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CT abdomen with and without contrast
CPT 74170 · negotiated-rate distribution across hospitals in SD
Hospitals
4
Min
$2,663.92
Median
$3,896.48
Max
$5,967.00
Range multiplier
2.2×
By payer (36 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| TRICARE | 3 | 54 | $182.43 | $1,246.48 | $2,741.56 | 15.0× |
| UnitedHealthcare | 4 | 27 | $1,113.28 | $3,896.48 | $5,967.00 | 5.4× |
| Blue Cross Blue Shield | 4 | 20 | $966.00 | $2,339.88 | $5,967.00 | 6.2× |
| Cigna | 3 | 18 | $3,816.96 | $3,936.24 | $3,936.24 | 1.0× |
| medica (commercial) 94265 [3081118] | 3 | 18 | $3,300.08 | $3,896.48 | $3,896.48 | 1.2× |
| govt employees health assn [3081090] | 3 | 18 | $2,624.16 | $3,896.48 | $3,896.48 | 1.5× |
| healthpartners [3081368] | 3 | 15 | $188.00 | $3,896.48 | $3,896.48 | 20.7× |
| national telephone cooperative assn 52103 [3081149] | 3 | 12 | $2,624.16 | $3,896.48 | $3,896.48 | 1.5× |
| Meritain Health | 3 | 12 | $3,816.96 | $3,936.24 | $3,936.24 | 1.0× |
| risk admin svs [3081167] | 3 | 12 | $672.79 | $1,926.80 | $3,180.80 | 4.7× |
| Aetna | 3 | 10 | $3,578.40 | $3,578.40 | $3,777.20 | 1.1× |
| Humana | 4 | 8 | $249.42 | $3,976.00 | $5,967.00 | 23.9× |
| tlc advantage llc [3081189] | 4 | 7 | $3,737.44 | $3,737.44 | $3,893.48 | 1.0× |
| avera health plans 46045 [3081018] | 4 | 7 | $2,922.36 | $3,856.72 | $3,856.72 | 1.3× |
| midlands choice 47080 [3081136] | 3 | 6 | $3,816.96 | $3,936.24 | $3,936.24 | 1.0× |
| allied benefit systems inc [3081320] | 3 | 6 | $3,816.96 | $3,936.24 | $3,936.24 | 1.0× |
| coresource 38225 [3081146] | 3 | 6 | $2,584.40 | $3,578.40 | $3,578.40 | 1.4× |
| employee benefit management 12x44 [3081079] | 3 | 6 | $3,379.60 | $3,578.40 | $3,578.40 | 1.1× |
| fedmed inc [3081283] | 3 | 6 | $3,777.20 | $3,856.72 | $3,856.72 | 1.0× |
| health partners sx009 [3081102] | 3 | 6 | $2,465.12 | $3,896.48 | $3,896.48 | 1.6× |
| key benefit administrators [3081332] | 3 | 6 | $3,816.96 | $3,936.24 | $3,936.24 | 1.0× |
| pacificsource health plans [3081333] | 3 | 6 | $3,379.60 | $3,578.40 | $3,578.40 | 1.1× |
| preferred one 41147 [3081160] | 3 | 6 | $3,816.96 | $3,936.24 | $3,936.24 | 1.0× |
| rocky mountain admin llc 83028 [3081168] | 3 | 6 | $3,180.80 | $3,578.40 | $3,578.40 | 1.1× |
| sanford health plan 91184 [3081174] | 3 | 6 | $3,578.40 | $3,856.72 | $3,856.72 | 1.1× |
| surest [3081369] | 3 | 6 | $2,624.16 | $3,896.48 | $3,896.48 | 1.5× |
| group and pension administrators inc [3081098] | 2 | 4 | $3,578.40 | $3,717.56 | $3,856.72 | 1.1× |
| Multiplan | 2 | 4 | $3,578.40 | $3,717.56 | $3,856.72 | 1.1× |
| va ccn optum [3081339] | 3 | 3 | $237.54 | $1,113.28 | $1,113.28 | 4.7× |
| Medicare | 3 | 3 | $1,113.28 | $1,113.28 | $5,967.00 | 5.4× |
| va black hills health care system 12115 [3081206] | 3 | 3 | $237.54 | $1,113.28 | $1,113.28 | 4.7× |
| Health Net | 2 | 2 | $1,113.28 | $1,113.28 | $1,113.28 | 1.0× |
| VA Health | 2 | 2 | $1,113.28 | $1,113.28 | $1,113.28 | 1.0× |
| va black hills health care system 12115 [3081207] | 2 | 2 | $1,113.28 | $1,113.28 | $1,113.28 | 1.0× |
| minnesota health care programs 12k16 [3081295] | 1 | 2 | $1,204.73 | $1,204.73 | $1,204.73 | 1.0× |
| triwest healthcare alliance [3081322] | 2 | 2 | $1,113.28 | $1,113.28 | $1,113.28 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Monument Health Spearfish Hospital | Spearfish | SD | 6 | $4,142.00 | $4,142.00 | $966.00 | $5,967.00 | $5,967.00 |
| Monument Health Custer Hospital | Custer | SD | 35 | $3,976.00 | $3,976.00 | $672.79 | $3,896.48 | $3,976.00 |
| Monument Health Sturgis Regional | Sturgis | SD | 33 | $3,976.00 | $3,976.00 | $672.79 | $3,856.72 | $3,976.00 |
| Monument Health Rapid City Hospital | Rapid City | SD | 31 | $3,976.00 | $3,976.00 | $182.43 | $2,663.92 | $3,816.96 |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.