10/100
#2,384 nationally
Affiliate Of Vitruvian Health
2305 Chambliss Ave Nw, Cleveland, TN 37311 · (423) 339-4100
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Affiliate Of Vitruvian Health billed $10.12 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
- 10.1x
- volume-weighted across all its priced work
- Procedures priced
- 62
- inpatient and outpatient combined
- Rank in TN
- #58
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 8% of U.S. hospitals.
Better than 7% of U.S. hospitals.
Better than 12% of U.S. hospitals.
Better than 17% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
198 | $113,931 | $13,271 | +75% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
116 | $35,574 | $2,333 | +83% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
100 | $54,488 | $4,375 | +98% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
95 | $183,569 | $11,203 | +194% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
93 | $67,894 | $9,191 | +56% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
89 | $45,013 | $2,954 | +118% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
79 | $83,540 | $11,175 | +36% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
77 | $81,849 | $9,279 | +76% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
71 | $54,293 | $4,917 | +55% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
59 | $34,365 | $1,712 | +166% |
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 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$264,959 | $15,850 | +219% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$183,569 | $11,203 | +194% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$116,889 | $5,989 | +193% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$31,874 | $1,645 | +181% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$215,831 | $13,047 | +170% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$34,365 | $1,712 | +166% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$49,298 | $2,758 | +142% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$197,903 | $13,810 | +138% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Psychoses
MS-DRG 885 · Inpatient stay |
$35,645 | $9,536 | about average |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$12,833 | $1,370 | +14% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
$335,231 | $49,835 | +25% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$71,872 | $10,389 | +27% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$229,645 | $33,123 | +29% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$40,658 | $5,965 | +33% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$73,972 | $11,456 | +34% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$71,605 | $10,374 | +35% |
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.