University of Texas Health System · Tyler, TX
4 of 5
CMS star rating
130
Beds
1,994
Inpatient discharges a year
$184.2M
Net patient revenue a year
39
In-network payers
Ut Health Center At Tyler is a 130-bed government - state hospital in Tyler, TX, affiliated with University of Texas Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 338 disclosed rate categories.
The 24 services Ut Health Center At Tyler 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.
CT imaging
CPT 74177
$673 - $7,112
from 3 insurers · median $1,188
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$149 - $2,868
from 4 insurers · median $1,444
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$281 - $673
from 3 insurers · median $461
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$853 - $3,570
from 4 insurers · median $2,368
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$116 - $412
from 4 insurers · median $316
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$853 - $3,060
from 4 insurers · median $2,186
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$853 - $3,060
from 4 insurers · median $1,380
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,718 - $6,279
from 4 insurers · median $3,766
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$588 - $4,346
from 4 insurers · median $2,913
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$792 - $4,238
from 4 insurers · median $1,205
Common here, based on CMS Medicare volume
Urology
CPT 52000
$566 - $2,907
from 4 insurers · median $708
38 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$36 - $496
from 4 insurers · median $171
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$149 - $1,718
from 4 insurers · median $902
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$490 - $516
from 2 insurers · median $503
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$1,393 - $3,774
from 3 insurers · median $2,995
Typical for a hospital with this service line
CT imaging
CPT 71260
$468 - $673
from 3 insurers · median $490
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,412 - $7,275
from 3 insurers · median $3,774
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$853 - $3,060
from 4 insurers · median $1,279
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$400 - $4,416
from 4 insurers · median $763
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$250 - $2,848
from 4 insurers · median $1,487
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$3,315 - $7,300
from 2 insurers · median $5,308
Typical for a hospital with this service line
MRI imaging
CPT 70551
$317 - $3,133
from 4 insurers · median $643
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,412 - $11,879
from 3 insurers · median $3,927
Typical for a hospital with this service line
Ultrasound
CPT 76705
$112 - $485
from 4 insurers · median $295
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 16 | 435% | 12 | 2 |
| Insurer B* | 24 | 200% | 4 | 19 |
| Insurer C* | 22 | 169% | 7 | 9 |
| Insurer D* | 24 | 129% | 4 | 19 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 19 are common here based on CMS Medicare volume, and 4 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 Ut Health Center At Tyler, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$184.2M net patient revenue
Ownership and leadership
Owned by University of Texas Health Science Center At Tyler
The employer identification numbers (EINs) health plans and networks list for Ut Health Center At Tyler in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 75-6001354University of Texas Health Science Center at Tyler | 59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more | 1417941295 University Of Texas Health Science Center At Tyler1003215401 University Of Texas Health Science Center At Tyler1407364847 Tyler Regional Hospital LLCand 2 more |
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.
11937 Highway 271, Tyler, TX 75708
(903) 877-7777
How Ut Health Center At Tyler compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Readmissions
Better on 1 of 7 measures
1 better, 6 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
5 of 5
The top rating, shared by 7% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
81%
Higher than 82% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Time in the ER before going home
153 min
Higher than 53% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
77%
Higher than 78% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | No different on 4 measures | |
| Readmissions | Better on 1 of 7 measures | |
| Patient survey ratingCMS: Summary star rating | 5 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 81% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 153 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 77% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Ut Health Center At Tyler's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.31% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Ut Health Center At Tyler, beside the US median and the average of TX hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Ut Health Center At Tyler | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.144 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 231 cases | 4.2 | 3.9 | 3.887 | Worse than 63% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.91 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.71 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.703 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 45 cases | 11.7 | 11 | 10.52 | Worse than 64% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 72 cases | 15 | 15.2 | 14.69 | Better than 52% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.01 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 342 cases | 0.57 | 0.51 | 0.52 | No Different Than the National Rate | Worse than 60% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 166 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 453 cases | 0.21 | 0.2 | 0.2079 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 467 cases | 0.27 | 0.27 | 0.2646 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.31 | |||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.619 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.06 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.337 | |||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.234 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.771 | |||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.035 | Number of Cases Too Small |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Ut Health Center At Tyler | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 50 cases | -11.2 | 1.25 | -1.323 | Better than 68% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 67 cases | -56.6 | 3.85 | 2.422 | Better than 99% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 440 cases | 13.1 | 12.9 | 13.1 | No Different Than the National Rate | Worse than 56% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 381 cases | 11.5 | 10.7 | 10.89 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 381 cases | 4.9 | 5.3 | 5.287 | No Different Than the National Rate | Better than 75% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 1.017 | Number of cases too small | ||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.48 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.35 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 40 cases | 19.1 | 19.8 | 19.85 | Better than 81% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 81 cases | 20.9 | 21.3 | 21.26 | Better than 63% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.89 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 114 cases | 16.3 | 17.2 | 17.32 | Better than 86% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Ut Health Center At Tyler | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.325 | 0.172 | 0.2089 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 6.397 | 1.504 | 1.706 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,220 | 1,370 | 5,045 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.033 | 0.9835 | 5.124 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.481 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.936 | 0.484 | 0.524 | No Different than National Benchmark | Worse than 97% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1526 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.474 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 376 | 1,799 | 4,197 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.357 | 1.377 | 5.155 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.82 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3671 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2931 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.124 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 131 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.62 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 2.647 | |||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6967 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3341 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.281 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 121 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.047 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.9659 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.973 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2282 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.053 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 4,873 | 14,451 | 42,649 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.164 | 0.567 | 2.717 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 1.635 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6545 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1195 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.951 | 0.747 | 0.935 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 4,873 | 13,646 | 38,870 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 1.015 | 5.683 | 20.56 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 4.894 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.2623 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Ut Health Center At Tyler | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 142 cases | 76 | 73 | 75.97 | Better than 60% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 142 cases | 5 | 8 | 7.771 | Better than 73% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 142 cases | 19 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 90 | 87 | 87.82 | Better than 74% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 142 cases | 4 | 4 | 3.712 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 142 cases | 85 | 80 | 79.96 | Better than 79% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 95 | 91 | 90.97 | Better than 91% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 142 cases | 1 | 4 | 4.535 | Better than 88% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 142 cases | 5 | 3 | 3.275 | The top rating, shared by 18% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 142 cases | 14 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 142 cases | 87 | 79 | 79.72 | Better than 87% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 95 | 91 | 90.24 | Better than 94% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 142 cases | 3 | 5 | 5.687 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 142 cases | 5 | 3 | 2.956 | The top rating, shared by 6% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 142 cases | 10 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 142 cases | 68 | 61 | 62.66 | Better than 79% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 81 | 77 | 76.88 | Better than 79% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 142 cases | 18 | 19 | 19.26 | Better than 57% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 142 cases | 4 | 3 | 2.672 | Better than 79% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 142 cases | 14 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 94 | 86 | 84.56 | Better than 99% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 142 cases | 5 | 13 | 13.98 | Better than 97% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 142 cases | 5 | 3 | 3.07 | The top rating, shared by 8% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 142 cases | 95 | 87 | 86.02 | Better than 97% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 142 cases | 7 | 14 | 16.2 | Better than 95% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 142 cases | 93 | 86 | 83.8 | Better than 95% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 142 cases | 85 | 74 | 74.6 | Better than 94% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 142 cases | 4 | 7 | 7.327 | Better than 81% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 142 cases | 11 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 142 cases | 86 | 77 | 77.72 | Better than 90% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 142 cases | 3 | 6 | 6.395 | Better than 84% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 142 cases | 11 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 142 cases | 91 | 85 | 85.15 | Better than 88% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 142 cases | 1 | 3 | 4.015 | Better than 91% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 142 cases | 8 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 142 cases | 5 | 8 | 8.293 | Better than 73% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 142 cases | 17 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 142 cases | 78 | 72 | 73.52 | Better than 74% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 93 | 88 | 88.12 | Better than 92% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 142 cases | 5 | 3 | 3.319 | The top rating, shared by 8% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 142 cases | 79 | 74 | 74.97 | Better than 76% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 142 cases | 5 | 9 | 9.68 | Better than 86% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 142 cases | 16 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 142 cases | 83 | 75 | 75.27 | Better than 90% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 142 cases | 1 | 5 | 6.154 | Better than 96% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 142 cases | 16 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 142 cases | 81 | 77 | 76.85 | Better than 74% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 142 cases | 1 | 4 | 5 | Better than 91% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 142 cases | 18 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 142 cases | 90 | 86 | 85.92 | Better than 77% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 142 cases | 1 | 3 | 3.094 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 142 cases | 9 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 142 cases | 66 | 59 | 65.6 | Better than 72% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 142 cases | 4 | 9 | 7.774 | Better than 83% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 142 cases | 30 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 87 | 82 | 84.26 | Better than 85% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 142 cases | 4 | 3 | 3.821 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 142 cases | 3 | 5 | 6.017 | Better than 70% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 142 cases | 81 | 71 | 72.87 | Better than 82% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 142 cases | 92 | 87 | 87.21 | Better than 83% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 142 cases | 16 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 142 cases | 5 | 4 | 3.694 | The top rating, shared by 24% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 142 cases | 56 | 47 | 49.46 | Better than 83% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 142 cases | 32 | 30 | 29.64 | Worse than 57% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 142 cases | 12 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 142 cases | 5 | 3 | 3.266 | The top rating, shared by 7% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 142 cases | 4 | 12 | 12.55 | Better than 98% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 142 cases | 96 | 88 | 87.45 | Better than 98% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Ut Health Center At Tyler | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.38 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 225 cases | 1 | 1 | 1.192 | Worse than 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 397 cases | 0 | 0 | 0.2381 | The best result, shared by 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,898 cases | 93 | 79 | 72.24 | Better than 80% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 404 cases | 168 | 154 | 151 | Worse than 59% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 337 cases | 153 | 148 | 146 | Worse than 53% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 45 cases | 309 | 247 | 331 | Worse than 71% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 34 cases | 416 | 293 | 279 | Worse than 87% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 10,398 cases | 1 | 1 | 1.372 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 69.2 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 145 cases | 98 | 97 | 90.54 | Better than 54% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 99.5 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 41.08 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 205 cases | 13 | 15 | 13.94 | Better than 60% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 30 cases | 77 | 65 | 66.54 | Better than 78% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 71.35 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 89.11 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 30 cases | 93 | 82 | 82.14 | Better than 90% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 19 cases | 95 | 94 | 92.38 | Better than 51% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.64 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.48 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 664 cases | 96 | 90 | 78.56 | Better than 74% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 93.78 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Ut Health Center At Tyler | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 7.1 | 5 | 7.719 | Worse than 71% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 12.3 | 6.6 | 6.859 | Worse than 89% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Ut Health Center At Tyler | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.05 | 0.99 | 1.034 | Worse than 79% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Ut Health Center At Tyler | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 59.65 | |||
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 37.83 | |||
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 7,432 cases | 0.24 | 0.05 | 0.0735 | Better than 77% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 7,432 cases | 0 | 0.03 | 0.3179 | The worst result, shared by 39% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 525 cases | 95 | 87 | 77.27 | Better than 73% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | 72.65 | |||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 102 cases | 18.4 | 19.1 | 19.27 | No Different Than the National Rate | Better than 61% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 312 cases | 74 | 92 | 80.65 | Worse than 81% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 110 cases | 35 | 74 | 68.51 | Worse than 78% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 57 cases | 40 | 81 | 71.36 | Worse than 84% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 86 cases | 37 | 77 | 66.92 | Worse than 85% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 86 cases | 20 | 56 | 50.77 | Worse than 84% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 76 cases | 54 | 64 | 67.2 | Worse than 56% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 76 cases | 0 | 4 | 22.32 | The worst result, shared by 31% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 741 cases | 15 | 77 | 70.84 | Worse than 80% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Ut Health Center At Tyler | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 13.33 | 20 | 25.32 | Worse than 64% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 4.444 | 5 | 6.413 | Worse than 55% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 6.145 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 1.611 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 87 | 34 | 39.47 | Better than 98% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 29 | 8.75 | 10.13 | Better than 99% of US hospitals | |
