CT abdomen and pelvis with contrast at Platte County Hospital. CPT 74177.
What Platte County Hospital publishes for this service, straight from its standard-charges file, last updated September 21, 2026.
Outpatient / ER
$1,824cash price (self-pay)
$2,655list price
$1,274–$2,602range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Banner Health | Banner Choice Plus/Banner Select | $1,274 |
| Humana | Medicare Advantage | $1,274 |
| Medica | Medicare Advantage | $1,274 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $1,274 |
| United Healthcare | Medicare Advantage | $1,274 |
| United Healthcare | Nebraska Medicaid/CHIP | $1,274 |
| InterWest Health | Medicare Advantage | $1,300 |
| Prime Health Services | Medicare Advantage | $1,300 |
| WyoBlue Advantage | Medicare Advantage (PPO) | $1,300 |
| Platte County Detention Center | Platte County Detention Plan | $2,124 |
| Blue Cross Blue Shield of Wyoming | Institutional | $2,464 |
| United Healthcare | Commercial | $2,512 |
| 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 |
| Medica | Commercial | $2,528 |
| 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
$1,824cash price (self-pay)
$2,655list price
$2,124–$2,602range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Platte County Detention Center | Platte County Detention Plan | $2,124 |
| Blue Cross Blue Shield of Wyoming | Institutional | $2,464 |
| United Healthcare | Commercial | $2,512 |
| 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 |
| 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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