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CT Scan of Abdomen and Pelvis Before and After Contrast Cost in South Dakota
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 48 South Dakota hospitals. CPT 74178. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $6,221
📉 Low $87.92
📈 High $9,481
🏥 48 hospitals
🏛️ 44 with insurance contracts
🇺🇸 Medicare $335
Hospital comparison — South Dakota
Sorted by cash price (lowest first). Showing top 48 of 48 hospitals.
Billed more than $6,221 for this? That gap is evidence.
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| Hospital | Cash | UHC | BCBS | MultiPlan | Aetna | Medicare | Health Net | Cigna | Humana |
|---|---|---|---|---|---|---|---|---|---|
| AVERA QUEEN OF PEACE HOSPITAL MITCHELL |
$87.92 | $85.30 | — | — | — | — | — | — | — |
| AVERA QUEEN OF PEACE HOSPITAL MITCHELL |
$87.92 | $85.30 | — | — | — | — | — | — | — |
| BLACK HILLS SURGICAL HOSPITAL RAPID CITY |
$164 | $88.39 | $89.27 | — | — | — | $245 | — | — |
| MADISON COMMUNITY HOSPITAL MADISON |
$413 | — | — | — | — | — | — | — | — |
| DUNES SURGICAL HOSPITAL DAKOTA DUNES |
$589 | $392 | $600 | $2,385 | — | — | — | $2,226 | — |
| DUNES SURGICAL HOSPITAL DAKOTA DUNES |
$589 | $392 | $600 | $2,385 | — | — | — | $2,226 | — |
| REHABILITATION AND CRITICAL CARE HOSPITAL OF THE BLACK HILLS RAPID CITY |
$1,363 | — | — | — | — | — | — | $80.00 | — |
| LANDMANN-JUNGMAN MEMORIAL HOSPITAL AVERA SCOTLAND |
$2,216 | $85.30 | — | — | — | — | — | — | — |
| COMMUNITY MEMORIAL HOSPITAL BURKE |
$4,033 | $4,815 | $5,665 | $5,268 | $103 | — | — | $5,098 | $103 |
| PRAIRIE LAKES HOSPITAL WATERTOWN |
$4,066 | $92.40 | — | — | — | $466 | — | — | — |
| SANFORD CANTON-INWOOD MEDICAL CENTER CANTON |
$4,254 | $1,973 | — | $4,785 | $1,973 | $1,973 | $4,785 | — | — |
| COTEAU HEALTH CARE SYSTEM HOSPITAL SISSETON |
$4,390 | $1,449 | $3,292 | — | — | — | — | — | $1,449 |
| SANFORD VERMILLION MEDICAL CENTER VERMILLION |
$4,422 | $1,824 | — | $4,974 | $1,824 | $1,824 | $4,974 | — | — |
| SANFORD ABERDEEN MEDICAL CENTER ABERDEEN |
$4,808 | $368 | $368 | $5,409 | $368 | $368 | $5,409 | — | — |
| SANFORD CHAMBERLAIN MEDICAL CENTER CHAMBERLAIN |
$4,994 | $2,316 | — | $5,619 | $2,316 | $2,316 | $5,619 | — | — |
| BENNETT COUNTY HOSPITAL MARTIN |
$5,076 | — | — | — | — | — | — | — | — |
| WINNER REGIONAL HEALTHCARE CENTER WINNER |
$5,094 | — | $4,330 | — | — | — | — | — | — |
| COMMUNITY MEMORIAL HOSPITAL AVERA REDFIELD |
$5,127 | $85.30 | $21.20 | — | — | — | — | — | — |
| SANFORD CHILDREN'S HOSPITAL SIOUX FALLS SIOUX FALLS |
$5,213 | $368 | $170 | $5,864 | $368 | $368 | $5,864 | — | — |
| SANFORD CLEAR LAKE MEDICAL CENTER CLEAR LAKE |
$5,310 | $3,691 | $1,216 | $5,974 | $3,691 | $3,691 | $5,974 | $5,974 | — |
| SANFORD HOSPITAL WEBSTER WEBSTER |
$5,310 | $2,257 | — | $5,974 | $2,257 | $2,257 | $5,974 | — | — |
| MILBANK AREA HOSPITAL AVERA MILBANK |
$5,441 | $85.30 | $37.60 | — | — | — | — | — | — |
| PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICES VIBORG |
$5,517 | $1,931 | $5,296 | — | $4,358 | — | — | $4,689 | — |
| ST. MICHAEL'S HOSPITAL AVERA TYNDALL |
$5,526 | $85.30 | — | — | — | — | — | — | — |
| EUREKA COMMUNITY HEALTH SERVICES EUREKA |
$5,780 | $85.30 | — | — | — | — | — | — | — |
| DOUGLAS COUNTY MEMORIAL HOSPITAL TH ST ARMOUR |
