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Short Term Acute Care HospitalProprietary

Ut Health Tyler

University of Texas Health System · Tyler, TX

1000 South Beckham Street, Tyler, TX 75701(903) 597-0351

2 of 5

CMS star rating

348

Beds

24,812

Inpatient discharges a year

$624.7M

Net patient revenue a year

36

In-network payers

Photo 1: Larry D. Moore, CC BY 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Ut Health Tyler is a 348-bed proprietary hospital in Tyler, TX, affiliated with University of Texas Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 406 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • Helipad
CCN
450083
NPI
1407364847
Health system
University of Texas Health System
Teaching
Major teaching hospital
County
Smith County
Metro area
Tyler, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1966
Last CMS survey
2026

Prices for common services

The 24 services Ut Health 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$6,550 - $7,285

from 4 insurers · median $7,081

Cigna$7,285
Insurer A*$6,550
Insurer B*$6,900
Insurer C*$7,262

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$9,040 - $10,113

from 4 insurers · median $9,963

Cigna$9,893
Insurer A*$9,040
Insurer B*$10,033
Insurer C*$10,113

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$19,479 - $24,889

from 4 insurers · median $20,725

Aetna$24,889
Insurer A*$19,479
Insurer B*$20,608
Insurer C*$20,842
Medicare $11,630Nearby hospitals $18,9519% above nearby hospitals

131 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$39,065 - $48,593

from 4 insurers · median $41,562

Aetna$48,593
Insurer A*$39,065
Insurer B*$40,692
Insurer C*$42,432
Medicare $24,159Nearby hospitals $28,93844% above nearby hospitals

52 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Ut Health Tyler

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*21
325%
115
Insurer B*24
254%
1010
Insurer C*24
220%
99
Insurer D*24
90%
63

How we chose these services: 6 appear in this hospital's own Medicare claims, 14 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 Tyler, 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 HealthCentene

More about this hospital

  • Quality

    2 of 5 stars

    • 156 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.01%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 38 services, including trauma care
    • 734 affiliated clinicians
    See doctors and services
  • Finances

    $624.7M net patient revenue

    • Operating margin on patient care -26.7%
    • $34.9M unreimbursed and uncompensated care
    • -$161.9M net income
    See finances
  • Ownership and leadership

    Owned by Ahp Health Partners, Inc

    • Physician ownership
    • Martin Bonick, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Ut Health Tyler in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
82-3878395Uthealth Tyler54Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 49 more1407364847 Tyler Regional Hospital LLC1063915916 Tyler Regional Hospital LLC1235256884 East Texas Medical Centerand 1 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.

Location

1000 South Beckham Street, Tyler, TX 75701

(903) 597-0351

Get directions

Frequently asked questions

About Ut Health Tyler's rates and hospital price transparency.

How much does an MRI cost at Ut Health Tyler?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ut Health Tyler range from $631 to $1,676 across 4 insurers. Aetna's rate is $631. The median at nearby comparable hospitals is $929. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Ut Health Tyler?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ut Health Tyler range from $279 to $1,569 across 4 insurers. Blue Cross Blue Shield's rate is $1,569. The median at nearby comparable hospitals is $633. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Ut Health Tyler?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ut Health Tyler range from $957 to $3,060 across 4 insurers. UnitedHealthcare's rate is $957. The median at nearby comparable hospitals is $2,099. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Ut Health Tyler?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Ut Health Tyler range from $6,550 to $7,285 across 4 insurers. Cigna's rate is $7,285. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Ut Health Tyler?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ut Health Tyler range from $87 to $393 across 4 insurers. Cigna's rate is $377. The median at nearby comparable hospitals is $290. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Ut Health Tyler?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Ut Health Tyler range from $19,479 to $24,889 across 4 insurers. Aetna's rate is $24,889. The median at nearby comparable hospitals is $18,951. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Ut Health Tyler's CMS star rating?

Ut Health Tyler has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Ut Health Tyler a teaching hospital?

Yes. CMS counts 0.25 Medicare-funded residents per bed at Ut Health Tyler for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Ut Health Tyler for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Ut Health Tyler's base inpatient payments by an estimated 1.01% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Ut Health Tyler?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (338 discharges), heart failure and shock with mcc (153 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (152 discharges).

For hospital finance and compliance teams

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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.

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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
      }
    ]
  }]
}
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