UT Health East Texas Tyler Regional Hospital
UT Health East Texas Tyler Regional Hospital in Tyler, TX charges 9.0x the Medicare reimbursement rate across 143 analyzed procedures at this for-profit facility.
Tyler, TX 75701 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
9.04x
Charge / Medicare rate
Max markup
18.35x
Worst procedure
Procedures analyzed
143
With pricing data
Outlier procedures
5.6%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $79,827 | $39,913 | — | 18.4x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $96,752 | $48,376 | — | 16.4x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $99,228 | $49,614 | — | 15.1x |
| PNEUMOTHORAX WITH CC | 200 | $93,037 | $46,519 | — | 14.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $84,529 | $42,265 | — | 13.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $68,601 | $34,300 | — | 13.4x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $183,334 | $91,667 | — | 13.3x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | 907 | $242,645 | $121,323 | — | 12.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $55,807 | $27,903 | — | 12.7x |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | 857 | $162,249 | $81,125 | — | 12.6x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $79,147 | $39,574 | — | 12.4x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $118,286 | $59,143 | — | 12.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $154,406 | $77,203 | — | 11.7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $80,821 | $40,411 | — | 11.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $114,532 | $57,266 | — | 11.6x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $188,390 | $94,195 | — | 11.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $76,955 | $38,478 | — | 11.5x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $137,108 | $68,554 | — | 11.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $134,912 | $67,456 | — | 11.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $210,026 | $105,013 | — | 11.1x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $103,905 | $51,953 | — | 10.7x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $366,509 | $183,254 | — | 10.5x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $45,883 | $22,941 | — | 10.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $55,994 | $27,997 | — | 10.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $60,621 | $30,311 | — | 10.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $70,268 | $35,134 | — | 10.4x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $70,978 | $35,489 | — | 10.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $130,638 | $65,319 | — | 10.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $73,582 | $36,791 | — | 10.2x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $110,810 | $55,405 | — | 10.2x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $363,345 | $181,673 | — | 10.2x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $167,621 | $83,810 | — | 10.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $52,495 | $26,247 | — | 10.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $433,699 | $216,849 | — | 10.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $151,747 | $75,873 | — | 10.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $129,926 | $64,963 | — | 10x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $130,741 | $65,371 | — | 10x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $112,080 | $56,040 | — | 9.9x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $194,445 | $97,223 | — | 9.9x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $73,820 | $36,910 | — | 9.9x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $103,349 | $51,675 | — | 9.9x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $116,096 | $58,048 | — | 9.8x |
| SYNCOPE AND COLLAPSE | 312 | $54,412 | $27,206 | — | 9.7x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $275,247 | $137,623 | — | 9.6x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $380,150 | $190,075 | — | 9.6x |
| CHEST PAIN | 313 | $45,846 | $22,923 | — | 9.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $32,050 | $16,025 | — | 9.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $65,665 | $32,832 | — | 9.5x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $152,961 | $76,481 | — | 9.5x |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | 856 | $269,012 | $134,506 | — | 9.4x |
Showing 50 of 143 procedures
How UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use