How many shoppable procedure prices are published for UT Health East Texas Rehabilitation Hospital?

UT Health East Texas Rehabilitation Hospital in Tyler, TX currently has 79 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile General Acute Care Hospital Updated: 2/12/2026

UT Health East Texas Rehabilitation Hospital

701 Olympic Plaza Cir, Tyler, TX 75701 · 79 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 100% of the Time

File Completeness66

Price Logic100

Peer Alignment60

Clean Billing85

Real Cash Discount100

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

UT Health East Texas Rehabilitation Hospital concentrates commercial margin in outpatient surgical suites (4.4× Medicare) and specialty drug infusions (5.5× Medicare) relative to routine diagnostics (16.3×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

Regional Benchmark in TXU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 100% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 4.4× markup over Medicare rates
Captive ER (19.1×) & laboratory (24.7×) services average 1.34× higher multiples than routine shoppable care (13.2×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 19.5× Medicare (22¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

13.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.34× Divergence

17.7× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

13.2× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

4.4× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

16.3× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

19.1× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

24.7× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

5.5× MedicareWatchout

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

100% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at UT Health East Texas Rehabilitation Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 79 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,116	$1,116	$448	2.5×
Rabies immune globulin HCPCS Code: `90375`	$925	$925	$322	2.9×
MRI, lower back (no contrast) CPT Code: `72148`	$911	$911	$338	2.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$872	$872	$258	3.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$854	$854	$303	2.8×
MRI, knee or other leg joint CPT Code: `73721`	$637	$637	$369	1.7×
CT scan, pelvis CPT Code: `72192`	$610	$610	$163	3.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$610	$610	$168	3.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$612	$612	$511	1.2×
Colonoscopy with biopsy CPT Code: `45380`	$605	$605	$1,256	0.5×
MRI, brain (no contrast) CPT Code: `70551`	$452	$452	$343	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$412	$412	$160	2.6×
CT scan, chest (no contrast) CPT Code: `71250`	$427	$427	$167	2.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$450	$450	$583	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$411	$411	$272	1.5×
Upper endoscopy with biopsy CPT Code: `43239`	$353	$353	$987	0.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$147	$147	$134	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$121	$121	$151	0.8×
Blood transfusion CPT Code: `36430`	$145	$145	$498	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$86	$86	$64	1.3×
X-ray, hand CPT Code: `73130`	$109	$109	$93	1.2×
X-ray, chest (two views) CPT Code: `71046`	$104	$104	$93	1.1×
X-ray, shoulder CPT Code: `73030`	$98	$98	$92	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$98	$98	$93	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$85	$85	$86	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$108	$108	$132	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$97	$97	$126	0.8×
Typhoid vaccine HCPCS Code: `90675`	$602	$602	$347	1.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$149	$149	$4	37.3×
Pneumococcal vaccine HCPCS Code: `90732`	$156	$156	$140	1.1×
Blood test, vitamin D CPT Code: `82306`	$129	$129	$31	4.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$124	$124	$111	1.1×
Culture, bacterial CPT Code: `87070`	$78	$78	$9	8.7×
Culture, blood CPT Code: `87040`	$80	$80	$11	7.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$64	$64	$14	4.6×
Blood test, vitamin B12 CPT Code: `82607`	$72	$72	$16	4.5×
Speech therapy (group session) CPT Code: `92508`	$59	$59	$27	2.2×
X-ray, chest (single view) CPT Code: `71045`	$79	$79	$92	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$20	$20	$3	6.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$29	$29	$6	4.8×
Blood test, liver function panel CPT Code: `80076`	$39	$39	$9	4.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$27	$27	$8	3.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$29	$29	$11	2.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$49	$49	$19	2.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$45	$45	$18	2.5×
Blood test, hemoglobin CPT Code: `85018`	$18	$18	$3	6.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$19	$19	$5	3.8×
Blood test, calcium CPT Code: `82310`	$13	$13	$5	2.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$36	$36	$14	2.6×
Hepatitis C antibody test CPT Code: `86803`	$37	$37	$15	2.5×
Occupational therapy (self-care training) CPT Code: `97535`	$48	$48	$38	1.3×
Physical therapy (gait training) CPT Code: `97116`	$39	$39	$33	1.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$10	$10	$4	2.5×
Blood test, lipase CPT Code: `83690`	$17	$17	$7	2.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$12	$12	$5	2.4×
Blood test, amylase CPT Code: `82150`	$16	$16	$7	2.3×
Blood test, basic metabolic panel CPT Code: `80048`	$20	$20	$9	2.2×
Blood test, potassium CPT Code: `84132`	$11	$11	$5	2.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$17	$17	$10	1.7×
Blood test, magnesium CPT Code: `83735`	$11	$11	$7	1.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$22	$22	$20	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$38	$38	$37	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$14	$14	$14	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$38	$38	$39	1.0×
Blood test, sodium CPT Code: `84295`	$12	$12	$5	2.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$34	$34	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$35	$35	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$31	$31	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$27	$27	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$25	$25	$34	0.7×
Prosthetic fitting and training CPT Code: `97761`	$31	$31	$45	0.7×
Drug screening test HCPCS Code: `G0480`	$56	$56	$116	0.5×
Blood antibody screen CPT Code: `86850`	$20	$20	$46	0.4×
Orthotic fitting and training CPT Code: `97760`	$20	$20	$51	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$9	$9	$49	0.2×
Flu vaccine injection HCPCS Code: `G0008`	$8	$8	$48	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$33	$33	$201	0.2×
Colorectal cancer screening HCPCS Code: `G0010`	$8	$8	$49	0.2×
X-ray, hip CPT Code: `73502`	$12	$12	$93	0.1×

Showing top 25 high-impact procedures of 79 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at UT Health East Texas Rehabilitation Hospital (Zero PHI Required)

CMS CCN: 453072

CPT 74177

Select Procedure to Audit:

Fair BaseRate™ $448

Medicare Rate $356

Self-Pay Cash $1,116

Insurer Median $1,116

1. Amount on Your Bill or Quote ($) Pre-filled with UT Health East Texas Rehabilitation Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $10,047 Paying Cash

Self-Pay Cash Rate ($1,116) Beats Your Bill

UT Health East Texas Rehabilitation Hospital's published 45 CFR § 180 self-pay cash rate is $1,116 (vs. $1,116 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$10,715 Above Fair BaseRate

Negotiate Toward $448 Fair BaseRate ($356 Medicare)

Your bill ($11,163) is $10,715 above the denoised Fair BaseRate ($448) and 31.4× the $356 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify UT Health East Texas Rehabilitation Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for UT Health East Texas Rehabilitation Hospital.

Price Index: 2.29× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

+95.5%

Median Household Income$62,091U.S. Census ACS

Local Uninsured Share16.3%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 83/100 · Corroborated CMS CCN 453072

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 453072) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2/12/2026

Validated Rate Rows1,900 (CMS v3.0.0)

File Integrity DigestVerified · CCN 453072

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy