CT abdomen and pelvis with contrast at Beacon Dowagiac. CPT 74177.
What Beacon Dowagiac publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$103–$872range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Mmai | 3603_bole Medicare Advantage Aetna Mmai Outpatient 202404 | $103 |
| Medicare Cacb | 2616_bole Medicare Cacb Inpatient 20220101 | $103 |
| Medicare Replacement | 3606_bole Medicare Advantage Cacb Inpatient 202 | $103 |
| Medicare Replacement | 3610_bole Medicare Advantage Cacb Outpatient 20 | $103 |
| Meridian Mmai | 3617_bole Medicare Advantage Meridian Mmai Outpatient | $103 |
| UHC Medicare | 3631_bole Medicare Advantage United Health Care Outpati | $103 |
| UHC Medicare Adv 948 | 2547_bole Medicare Advantage United Health Care | $103 |
| Veterans Choice | 2553_bole Medicare Advantage Veterans Choice Outpati | $103 |
| Aetna Medicaid | 3812_bole Medicaid Replacement Aetna Better Health Ou | $138 |
| Blue Caid | 3661_bole Medicaid Replacement Blue Cross Complete Inpatie | $138 |
| Blue Caid | 3813_bole Medicaid Replacement Blue Cross Complete Outpati | $138 |
| Medicaid HMO | 3814_bole Medicaid Replacement HMO Outpatient 20250701 | $138 |
| Mi Child | 3815_bole Medicaid Replacement Michigan Child Outpatient 20 | $138 |
| Molina Medicaid | 3816_bole Medicaid Replacement Molina Outpatient 202 | $138 |
| UHC Mcd | 3817_bole Medicaid Replacement United Health Care Community | $138 |
| Aetna American Axle | 2409_bole Aetna American Axle 20200701 | $872 |
| Aetna Michigan Preferred | 2410_bole Aetna Michigan Preferred 20200701 | $872 |
Inpatient
—cash price (self-pay)
—list price
$103–$872range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Mmai | 3599_bole Medicare Advantage Aetna Mmai Inpatient 2024041 | $103 |
| Meridian Mmai | 3613_bole Medicare Advantage Meridian Mmai Inpatient 2 | $103 |
| Veterans Choice | 2559_bole Veterans Choice Inpatient 20220101 | $103 |
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