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

UT Health East Texas Tyler Regional Hospital in Tyler, TX currently has 97 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

What is UT Health East Texas Tyler Regional Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns UT Health East Texas Tyler Regional Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 352 Beds · rural Updated: 3/31/2026

UT Health East Texas Tyler Regional Hospital

1000 South Beckham Ave, Tyler, TX 75701 · 97 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

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 Alignment64

Clean Billing83

Real Cash Discount100

High-Markup Tier

2-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

UT Health East Texas Tyler Regional Hospital concentrates commercial margin in outpatient surgical suites (3.7× Medicare) and specialty drug infusions (5.9× Medicare) relative to routine diagnostics (15.4×). 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)
2-Star CMS clinical rating with 67% patient recommendation (62/100 safety score)
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 3.7× markup over Medicare rates
Captive ER (18.2×) & laboratory (23.7×) services average 1.52× higher multiples than routine shoppable care (12.4×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Consolidated metro market (HHI 4,605) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

12.4× Medicare

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

Back-Door Captive & ER1.52× Divergence

18.8× 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

12.4× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

3.7× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

15.4× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

18.2× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

23.7× MedicareWatchout

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

5.9× MedicareWatchout

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

100% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 62/100Elevated

Procedure Prices at UT Health East Texas Tyler Regional Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Trauma team activation HCPCS Code: `G0390`	$2,484	$2,484	$1,453	1.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,660	$1,660	$1,021	1.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,595	$1,595	$448	3.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,221	$1,221	$303	4.0×
MRI, knee or other leg joint CPT Code: `73721`	$1,138	$1,138	$369	3.1×
Rabies immune globulin HCPCS Code: `90375`	$920	$920	$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×
MRI, brain (with and without contrast) CPT Code: `70553`	$874	$874	$511	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$769	$769	$242	3.2×
MRI, brain (no contrast) CPT Code: `70551`	$646	$646	$343	1.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$643	$643	$583	1.1×
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×
Colonoscopy with biopsy CPT Code: `45380`	$626	$626	$1,256	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$589	$589	$160	3.7×
CT scan, chest (no contrast) CPT Code: `71250`	$610	$610	$167	3.7×
CT scan, sinuses CPT Code: `70486`	$589	$589	$166	3.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$589	$589	$169	3.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$587	$587	$272	2.2×
Blood transfusion CPT Code: `36430`	$416	$416	$498	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$293	$293	$855	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$318	$318	$987	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$283	$283	$981	0.3×
X-ray, foot CPT Code: `73630`	$136	$136	$92	1.5×
X-ray, hand CPT Code: `73130`	$136	$136	$93	1.5×
X-ray, ankle CPT Code: `73610`	$136	$136	$93	1.5×
X-ray, shoulder CPT Code: `73030`	$123	$123	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$124	$124	$93	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$147	$147	$134	1.1×
X-ray, chest (single view) CPT Code: `71045`	$113	$113	$92	1.2×
Ultrasound, pelvis CPT Code: `76856`	$128	$128	$130	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$98	$98	$93	1.1×
X-ray, lower back CPT Code: `72110`	$108	$108	$112	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$121	$121	$151	0.8×
Neurobehavioral status check CPT Code: `96116`	$119	$119	$231	0.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$81	$81	$64	1.3×
X-ray, pelvis CPT Code: `72170`	$98	$98	$110	0.9×
Group therapy session CPT Code: `90853`	$86	$86	$100	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$109	$109	$132	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$97	$97	$126	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$111	$111	$148	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$86	$86	$181	0.5×
Typhoid vaccine HCPCS Code: `90675`	$599	$599	$347	1.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$144	$144	$4	36.0×
Pneumococcal vaccine HCPCS Code: `90732`	$155	$155	$140	1.1×
