CT Abdomen & Pelvis With Contrast Cost in South Dakota
Ct abd & pelvis w/contrast
$657Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
South Dakota Medicare physician rate (2026)
-1.0% vs nationalSingle statewide locality.
What the whole procedure costs
The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.
Choosing a surgery centre over a hospital saves about $164 on the Medicare allowed amount for ct abdomen & pelvis with contrast. Ask whether your procedure can be done at an ambulatory surgery centre.
Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in South Dakota
Try a ZIP lookup for your area, whether Sioux Falls, Rapid City and the Black Hills, Aberdeen, Pierre, or the reservation and ranch country in between.
What ct abdomen & pelvis with contrast costs at hospitals near you
Everything above is a national average. The hospital you pick in South Dakota moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.
National vs South Dakota
Where South Dakota ranks for this CPT
CT Abdomen & Pelvis With Contrast and how South Dakota is priced
All of South Dakota falls under a single payment locality with indices near the bottom of the national scale, cushioned by the work index floor for low-cost states. Sioux Falls and a West River ranch community share one published fee schedule. The state's east-west split, with most people and providers east of the Missouri River, has no counterpart in the pricing structure. That leaves South Dakota with some of the simplest and lowest Medicare pricing in the country.
Sioux Falls has become a genuine regional medical hub, headquarters to large systems whose reach extends across the Dakotas and into neighboring states, while Rapid City anchors care for the West River side and the Black Hills. Vast stretches between them rely on critical access hospitals and tribal facilities, some of the most isolated care settings in America. Referrals to Sioux Falls, Rapid City, or out of state are a routine part of rural care.
This procedure: This CT scans the abdomen and pelvis with IV iodine contrast, the workhorse test for unexplained abdominal pain, suspected appendicitis or diverticulitis, infections, and cancer staging. The dye highlights organs, bowel, and blood vessels that blend together without it. An IV is placed, the dye produces a brief hot flush, and scanning takes seconds; plan on 30 to 45 minutes total, sometimes longer if oral contrast drink is required beforehand.
What Is CT Abdomen & Pelvis With Contrast?
This CT scans the abdomen and pelvis with IV iodine contrast, the workhorse test for unexplained abdominal pain, suspected appendicitis or diverticulitis, infections, and cancer staging. The dye highlights organs, bowel, and blood vessels that blend together without it. An IV is placed, the dye produces a brief hot flush, and scanning takes seconds; plan on 30 to 45 minutes total, sometimes longer if oral contrast drink is required beforehand.
What Affects the Cost
- –IV contrast adds a supply charge, and facilities that also use oral contrast add preparation time though the drink itself is inexpensive.
- –A kidney function lab test may be required before dye in at-risk patients.
- –This is a staple ER scan, and emergency facility pricing multiplies the cost relative to a scheduled study.
- –Cancer staging and surveillance mean repeated scans on a schedule, so per-scan price differences compound over the years.
- –The professional reading fee covering two body regions bills separately at hospitals.
Questions to Ask Before Booking
- 1.Does my authorization specify the with-contrast combined abdomen-pelvis study?
- 2.Will I need oral contrast too, and does it add time or charges?
- 3.Do I need kidney function labs first, and who bills those?
- 4.If this is part of ongoing cancer surveillance, what does each scan cost at my current facility versus an independent center?
- 5.Is the radiologist fee inside or outside the quoted price?
Other featured procedures in South Dakota
CT Abdomen & Pelvis With Contrast in other states
CT Abdomen & Pelvis With Contrast in South Dakota: questions
South Dakota is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 74177 is $297.39 in an office and $297.39 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. South Dakota uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $59 for the office physician line or $59 for the hospital physician line in South Dakota. Medigap may cover that 20%. This is not the hospital facility fee.
No. $297.39 is only the physician's share. Adding Medicare's facility payment brings the total to about $657 in a hospital outpatient department, or about $493 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. South Dakota ranks #31 of 51 states on the physician line (within 2% of the national office rate of $300.27).