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
Jasper, TX
See all hospitals reporting CPT 77520 →Price type
Southeast Texas - Jasper Memorial’s median price of $613 is 15% below the median hospital's median price ($724), higher than 36% 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: 8 payers, 17 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 | UnitedHealthcare hix fee schedule · outpatient | $344 | $344 | — | — | — | $344 – $344 |
| 2 | UnitedHealthcare all payer fee schedule · outpatient | $541 | $541 | — | — | — | $541 – $541 |
| 3 | Aetna mm fee schedule · outpatient | $584 | $584 | — | — | — | $584 – $584 |
| 4 | Bcbs Tx mm fee schedule · outpatient | $584 | $584 | — | — | — | $584 – $584 |
| 5 | Humana gold choice mm fee schedule · outpatient | $584 | $584 | — | — | — | $584 – $584 |
| 6 | Molina medicare adv mm fee schedule · outpatient | $584 | $584 | — | — | — | $584 – $584 |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $584 | $584 | — | — | — | $584 – $584 |
| 8 | WellCare mm fee schedule · outpatient | $584 | $584 | — | — | — | $584 – $584 |
| 9 | Devoted mm fee schedule · outpatient | $630 | $630 | — | — | — | $630 – $630 |
| 10 | Cigna new business fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | Humana choicecare fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 12 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 13 | Cigna ppo fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 14 | Bcbs Tx heb fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 15 | Bcbs Tx hmo fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 16 | Bcbs Tx ppo fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 17 | Bcbs Tx traditional fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
Last updated: Jan 13, 2026
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