33/100
#1,803 nationally
Vanderbilt University Medical Center
1211 Medical Center Drive, Nashville, TN 37232 · (615) 322-3454
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Vanderbilt University Medical Center billed $5.07 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
- 5.1x
- volume-weighted across all its priced work
- Procedures priced
- 319
- inpatient and outpatient combined
- Rank in TN
- #38
- 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 40% of U.S. hospitals.
Better than 30% of U.S. hospitals.
Better than 29% of U.S. hospitals.
Better than 34% 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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
1,907 | $8,675 | $532 | +177% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
813 | $17,506 | $1,258 | +35% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
763 | $12,474 | $1,084 | +24% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
704 | $12,917 | $1,548 | +10% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
673 | $24,552 | $2,245 | +26% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
570 | $15,543 | $2,304 | -12% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
569 | $27,623 | $2,653 | +9% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
505 | $122,896 | $19,548 | -7% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
504 | $19,247 | $2,562 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
423 | $113,990 | $26,873 | +75% |
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 |
$8,675 | $532 | +177% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
$84,129 | $12,521 | +157% |
|
Acute Myocardial Infarction, Expired with Major Complications
MS-DRG 283 · Inpatient stay |
$218,137 | $37,693 | +156% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$111,820 | $19,772 | +131% |
|
Other Infectious and Parasitic Diseases Diagnoses with Major Complications
MS-DRG 867 · Inpatient stay |
$200,778 | $48,203 | +126% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$81,358 | $24,207 | +126% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
$93,956 | $22,816 | +109% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$24,124 | $1,896 | +105% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Allogeneic Bone Marrow Transplant
MS-DRG 014 · Inpatient stay |
$219,827 | $161,818 | -56% |
|
Chemotherapy with Acute Leukemia as Secondary Diagnosis with Complications or High Dose
MS-DRG 838 · Inpatient stay |
$39,144 | $22,054 | -45% |
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Major Complications
MS-DRG 846 · Inpatient stay |
$70,657 | $29,623 | -34% |
|
Concomitant Left Atrial Appendage Closure and Cardiac Ablation
MS-DRG 317 · Inpatient stay |
$232,126 | $56,560 | -34% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$40,999 | $6,508 | -31% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
$107,814 | $40,336 | -30% |
|
Other Ear, Nose, Mouth and Throat Operating Room Procedures with Complications
MS-DRG 144 · Inpatient stay |
$76,585 | $19,467 | -30% |
|
Reticuloendothelial and Immunity Disorders with Major Complications
MS-DRG 814 · Inpatient stay |
$87,097 | $26,176 | -30% |
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.