UT Health East Texas Tyler Regional Hospital: charges and Medicare payments

UT Health East Texas Tyler Regional Hospital reported 4,302 Medicare inpatient stays across 122 DRGs in 2024. Across them it charged 7.74 times what it was paid — among the higher ratios in Texas, number 59 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 338 stays at an average charge of $120,385, 33% above the national average. It also billed 4,778 outpatient services, charging 11.7 times what Medicare paid.

1Medicare inpatient stays 4,302
2Charge ÷ paid, inpatient 7.74×
3Rank in TX (highest ratio = 1) 59 of 190
4CMS price-transparency actions 0

Average charge per stay at UT Health East Texas Tyler Regional Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 122 DRGs that can be compared with the national average, UT Health East Texas Tyler Regional Hospital charged more than the national average in 105 (86%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	338	$120,385	+33%	$15,002
291 Heart Failure and Shock with MCC	153	$74,874	+33%	$10,214
470 Major Hip and Knee Joint Replacement or Reattachment of...	152	$92,796	0%	$14,617
280 Acute Myocardial Infarction, Discharged Alive with MCC	132	$89,558	+18%	$12,699
193 Simple Pneumonia and Pleurisy with MCC	128	$78,273	+31%	$10,675
689 Kidney and Urinary Tract Infections with MCC	96	$70,388	+37%	$9,460
177 Respiratory Infections and Inflammations with MCC	89	$95,664	+36%	$12,813
690 Kidney and Urinary Tract Infections without MCC	84	$54,241	+43%	$7,094
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	81	$87,064	+56%	$8,571
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	80	$139,489	+40%	$15,647
322 Percutaneous Cardiovascular Procedures with Intraluminal...	80	$131,004	+14%	$14,365
853 Infectious and Parasitic Diseases with O.R. Procedures with...	75	$296,866	+30%	$37,107
309 Cardiac Arrhythmia and Conduction Disorders with CC	71	$34,403	-5%	$6,664
036 Carotid Artery Stent Procedures without CC/MCC	64	$104,152	+18%	$14,146
378 Gastrointestinal Hemorrhage with CC	64	$58,963	+21%	$8,365
698 Other Kidney and Urinary Tract Diagnoses with MCC	63	$86,428	+18%	$12,797
481 Hip and Femur Procedures except Major Joint with CC	60	$123,290	+22%	$15,782
281 Acute Myocardial Infarction, Discharged Alive with CC	55	$59,405	+18%	$7,883
682 Renal Failure with MCC	55	$82,068	+24%	$11,629
683 Renal Failure with CC	55	$50,374	+24%	$7,654
035 Carotid Artery Stent Procedures with CC	53	$121,441	+7%	$17,796
321 Percutaneous Cardiovascular Procedures with Intraluminal...	52	$174,591	+7%	$22,335
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	52	$52,671	+31%	$6,856
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	51	$64,253	+31%	$8,778
189 Pulmonary Edema and Respiratory Failure	48	$77,716	+35%	$10,113
253 Other Vascular Procedures with CC	45	$115,674	-12%	$19,561
025 Craniotomy and Endovascular Intracranial Procedures with MCC	43	$277,335	+20%	$31,939
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	43	$72,283	+20%	$10,391
330 Major Small and Large Bowel Procedures with CC	40	$152,749	+28%	$16,993
552 Medical Back Problems without MCC	40	$70,559	+44%	$8,057
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	39	$113,928	+11%	$16,352
069 Transient Ischemia without Thrombolytic	38	$70,426	+40%	$6,881
267 Endovascular Cardiac Valve Replacement and Supplement...	37	$226,378	+2%	$36,201
236 Coronary Bypass without Cardiac Catheterization without MCC	36	$231,220	+10%	$28,594
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	36	$29,598	+3%	$5,291
312 Syncope and Collapse	36	$59,461	+31%	$7,522
394 Other Digestive System Diagnoses with CC	36	$47,899	+2%	$7,989
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	36	$44,708	+21%	$6,814
194 Simple Pneumonia and Pleurisy with CC	35	$53,661	+40%	$7,184
460 Spinal Fusion except Cervical without MCC	35	$168,638	-1%	$26,009
190 Chronic Obstructive Pulmonary Disease with MCC	34	$78,568	+55%	$8,796
377 Gastrointestinal Hemorrhage with MCC	33	$129,147	+51%	$14,927
472 Cervical Spinal Fusion with CC	31	$144,100	+1%	$22,215
603 Cellulitis without MCC	31	$48,277	+29%	$7,547
699 Other Kidney and Urinary Tract Diagnoses with CC	31	$51,831	+9%	$8,604
287 Circulatory Disorders except AMI, with Cardiac...	30	$78,873	+23%	$9,018
100 Seizures with MCC	29	$109,963	+17%	$15,049
854 Infectious and Parasitic Diseases with O.R. Procedures with...	29	$135,537	+38%	$15,162
023 Craniotomy with Major Device Implant or Acute Complex Cns...	26	$306,459	+9%	$41,459
234 Coronary Bypass with Cardiac Catheterization or Open...	26	$309,215	+15%	$38,818
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	26	$64,002	+5%	$10,494
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	25	$174,052	+46%	$18,361
308 Cardiac Arrhythmia and Conduction Disorders with MCC	24	$78,580	+39%	$10,548
242 Permanent Cardiac Pacemaker Implant with MCC	23	$169,806	+6%	$23,049
329 Major Small and Large Bowel Procedures with MCC	23	$300,482	+40%	$34,577
637 Diabetes with MCC	23	$80,369	+21%	$10,793
811 Red Blood Cell Disorders with MCC	23	$70,653	+4%	$11,432
163 Major Chest Procedures with MCC	22	$255,032	+21%	$33,910
274 Percutaneous and Other Intracardiac Procedures without MCC	22	$174,617	+11%	$24,108
812 Red Blood Cell Disorders without MCC	22	$68,366	+54%	$7,164

