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Heart valve surgery (open) in Tennessee: what insurers pay

Posted commercial rates at 4 Tennessee hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

MS-DRG 220

HospitalMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical Center Smyrna$50,9021.4×62026-09-01
Ascension Saint Thomas Rutherford Murfreesboro$69,0351.9×32026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$69,0351.9×32026-01-01
Vanderbilt University Medical Center Nashville$110,9893.0×62025-10-01

MS-DRG 219

HospitalMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical Center Smyrna$70,6661.4×62026-09-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$78,8581.5×32026-01-01
Ascension Saint Thomas Rutherford Murfreesboro$82,3021.6×32026-01-01
Vanderbilt University Medical Center Nashville$159,8053.0×62025-10-01

MS-DRG 216

HospitalMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical Center Smyrna$76,2411.1×62026-09-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$98,8261.5×32026-01-01
Ascension Saint Thomas Rutherford Murfreesboro$103,1151.6×32026-01-01
Vanderbilt University Medical Center Nashville$203,6053.0×62025-10-01

MS-DRG 217

HospitalMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical Center Smyrna$62,4941.4×62026-09-01
Ascension Saint Thomas Rutherford Murfreesboro$77,0391.7×32026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$77,0391.7×32026-01-01
Vanderbilt University Medical Center Nashville$136,8483.0×62025-10-01

Questions

How much do insurers pay for heart valve surgery (open) in Tennessee?

4 Tennessee hospitals post usable commercial rates for heart valve surgery (open) in their federal price-transparency files. For inpatient stay (MS-DRG 220), the median across 4 hospitals is $69,035, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.