Blood test, vitamin D CPT Code: `82306`	$125	$125	$31	4.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$123	$123	$111	1.1×
Culture, bacterial CPT Code: `87070`	$69	$69	$9	7.7×
Culture, blood CPT Code: `87040`	$83	$83	$11	7.5×
Physical therapy (gait training) CPT Code: `97116`	$50	$50	$33	1.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$50	$50	$35	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$50	$50	$38	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	$50	$50	$38	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$75	$75	$123	0.6×
Drug screening test HCPCS Code: `G0480`	$56	$56	$116	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$74	$74	$201	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$25	$25	$3	8.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$25	$25	$6	4.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$28	$28	$8	3.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$47	$47	$19	2.5×
Blood test, hemoglobin CPT Code: `85018`	$18	$18	$3	6.0×
Blood test, liver function panel CPT Code: `80076`	$40	$40	$9	4.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$43	$43	$11	3.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$18	$18	$5	3.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$43	$43	$18	2.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$66	$66	$166	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$29	$29	$9	3.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$35	$35	$14	2.5×
Blood test, vitamin B12 CPT Code: `82607`	$39	$39	$16	2.4×
Blood test, magnesium CPT Code: `83735`	$16	$16	$7	2.3×
Hepatitis B vaccine HCPCS Code: `90744`	$37	$37	$37	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$38	$38	$39	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$54	$54	$86	0.6×
Blood test, calcium CPT Code: `82310`	$12	$12	$5	2.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$12	$12	$5	2.4×
Blood test, lipase CPT Code: `83690`	$16	$16	$7	2.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$9	$9	$4	2.3×
Blood test, potassium CPT Code: `84132`	$11	$11	$5	2.2×
Blood test, sodium CPT Code: `84295`	$11	$11	$5	2.2×
Hepatitis C antibody test CPT Code: `86803`	$33	$33	$15	2.2×
Blood test, amylase CPT Code: `82150`	$15	$15	$7	2.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$28	$28	$14	2.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$16	$16	$10	1.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$19	$19	$14	1.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$21	$21	$20	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$31	$31	$34	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$35	$35	$40	0.9×
Prosthetic fitting and training CPT Code: `97761`	$32	$32	$45	0.7×
Blood antibody screen CPT Code: `86850`	$22	$22	$46	0.5×
Orthotic fitting and training CPT Code: `97760`	$20	$20	$51	0.4×
X-ray, hip CPT Code: `73502`	$29	$29	$93	0.3×
Colorectal cancer screening HCPCS Code: `G0010`	$15	$15	$49	0.3×
Flu vaccine injection HCPCS Code: `G0008`	$10	$10	$48	0.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$10	$10	$49	0.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$17	$17	$86	0.2×
Extended office visit (prolonged) HCPCS Code: `G2212`	$6	$6	$33	0.2×

Showing top 25 high-impact procedures of 97 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 Tyler Regional Hospital (Zero PHI Required)

CMS CCN: 450083

CPT G0390

Select Procedure to Audit:

Fair BaseRate™ $1,453

Medicare Rate $1,362

Self-Pay Cash $2,484

Insurer Median $2,484

1. Amount on Your Bill or Quote ($) Pre-filled with UT Health East Texas Tyler Regional 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 $22,352 Paying Cash

Self-Pay Cash Rate ($2,484) Beats Your Bill

UT Health East Texas Tyler Regional Hospital's published 45 CFR § 180 self-pay cash rate is $2,484 (vs. $2,484 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$23,383 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($24,836) is $23,383 above the denoised Fair BaseRate ($1,453) and 18.2× the $1,362 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 Tyler Regional 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 ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite62/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)65%

Median ER Wait158 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (968 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

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

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

Above-Benchmark Price Tier

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

Price Index: 1.90× regional baseline

Quality: 51/100 CMS composite

Median Household Income$71,923U.S. Census ACS

Local Uninsured Share16.7%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 450083

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 450083) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage3/31/2026

Validated Rate Rows1,823 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450083

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