CT abdomen and pelvis with contrast at Banner Wyoming Medical Center. CPT 74177.
What Banner Wyoming Medical Center publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$1,329cash price (self-pay)
$3,165list price
$356–$3,102range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | UHC Medicare Advantage | $356 |
| Humana | Medicare Advantage | $364 |
| InterWest Health | Medicare Advantage | $364 |
| Prime Health Services | Medicare Advantage | $364 |
| WyoBlue Advantage | Medicare Advantage (PPO) | $367 |
| NaphCare, Inc. | Federal Prison System | $481 |
| NaphCare, Inc. | Medicare | $517 |
| Banner Health | Banner Choice Plus/Banner Select | $855 |
| Blue Cross Blue Shield of Wyoming | Blue Select PPO | $2,067 |
| Blue Cross Blue Shield of Wyoming | Institutional | $2,114 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $2,595 |
| United Healthcare | Commercial | $2,611 |
| Hue Health, Inc | Commercial | $2,690 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $2,754 |
| Medica | Commercial | $2,849 |
| First Choice Health Network | Commerical | $3,007 |
| Multiplan | Commercial | $3,007 |
| Coventry | Commercial | $3,038 |
| First Health | Medical Rental | $3,038 |
| InterWest Health | Auto & General Liability | $3,070 |
| InterWest Health | Group Health | $3,070 |
| Prime Health Services | Auto & General Liability | $3,070 |
| Prime Health Services | Group Health | $3,070 |
| InterWest Health | Workers' Comp | $3,102 |
| Prime Health Services | Worker's Comp | $3,102 |
Inpatient
$1,329cash price (self-pay)
$3,165list price
$2,690–$3,102range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hue Health, Inc | Commercial | $2,690 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $2,754 |
| First Choice Health Network | Commerical | $3,007 |
| Multiplan | Commercial | $3,007 |
| Coventry | Commercial | $3,038 |
| First Health | Medical Rental | $3,038 |
| InterWest Health | Auto & General Liability | $3,070 |
| InterWest Health | Group Health | $3,070 |
| Prime Health Services | Auto & General Liability | $3,070 |
| Prime Health Services | Group Health | $3,070 |
| InterWest Health | Workers' Comp | $3,102 |
| Prime Health Services | Worker's Comp | $3,102 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.