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Healthcare Pricing Data: TYLER, TX

4 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

4

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

8.4x

Across all procedures

vs National Average

+21%

Chargemaster rates

About This Data

TYLER, TX has 4 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 8.4x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in TYLER is CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC (DRG 233), with an average chargemaster rate of $382,947 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$179,46734.7x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$138,43336.0x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$64,28837.7x
HEART FAILURE AND SHOCK WITH MCC291$56,65336.6x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$382,94729.1x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$377,36429.1x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS207$332,24128.3x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$314,47729.7x
MAJOR CHEST PROCEDURES WITH MCC163$314,11529.5x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$293,18429.2x
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O023$282,08327.7x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$280,06728.7x
OTHER O.R. PROCEDURES FOR INJURIES WITH MCC907$272,309211.2x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$271,62728.4x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$268,90828.4x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$243,54828.5x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC270$223,25626.5x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$218,84128.7x
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$214,19227.8x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$195,692210.4x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$189,77828.8x
OTHER VASCULAR PROCEDURES WITH MCC252$177,21128.4x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$176,77128.2x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$173,42628.0x
MAJOR CHEST PROCEDURES WITH CC164$167,121210.3x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC082$165,03829.5x
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC024$161,44526.5x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$159,88729.5x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$157,65729.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/321$156,99928.2x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error