36/100
#1,700 nationally
Ascension Saint Thomas Hospital
4220 Harding Rd, Po Box 380, Nashville, TN 37205 · (615) 222-2111
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Ascension Saint Thomas Hospital billed $5.89 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
- 5.9x
- volume-weighted across all its priced work
- Procedures priced
- 230
- inpatient and outpatient combined
- Rank in TN
- #36
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 27% of U.S. hospitals.
Better than 34% of U.S. hospitals.
Better than 48% of U.S. hospitals.
Better than 32% 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 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
981 | $27,334 | $2,804 | +8% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
677 | $14,447 | $2,341 | -26% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
673 | $159,685 | $20,317 | +20% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
620 | $69,735 | $11,185 | +12% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
407 | $71,809 | $16,759 | +10% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
375 | $40,929 | $11,380 | -6% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
312 | $234,232 | $23,253 | +88% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
300 | $90,591 | $9,472 | +34% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
278 | $12,566 | $1,385 | +25% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
245 | $56,332 | $9,164 | +9% |
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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$11,260 | $589 | +259% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$51,201 | $5,892 | +95% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$234,232 | $23,253 | +88% |
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications
MS-DRG 847 · Inpatient stay |
$98,872 | $17,524 | +85% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$67,253 | $5,844 | +75% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$324,072 | $37,909 | +71% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$62,565 | $10,615 | +66% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$37,055 | $3,165 | +63% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Lymphoma and Non-acute Leukemia with Complications
MS-DRG 841 · Inpatient stay |
$27,276 | $12,412 | -70% |
|
Other Disorders of Nervous System without Complications/mcc
MS-DRG 093 · Inpatient stay |
$22,341 | $7,198 | -54% |
|
Other Operating Room Procedures for Injuries with Major Complications
MS-DRG 907 · Inpatient stay |
$82,329 | $27,238 | -52% |
|
Acute Leukemia with Major Complications
MS-DRG 834 · Inpatient stay |
$133,255 | $41,558 | -51% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
$36,052 | $12,914 | -48% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$31,059 | $6,709 | -47% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
$46,946 | $17,943 | -46% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
$18,204 | $6,979 | -44% |
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.