28/100
#1,945 nationally
Vanderbilt Wilson County Hospital
1411 Baddour Parkway, Lebanon, TN 37087 · (615) 444-2250
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Vanderbilt Wilson County Hospital billed $6.41 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
- 6.4x
- volume-weighted across all its priced work
- Procedures priced
- 54
- inpatient and outpatient combined
- Rank in TN
- #43
- 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 26% of U.S. hospitals.
Better than 25% of U.S. hospitals.
Better than 33% of U.S. hospitals.
Better than 27% 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 |
551 | $23,276 | $2,341 | +20% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
492 | $13,112 | $1,989 | +12% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
210 | $74,761 | $13,592 | +15% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
87 | $46,343 | $8,885 | +7% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
63 | $16,302 | $1,561 | +39% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
58 | $55,812 | $11,613 | -9% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
57 | $17,011 | $1,377 | +69% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
53 | $34,103 | $2,812 | +35% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
45 | $21,659 | $2,705 | +13% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
45 | $23,418 | $1,663 | +106% |
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 |
$9,376 | $589 | +199% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$23,418 | $1,663 | +106% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$17,011 | $1,377 | +69% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$18,432 | $1,345 | +64% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$33,241 | $3,003 | +61% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$27,462 | $2,448 | +55% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$42,080 | $4,458 | +53% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$28,808 | $2,789 | +41% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$14,216 | $2,782 | -37% |
|
Major Chest Trauma with Major Complications
MS-DRG 183 · Inpatient stay |
$44,498 | $11,933 | -36% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$18,078 | $4,503 | -25% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$35,020 | $8,096 | -23% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$68,717 | $15,663 | -22% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$152,901 | $31,707 | -14% |
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay |
$42,513 | $9,563 | -13% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$41,967 | $9,085 | -10% |
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.