Vanderbilt University Medical Center
Vanderbilt University Medical Center in Nashville charges 6.9x the Medicare reimbursement rate on average across 238 analyzed procedures at this nonprofit hospital.
Nashville, TN 37232 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
6.87x
Charge / Medicare rate
Max markup
21.75x
Worst procedure
Procedures analyzed
238
With pricing data
Outlier procedures
2.9%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $451,803 | $225,902 | — | 21.8x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $500,479 | $250,240 | — | 13.6x |
| LUNG TRANSPLANT | 007 | $1,195,084 | $597,542 | — | 12.3x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $132,047 | $66,024 | — | 10.3x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $122,848 | $61,424 | — | 10.3x |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $139,655 | $69,828 | — | 9.8x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $66,699 | $33,350 | — | 9.8x |
| MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDUR | 827 | $168,106 | $84,053 | — | 9.5x |
| OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | 580 | $101,599 | $50,800 | — | 9.4x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $123,671 | $61,836 | — | 9.2x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $113,675 | $56,838 | — | 9.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $62,003 | $31,002 | — | 9x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $39,283 | $19,642 | — | 9x |
| SEIZURES WITHOUT MCC | 101 | $64,600 | $32,300 | — | 9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $96,592 | $48,296 | — | 9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $156,686 | $78,343 | — | 9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $73,443 | $36,721 | — | 8.9x |
| LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | 005 | $802,272 | $401,136 | — | 8.9x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $126,453 | $63,227 | — | 8.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $116,784 | $58,392 | — | 8.8x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 808 | $166,313 | $83,156 | — | 8.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $142,954 | $71,477 | — | 8.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $54,371 | $27,186 | — | 8.6x |
| PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | 337 | $96,166 | $48,083 | — | 8.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $61,742 | $30,871 | — | 8.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $83,840 | $41,920 | — | 8.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $197,900 | $98,950 | — | 8.4x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $79,259 | $39,629 | — | 8.4x |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $176,685 | $88,342 | — | 8.4x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $370,130 | $185,065 | — | 8.3x |
| LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | 956 | $225,441 | $112,721 | — | 8.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $56,186 | $28,093 | — | 8.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $109,487 | $54,744 | — | 8.3x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $128,475 | $64,238 | — | 8.3x |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $166,463 | $83,232 | — | 8.3x |
| ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | 880 | $61,898 | $30,949 | — | 8.2x |
| TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | 012 | $241,400 | $120,700 | — | 8.2x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $70,965 | $35,482 | — | 8.2x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $73,543 | $36,772 | — | 8.1x |
| NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 988 | $106,793 | $53,397 | — | 8.1x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | 658 | $94,282 | $47,141 | — | 8.1x |
| SOFT TISSUE PROCEDURES WITH CC | 501 | $105,080 | $52,540 | — | 8.1x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $64,489 | $32,245 | — | 8.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $115,002 | $57,501 | — | 8.1x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $65,170 | $32,585 | — | 8x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $132,806 | $66,403 | — | 8x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $104,351 | $52,176 | — | 8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $68,266 | $34,133 | — | 8x |
| DENTAL AND ORAL DISEASES WITH MCC | 157 | $96,997 | $48,498 | — | 8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $145,746 | $72,873 | — | 7.9x |
Showing 50 of 238 procedures
How VANDERBILT UNIVERSITY MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use