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Kyphoplasty (spine fracture) 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

CPT 22514

HospitalMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical Center Smyrna$4,6760.7×42026-09-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$6,1650.9×12026-01-01
Vanderbilt University Medical Center Nashville$7,0731.0×72025-10-01

MS-DRG 516

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$17,2101.2×52026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$17,2101.2×62026-01-01
TriStar StoneCrest Medical Center Smyrna$19,0621.4×72026-09-01
Vanderbilt University Medical Center Nashville$43,2503.0×62025-10-01

MS-DRG 517

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$15,3221.5×62026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$15,3221.5×72026-01-01
TriStar StoneCrest Medical Center Smyrna$17,6691.7×72026-09-01
Vanderbilt University Medical Center Nashville$31,9833.0×62025-10-01

Questions

How much do insurers pay for kyphoplasty (spine fracture) in Tennessee?

4 Tennessee hospitals post usable commercial rates for kyphoplasty (spine fracture) in their federal price-transparency files. For CPT 22514, hospital outpatient, the median across 3 hospitals is $6,165, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.