Tennessee / Vanderbilt Bedford Hospital
CMS certification 440137 · Shelbyville, TN
Vanderbilt Bedford Hospital: charges and Medicare payments
Vanderbilt Bedford Hospital reported 196 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 3.96 times what it was paid — mid-range in Tennessee, number 38 of 65 hospitals with at least 100 stays (state median 4.42×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 80 stays at an average charge of $72,304, 20% below the national average. It also billed 256 outpatient services, charging 9.32 times what Medicare paid.
- 1Medicare inpatient stays 196
- 2Charge ÷ paid, inpatient 3.96×
- 3Rank in TN (highest ratio = 1) 38 of 65
- 4CMS price-transparency actions 0
Inpatient stays
For the 7 DRGs that can be compared with the national average, Vanderbilt Bedford Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 80 | $72,304 | -20% | $17,622 |
| 291 Heart Failure and Shock with MCC | 41 | $46,144 | -18% | $11,907 |
| 177 Respiratory Infections and Inflammations with MCC | 18 | $55,898 | -21% | $13,786 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $31,972 | -35% | $9,632 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $34,387 | -32% | $9,832 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $51,978 | -31% | $13,351 |
| 682 Renal Failure with MCC | 13 | $50,352 | -24% | $12,688 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 131 | $24,317 | $2,302 |
| Level 3 Pacemaker and Similar Procedures | 34 | $43,712 | $9,141 |
| Level 4 Musculoskeletal Procedures | 25 | $45,066 | $6,127 |
| Level 1 Laparoscopy and Related Services | 16 | $31,665 | $4,733 |
| Level 3 Vascular Procedures | 13 | $24,049 | $2,730 |
| Level 1 Nerve Procedures | 13 | $28,020 | $1,654 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 12 | $31,843 | $2,434 |
| Level 2 Pacemaker and Similar Procedures | 12 | $18,900 | $7,276 |
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Vanderbilt Bedford Hospital charged $72,304 on average, 3% more than the Tennessee average of $70,379, and was paid $17,622 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Vanderbilt Bedford Hospital charged $46,144 on average, 0% less than the Tennessee average of $46,128, and was paid $11,907 against a state average of $10,346. For Respiratory Infections and Inflammations with MCC (DRG 177), Vanderbilt Bedford Hospital charged $55,898 on average, 4% more than the Tennessee average of $53,972, and was paid $13,786 against a state average of $12,921. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Vanderbilt Bedford Hospital charged $31,972 on average, 22% less than the Tennessee average of $40,769, and was paid $9,632 against a state average of $8,809. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,317 was 22% above the state average of $19,917. For Level 3 Pacemaker and Similar Procedures (outpatient APC 5223), its average charge of $43,712 was 28% below the state average of $60,319. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $45,066 was 12% above the state average of $40,281. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $31,665 was 2% below the state average of $32,171.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.