PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalPhysician

Baylor Scott & White Texas Spine & Joint Hospital

Tenet Healthcare Corporation · Tyler, TX

1814 ROSELAND BOULEVARD, Tyler, TX 75701(903) 525-3300

5 of 5

CMS star rating

20

Beds

1,324

Inpatient discharges a year

$182.2M

Net patient revenue a year

30

In-network payers

About this hospital

Baylor Scott & White Texas Spine & Joint Hospital is a 20-bed physician hospital in Tyler, TX, affiliated with Tenet Healthcare Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 406 disclosed rate categories.

CCN
450864
NPI
1942292255
Website
tsjh.org
Health system
Tenet Healthcare Corporation
Teaching
No Medicare-funded residents
County
Smith County
Metro area
Tyler, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
2003
Last CMS survey
2022

Prices for common services

The 24 services Baylor Scott & White Texas Spine & Joint Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$14,453 - $37,060

from 4 insurers · median $22,828

Aetna$37,060
Insurer A*$14,453
Insurer B*$18,555
Insurer C*$27,101
Medicare $9,484Nearby hospitals $23,694In line with nearby hospitals

441 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$31,454 - $50,149

from 4 insurers · median $32,673

Aetna$50,149
Insurer A*$31,454
Insurer B*$32,175
Insurer C*$33,171
Medicare $20,583Nearby hospitals $39,67118% below nearby hospitals

136 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$579 - $6,116

from 4 insurers · median $3,176

Blue Cross$3,504
Insurer A*$579
Insurer B*$2,849
Insurer C*est.$6,116
Medicare $326Nearby hospitals $2,79114% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$281 - $1,749

from 4 insurers · median $1,285

Blue Cross$1,749
Insurer A*$281
Insurer B*$1,243
Insurer C*est.$1,327
Medicare $98Nearby hospitals $1,243In line with nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Baylor Scott & White Texas Spine & Joint Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*19
438%
26
Insurer B*24
272%
145
Insurer C*23
238%
33
Insurer D*24
161%
37

How we chose these services: 7 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 2 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Baylor Scott & White Texas Spine & Joint Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthBaylor Scott & White Health Plan

More about this hospital

  • Quality

    5 of 5 stars

    • 152 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 21 services
    • 176 affiliated clinicians
    See doctors and services
  • Finances

    $182.2M net patient revenue

    • Operating margin on patient care 37.3%
    • $4.4M unreimbursed and uncompensated care
    • $69.5M net income
    See finances
  • Ownership and leadership

    Owned by Texas Health Venture Texas Spine LLC

    • Physician ownership
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Baylor Scott & White Texas Spine & Joint Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
75-2951355Texas Spine And Joint Hospital44Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 39 more1942292255 Texas Spine And Joint Hospital LLC1619274776 Texas Spine & Joint Hospital Longview Clinic1033656574 Texas Spine And Joint Hospital LLC

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1814 ROSELAND BOULEVARD, Tyler, TX 75701

(903) 525-3300

Get directions

Frequently asked questions

About Baylor Scott & White Texas Spine & Joint Hospital's rates and hospital price transparency.

How much does an MRI cost at Baylor Scott & White Texas Spine & Joint Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Baylor Scott & White Texas Spine & Joint Hospital range from $792 to $6,538 across 4 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $2,284. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Baylor Scott & White Texas Spine & Joint Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Baylor Scott & White Texas Spine & Joint Hospital range from $579 to $6,116 across 4 insurers. Blue Cross Blue Shield's rate is $3,504. The median at nearby comparable hospitals is $2,791. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Baylor Scott & White Texas Spine & Joint Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Baylor Scott & White Texas Spine & Joint Hospital range from $2,189 to $3,017 across 3 insurers. Blue Cross Blue Shield's rate is $3,017. The median at nearby comparable hospitals is $2,592. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Baylor Scott & White Texas Spine & Joint Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Baylor Scott & White Texas Spine & Joint Hospital range from $109 to $397 across 4 insurers. Blue Cross Blue Shield's rate is $152. The median at nearby comparable hospitals is $172. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Baylor Scott & White Texas Spine & Joint Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Baylor Scott & White Texas Spine & Joint Hospital range from $14,453 to $37,060 across 4 insurers. Aetna's rate is $37,060. The median at nearby comparable hospitals is $23,694. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Baylor Scott & White Texas Spine & Joint Hospital's CMS star rating?

Baylor Scott & White Texas Spine & Joint Hospital has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.

Is Baylor Scott & White Texas Spine & Joint Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Baylor Scott & White Texas Spine & Joint Hospital for fiscal year 2027.

Does Medicare penalize Baylor Scott & White Texas Spine & Joint Hospital for readmissions?

No. Baylor Scott & White Texas Spine & Joint Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Baylor Scott & White Texas Spine & Joint Hospital?

In 2024, the most common were major hip and knee joint replacement or reattachment of lower extremity without mcc (157 discharges), spinal fusion except cervical without mcc (76 discharges), combined anterior and posterior spinal fusion without cc/mcc (57 discharges).

What is Baylor Scott & White Texas Spine & Joint Hospital's case mix index?

Baylor Scott & White Texas Spine & Joint Hospital's Medicare case mix index is 3.44 for fiscal year 2027, higher than 99% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster