CT Scan of Abdomen and Pelvis Before and After Contrast Cost in North Dakota
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 35 North Dakota hospitals. CPT 74178. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — North Dakota
Sorted by cash price (lowest first). Showing top 35 of 35 hospitals.
| Hospital | Cash | BCBS | UHC | MultiPlan | Aetna | Humana | Medicare | Health Net | Cigna |
|---|---|---|---|---|---|---|---|---|---|
| CHI ST. ALEXIUS HEALTH WILLISTON WILLISTON |
$232 | $180 | $292 | $376 | — | — | — | — | — |
| NELSON COUNTY HEALTH SYSTEM MCVILLE |
$252 | $1,576 | $1,947 | — | — | — | — | — | — |
| FIRST CARE HEALTH CENTER PARK RIVER |
$291 | $86.40 | $101 | — | — | — | — | — | — |
| VIBRA HOSPITAL OF FARGO SOUTH UNIVERSITY DRIVE FARGO |
$1,363 | — | — | — | — | — | — | — | — |
| VIBRA HOSPITAL OF CENTRAL DAKOTAS MANDAN |
$1,363 | — | — | — | — | — | — | — | — |
| SOUTHWEST HEALTHCARE SERVICES BOWMAN |
$1,541 | — | — | — | — | — | — | — | — |
| CHI ST. ALEXIUS HEALTH GARRISON GARRISON |
$1,842 | $1,382 | $1,354 | $2,438 | — | $1,354 | — | — | — |
| CHI ST. ALEXIUS HEALTH TURTLE LAKE TURTLE LAKE |
$1,923 | $1,962 | $1,923 | $2,438 | — | $1,923 | — | — | — |
| PAM HEALTH REHABILITATION HOSPITAL FARGO FARGO |
$2,026 | $263 | — | $1,621 | $329 | — | — | — | $1,418 |
| MOUNTRAIL COUNTY MEDICAL CENTER STANLEY |
$2,192 | $2,435 | $1,071 | — | $1,826 | $2,313 | — | — | — |
| SOUTH CENTRAL HEALTH WISHEK |
$2,332 | — | — | — | — | — | — | — | — |
| CHI ST. ALEXIUS HEALTH BISMARCK BISMARCK |
$2,445 | $364 | $357 | $4,315 | — | $357 | — | — | — |
| JACOBSON MEMORIAL HOSPITAL CARE CENTER ELGIN |
$2,446 | $3,261 | — | — | — | $3,261 | — | — | — |
| CHI MERCY HEALTH VALLEY CITY VALLEY CITY |
$2,497 | $1,486 | $3,038 | $4,037 | — | — | — | — | — |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS WATFORD CITY |
$2,613 | $1,968 | $3,819 | — | — | $1,930 | — | — | — |
| CHI OAKES HOSPITAL OAKES |
$2,661 | $2,036 | $3,736 | $4,964 | — | — | — | — | — |
| CHI ST. ALEXIUS HEALTH CARRINGTON PO BOX 461 |
$2,667 | $1,595 | $3,357 | — | — | — | — | — | — |
| LINTON REGIONAL MEDICAL CENTER LINTON |
$2,679 | $2,679 | $804 | — | $2,009 | — | — | — | — |
| NORTHWOOD DEACONESS HEALTH CENTER NORTHWOOD |
$2,798 | — | — | — | — | — | — | — | — |
| SMP HEALTH ST. KATERI ROLLA |
$2,842 | $2,526 | — | — | — | — | — | — | — |
| ASHLEY MEDICAL CENTER ASHLEY |
$2,872 | — | — | — | — | — | — | — | — |
| CHI ST. ALEXIUS HEALTH DICKINSON DICKINSON |
$2,895 | $1,968 | $1,930 | $4,457 | — | — | — | — | — |
| SMP HEALTH ST. ANDREW'S BOTTINEAU |
$2,957 | $2,137 | $2,871 | — | — | — | — | — | — |
| CHI LISBON HEALTH LISBON |
$2,966 | $2,755 | $3,866 | — | — | — | — | — | — |
| SANFORD MEDICAL CENTER MAYVILLE MAYVILLE |
$3,004 | $608 | $2,013 | $3,380 | $2,013 | — | $2,013 | $3,380 | — |
| SANFORD MEDICAL CENTER HILLSBORO HILLSBORO |
$3,004 | $608 | $1,855 | $3,380 | $1,855 | — | $1,855 | $3,380 | — |
| ESSENTIA HEALTH FARGO ND AVE S FARGO |
$3,028 | $357 | $357 | — | — | — | $357 | — | — |
| TRINITY HOSPITAL MINOT |
$3,061 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH KENMARE HOSPITAL KENMARE |
$3,061 | — | — | — | — | — | — | — | — |
| SMP HEALTH ST. ALOISIUS HARVEY |
$3,157 | $2,189 | — | — | — | — | — | — | — |
| TOWNER COUNTY MEDICAL CENTER CANDO |
$3,480 | $2,018 | $2,088 | — | $2,088 | — | — | — | — |
| TIOGA MEDICAL CENTER TIOGA |
$3,763 | $3,763 | — | — | — | — | — | — | — |
| JAMESTOWN REGIONAL MEDICAL CENTER JAMESTOWN |
$4,071 | $5,089 | — | — | $3,562 | — | — | — | — |
| SANFORD MEDICAL CENTER - BISMARCK BISMARCK |
$4,121 | $368 | $368 | $4,636 | $368 | — | $368 | $4,636 | $4,636 |
| SANFORD BROADWAY MEDICAL CENTER FARGO |
$4,232 | $280 | $368 | $4,761 | $368 | — | $368 | $4,761 | $4,761 |
That is the median of what the 35 North Dakota hospitals above publish for Ct scan of abdomen and pelvis before and after contrast — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 74178 in North Dakota, Medicare reimburses about $335 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in North Dakota range from $232 to $4,232 — that means hospital cash prices are typically 8.0x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does ct scan of abdomen and pelvis before and after contrast cost in North Dakota?
- Cash prices for ct scan of abdomen and pelvis before and after contrast (CPT 74178) in North Dakota range from $232 to $4,232, with a median of $2,679. Prices vary widely by hospital.
- Where can I find the cheapest ct scan of abdomen and pelvis before and after contrast in North Dakota?
- The cheapest North Dakota hospital published cash price for this procedure is $232. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.