54/100
#1,131 nationally
Decatur Memorial Hospital
2300 North Edward Street, Decatur, IL 62526 · (217) 876-8121
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Decatur Memorial Hospital billed $4.77 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.8x
- volume-weighted across all its priced work
- Procedures priced
- 101
- inpatient and outpatient combined
- Rank in IL
- #32
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 49% of U.S. hospitals.
Better than 50% of U.S. hospitals.
Better than 59% of U.S. hospitals.
Better than 66% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
414 | $10,746 | $1,493 | +7% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
245 | $16,023 | $2,522 | -18% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
236 | $74,214 | $12,057 | +19% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
234 | $8,620 | $1,882 | -33% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
192 | $59,569 | $15,080 | -9% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
188 | $33,789 | $10,500 | -22% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
158 | $14,886 | $1,776 | +31% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
138 | $15,643 | $3,222 | -24% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
109 | $9,709 | $1,465 | -14% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
108 | $19,403 | $2,991 | -5% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
$164,293 | $22,730 | +60% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$119,918 | $17,185 | +44% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$14,886 | $1,776 | +31% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$167,799 | $21,893 | +27% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$74,214 | $12,057 | +19% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$94,217 | $15,539 | +18% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$127,695 | $26,739 | +18% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$3,662 | $631 | +17% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$32,399 | $13,117 | -54% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$9,206 | $2,824 | -49% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
$31,544 | $10,622 | -43% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$37,387 | $12,417 | -42% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$13,362 | $3,399 | -41% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$22,260 | $7,184 | -39% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$53,397 | $17,118 | -39% |
|
Hypertension with Major Complications
MS-DRG 304 · Inpatient stay |
$30,339 | $8,903 | -39% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.