CT abdomen and pelvis with contrast at Beacon Allegan. CPT 74177.
What Beacon Allegan publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,574cash price (self-pay)
$3,212list price
$101–$2,890range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allegan Medicare | 3127_boah Medicare Outpatient 20231001 | $101 |
| Auto Mva | 3452_boah Auto Mva Medicare Outpatient 20230215 | $101 |
| Allegan Humana Mcr | 3129_boah Medicare Humana Inpatient 20231001 | $103 |
| Allegan Humana Mcr | 3130_boah Medicare Humana Outpatient 20231001 | $103 |
| Allegan Medicare | 3128_boah Medicare Inpatient 20231001 | $103 |
| Allegan Molina Medicare | 3123_boah Medicare Molina Outpatient 2023021 | $103 |
| Allegan Molina Medicare | 3124_boah Medicare Molina Inpatient 20230215 | $103 |
| Auto Mva | 3453_boah Auto Mva Medicare Inpatient 20230215 | $103 |
| Aetna Medicaid | 3806_boah Medicaid Replacement Aetna Better Health Ou | $138 |
| Blue Caid | 3807_boah Medicaid Replacement Blue Cross Complete Outpati | $138 |
| Boah Medicaid Replacement Meridian Outpatient 20250701 | 3808_boah Med | $138 |
| Molina Medicaid | 3810_boah Molina Medicaid Outpatient 20250701 | $138 |
| UHC Mcd | 3809_boah Medicaid Replacement United Health Care Community | $138 |
| Cigna Allegan | 3180_boah Cigna 20230701 | $2,890 |
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