CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: CHI St Alexius Health Devils Lake
Billing Code: 74177 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$800
about 2.2× the $356 Medicare rate · typically $283–$3,277
modeled estimate · not a bill or quote
Medicare pays $356 Fair price $800 Cash price $1,951 Hospital's list price $4,645
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $3,391 - $3,855 | 951% |
| Blue Cross Blue Shieldmajor | $1,800 - $2,462 | 505% |
| HealthPartners | $4,413 | 1238% |
| Medica | $1,765 - $4,273 | 495% |
| Sanford Health Plan | $3,344 | 938% |
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Other Procedures at CHI St Alexius Health Devils Lake
Compare: CT scan, abdomen and pelvis (with contrast) at other ND hospitals
- PAM Rehabilitation Hospital of Fargo · Fargo $234
- Trinity Hospitals · Minot $356
- Essentia Health · Fargo $357
- Sanford Medical Center Fargo · Fargo $368
- Sanford Medical Center Bismarck · Bismarck $368
- Altru Hospital · Grand Forks $410
- CHI St Alexius Health · Bismarck $618
- Sanford Hillsboro · Hillsboro $912
Insurance negotiated median for the same procedure, sorted lowest first.