| VBP safety domain scoreFY 2026 | Not Available | 48.35 | |||
| VBP safety weighted domain scoreFY 2026 | Not Available | 12.26 | |||
| VBP total performance scoreFY 2026 | 33.44 | 29.5 | 29.94 | Better than 65% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 20 | 0 | 0 | 0 | 13.33 |
| VBP clinical outcomes weighted domain score | 6.667 | 0 | 0 | 0 | 4.444 |
| VBP efficiency and cost reduction domain score | 40 | 10 | 0 | 70 | 0 |
| VBP efficiency and cost reduction weighted domain score | 13.33 | 2.5 | 0 | 17.5 | 0 |
| VBP person and community engagement domain score | 60 | Not Available | 34 | 40 | 87 |
| VBP person and community engagement weighted domain score | 20 | Not Available | 11.33 | 10 | 29 |
| VBP safety domain score | Not Available | Not Available | Not Available | 50 | Not Available |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | 12.5 | Not Available |
| VBP total performance score | 40 | Not Available | 11.33 | 40 | 33.44 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Ut Health Center At Tyler | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.013 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9925 | 0.9969 | 0.999 | Better than 54% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.9704 | 0.9983 | 1 | Better than 69% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.006 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.9634 | 0.9955 | 1.003 | Better than 72% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.8968 | 0.9528 | 0.9481 | 0.9555 | 0.9689 | 0.9925 |
| READM-30-HF-HRRP | 0.9607 | 0.9597 | 0.9789 | 0.9726 | 0.97 | 0.9704 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9404 | 0.9724 | 0.9911 | 0.9794 | 0.9656 | 0.9634 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Ut Health Center At Tyler | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.4327 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.346 | 0.2562 | The best result, shared by 9% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.469 | 0.559 | 0.5596 | Better than 59% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6118 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | N/A | 0.9684 | |||
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7483 | |||
| Total HAC scoreFY 2026 | -0.8903 | -0.0453 | -0.1734 | Better than 94% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.4806 | -0.8329 | 0 | 0.3751 | -1.006 | -0.8903 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2025)
Accreditation
None
Medical school affiliation
State
Ownership type
254
Medicare-certified beds
116
Registered nurses (full-time equivalent)
1979
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Ut Health Center At Tyler reported to Medicare in its latest cost report, covering Sep 1, 2024 to Aug 31, 2025.
1,994
Inpatient discharges
Medicare 12%, Medicaid 0%
10,318
Inpatient days
24% of available bed days used
1,731
Employees (full-time equivalent)
69
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 828961). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Ut Health Center At Tyler reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,279 | 52 | 8,987 | 10,318 |
| Discharges | 243 | 3 | 1,748 | 1,994 |
| Average length of stay | 5.3 days | 17.3 days | 5.1 days | 5.2 days |
| Average daily census | 3.5 | 0.1 | 24.6 | 28.3 |
1,121
Medicare Advantage days
291 discharges
446
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 116 | 10,318 | 1,279 | 24% |
| Subprovider - ipf | 14 | 3,019 | 904 | 59% |
Source: CMS cost report (HCRIS, Form 2552-10), report 828961, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Ut Health Center At Tyler treats Medicare patients for most often, in 2024. 73 Medicare discharges in 4 published DRGs; 0% surgical; 62% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 28 | $30,746 | $7,486 | $9,377 | 1.37 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 17 | $47,919 | $7,584 | $14,615 | 1.33 |
| Heart failure and shock with MCCMS-DRG 291, medical | 17 | $39,370 | $6,755 | $12,008 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 11 | $69,602 | $11,804 | $21,229 | 1.98 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Ut Health Center At Tyler billed Medicare for most in 2024: 125 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 2 Urology and Related ServicesAPC 5372 | 38 | 36 | $4,007 | $472 | $502 |
| Level 2 Upper GI ProceduresAPC 5302 | 26 | 23 | $12,343 | $1,319 | $1,445 |
| Comprehensive Observation ServicesAPC 8011 | 24 | 24 | $21,069 | $1,892 | $2,090 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 23 | 22 | $12,474 | $1,433 | $2,141 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 14 | 13 | $5,910 | $1,073 | $1,220 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Ut Health Center At Tyler in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 286 in 2020 to 409 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 75647 | 42 | 10% | 142 | $1.7M | 4% | 3% |
| 75771 | 41 | 10% | 140 | $1.5M | 3% | 3% |
| 75755 | 32 | 8% | 104 | $1.5M | 10% | 7% |
| 75701 | 30 | 7% | 126 | $852,809 | 2% | 1% |
| 75703 | 30 | 7% | 151 | $1.1M | 1% | 1% |
| 75765 | 30 | 7% | 123 | $1.3M | 4% | 4% |
| 75702 | 29 | 7% | 133 | $972,393 | 2% | 2% |
| 75792 | 26 | 6% | 103 | $1.2M | 8% | 9% |
| 75706 | 21 | 5% | 75 | $821,273 | 4% | 3% |
| 75644 | 20 | 5% | 78 | $825,795 | 2% | |
| 75707 | 19 | 5% | 97 | $859,800 | 2% | 2% |
| 75708 | 19 | 5% | 65 | $770,760 | 6% | 7% |
| 75773 | 17 | 4% | 104 | $719,817 | 2% | 3% |
| 75103 | 15 | 4% | 37 | $431,065 | 2% | |
| 75704 | 14 | 3% | 66 | $612,376 | 3% | 2% |
| 75645 | 12 | 3% | 53 | $551,164 | 2% | |
| 75789 | 12 | 3% | 44 | $361,409 | 3% |
Source: CMS Hospital Service Area file. Shares are of the 409 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Ut Health Center At Tyler reported at its latest Medicare certification survey (2026). Counts are people, not full-time equivalents.
