53/100
#1,171 nationally
St Marys Hospital
1800 E Lake Shore Dr, Decatur, IL 62521 · (217) 464-2966
Charges well above the national norm
For every $1 of care Medicare actually paid for here, St Marys Hospital billed $4.98 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
- 5.0x
- volume-weighted across all its priced work
- Procedures priced
- 38
- inpatient and outpatient combined
- Rank in IL
- #39
- lower markup ranks higher
- CMS quality stars
- 1/5
- 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 45% of U.S. hospitals.
Better than 60% of U.S. hospitals.
Better than 49% of U.S. hospitals.
Better than 74% 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 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
281 | $11,091 | $2,117 | -6% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
214 | $20,046 | $2,996 | -21% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
113 | $19,794 | $2,494 | about average |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
110 | $50,255 | $10,158 | -26% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
106 | $64,805 | $11,849 | +4% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
101 | $37,073 | $9,919 | -15% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
92 | $56,815 | $14,169 | -13% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
68 | $11,870 | $1,758 | about average |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
61 | $23,678 | $2,821 | +24% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
56 | $13,017 | $1,784 | +15% |
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 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$11,803 | $1,480 | +38% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$14,322 | $1,569 | +26% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$23,678 | $2,821 | +24% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$34,804 | $6,180 | +17% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$40,916 | $5,214 | +17% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$13,017 | $1,784 | +15% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$25,987 | $3,029 | +12% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$46,322 | $8,231 | +11% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$30,265 | $8,821 | -36% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$103,271 | $30,313 | -31% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$67,087 | $15,319 | -30% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$25,607 | $5,191 | -26% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$50,255 | $10,158 | -26% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$48,054 | $10,631 | -22% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$7,945 | $1,498 | -21% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$20,046 | $2,996 | -21% |
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.