CPT 77522
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC PROTON TX SMPL W COMPENSATION
Low
$600
Average
$2.2k
Median
$1.6k
High
$6.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
59 payers; the 90th percentile is 3.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +19 other terms | 422 | $1.5k | $3.3k | $3.0k | 90% | — | $1 – $19.6k |
| 2 | UnitedHealthcare fee schedule · outpatient · +21 other terms | 305 | $1.3k | $1.4k | $1.7k | 128% | — | $1 – $37.5k |
| 3 | Humana fee schedule · outpatient · +22 other terms | 287 | $1.3k | $2.4k | $3.0k | 124% | — | $1 – $14.4k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 273 | $2.9k | $3.4k | $2.6k | 76% | — | $132 – $12.0k |
| 5 | Cigna fee schedule · outpatient · +21 other terms | 264 | $2.6k | $2.8k | $1.4k | 51% | — | $5 – $9.1k |
| 6 | WellCare fee schedule · outpatient · +11 other terms | 125 | $1.3k | $1.4k | $513 | 36% | — | $364 – $3.0k |
| 7 | Molina fee schedule · outpatient · +15 other terms | 107 | $1.4k | $1.6k | $644 | 39% | — | $1 – $5.0k |
| 8 | Anthem fee schedule · outpatient · +16 other terms | 91 | $1.3k | $1.4k | $1.4k | 99% | — | $322 – $9.1k |
| 9 | Ambetter facility · fee schedule · outpatient · +11 other terms | 61 | $2.2k | $2.5k | $797 | 32% | — | $1.2k – $7.3k |
| 10 | Devoted fee schedule · outpatient · +4 other terms | 57 | $1.3k | $1.3k | $73 | 6% | — | $1.2k – $1.4k |
| 11 | Kaiser fee schedule · outpatient · +10 other terms | 56 | $1.8k | $2.3k | $1.8k | 77% | — | $5 – $10.4k |
| 12 | Caresource fee schedule · outpatient · +10 other terms | 34 | $859 | $1.0k | $440 | 44% | — | $1 – $1.9k |
| 13 | Oscar facility · fee schedule · outpatient · +10 other terms | 34 | $1.8k | $1.9k | $273 | 14% | — | $1.5k – $2.5k |
| 14 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $5.2k | $5.3k | $2.4k | 45% | — | $1.2k – $9.8k |
| 15 | Optum fee schedule · outpatient · +8 other terms | 31 | $1.3k | $1.7k | $913 | 53% | — | $1.1k – $4.6k |
| 16 | Clover fee schedule · outpatient · +5 other terms | 24 | $1.4k | $1.4k | $94 | 7% | — | $1.2k – $1.5k |
| 17 | Tricare fee schedule · outpatient · +8 other terms | 22 | $1.1k | $1.2k | $108 | 9% | — | $1.1k – $1.5k |
| 18 | Regence facility · fee schedule · outpatient · +5 other terms | 21 | $1.3k | $2.0k | $1.4k | 68% | — | $1.2k – $5.2k |
| 19 | Medicare fee schedule · outpatient · +6 other terms | 19 | $1.3k | $1.3k | $7 | 1% | — | $1.3k – $1.3k |
| 20 | Aetna Better Health fee schedule · outpatient · +9 other terms | 18 | $748 | $813 | $249 | 31% | — | $569 – $1.2k |
| 21 | Highmark fee schedule · outpatient · +8 other terms | 18 | $1.5k | $1.5k | $577 | 39% | — | $573 – $3.7k |
| 22 | Medical Mutual facility · fee schedule · outpatient · +7 other terms | 16 | $1.2k | $1.7k | $1.4k | 79% | — | $644 – $6.1k |
| 23 | MultiPlan fee schedule · outpatient · +13 other terms | 16 | $2.3k | $2.2k | $418 | 19% | — | $170 – $2.3k |
| 24 | Ucare case rate · outpatient · +7 other terms | 15 | $1.3k | $1.3k | $24 | 2% | — | $1.3k – $1.3k |
| 25 | Medica fee schedule · outpatient · +7 other terms | 14 | $1.6k | $1.7k | $564 | 33% | — | $124 – $2.4k |
← Hospitals reporting CPT 77522 · Snapshot 20261113T090226Z-3ce6c0b8