Tennessee / Vanderbilt Wilson County Hospital
CMS certification 440193 · Lebanon, TN
Vanderbilt Wilson County Hospital: charges and Medicare payments
Vanderbilt Wilson County Hospital reported 937 Medicare inpatient stays across 32 DRGs in 2024. Across them it charged 5.48 times what it was paid — among the higher ratios in Tennessee, number 21 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: 210 stays at an average charge of $74,761, 17% below the national average. It also billed 1,654 outpatient services, charging 10.95 times what Medicare paid.
- 1Medicare inpatient stays 937
- 2Charge ÷ paid, inpatient 5.48×
- 3Rank in TN (highest ratio = 1) 21 of 65
- 4CMS price-transparency actions 0
Inpatient stays
For the 32 DRGs that can be compared with the national average, Vanderbilt Wilson County Hospital charged more than the national average in 6 (19%). 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 | 210 | $74,761 | -17% | $13,592 |
| 291 Heart Failure and Shock with MCC | 87 | $46,343 | -18% | $8,885 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 58 | $55,812 | -26% | $11,613 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 36 | $45,787 | -7% | $7,766 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 31 | $83,936 | -10% | $13,738 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 31 | $64,163 | -13% | $11,754 |
| 177 Respiratory Infections and Inflammations with MCC | 30 | $61,401 | -13% | $11,540 |
| 682 Renal Failure with MCC | 29 | $63,117 | -4% | $11,228 |
| 683 Renal Failure with CC | 27 | $35,863 | -12% | $8,202 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 26 | $41,319 | -18% | $8,228 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $29,717 | -20% | $6,291 |
| 638 Diabetes with CC | 22 | $42,394 | +2% | $7,041 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $39,968 | +6% | $6,108 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 19 | $35,020 | -37% | $8,096 |
| 189 Pulmonary Edema and Respiratory Failure | 19 | $49,222 | -15% | $9,405 |
| 193 Simple Pneumonia and Pleurisy with MCC | 19 | $41,967 | -30% | $9,085 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 19 | $57,724 | -10% | $8,231 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 19 | $28,205 | -22% | $6,027 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $113,245 | +12% | $14,579 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $47,023 | -8% | $8,638 |
| 183 Major Chest Trauma with MCC | 18 | $44,498 | -40% | $11,933 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $51,249 | -15% | $9,384 |
| 884 Organic Disturbances and Intellectual Disability | 18 | $49,323 | -21% | $11,520 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 16 | $51,286 | +2% | $8,295 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $152,901 | -33% | $31,707 |
| 184 Major Chest Trauma with CC | 14 | $42,513 | -23% | $9,563 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $114,241 | +12% | $14,879 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $128,943 | +13% | $13,543 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 12 | $68,717 | -39% | $15,663 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $30,864 | -23% | $6,274 |
| 101 Seizures without MCC | 11 | $45,595 | -6% | $7,083 |
| 552 Medical Back Problems without MCC | 11 | $49,016 | 0% | $7,582 |
Outpatient services
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Vanderbilt Wilson County Hospital charged $74,761 on average, 6% more than the Tennessee average of $70,379, and was paid $13,592 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Vanderbilt Wilson County Hospital charged $46,343 on average, 0% less than the Tennessee average of $46,128, and was paid $8,885 against a state average of $10,346. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Vanderbilt Wilson County Hospital charged $55,812 on average, 8% less than the Tennessee average of $60,791, and was paid $11,613 against a state average of $12,633. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Vanderbilt Wilson County Hospital charged $45,787 on average, 12% more than the Tennessee average of $40,769, and was paid $7,766 against a state average of $8,809. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,276 was 17% above the state average of $19,917. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,112 was 23% above the state average of $10,656. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $16,302 was 44% above the state average of $11,319. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $17,011 was 65% above the state average of $10,318.
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.