Evanston Hospital Corporation
Evanston Hospital Corporation in Evanston, WY publishes cash prices for 31 common procedures listed here, from its own machine-readable price file updated Sep 17, 2026. Click a procedure to compare it with other hospitals nearby.
190 Arrowhead Dr Evanston WY 82930 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $3,743.14 | $6,238.57 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast | $1,488.31 | $2,480.52 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $1,914.13 | $3,190.22 | 40% |
| Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts | $452.95 | $754.91 | 40% |
| Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast | $361.96 | $603.27 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast | $2,743.83 | $4,573.05 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast | $2,924.00 | $4,873.34 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast | $3,407.17 | $5,678.61 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast | $3,844.63 | $6,407.71 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast | $2,655.95 | $4,426.59 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus | $953.78 | $1,589.64 | 40% |
| Screening mammogram, both breasts CPT 77067 Screening mammography | $456.23 | $760.38 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study in sleep lab (6 years or older) | $4,061.11 | $6,768.52 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | $443.26 | $738.77 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen | $1,273.54 | $2,122.57 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) | $122.61 | $204.35 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $158.82 | $264.70 | 40% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $91.37 | $152.29 | 40% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $47.13 | $78.55 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $175.28 | $292.14 | 40% |
| Kidney function blood test panel CPT 80069 Kidney function blood test panel | $56.68 | $94.46 | 40% |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $138.83 | $231.38 | 40% |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $131.38 | $218.96 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free | $53.65 | $89.41 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total | $173.03 | $288.39 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood | $101.30 | $168.83 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $40.65 | $67.75 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $191.75 | $319.59 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated | $49.81 | $83.01 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $28.16 | $46.93 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test | $21.46 | $35.76 | 40% |
Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbERHEVANSTONWY&type=CDMWithoutLabel&fileType=CSV