CT abdomen and pelvis with contrast at Beacon Plainwell. CPT 74177.
What Beacon Plainwell publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$138–$1,192range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicaid | 3799_bphc Medicaid Replacement Aetna Better Health Ou | $138 |
| Blue Caid | 3800_bphc Medicaid Replacement Blue Cross Complete Outpati | $138 |
| Bphc Medicaid Replacement Meridian Outpatient 20250701 | 3821_bphc Med | $138 |
| Medicaid HMO | 3801_bphc Medicaid Replacement HMO Outpatient 20250701 | $138 |
| Mi Child | 3802_bphc Medicaid Replacement Michigan Child Outpatient 20 | $138 |
| Molina Medicaid | 3803_bphc Medicaid Replacement Molina Outpatient 202 | $138 |
| UHC Mcd | 3804_bphc Medicaid Replacement United Health Care Community | $138 |
| Aetna Michigan Preferred | 2680_bphc Aetna Michigan Preferred 20210701 | $617 |
| Aetna Ppom | 2688_bphc Aetna Ppom 20210701 | $617 |
| Aetna | 3156_bphc Aetna 20240101 | $722 |
| UHC | 3786_bphc United Health Care 20250701 | $828 |
| Aetna American Axle | 2007_bphc Aetna American Axle 20200115 | $872 |
| Cigna | 3178_bphc Cigna 20240701 | $1,192 |
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