CT abdomen and pelvis with contrast at Community Hospital. CPT 74177.
What Community Hospital publishes for this service, straight from its standard-charges file, last updated October 2, 2026.
Outpatient / ER
$1,593cash price (self-pay)
$2,655list price
$929–$2,602range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Banner Health | Banner Choice Plus | $929 |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Me | $929 |
| Humana | Medicare Advantage | $929 |
| Medica | Medicare Advantage | $929 |
| NaphCare, Inc. | Federal Prison System | $929 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $929 |
| United Healthcare | Medicare Advantage | $929 |
| InterWest Health | Medicare Advantage | $948 |
| Prime Health Services | Medicare Advantage | $948 |
| WyoBlue Advantage | Medicare Advantage (PPO) | $948 |
| United Healthcare | Nebraska Medicaid/CHIP | $1,274 |
| Blue Cross Blue Shield of Wyoming | Institutional | $2,453 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $2,512 |
| First Choice Health Network | Commerical | $2,522 |
| Hue Health, Inc | Commercial | $2,522 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $2,522 |
| United Healthcare | Commercial | $2,522 |
| Medica | Commercial | $2,533 |
| Coventry | Commercial | $2,549 |
| Coventry | Workers Comp | $2,549 |
| First Health | Medical Rental | $2,549 |
| Midlands Choice | Commercial | $2,549 |
| InterWest Health | Auto & General Liability | $2,575 |
| InterWest Health | Group Health | $2,575 |
| Multiplan | Commercial | $2,575 |
| Prime Health Services | Auto & General Liability | $2,575 |
| Prime Health Services | Group Health | $2,575 |
| InterWest Health | Workers' Comp | $2,602 |
| Prime Health Services | Worker's Comp | $2,602 |
Inpatient
$1,593cash price (self-pay)
$2,655list price
$2,453–$2,602range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Wyoming | Institutional | $2,453 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $2,512 |
| First Choice Health Network | Commerical | $2,522 |
| Hue Health, Inc | Commercial | $2,522 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $2,522 |
| United Healthcare | Commercial | $2,522 |
| Coventry | Commercial | $2,549 |
| Coventry | Workers Comp | $2,549 |
| First Health | Medical Rental | $2,549 |
| Midlands Choice | Commercial | $2,549 |
| InterWest Health | Auto & General Liability | $2,575 |
| InterWest Health | Group Health | $2,575 |
| Multiplan | Commercial | $2,575 |
| Prime Health Services | Auto & General Liability | $2,575 |
| Prime Health Services | Group Health | $2,575 |
| InterWest Health | Workers' Comp | $2,602 |
| Prime Health Services | Worker's Comp | $2,602 |
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