Vanderbilt University Medical Center · Nashville, TN
36
In-network payers
419
Disclosed rate categories
1025
Beds
4
Care quality
Vanderbilt University Medical Center is a 1025-bed voluntary non-profit - private hospital in Nashville, TN, affiliated with Vanderbilt University Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 419 disclosed rate categories.
CCN (Medicare provider number)
440039
NPI
1396882205
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
1025
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Vanderbilt University Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$9,307 - $13,810
from 4 insurers · median $12,264
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$14,256 - $19,679
from 4 insurers · median $17,463
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$27,391 - $47,385
from 4 insurers · median $38,963
132 Medicare discharges for this DRG in CMS hospital data
Cardiology and vascular testing
CPT 93306
$924 - $1,779
from 3 insurers · median $1,741
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$158,540 - $223,054
from 4 insurers · median $195,485
22 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$58,934 - $69,353
from 4 insurers · median $67,818
57 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$403 - $775
from 3 insurers · median $544
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,975 - $2,946
from 4 insurers · median $2,532
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,975 - $3,176
from 4 insurers · median $2,568
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,827 - $6,901
from 4 insurers · median $3,507
72 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 45380
$1,975 - $2,946
from 4 insurers · median $2,600
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$9,307 - $13,810
from 4 insurers · median $12,264
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Mammography
CPT 77067
$55 - $263
from 3 insurers · median $216
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$5,900 - $12,833
from 4 insurers · median $9,491
183 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Ear, nose and throat
CPT 69436
$2,014 - $3,349
from 4 insurers · median $2,573
89 Medicare claims in Level 3 ENT Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$5,211 - $12,833
from 4 insurers · median $9,493
192 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45378
$1,537 - $2,881
from 4 insurers · median $2,079
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$2,139 - $3,844
from 3 insurers · median $2,459
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$99 - $403
from 3 insurers · median $228
Common here, based on CMS Medicare volume
Urology
CPT 50590
$9,042 - $17,258
from 4 insurers · median $11,271
412 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Urology
CPT 52000
$1,414 - $7,248
from 4 insurers · median $1,671
1907 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
CT imaging
CPT 74176
$259 - $403
from 3 insurers · median $352
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$3,076 - $7,893
from 4 insurers · median $5,694
139 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Ear, nose and throat
CPT 30520
$3,295 - $6,901
from 4 insurers · median $5,101
65 Medicare claims in Level 4 ENT Procedures (CMS 2024)
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 224% | 17 | 3 |
| Insurer B* | 24 | 205% | 11 | 9 |
| Insurer C* | 18 | 173% | 10 | 4 |
| Insurer D* | 24 | 167% | 17 | 3 |
How we chose these services: 11 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Vanderbilt University Medical Center.
1211 Medical Center Drive, Nashville, TN 37232
(615) 322-3454
The nearest hospitals of similar type and size. Their rates are compared with Vanderbilt University Medical Center for the same insurers and services above.
Saint Thomas Midtown Hospital
▼ Rates typically 25% lower than Vanderbilt University Medical Center (21 services)
Tristar Centennial Medical Center
▲ Rates typically 14% higher than Vanderbilt University Medical Center (21 services)
Saint Thomas West Hospital
▼ Rates typically 17% lower than Vanderbilt University Medical Center (21 services)
Huntsville Hospital
▼ Rates typically 31% lower than Vanderbilt University Medical Center (21 services)
Erlanger Baroness Hospital
▼ Rates typically 19% lower than Vanderbilt University Medical Center (21 services)
Jackson-Madison Co. General Hospital
▼ Rates typically 10% lower than Vanderbilt University Medical Center (21 services)
Tristar Southern Hills Medical Center
Ascension Saint Thomas Spine Institute At Hospital For Specialty Surgery
About Vanderbilt University Medical Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Vanderbilt University Medical Center range from $403 to $775 across 3 insurers. UnitedHealthcare's rate is $403. The median at nearby comparable hospitals is $547. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Vanderbilt University Medical Center range from $1,975 to $3,176 across 4 insurers. Blue Cross Blue Shield's rate is $2,190. The median at nearby comparable hospitals is $2,082. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Vanderbilt University Medical Center range from $9,307 to $13,810 across 4 insurers. Cigna's rate is $10,926. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Vanderbilt University Medical Center range from $55 to $263 across 3 insurers. Aetna's rate is $216. The median at nearby comparable hospitals is $160. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Vanderbilt University Medical Center range from $27,391 to $47,385 across 4 insurers. Aetna's rate is $40,552. The median at nearby comparable hospitals is $31,364. What a patient pays depends on their plan's deductible, coinsurance and network status.
Vanderbilt University Medical Center has 1025 beds. Facility type: Short Term Acute Care Hospital.
Vanderbilt University Medical Center is located at 1211 Medical Center Drive, Nashville, TN 37232. Its main phone number is (615) 322-3454.
Vanderbilt University Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440039.
The National Provider Identifier (NPI) on file for Vanderbilt University Medical Center is 1396882205.
Vanderbilt University Medical Center lists 36 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
419 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers