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ASCENSION SAINT THOMAS HOSPITAL

NASHVILLE, TN 37205 · Acute Care Hospitals

176 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 26, 2026 · Methodology

Procedures Analyzed

176

With CMS pricing data

Avg Charge-to-Medicare Ratio

6.0x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

0%

Compared to TN hospitals

Understanding Your Costs

When you receive a bill from ASCENSION SAINT THOMAS HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, ASCENSION SAINT THOMAS HOSPITAL lists chargemaster rates that average 6.0x the corresponding Medicare reimbursement amount across 176 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in TN has a chargemaster-to-Medicare ratio of 4.9x, with ratios across the state ranging from 1.4x to 13.4x. At 6.0x, this facility’s average ratio is above the state median. 74 hospitals in TN report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at ASCENSION SAINT THOMAS HOSPITAL is KIDNEY TRANSPLANT (DRG 652). The listed chargemaster rate is $291,831, while Medicare reimburses $20,049 for the same procedure — a ratio of 14.6x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

ASCENSION SAINT THOMAS HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
KIDNEY TRANSPLANT652$291,831$20,04914.6x
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KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC650$340,219$32,14210.6x
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PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$224,525$21,43110.5x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$117,674$11,76010.0x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC251$112,802$11,28810.0x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$115,261$11,8479.7x
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ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$312,252$34,1269.2x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$34,705$3,8938.9x
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DISORDERS OF THE BILIARY TRACT WITH CC445$57,294$6,4768.8x
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GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$22,628$2,6248.6x
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COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$283,037$33,3198.5x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/321$155,287$18,3298.5x
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KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC661$52,105$6,2788.3x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$51,188$6,3588.1x
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CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$296,082$36,9138.0x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$80,492$10,0718.0x
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ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$375,052$47,2817.9x
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CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$237,826$30,1157.9x
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MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC371$86,241$10,9757.9x
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SEIZURES WITHOUT MCC101$42,347$5,4057.8x
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SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$192,011$24,8547.7x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$74,611$9,7937.6x
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MAJOR CHEST PROCEDURES WITH CC164$104,825$13,7937.6x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$151,061$19,8987.6x
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OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC229$157,745$20,9507.5x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$30,017$3,9997.5x
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STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC327$95,829$12,7527.5x
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CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$182,790$24,3927.5x
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AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$215,506$28,7887.5x
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OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$54,196$7,3197.4x
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COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$357,383$48,6457.3x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$48,205$6,5957.3x
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EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC982$119,768$16,4197.3x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC482$75,246$10,3167.3x
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TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$33,898$4,7517.1x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$42,751$6,0397.1x
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OTHER O.R. PROCEDURES FOR INJURIES WITH CC908$86,549$12,2477.1x
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OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$129,697$18,4297.0x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC419$56,876$8,1827.0x
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OTHER VASCULAR PROCEDURES WITHOUT CC/MCC254$73,516$10,6416.9x
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MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$81,913$11,8526.9x
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SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE457$278,642$40,7576.8x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$102,899$15,0926.8x
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ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC283$82,742$12,2026.8x
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CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION219$396,586$58,5876.8x
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MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$101,445$14,9796.8x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC244$79,182$11,7796.7x
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COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC453$525,877$78,2626.7x
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CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WIT216$455,524$67,8786.7x
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PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC273$168,864$25,8786.5x
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Showing 50 of 176 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across TN hospitals

1.4x
Median: 4.9x
13.4x
6.0x

74 hospitals in TN report pricing data to CMS. This facility's average ratio of 6.0x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About ASCENSION SAINT THOMAS HOSPITAL

How much does ASCENSION SAINT THOMAS HOSPITAL charge compared to Medicare?

According to CMS IPPS data, ASCENSION SAINT THOMAS HOSPITAL's listed chargemaster rates average 6.0x the Medicare reimbursement amount across 176 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at ASCENSION SAINT THOMAS HOSPITAL?

The procedure with the highest chargemaster-to-Medicare ratio at ASCENSION SAINT THOMAS HOSPITAL is KIDNEY TRANSPLANT (DRG 652), with a listed charge of $291,831 compared to Medicare reimbursement of $20,049 — a ratio of 14.6x. Source: CMS IPPS Provider Summary.

Is ASCENSION SAINT THOMAS HOSPITAL expensive compared to other TN hospitals?

ASCENSION SAINT THOMAS HOSPITAL's average chargemaster-to-Medicare ratio is 6.0x. Ratios vary significantly across TN hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for ASCENSION SAINT THOMAS HOSPITAL come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from ASCENSION SAINT THOMAS HOSPITAL is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does ASCENSION SAINT THOMAS HOSPITAL in NASHVILLE, TN accept Medicare?

ASCENSION SAINT THOMAS HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact ASCENSION SAINT THOMAS HOSPITAL directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.