26
Psychiatric unit beds
7
Off-site locations
1
Off-site emergency departments
116
Registered nurses
58
Licensed practical nurses
11
Physicians
8
Nurse practitioners
4
Pharmacists
1
Occupational therapists
2
Radiology technicians
2
Laboratory technicians
1
Medical technologists
3
Dietitians
13
Social workers
1
Psychologists
839
Other personnel
Source: CMS Provider of Services file.
338 clinicians who bill Medicare list Ut Health Center At Tyler as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Robyn Moran, DO
Rheumatology Physician
NPI 1609257476
See commercial rates for Robyn Moran, DOThomas Buzbee, M.D.
Internal Medicine Physician
NPI 1770682619
See commercial rates for Thomas Buzbee, M.D.Anthony Davis, M.D.
Family Medicine Physician
NPI 1962446898
See commercial rates for Anthony Davis, M.D.Kenneth White, M.D.
Diagnostic Radiology Physician
NPI 1649276072
See commercial rates for Kenneth White, M.D.C. Branch, D.O.
Family Medicine Physician
NPI 1205814753
See commercial rates for C. Branch, D.O.Scott Peplinski, MD
Diagnostic Radiology Physician
NPI 1861456444
See commercial rates for Scott Peplinski, MDAmy Simpson, M.D.
Internal Medicine Physician
NPI 1346349289
See commercial rates for Amy Simpson, M.D.Cade Clark, MD
Hematology & Oncology Physician
NPI 1679061907
See commercial rates for Cade Clark, MDJonathan Edwards, M.D.
Family Medicine Physician
NPI 1720097298
See commercial rates for Jonathan Edwards, M.D.William Williams, PA-C
Physician Assistant
NPI 1093814949
See commercial rates for William Williams, PA-CJustin Mcinnis, MD
Family Medicine Physician
NPI 1801002837
See commercial rates for Justin Mcinnis, MDJohn Sims, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1801913710
See commercial rates for John Sims, M.D.Justin Mccaslin, M.D.
Diagnostic Radiology Physician
NPI 1962814798
See commercial rates for Justin Mccaslin, M.D.Stanislav Weiner, MD
Clinical Cardiac Electrophysiology Physician
NPI 1003801705
See commercial rates for Stanislav Weiner, MDCletus Fuhrmann
Diagnostic Radiology Physician
NPI 1497118665
See commercial rates for Cletus FuhrmannFrank Navetta, MD
Interventional Cardiology Physician
NPI 1811982986
See commercial rates for Frank Navetta, MDDavid Williams, MD
Diagnostic Radiology Physician
NPI 1669440228
See commercial rates for David Williams, MDMichael Gouvion, MD
Diagnostic Radiology Physician
NPI 1710942529
See commercial rates for Michael Gouvion, MDDavid Bowen, M.D.
Interventional Pain Medicine Physician
NPI 1972990976
See commercial rates for David Bowen, M.D.Nghia Truong, MD
Internal Medicine Physician
NPI 1407876626
See commercial rates for Nghia Truong, MDGregory Poe, M.D.
