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/COMP
Kyle, TX
See all hospitals reporting CPT 77522 →Price type
Ascension Seton’s median price of $4.3k is 201% above the median hospital's median price ($1.4k), higher than 92% of the 1,029 hospitals reporting CPT 77522. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 12 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 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | Humana 2668_humana hmo 20230701 other · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 3 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 4 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 5 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 6 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 7 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 8 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 9 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 10 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 11 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $21.5k | $21.5k | — | — | — | $21.5k – $21.5k |
| 12 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $21.5k | $21.5k | — | — | — | $21.5k – $21.5k |
Last updated: Jan 1, 2026
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