Hospital Pricing Transparency
Vanderbilt Health has provided links below to machine-readable files of the Standard Charge data for our hospitals and employed physicians. The data provided in these links was last updated December 20, 2021. You can also utilize our easy online tool to create an estimate of your personal out-of-pocket costs for many Shoppable Services (Estimates and Charges (Shoppable Services) | Vanderbilt Health Nashville, TN).
Standard Charge Data
The Standard Charge data incorporates information required to comply with Section 180.50 of the Hospital Price Transparency Rule (Title 45 of the Code of Federal Regulations Part 180) for individuals seeking hospital items and services. Definitions of information included in the Standard Charge data files are as follows:
- Gross Charge: Amount billed for each item or service, absent any discounts
- Discounted Cash Price: the charge for each item or service to an individual patient who is uninsured or pays cash
- Payer-Specific Negotiated Charge: The price for each item or service negotiated with third-party payers presented with the payer’s name
- Minimum Negotiated Charge: The lowest charge negotiated among third-party payers for an item or service, without naming the payer
- Maximum Negotiated Charge: The highest charge negotiated among third-party payers for an item or service, without naming the payer
If you view or download the Standard Charge data file, you understand and agree that the data is for the informational purposes required by Section 2718(e) of the Public Health Service Act and the Hospital Price Transparency Rule. It is not an offer or promise of the actual price of any item or service. The Standard Charge data files do not take the place of an estimate specific to items and services you are scheduled to receive. Vanderbilt Health has an online tool for estimating your charges and out-of-pocket costs ( My Health - Patient Estimates for Shoppable Services (vumc.org) ), or it will provide an electronic or paper estimate upon request. The final charges you will be billed will vary due to actual services you require, such as: the length of time spent in surgery or recovery; specific equipment, supplies and medications needed; additional tests required by your physician; and/or any unusual special care or unexpected conditions or complications. If you have insurance, the Standard Charge data may reflect rates agreed to by your insurance company; however, your individual insurance plan and covered benefits will ultimately determine the amount you owe, which may include a deductible, co-pay, co-insurance, and out-of-pocket maximums. You may be eligible for financial assistance under the Vanderbilt Health financial assistance policy ( Financial Assistance | Vanderbilt Health Nashville, TN ). Financial hardship assistance is evaluated on a case-by-case basis.
Vanderbilt Health has published the Standard Charge data file to comply with Section 2718(e) of the Public Health Service Act and Section 180.50 of the Hospital Price Transparency Rule (45 C.F.R. §180.50). The published charges and prices constitute confidential, proprietary information of Vanderbilt Health and the third-party payers with which it contracts. The Standard Charge data is made available, as required, for use by individuals seeking hospital items and services from Vanderbilt Health and any other use or disclosure of this information, whether in part or in whole, alone or in combination with other information, is prohibited.