Diagnostic Radiology Physician
NPI 1053439935
See commercial rates for Gregory Poe, M.D.Ashish Gangasani, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1497952683
See commercial rates for Ashish Gangasani, M.D.Justin Sacks, M.D
Vascular & Interventional Radiology Physician
NPI 1285926659
See commercial rates for Justin Sacks, M.DDale Bradley, D.O.
Family Medicine Physician
NPI 1588607428
See commercial rates for Dale Bradley, D.O.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Ut Health Center At Tyler reported to Medicare for Sep 1, 2024 to Aug 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $748.2M | 406.1% |
| Inpatient | $106.5M | 57.8% |
| Outpatient | $641.7M | 348.3% |
| Contractual allowances and discounts | -$564M | -306.1% |
| Net patient revenue | $184.2M | 100.0% |
| Operating expenses | -$480.1M | -260.6% |
| Operating income from patient care | -$295.8M | -160.6% |
| Other income | $318.7M | 173.0% |
| Contributions and donations | $129.3M | 70.2% |
| Investment income | $5.6M | 3.1% |
| Government appropriations | $66.6M | 36.2% |
| Other | $117.2M | 63.6% |
| Net income | $22.9M | 12.4% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $66.4M | 10.4% |
| Medicaid (including managed care) | $35.9M | 5.6% |
| Other payers and self-pay | $536.2M | 84.0% |
| Total charges | $638.4M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 828961, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Ut Health Center At Tyler's latest cost report.
-160.6%
Operating margin
Operating income from patient care / net patient revenue
4.5%
Total margin
Net income / net patient revenue plus other income
8.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
58% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$72.41
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
3.2%
Return on assets
Net income for a year / total assets
3.6%
Return on equity
Net income for a year / fund balance
4.41
Current ratio
Current assets / current liabilities
1.91
Quick ratio
Cash, temporary investments and net receivables / current liabilities
83 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
76 days
Days in patient receivables
Net patient receivables / daily net patient revenue
59 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.71
Asset turnover
Total revenue for a year / total assets
18.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 828961, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Ut Health Center At Tyler owned and owed at the end of its reporting period (Aug 2025), across all fund types: $705.6M in total assets and a $630.5M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $105.5M | 15.0% |
| Patient receivables, net | $38.2M | 5.4% |
| Inventory | $4.3M | 0.6% |
| Total current assets | $331.5M | 47.0% |
| Property and equipment, net of depreciation | $125.9M | 17.8% |
| Investments and other assets | $248.1M | 35.2% |
| Total assets | $705.6M | 100.0% |
| Current liabilities | $75.1M | 10.6% |
| Total liabilities | $75.1M | 10.6% |
| Fund balance (net assets) | $630.5M | 89.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 828961, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Ut Health Center At Tyler provided without full payment, as reported on Worksheet S-10 of its cost report.
$2.4M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$9.2M
Bad debt
Patient bills written off as uncollectible, at charges
$752,964
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$393,036
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$53,519
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$5.3M
Total unreimbursed and uncompensated care
1.1% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$66.6M
