Tyler, TX 75701 · CMS Certification Number 450083. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,617 | $92,796 | 6.3× | $11,221 |
| Shoulder replacement | — | — | — | $15,835 |
| Hip replacement after a fracture (DRG 522) | $16,352 | $113,928 | 7.0× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 6.8%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 432 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Ut Health East Texas Tyler Regional Hospital an average of $14,617 per inpatient hip or knee replacement stay (MS-DRG 470, 152 stays) and $11,221 per outpatient case (APC 5115, 159 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $92,796, 6.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Medicare paid Ut Health East Texas Tyler Regional Hospital more than 55% of the 77 Texas hospitals that report inpatient hip or knee replacement.