Scans and imaging CPT 74181 Outpatient

Abdominal MRI cost in Bismarck, ND

In Bismarck, ND, 2 hospitals list a cash price for MRI of the abdomen without contrast: from $1,287.75 to $2,191.20, with a median of $1,739.48. The lowest listed price is at St. Alexius Medical Center — $451.73 less than the median here. Across North Dakota, the median is $1,909.36 at 9 hospitals.

Cash prices at 2 facilities for code 74181, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Mar 4, 2026.

Lowest$1,287.75St. Alexius Medical Center
Median$1,739.48half pay less
Highest$2,191.20in this market
Difference1.7×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Bismarck, ND.

median
Lowest $1,287.75Highest $2,191.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St. Alexius Medical Center lowest Bismarck, ND · (701) 530-7000 HC MR ABDOMEN WO CONTRAST $1,287.75 $2,525.00 $241.72–$2,272.50 49% Feb 28, 2026
source file
Sanford Medical Center Bismarck Bismarck, ND · (701) 323-6000 MRI ABDOMEN WO CONTRAST $2,191.20 $2,739.00 $201.06–$2,465.10 20% Mar 4, 2026
source file

Outpatient: lowest $1,287.75, median $1,739.48, highest $2,191.20 — a 1.7× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $1,739.48. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

An abdominal MRI without contrast images the liver, pancreas, kidneys and bile ducts. It is used, for example, to look at bile ducts (MRCP) or liver fat, without radiation.

What the price covers

The price usually covers the scan. The radiologist's reading may be billed separately.