$6,221 | $5,875 | $6,912 | — | — | — | — | — | — |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER SIOUX FALLS |
$6,335 | — | $224 | — | — | — | — | — | — |
| AVERA ORTHOPEDIC HOSPITAL SIOUX FALLS |
$6,335 | — | $224 | — | — | — | — | — | — |
| MARSHALL COUNTY HEALTHCARE CENTER BRITTON |
$6,391 | $86.70 | — | — | — | — | — | — | — |
| BOWDLE HEALTHCARE BOWDLE |
$6,413 | $85.30 | — | — | — | — | — | — | — |
| FREEMAN REGIONAL HEALTH SERVICES FREEMAN |
$6,654 | $85.30 | — | — | — | — | — | — | — |
| FALL RIVER HOSPITAL HOT SPRINGS |
$6,878 | — | — | — | — | — | — | — | — |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA SIOUX FALLS |
$7,036 | $76.20 | $325 | — | — | — | — | — | — |
| AVERA SAINT BENEDICT HEALTH CENTER PARKSTON |
$7,040 | $85.30 | — | — | — | — | — | — | — |
| AVERA DE SMET MEMORIAL HOSPITAL DE SMET |
$7,075 | $85.30 | — | — | — | — | — | — | — |
| AVERA WESKOTA MEMORIAL MEDICAL CENTER DE SMET |
$7,075 | $85.30 | — | — | — | — | — | — | — |
| AVERA DELLS AREA HOSPITAL DELL RAPIDS |
$7,316 | $85.30 | $27.90 | — | — | — | — | — | — |
| AVERA HAND COUNTY MEMORIAL HOSPITAL MILLER |
$7,322 | $85.30 | — | — | — | — | — | — | — |
| HANS P. PETERSON MEMORIAL HOSPITAL PHILIP |
$7,370 | — | — | — | — | — | — | — | — |
| WAGNER COMMUNITY MEMORIAL HOSPITAL AVERA WAGNER |
$7,380 | $85.30 | — | — | — | — | — | — | — |
| FAULKTON AREA MEDICAL CENTER FAULKTON |
$7,389 | $55.00 | $100 | — | — | — | — | — | $55.00 |
| AVERA FOX RUN HEALTH CAMPUS YANKTON |
$8,030 | $85.30 | — | — | — | — | — | — | — |
| AVERA GREGORY HOSPITAL GREGORY |
$8,030 | $85.30 | — | — | — | — | — | — | — |
| AVERA ST. MARY'S HOSPITAL PIERRE |
$8,394 | $76.00 | — | — | — | — | — | — | — |
| AVERA DAKOTA PLAINS SURGICAL CENTER ABERDEEN |
$8,395 | $76.00 | — | — | — | — | — | — | — |
| AVERA MISSOURI RIVER HEALTH CENTER GETTYSBURG |
$8,456 | $85.30 | — | — | — | — | — | — | — |
| AVERA FLANDREAU HOSPITAL FLANDREAU |
$9,153 | $85.30 | $22.00 | — | — | — | — | — | — |
| PLATTE HEALTH CENTER PLATTE |
$9,481 | $86.70 | — | — | — | — | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 74178, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $2,955 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $6,221 for this?
That is the median of what the 48 South 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 South 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 South Dakota range from $87.92 to $9,481 — that means hospital cash prices are typically 18.6x 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 South Dakota?
- Cash prices for ct scan of abdomen and pelvis before and after contrast (CPT 74178) in South Dakota range from $87.92 to $9,481, with a median of $6,221. Prices vary widely by hospital.
- Where can I find the cheapest ct scan of abdomen and pelvis before and after contrast in South Dakota?
- The cheapest South Dakota hospital published cash price for this procedure is $87.92. 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.
Ct scan of abdomen and pelvis before and after contrast in nearby states
Other procedures in South Dakota
Methodology. Cash prices and insurance-negotiated rates published by each South Dakota facility under federal price transparency rules (45 CFR § 180). CPT code 74178 (Imaging). Data refreshed regularly; verify with the facility before any procedure.