CT abdomen and pelvis with contrast at Cheyenne County Hospital. CPT 74177.
What Cheyenne County Hospital publishes for this service, straight from its standard-charges file, last updated August 4, 2026.
Outpatient / ER
$676cash price (self-pay)
$795list price
$453–$1,193range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS PPO - All Plans | BCBS PPO - All Plans | $453 |
| First Health - All Plans | First Health - All Plans | $557 |
| Healthy Blue Mcr Adv | Healthy Blue Mcr Adv | $636 |
| UHC Mcr Adv | UHC Mcr Adv | $636 |
| UHC Optum Va | UHC Optum Va | $636 |
| Aetna Mcr Adv | Aetna Mcr Adv | $636 |
| Firstguard - All Plans | Firstguard - All Plans | $636 |
| Tricare/Triwest - All Plans | Tricare/Triwest - All Plans | $636 |
| Choice Care - All Plans | Choice Care - All Plans | $642 |
| Wppa - All Plans | Wppa - All Plans | $716 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $751 |
| Aetna Coventry - All Other Plans | Aetna Coventry - All Other Plans | $755 |
| Cpm - All Plans | Cpm - All Plans | $755 |
| Preferred Hc - All Plans | Preferred Hc - All Plans | $755 |
| Midlands Choice - All Plans | Midlands Choice - All Plans | $771 |
| Integrated Hp - All Plans | Integrated Hp - All Plans | $779 |
| Unicare - All Plans | Unicare - All Plans | $779 |
| Health Partners - All Plans | Health Partners - All Plans | $779 |
| PPO Next - All Plans | PPO Next - All Plans | $779 |
| Childrens Mercy - All Plans | Childrens Mercy - All Plans | $795 |
| Healthy Blue Mcaid - All Other Plans | Healthy Blue Mcaid - All Other | $795 |
| Healthwave Mcaid - All Plans | Healthwave Mcaid - All Plans | $795 |
| UHC Medicaid & Chip | UHC Medicaid & Chip | $795 |
| Providers Care-All Plans | Providers Care-All Plans | $1,193 |
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