CT abdomen and pelvis with contrast at Washakie Medical Center. CPT 74177.
What Washakie Medical Center publishes for this service, straight from its standard-charges file, last updated September 21, 2026.
Outpatient / ER
$160cash price (self-pay)
$2,655list price
$104–$2,602range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Banner Health | Banner Choice Plus/Banner Select | $689 |
| Humana | Medicare Advantage | $689 |
| Medica | Medicare Advantage | $689 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $689 |
| United Healthcare | Nebraska Medicaid/CHIP | $689 |
| InterWest Health | Medicare Advantage | $703 |
| Prime Health Services | Medicare Advantage | $703 |
| WyoBlue Advantage | Medicare Advantage (PPO) | $703 |
| United Healthcare | Medicare Advantage | $1,274 |
| Blue Cross Blue Shield of Wyoming | Institutional | $1,315 |
| Medica | Commercial | $1,325 |
| First Health | Medical Rental | $1,335 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $1,335 |
| Multiplan | Commercial | $1,356 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $1,359 |
| First Choice Health Network | Commerical | $1,364 |
| Hue Health, Inc | Commercial | $1,364 |
| Coventry | Commercial | $1,379 |
| Coventry | Workers Comp | $1,379 |
| InterWest Health | Auto & General Liability | $1,393 |
| InterWest Health | Group Health | $1,393 |
| Prime Health Services | Auto & General Liability | $1,393 |
| Prime Health Services | Group Health | $1,393 |
| InterWest Health | Workers' Comp | $1,407 |
| Prime Health Services | Worker's Comp | $1,407 |
| United Healthcare | Commercial | $1,938 |
Inpatient
$160cash price (self-pay)
$2,655list price
$199–$2,602range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Wyoming | Institutional | $1,315 |
| First Health | Medical Rental | $1,335 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $1,335 |
| Multiplan | Commercial | $1,356 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $1,359 |
| First Choice Health Network | Commerical | $1,364 |
| Hue Health, Inc | Commercial | $1,364 |
| Coventry | Commercial | $1,379 |
| Coventry | Workers Comp | $1,379 |
| InterWest Health | Auto & General Liability | $1,393 |
| InterWest Health | Group Health | $1,393 |
| Prime Health Services | Auto & General Liability | $1,393 |
| Prime Health Services | Group Health | $1,393 |
| InterWest Health | Workers' Comp | $1,407 |
| Prime Health Services | Worker's Comp | $1,407 |
| United Healthcare | Commercial | $2,435 |
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