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 828961, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Ut Health Center At Tyler's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Aug 2020 | Aug 2021 | Aug 2022 | Aug 2023 | Aug 2024 | Aug 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $133.6M | $151.2M | $147.4M | $152.2M | $177.2M | $184.2M |
| Operating expenses | $308.9M | $348.5M | $378.3M | $380.9M | $436.4M | $480.1M |
| Operating margin | -131.2% | -130.5% | -156.6% | -150.3% | -146.3% | -160.6% |
| Net income | $18.9M | $27.2M | -$9M | $14.7M | $17.6M | $22.9M |
| Total assets | $333.6M | $376.6M | $380.2M | $479.8M | $562M | $705.6M |
| Discharges | 956 | 1,869 | 2,022 | 1,452 | 1,668 | 1,994 |
| Inpatient days | 5,267 | 13,242 | 13,842 | 9,573 | 9,656 | 10,318 |
| Medicare Advantage days | 370 | 1,540 | 2,809 | 1,745 | 1,857 | 1,121 |
| Beds | 130 | 130 | 130 | 130 | 130 | 130 |
| Employees (FTE) | 1,241 | 1,400 | 1,465 | 1,466 | 1,607 | 1,731 |
Source: CMS cost report (HCRIS, Form 2552-10), report 828961, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Ut Health Center At Tyler reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $68.9M | $300M | 0.23 | ||
| Emergency | $9.7M | $13.7M | $28.5M | 0.48 | 7,205 |
| Laboratory | $2M | $9.2M | $92.4M | 0.10 | 10,154 |
| Hope - tyler clinic | $11.9M | $9M | $38.1M | 0.24 | 12,842 |
| Oncology clinic | $2.9M | $7.8M | $14.3M | 0.54 | 13,877 |
| Internal medicine clinic | $4.5M | $5.4M | $5.4M | 1.01 | 14,474 |
| Heart & lung clinic | $3.6M | $5.1M | $1.8M | 2.75 | 9,765 |
| Radiology-diagnostic | $2.6M | $4.2M | $16.9M | 0.25 | 13,318 |
| Surgery clinic | $5.4M | $4M | $1.5M | 2.59 | 10,886 |
| Gastro clinic | $2.8M | $3.8M | $11.4M | 0.33 | 10,872 |
| Medical supplies charged to patient | $3.4M | $12M | 0.28 | ||
| Family practice clinic | $4.3M | $2.1M | $3.1M | 0.69 | 22,244 |
| Anesthesiology | $758,385 | $2.1M | 11,172 | ||
| Hope - athens clinic | $2M | $16.5M | 0.12 | 6,364 | |
| Op behavioral health clinic | $887,542 | $2M | $2.4M | 0.82 | 5,161 |
| Cardiology | $1.1M | $1.6M | $8.7M | 0.19 | 8,808 |
| Respiratory therapy | $667,152 | $1.5M | $7.5M | 0.20 | 4,246 |
| Occupational health clinic | $826,155 | $1.5M | 1,158 | ||
| Physical therapy | $619,180 | $1.3M | $3M | 0.42 | 4,384 |
| Tyler iop services | $434,208 | $939,013 | $2.3M | 0.41 | 3,665 |
| Hope - jacksonville clinic | $626,865 | $948,430 | 0.66 | 3,826 | |
| Ct scan | $158,291 | $596,134 | $25.5M | 0.02 | 605 |
| Observation beds (non-distinct part | $579,046 | $2.6M | 0.22 | ||
| Mri | $173,253 | $402,514 | $6.9M | 0.06 | 877 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $6.7M | $14M | $29.9M | 0.47 | 24,386 |
| Subprovider - ipf | $1.9M | $4.2M | $6.8M | 0.61 | 13,415 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative and general | $12.6M | $37.7M | 48,647 | ||
| I&r services-salary & fringes apprv | $12.1M | $10.5M | |||
| Cap rel costs-bldg & fixt | $10.5M | 651,040 | |||
| Cap rel costs-mvble equip | $9.4M | ||||
| Employee benefits department | $630,846 | $9.3M | 17,167 | $36.75 | 2,833 |
| Cashiering/accounts receivable | $6.3M | 2,818 | |||
| Maintenance & repairs | $1.4M | $3.5M | 48,005 | $29.79 | 111,815 |
| Housekeeping | $3.2M | 5,544 | |||
| Pharmacy | $2.1M | $3.2M | 48,168 | $44.27 | 8,396 |
| I&r services-other prgm costs apprv | $864,828 | $3.2M | 18,253 | ||
| Nursing administration | $2M | $2.9M | 47,637 | $41.99 | 3,206 |
| Dietary | $2.5M | 14,867 | |||
| Central services & supply | $177,539 | $336,152 | 5,998 | $29.60 | 3,410 |
| Laundry & linen service | $185,936 | ||||
| Medical records & library | $18,458 | 12,869 | |||
| Other a&g | $1.5M | -$1M | 23,109 |
Source: CMS cost report (HCRIS, Form 2552-10), report 828961, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Ut Health Center At Tyler for an inpatient stay.