Showing the 60 most frequent of 122 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	831	$3,457	$589
Level 1 Endovascular Procedures	421	$44,554	$2,793
Level 3 Urology and Related Services	350	$12,503	$1,755
Comprehensive Observation Services	296	$33,473	$2,363
Level 2 Excision/ Biopsy/ Incision and Drainage	226	$13,376	$1,391
Level 3 Endovascular Procedures	217	$82,944	$9,386
Level 2 Upper GI Procedures	178	$18,619	$1,608
Level 4 Urology and Related Services	177	$34,848	$2,998
Level 5 Urology and Related Services	166	$47,814	$4,422
Level 5 Musculoskeletal Procedures	159	$92,853	$11,221
Level 1 Nerve Procedures	144	$17,297	$1,549
Level 4 Musculoskeletal Procedures	141	$61,882	$6,025
Level 3 Musculoskeletal Procedures	93	$39,858	$2,682
Level 3 Vascular Procedures	90	$35,096	$2,731
Level 3 Lower GI Procedures	78	$32,789	$2,413
Level 3 Pacemaker and Similar Procedures	76	$77,417	$9,160
Level 1 Laparoscopy and Related Services	73	$58,484	$4,948
Level 4 Airway Endoscopy	72	$42,153	$3,177
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	69	$47,575	$2,900
Level 4 Endovascular Procedures	66	$107,139	$14,569
Level 3 Excision/ Biopsy/ Incision and Drainage	65	$23,635	$2,428
Level 2 Intraocular Procedures	64	$39,265	$3,528
Level 4 Vascular Procedures	58	$47,700	$4,313
Level 2 Neurostimulator and Related Procedures	49	$33,196	$4,602
Level 6 Musculoskeletal Procedures	48	$124,300	$15,835

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), UT Health East Texas Tyler Regional Hospital charged $120,385 on average, 8% more than the Texas average of $111,133, and was paid $15,002 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), UT Health East Texas Tyler Regional Hospital charged $74,874 on average, 10% more than the Texas average of $67,944, and was paid $10,214 against a state average of $11,820. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), UT Health East Texas Tyler Regional Hospital charged $92,796 on average, 20% less than the Texas average of $116,220, and was paid $14,617 against a state average of $15,157. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), UT Health East Texas Tyler Regional Hospital charged $89,558 on average, 3% less than the Texas average of $92,713, and was paid $12,699 against a state average of $13,694. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,457 was 6% below the state average of $3,679. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $44,554 was 23% above the state average of $36,220. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $12,503 was 30% below the state average of $17,781. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,473 was 20% above the state average of $27,955.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.