60/100
#944 nationally
Baylor Scott & White Texas Spine & Joint Hospital
1814 Roseland Boulevard, Tyler, TX 75701 · (903) 525-3300
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Baylor Scott & White Texas Spine & Joint Hospital billed $4.81 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.8x
- volume-weighted across all its priced work
- Procedures priced
- 25
- inpatient and outpatient combined
- Rank in TX
- #33
- lower markup ranks higher
- CMS quality stars
- 5/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 61% of U.S. hospitals.
Better than 57% of U.S. hospitals.
Better than 63% of U.S. hospitals.
Better than 57% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
853 | $13,092 | $1,651 | +15% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
620 | $62,142 | $11,311 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
424 | $38,014 | $6,126 | -5% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
383 | $22,114 | $2,762 | +9% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
225 | $10,472 | $1,385 | -7% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
157 | $57,953 | $12,040 | -28% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
125 | $74,378 | $15,441 | -10% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
84 | $22,589 | $5,879 | -14% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
76 | $78,555 | $23,414 | -46% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
64 | $82,331 | $25,291 | -27% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Neurostimulator and Related Procedures
APC 5461 · Hospital outpatient visit |
$29,041 | $2,717 | +27% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$17,903 | $2,028 | +24% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$13,092 | $1,651 | +15% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$22,114 | $2,762 | +9% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$80,494 | $18,936 | about average |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$62,142 | $11,311 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$38,014 | $6,126 | -5% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$16,625 | $2,466 | -6% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$104,652 | $39,595 | -53% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$89,901 | $31,482 | -49% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$78,555 | $23,414 | -46% |
|
Single Level Spinal Fusion Except Cervical without Major Complications
MS-DRG 451 · Inpatient stay |
$67,437 | $20,257 | -43% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
$73,057 | $20,682 | -39% |
|
Back and Neck Procedures Except Spinal Fusion with Complications
MS-DRG 519 · Inpatient stay |
$52,331 | $12,372 | -39% |
|
Multiple Level Spinal Fusion Except Cervical without Major Complications
MS-DRG 448 · Inpatient stay |
$91,584 | $29,870 | -35% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
$88,585 | $27,331 | -32% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.