1.21
Case mix index
Higher than 7% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.20 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
16.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
244
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.08 | 1.09 | 1.44 | 1.52 | 1.27 | 1.23 | 1.21 |
| Wage index | 0.845 | 0.835 | 0.838 | 0.876 | 0.909 | 0.972 | 0.991 |
| Readmissions adjustment | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Value-based purchasing adjustment | -0.26% | +0.57% | +0.57% | -0.69% | -0.92% | +1.58% | +0.31% |
| Medicare inpatient stays | 347 | 347 | 495 | 388 | 231 | 189 | 244 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Ut Health Center At Tyler reports to Medicare as owners or with operational control.
University of Texas Health Science Center At Tyler
Operational/managerial control, since 2007
Sources: CMS Hospital All Owners.
The officers and board members on Ut Health Center At Tyler's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 2 of 4 are shown.
340B drug pricing program
Participating since 2002
340B ID DSH450690, registered as a disproportionate share hospital; 2 registered outpatient sites. Authorizing official: Daniel Deslatte, Senior Vice President, Business Affairs & COO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Ut health center at tyler
CCN 45S690, certified 2014, Medicare prospective payment
Source: Worksheet S-2 Part I of Ut Health Center At Tyler's latest Medicare cost report (HCRIS).
About Ut Health Center At Tyler's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ut Health Center At Tyler range from $792 to $4,238 across 4 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $2,077. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ut Health Center At Tyler range from $673 to $7,112 across 3 insurers. Aetna's rate is $673. The median at nearby comparable hospitals is $1,583. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ut Health Center At Tyler range from $853 to $3,570 across 4 insurers. Blue Cross Blue Shield's rate is $1,532. The median at nearby comparable hospitals is $2,098. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ut Health Center At Tyler range from $116 to $412 across 4 insurers. Cigna's rate is $299. The median at nearby comparable hospitals is $292. What a patient pays depends on their plan's deductible, coinsurance and network status.
Ut Health Center At Tyler has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
Yes. CMS counts 0.20 Medicare-funded residents per bed at Ut Health Center At Tyler for fiscal year 2027, so it is a teaching hospital.
No. Ut Health Center At Tyler has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were psychoses (28 discharges), simple pneumonia and pleurisy with mcc (17 discharges), heart failure and shock with mcc (17 discharges).
Ut Health Center At Tyler's Medicare case mix index is 1.21 for fiscal year 2027, higher than 7% of hospitals paid under the inpatient prospective payment system.
Ut Health Center At Tyler reported 1,994 inpatient discharges and 10,318 inpatient days from Sep 1, 2024 to Aug 31, 2025.
Ut Health Center At Tyler reported 1,731 full-time-equivalent employees on payroll from Sep 1, 2024 to Aug 31, 2025.
Ut Health Center At Tyler reported $184.2M in net patient revenue on $748.2M of gross charges for Sep 1, 2024 to Aug 31, 2025, an operating margin of -160.6%, and net income of $22.9M.
Ut Health Center At Tyler reported $5.3M of unreimbursed and uncompensated care for Sep 1, 2024 to Aug 31, 2025, including $2.4M of charity care at cost.
Ut Health Center At Tyler's Medicare enrollment lists Julie V Philley as President since 2024.
Insurers' price transparency files list Ut Health Center At Tyler under employer identification number 75-6001354 (University of Texas Health Science Center at Tyler). 59 health plans and networks list 75-6001354 for it.
Yes. HRSA's 340B database lists Ut Health Center At Tyler (340B ID DSH450690) as a participating disproportionate share hospital since 2002.
338 clinicians who bill Medicare list Ut Health Center At Tyler as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (49), internal medicine physician (47), family nurse practitioner (25).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Ut Health Center At Tyler, effective 2025.
In its Medicare enrollment, Ut Health Center At Tyler reports University of Texas Health Science Center At Tyler as Operational/managerial control.
CMS lists 30 services at Ut Health Center At Tyler, including Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Ut Health Center At Tyler came from ZIP codes 75647 (42), 75771 (41), 75755 (32).
Ut Health Center At Tyler has 130 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 254 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Ut Health Center At Tyler is located at 11937 Highway 271, Tyler, TX 75708. Its main phone number is (903) 877-7777.
Ut Health Center At Tyler's CMS Certification Number (CCN), also called its Medicare provider number, is 450690.
The National Provider Identifier (NPI) on file for Ut Health Center At Tyler is 1417941295.
Ut Health Center At Tyler is affiliated with University of Texas Health System.
Ut Health Center At Tyler lists 39 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
338 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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