VANDERBILT UNIVERSITY MEDICAL CENTER
NASHVILLE, TN 37232 · Acute Care Hospitals
238 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
238
With CMS pricing data
Avg Charge-to-Medicare Ratio
6.9x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
3%
Compared to TN hospitals
Understanding Your Costs
When you receive a bill from VANDERBILT UNIVERSITY MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, VANDERBILT UNIVERSITY MEDICAL CENTER lists chargemaster rates that average 6.9x the corresponding Medicare reimbursement amount across 238 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 6.9x, 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 VANDERBILT UNIVERSITY MEDICAL CENTER is KIDNEY TRANSPLANT (DRG 652). The listed chargemaster rate is $451,803, while Medicare reimburses $20,771 for the same procedure — a ratio of 21.8x (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.
7 of 238 procedures (3%) at this facility have listed rates above the 90th percentile compared to other TN hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
VANDERBILT UNIVERSITY MEDICAL CENTER is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 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
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.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $451,803 | $20,771 | 21.8x | 1th | Compare your bill |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $500,479 | $36,702 | 13.6x | 1th | Compare your bill |
| LUNG TRANSPLANT | 007 | $1,195,084 | $97,441 | 12.3x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $132,047 | $12,768 | 10.3x | 1th | Compare your bill |
| ENDOCRINE DISORDERS WITH MCC | 643 | $122,848 | $11,936 | 10.3x | 1th | Compare your bill |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $66,699 | $6,827 | 9.8x | 1th | Compare your bill |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $139,655 | $14,296 | 9.8x | 1th | Compare your bill |
| MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDUR | 827 | $168,106 | $17,638 | 9.5x | 1th | Compare your bill |
| OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | 580 | $101,599 | $10,786 | 9.4x | 1th | Compare your bill |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $123,671 | $13,381 | 9.2x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $113,675 | $12,427 | 9.2x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $62,003 | $6,877 | 9.0x | 1th | Compare your bill |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $39,283 | $4,361 | 9.0x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $64,600 | $7,172 | 9.0x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $96,592 | $10,746 | 9.0x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $156,686 | $17,447 | 9.0x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $73,443 | $8,235 | 8.9x | 1th | Compare your bill |
| LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | 005 | $802,272 | $90,351 | 8.9x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $126,453 | $14,286 | 8.8x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $116,784 | $13,262 | 8.8x | 1th | Compare your bill |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 808 | $166,313 | $19,096 | 8.7x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $142,954 | $16,488 | 8.7x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $54,371 | $6,358 | 8.6x | 1th | Compare your bill |
| PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | 337 | $96,166 | $11,267 | 8.5x | 1th | Compare your bill |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $61,742 | $7,275 | 8.5x | 1th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $83,840 | $9,939 | 8.4x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $197,900 | $23,536 | 8.4x | 1th | Compare your bill |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $176,685 | $21,063 | 8.4x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $79,259 | $9,443 | 8.4x | 1th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $370,130 | $44,386 | 8.3x | 1th | Compare your bill |
| LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | 956 | $225,441 | $27,166 | 8.3x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $56,186 | $6,768 | 8.3x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $109,487 | $13,211 | 8.3x | 1th | Compare your bill |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $128,475 | $15,540 | 8.3x | 1th | Compare your bill |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $166,463 | $20,154 | 8.3x | 1th | Compare your bill |
| ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | 880 | $61,898 | $7,538 | 8.2x | 1th | Compare your bill |
| TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | 012 | $241,400 | $29,420 | 8.2x | 1th | Compare your bill |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $70,965 | $8,691 | 8.2x | 1th | Compare your bill |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $73,543 | $9,049 | 8.1x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | 658 | $94,282 | $11,607 | 8.1x | 1th | Compare your bill |
| NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 988 | $106,793 | $13,150 | 8.1x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $64,489 | $7,953 | 8.1x | 1th | Compare your bill |
| SOFT TISSUE PROCEDURES WITH CC | 501 | $105,080 | $12,953 | 8.1x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $115,002 | $14,213 | 8.1x | 1th | Compare your bill |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $65,170 | $8,110 | 8.0x | 1th | Compare your bill |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $132,806 | $16,554 | 8.0x | 1th | Compare your bill |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $68,266 | $8,528 | 8.0x | 1th | Compare your bill |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $104,351 | $13,047 | 8.0x | 1th | Compare your bill |
| DENTAL AND ORAL DISEASES WITH MCC | 157 | $96,997 | $12,174 | 8.0x | 0th | Compare your bill |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $145,746 | $18,413 | 7.9x | 1th | Compare your bill |
Showing 50 of 238 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
74 hospitals in TN report pricing data to CMS. This facility's average ratio of 6.9x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: 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.
Frequently Asked Questions About VANDERBILT UNIVERSITY MEDICAL CENTER
How much does VANDERBILT UNIVERSITY MEDICAL CENTER charge compared to Medicare?
According to CMS IPPS data, VANDERBILT UNIVERSITY MEDICAL CENTER's listed chargemaster rates average 6.9x the Medicare reimbursement amount across 238 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 VANDERBILT UNIVERSITY MEDICAL CENTER?
The procedure with the highest chargemaster-to-Medicare ratio at VANDERBILT UNIVERSITY MEDICAL CENTER is KIDNEY TRANSPLANT (DRG 652), with a listed charge of $451,803 compared to Medicare reimbursement of $20,771 — a ratio of 21.8x. Source: CMS IPPS Provider Summary.
Is VANDERBILT UNIVERSITY MEDICAL CENTER expensive compared to other TN hospitals?
VANDERBILT UNIVERSITY MEDICAL CENTER's average chargemaster-to-Medicare ratio is 6.9x. 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 VANDERBILT UNIVERSITY MEDICAL CENTER 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 VANDERBILT UNIVERSITY MEDICAL CENTER 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 VANDERBILT UNIVERSITY MEDICAL CENTER in NASHVILLE, TN accept Medicare?
VANDERBILT UNIVERSITY MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact VANDERBILT UNIVERSITY MEDICAL CENTER directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.