CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Dunes Surgical Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $600
Cash Discount Price: $589
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Dunes Surgical Hospital is $600. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $589. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.68x the Medicare baseline. Located in 600 N Sioux Point Road, Dakota Dunes, SD.

Cash / Self-Pay

$589

Average discount available for prompt cash payment at this facility.

Insurance Median

$600

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: $589 (165%)

Insurance Median: $600 (168%)

Cash: $589 (165% of Medicare)

Ins. Median: $600 (168% 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.

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
Ne Total Care	$392	110%
Siouxland Pace	$392	110%
UnitedHealthcare	$392 - $2,544	110%
Ia Total Care	$400	112%
Wellpoint	$400	112%
Molina	$404	113%
Amerigroup	$406	114%
Oscar	$467	131%
Blue Cross Blue Shield	$600	168%
Cigna	$2,226	625%
Midlands Choice	$2,226	625%
Avera Health Plans	$2,385	669%
Multiplan	$2,385	669%
Accountable Healthplan	$2,703	758%
Sanford Health Plan	$2,703	758%
Health Partners	$3,085	866%

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 $589.
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 Dunes Surgical Hospital 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.