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
PROTON TRMT SIMPLE W/O COMP
Austin, TX
See all hospitals reporting CPT 77520 →Price type
Ascension Seton’s median price of $561 is 23% below the median hospital's median price ($724), higher than 17% of the 1,143 hospitals reporting CPT 77520. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $488 | $488 | — | — | — | $488 – $488 |
| 2 | Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient | $561 | $561 | — | — | — | $561 – $561 |
| 3 | Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient | $561 | $561 | — | — | — | $561 – $561 |
| 4 | Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient | $561 | $561 | — | — | — | $561 – $561 |
| 5 | Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient | $561 | $561 | — | — | — | $561 – $561 |
| 6 | Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient | $561 | $561 | — | — | — | $561 – $561 |
| 7 | Tricare 4696_tricare inpatient 20251001 other · inpatient | $561 | $561 | — | — | — | $561 – $561 |
| 8 | WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient | $561 | $561 | — | — | — | $561 – $561 |
| 9 | WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient | $561 | $561 | — | — | — | $561 – $561 |
| 10 | UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient | $572 | $572 | — | — | — | $572 – $572 |
| 11 | UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient | $572 | $572 | — | — | — | $572 – $572 |
| 12 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $975 | $975 | — | — | — | $975 – $975 |
| 13 | Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Humana 2668_humana hmo 20230701 other · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 16 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 20 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 21 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 22 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 23 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 24 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
Last updated: Jan 1, 2026
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