I agree with Focht3 in the case of piles, it is normal to use a high slump i.e a self compacting mix. Certainly I've never seen anyone trying to vibrate concrete down a pile bore. I recommend minimum 225mm slump, although at this workability a flow test can be applicable.
I have been trying to work out why grout is being proposed, are these bored piles? This isn't about grouting between the pile and the soil to increase the skin friction is it? In this case grout is applicable but workability is measured with a flow cone.
But on a slightly different subject the reason why stiff concretes are often used is that they are cheaper. For a given water/cement ratio and without using expensive admixtures a concrete with a low slump will cost less than one with a high slump. So if the compaction and finish can be achieved then 50mm slump concrete still has a place.
Zambo