Vanderbilt University Medical Center · Lebanon, TN
34
In-network payers
359
Disclosed rate categories
170
Beds
2
Care quality
Vanderbilt Wilson County Hospital is a 170-bed voluntary non-profit - private hospital in Lebanon, TN, affiliated with Vanderbilt University Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 359 disclosed rate categories.
CCN (Medicare provider number)
440193
NPI
1306889597
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
170
Care Quality
2
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 Wilson County Hospital 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 obstetrics / child birth 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 obstetrics / child birth services to CMS
Medicine & Surgery
CPT 66984
$4,799 - $7,026
from 4 insurers · median $5,928
492 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$924 - $1,779
from 3 insurers · median $1,741
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 obstetrics / child birth services to CMS
CT imaging
CPT 74177
$403 - $775
from 3 insurers · median $544
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,014 - $2,946
from 4 insurers · median $2,532
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,014 - $3,176
from 4 insurers · median $2,568
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$58,934 - $69,353
from 4 insurers · median $67,818
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 45380
$2,014 - $2,946
from 4 insurers · median $2,600
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$55 - $263
from 3 insurers · median $216
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,211 - $12,577
from 4 insurers · median $9,493
28 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$25,890 - $52,465
from 4 insurers · median $42,750
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 45378
$1,537 - $2,881
from 4 insurers · median $2,099
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$5,900 - $12,577
from 4 insurers · median $9,491
Typical for a hospital with this service line
CT imaging
CPT 70450
$99 - $403
from 3 insurers · median $228
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$20,410 - $47,385
from 4 insurers · median $33,972
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 74176
$259 - $403
from 3 insurers · median $352
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95810
$1,715 - $4,105
from 2 insurers · median $2,910
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$817 - $1,048
from 3 insurers · median $835
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$313 - $744
from 3 insurers · median $607
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$284 - $717
from 2 insurers · median $501
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$265 - $403
from 3 insurers · median $300
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$3,506 - $12,577
from 4 insurers · median $7,524
Typical for a hospital with this service line
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 | 202% | 5 | 15 |
| Insurer B* | 22 | 197% | 8 | 10 |
| Insurer C* | 24 | 187% | 7 | 12 |
| Insurer D* | 14 | 184% | 0 | 10 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 8 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 Wilson County Hospital.
1411 Baddour Parkway, Lebanon, TN 37087
(615) 444-8262
The nearest hospitals of similar type and size. Their rates are compared with Vanderbilt Wilson County Hospital for the same insurers and services above.
Sumner Regional Medical Center
Rates about the same as Vanderbilt Wilson County Hospital (21 services)
Tristar Summit Medical Center
▲ Rates typically 12% higher than Vanderbilt Wilson County Hospital (21 services)
Tristar Hendersonville Medical Center
▲ Rates typically 14% higher than Vanderbilt Wilson County Hospital (21 services)
Tristar Stonecrest Medical Center
▲ Rates typically 12% higher than Vanderbilt Wilson County Hospital (21 services)
Tristar Skyline Medical Center
▲ Rates typically 20% higher than Vanderbilt Wilson County Hospital (21 services)
Tristar Southern Hills Medical Center
▲ Rates typically 22% higher than Vanderbilt Wilson County Hospital (21 services)
Vanderbilt Bedford Hospital
Vanderbilt University Medical Center
Vanderbilt Tullahoma-Harton Hospital
Lafollette Medical Center
About Vanderbilt Wilson County Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Vanderbilt Wilson County Hospital range from $313 to $744 across 3 insurers. Cigna's rate is $744. The median at nearby comparable hospitals is $616. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Vanderbilt Wilson County Hospital range from $403 to $775 across 3 insurers. Cigna's rate is $775. The median at nearby comparable hospitals is $341. 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 Wilson County Hospital range from $2,014 to $3,176 across 4 insurers. Blue Cross Blue Shield's rate is $2,190. The median at nearby comparable hospitals is $3,612. 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 Wilson County Hospital range from $9,307 to $13,810 across 4 insurers. UnitedHealthcare's rate is $9,307. 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 Wilson County Hospital range from $55 to $263 across 3 insurers. Cigna's rate is $263. The median at nearby comparable hospitals is $137. 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 Wilson County Hospital range from $20,410 to $47,385 across 4 insurers. Aetna's rate is $40,552. The median at nearby comparable hospitals is $40,029. What a patient pays depends on their plan's deductible, coinsurance and network status.
Vanderbilt Wilson County Hospital has 170 beds. Facility type: Short Term Acute Care Hospital.
Vanderbilt Wilson County Hospital is located at 1411 Baddour Parkway, Lebanon, TN 37087. Its main phone number is (615) 444-8262.
Vanderbilt Wilson County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 440193.
The National Provider Identifier (NPI) on file for Vanderbilt Wilson County Hospital is 1306889597.
Vanderbilt Wilson County Hospital is affiliated with Vanderbilt University Medical Center.
Vanderbilt Wilson County Hospital lists 34 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.
359 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.
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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