8/100
#2,443 nationally
Medical City Decatur
609 Medical Center Drive, Decatur, TX 76234
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Medical City Decatur billed $12.80 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
- 12.8x
- volume-weighted across all its priced work
- Procedures priced
- 17
- inpatient and outpatient combined
- Rank in TX
- #167
- lower markup ranks higher
- CMS quality stars
- Not rated
- 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 4% of U.S. hospitals.
Better than 4% of U.S. hospitals.
Better than 7% of U.S. hospitals.
Better than 38% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
75 | $51,031 | $2,445 | +163% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
53 | $141,433 | $14,319 | +117% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
39 | $95,144 | $7,999 | +119% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
33 | $60,320 | $2,883 | +139% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
24 | $102,041 | $8,819 | +119% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
23 | $32,733 | $2,878 | +71% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
19 | $102,373 | $8,595 | +111% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
19 | $19,807 | $1,464 | +97% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
19 | $38,278 | $2,566 | +116% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
18 | $118,853 | $10,150 | +116% |
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 |
|---|---|---|---|
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$183,703 | $9,924 | +172% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$51,031 | $2,445 | +163% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$77,192 | $4,832 | +152% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$60,320 | $2,883 | +139% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$79,451 | $4,913 | +126% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$25,822 | $1,718 | +120% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$95,144 | $7,999 | +119% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$102,041 | $8,819 | +119% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$33,012 | $2,919 | +60% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$32,733 | $2,878 | +71% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$74,973 | $7,599 | +84% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$37,804 | $2,922 | +86% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$19,807 | $1,464 | +97% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$102,373 | $8,595 | +111% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$118,853 | $10,150 | +116% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$38,278 | $2,566 | +116% |
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.