigna	$4,314	1210%
First Choice Health Network	$4,314	1210%
Healthez	$4,314	1210%
Multiplan	$4,314	1210%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,834.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sanford Medical Center Fargo is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.