39/100
#1,633 nationally
Vanderbilt Bedford Hospital
2835 Hwy 231 North, Shelbyville, TN 37160 · (931) 685-5433
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Vanderbilt Bedford Hospital billed $4.90 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
- 4.9x
- volume-weighted across all its priced work
- Procedures priced
- 15
- inpatient and outpatient combined
- Rank in TN
- #35
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 51% of U.S. hospitals.
Better than 35% of U.S. hospitals.
Better than 37% of U.S. hospitals.
Better than 18% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
131 | $24,317 | $2,302 | +25% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
80 | $72,304 | $17,622 | +11% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
41 | $46,144 | $11,907 | +6% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
34 | $43,712 | $9,141 | -15% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
25 | $45,066 | $6,127 | +13% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
18 | $55,899 | $13,786 | about average |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
18 | $31,972 | $9,632 | -18% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
16 | $31,665 | $4,733 | -10% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
13 | $34,387 | $9,832 | -18% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
13 | $51,978 | $13,351 | -15% |
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 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$28,020 | $1,654 | +147% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$31,843 | $2,434 | +80% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$24,049 | $2,730 | +26% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$24,317 | $2,302 | +25% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$45,066 | $6,127 | +13% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$72,304 | $17,622 | +11% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$46,144 | $11,907 | +6% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$55,899 | $13,786 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$18,900 | $7,276 | -50% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$31,972 | $9,632 | -18% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$34,387 | $9,832 | -18% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$51,978 | $13,351 | -15% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$43,712 | $9,141 | -15% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$31,665 | $4,733 | -10% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$50,352 | $12,688 | -5% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$55,899 | $13,786 | about average |
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.