CT abdomen and pelvis with contrast at Weston County Health Services. CPT 74177.
What Weston County Health Services publishes for this service, straight from its standard-charges file, last updated June 1, 2026.
Outpatient / ER
$4,716cash price (self-pay)
$4,716list price
$2,924–$4,480range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare (Commercial) [3081199] | United Healthcare 87726 [30 | $2,924 |
| Cigna 62308 [3081051] | Cigna 62308 [308105105] | $3,773 |
| Cigna 62308 [3081051] | Cigna State Of Wyoming [308105107] | $3,773 |
| Healthpartners [3081368] | Healthpartners Mh Employees EPO [308136803] | $3,773 |
| Healthpartners [3081368] | Healthpartners Mh Employees PPO [308136801] | $3,773 |
| Healthpartners [3081368] | Healthpartners Mh Employees HDHP [308136802 | $3,773 |
| Healthpartners Sx009 | Healthpartners | $3,773 |
| Medica (Commercial) 94265 [3081118] | Medica Claims [308111801] | $4,244 |
| Blue Cross Blue Shield Wellmark Sb889 [3081026] | BCBS Wyoming [30810 | $4,480 |
| Multiplan Inc 34080 [3081285] | Multiplan Inc [308128501] | $4,480 |
Inpatient
$4,716cash price (self-pay)
$4,716list price
$2,924–$4,480range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare (Commercial) [3081199] | United Healthcare 87726 [30 | $2,924 |
| Healthpartners [3081368] | Healthpartners Mh Employees EPO [308136803] | $3,734 |
| Cigna 62308 [3081051] | Cigna 62308 [308105105] | $3,734 |
| Cigna 62308 [3081051] | Cigna State Of Wyoming [308105107] | $3,734 |
| Healthpartners Sx009 | Healthpartners | $3,734 |
| Healthpartners [3081368] | Healthpartners Mh Employees HDHP [308136802 | $3,734 |
| Healthpartners [3081368] | Healthpartners Mh Employees PPO [308136801] | $3,734 |
| Medica (Commercial) 94265 [3081118] | Medica Claims [308111801] | $4,244 |
| Multiplan Inc 34080 [3081285] | Multiplan Inc [308128501] | $4,480 |
| Blue Cross Blue Shield Wellmark Sb889 [3081026] | BCBS Wyoming [30810 | $4,480 |
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