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Metro Price Directory

Tyler Area Hospital Prices

Cash and insurance-negotiated prices at hospitals in and around Tyler, TX. Part of all Texas hospital prices.

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
1.04×vs. Fair Market Price
Position vs. 1.00× Fair Price+4% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +4% above the fair benchmark (1.04×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Texas Market & Best ValueSummarizes statewide hospital price coverage across Texas, the average commercial markup over federal Medicare rates, and the #1 best-value hospital in the state.3 Hospitals · 16 Procedures
Hospitals Priced3 in TXTotal hospitals in Texas with verified machine-readable price disclosures indexed in the Crystal.
Avg vs. Medicare1.4× MedicareAverage commercial insurance negotiated rate across Texas hospitals compared to what federal Medicare pays for the same procedure.
Best Value in TX1.04× FairLowest confounder-adjusted hospital in Texas: Christus Mother Frances Hospital (Tyler) at 1.04× fair market price.

Most affordable Texas hospital: Christus Mother Frances Hospital (Tyler) at 1.04× the fair price (1% below benchmark).

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Christus Mother Frances Hospital prices shoppable and inpatient services (2.1× to 0.9× Medicare, divergence 0.43×) in alignment with regional hospital peers (1.04× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#85 of 307 in TX · 27th State Percentile#1,481 of 3,385 in U.S. · 43rd National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.85× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
  • 4-Star CMS clinical rating with 74% patient recommendation (70/100 safety score)
  • IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (42.8% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 2.6× markup over Medicare rates
  • Commercial insurance median sits at 0.93× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 1.27×) jump +37% above the median procedure ratio (Q50 0.93×)
  • Consolidated metro market (HHI 4,605) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Front-Door ShoppableElective / Imaging
2.1× Medicare

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

Back-Door Captive & ER0.43× Divergence
0.9× Medicare

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

Quantile Tail Spread+37% Upper Tail
Q25 0.85× · Q50 0.93× · Q75 1.27×

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
2.1× MedicareGood
Outpatient Surgery & ORBack-Door Captive
2.6× MedicareFair
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
2.3× MedicareFair
Back-Door Captive ER VisitsBack-Door Captive
3.0× MedicareFair
Inpatient Lab & PathologyBack-Door Captive
2.8× MedicareFair
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
2.4× MedicareFair
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
0% Cash Edge · 50/100Elevated
CMS Clinical Safety & Star ValueIntegrity & Outcomes
4 CMS · 70/100Fair

Hospitals in the Tyler area

Ranked by how their prices compare to the fair BaseRate — best value first. The × fair figure is geo-adjusted. Tap any hospital for its full price list.

Compare prices by procedure in Tyler

Local prices across Tyler-area hospitals for 16 procedures.

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

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

Inpatient MS-DRG vs. Outpatient CPT Care-Setting Savings

Posterior Lumbar Interbody Spinal FusionDRG 460 vs CPT 22612
Inpatient: $21,553Outpatient: $8,713 Save $12,840 outpatient

Clinical Scope Note:Inpatient MS-DRG reflects a multi-day hospital admission (room, nursing, higher clinical acuity); outpatient CPT reflects the outpatient facility fee for clinically eligible low-acuity patients and excludes separate surgeon and anesthesia professional fees.

Left Heart Diagnostic Cardiac CatheterizationDRG 247 vs CPT 93458
Inpatient: $12,451Outpatient: $4,856 Save $7,595 outpatient

Clinical Scope Note:Inpatient MS-DRG reflects a multi-day hospital admission (room, nursing, higher clinical acuity); outpatient CPT reflects the outpatient facility fee for clinically eligible low-acuity patients and excludes separate surgeon and anesthesia professional fees.

Laparoscopic Gallbladder RemovalDRG 419 vs CPT 47562
Inpatient: $9,789Outpatient: $4,660 Save $5,129 outpatient

Clinical Scope Note:Inpatient MS-DRG reflects a multi-day hospital admission (room, nursing, higher clinical acuity); outpatient CPT reflects the outpatient facility fee for clinically eligible low-acuity patients and excludes separate surgeon and anesthesia professional fees.

Upper GI Endoscopy (EGD) with BiopsyDRG 392 vs CPT 43239
Inpatient: $5,377Outpatient: $1,320 Save $4,057 outpatient

Clinical Scope Note:Inpatient MS-DRG reflects a multi-day hospital admission (room, nursing, higher clinical acuity); outpatient CPT reflects the outpatient facility fee for clinically eligible low-acuity patients and excludes separate surgeon and anesthesia professional fees.

Cesarean Section DeliveryDRG 788 vs CPT 59510
Inpatient: $5,770Outpatient: $4,305 Save $1,464 outpatient

Clinical Scope Note:Inpatient MS-DRG reflects a multi-day hospital admission (room, nursing, higher clinical acuity); outpatient CPT reflects the outpatient facility fee for clinically eligible low-acuity patients and excludes separate surgeon and anesthesia professional fees.

Prices are sourced from each hospital's federally-required public price file, most recently published October 2026. The BaseRate is a modeled fair-price estimate — not a bill or quote. How we build these numbers →