Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Decatur Community Hospital

Decatur, TX

609 Medical Center Drive, Decatur, TX 76234(940) 627-5921

Not rated by CMS

CMS star rating

132

Beds

2,224

Inpatient discharges a year

$66.4M

Net patient revenue a year

In-network payers

About this hospital

Decatur Community Hospital is a 132-bed government - hospital district or authority hospital in Decatur, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 368 disclosed rate categories.

Helipad

CCN: 450271
NPI: 1124076401
Website: medicalcityhealthcare.com
Teaching: No Medicare-funded residents
Medicare contractor: Jurisdiction H, Novitas Solutions (04011)

Prices for common services

The 24 services Decatur Community Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

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Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,352 - $8,627

from 4 insurers · median $7,397

UnitedHealthcare$7,797

Insurer A*$5,352

Insurer B*$6,998

Insurer C*$8,627

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$6,409 - $11,014

from 4 insurers · median $8,374

UnitedHealthcare$9,750

Insurer A*$6,409

Insurer B*$6,998

Insurer C*$11,014

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$7,094 - $13,776

from 4 insurers · median $13,031

Aetna$7,094

Insurer A*$12,859

Insurer B*$13,202

Insurer C*$13,776

Medicare $5,765Nearby hospitals $14,41410% below nearby hospitals

14 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$5,352 - $8,627

from 4 insurers · median $7,397

UnitedHealthcare$7,797

Insurer A*$5,352

Insurer B*$6,998

Insurer C*$8,627

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

How the insurers pay at Decatur Community Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

Insurer	Services	Median % of Medicare	Above nearby	Below nearby
Insurer A*	24	317%	7	11
Insurer B*	24	252%	2	17
Insurer C*	24	234%	15	1
Insurer D*	24	208%	1	20

How we chose these services: 6 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Decatur Community Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

Quality
Not rated by CMS
- Medicare readmissions penalty (-0.69%)
See quality ratings
Doctors and services
No Medicare-funded residents
- 15 services
See doctors and services
Finances
$66.4M net patient revenue
- Operating margin on patient care -45.0%
- $5.2M unreimbursed and uncompensated care
- -$29.4M net income
See finances

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Decatur Community Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
75-1250450Decatur Hospital Authority	52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 47 more	1124076401 Decatur Hospital Authority1336543081 Decatur Hospital Authority1386047645 Decatur Hospital Authorityand 30 more
93-2081386Medical City Decatur	10Aetna, Allied Benefit Systems, Aspirus Health Plan, Banner Health, EMI Health and 5 more	1831975572 Decatur Health Services LLC1659157295 Decatur Health Services LLC1184400822 Decatur Health Services LLCand 9 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

609 Medical Center Drive, Decatur, TX 76234

(940) 627-5921

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Quality ratings (CMS Care Compare)

How Decatur Community Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.

Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital

Measure details and reporting periods

Measure	Result	Period
Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction	Not penalized	2026

Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.

Medicare quality penalties and bonuses

How Medicare adjusts Decatur Community Hospital's inpatient payments for its readmissions, quality and cost results.

-0.69% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2026 IPPS final rule.
-0.19% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2026 IPPS final rule.

Source: CMS IPPS final rule Impact File (FY 2026).

Every CMS quality measure

Each result CMS publishes for Decatur Community Hospital, beside the US median and the average of TX hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Readmissions Reduction Program6 measures

Excess readmission ratios by condition; above 1 means more readmissions than expected.

Measure	Decatur Community Hospital	US median	TX average	US rank
READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 85 cases	1.129	0.9995	1.013	Worse than 96% of US hospitals
READM-30-CABG-HRRP2021-07-01 to 2024-06-30	N/A		1.01
READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 103 cases	1.046	0.9969	0.999	Worse than 84% of US hospitals
READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 192 cases	1.133	0.9983	1	Worse than 98% of US hospitals
READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30	N/A		1.006
READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 297 cases	0.9221	0.9955	1.003	Better than 91% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
READM-30-AMI-HRRP	1.084	1.024	1.053	1.056	1.124	1.129
READM-30-CABG-HRRP	1.155	N/A	1.034	N/A	N/A	N/A
READM-30-COPD-HRRP	1.027	1.032	0.9884	1.016	1.036	1.046
READM-30-HF-HRRP	0.9798	0.9228	0.9394	1.031	1.072	1.133
READM-30-HIP-KNEE-HRRP	1.001	1.004	1.037	N/A	N/A	N/A
READM-30-PN-HRRP	1.013	1.002	0.9854	0.9532	0.9441	0.9221

Hospital-Acquired Condition Reduction Program8 measures

Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.

Measure	Decatur Community Hospital	TX average
CAUTI standardized infection ratio2023-01-01 to 2024-12-31	N/A	0.4327
CDI standardized infection ratio2023-01-01 to 2024-12-31	N/A	0.2562
CLABSI standardized infection ratio2023-01-01 to 2024-12-31	N/A	0.5596
HAC Reduction Program payment reductionFY 2026	No
MRSA standardized infection ratio2023-01-01 to 2024-12-31	N/A	0.6118
Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30	N/A	0.9684
SSI standardized infection ratio2023-01-01 to 2024-12-31	N/A	0.7483
Total HAC scoreFY 2026	N/A	-0.1734

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
HAC Reduction Program payment reduction	No	No	N/A	Yes	Yes	No
Total HAC score	0.3088	0.1148	0	0.5238	0.4169	N/A

Source: CMS Care Compare hospital files, latest release 2026-08-13, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Accreditation and services

15 services at Decatur Community Hospital

Emergency and trauma: Emergency Department
Intensive care: Surgical ICU (Medical Surgical Intensive Care Unit)
Surgery: AnesthesiaInpatient SurgicalOR (Operating Room)Postoperative Recovery Room
Imaging: Diagnostic RadiologyNuclear Medicine
Women and children: Clinical LaboratoryObstetrics / Child Birth
Rehabilitation and therapy: Respiratory Care
Other services: Dietary CareOutpatientPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Decatur Community Hospital reported to Medicare in its latest cost report, covering Dec 1, 2023 to May 31, 2024.

2,224
Inpatient discharges
Medicare 29%, Medicaid 0%
9,067
Inpatient days
51% of available bed days used
525
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 832302). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Decatur Community Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	2,755	15	6,297	9,067
Discharges	641	5	1,578	2,224
Average length of stay	4.3 days	3.0 days	4.0 days	4.1 days
Average daily census	15.1	0.1	34.4	49.5

2,491
Medicare Advantage days
542 discharges
781
Medicaid managed care days
365 discharges
727
Observation bed days

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	76	7,627	2,442	55%
Intensive care unit	21	1,035	313	27%
Nursery		405
Subprovider - ipf	20	2,094	297	57%
Subprovider - irf	15	1,793	1,068	65%

Source: CMS cost report (HCRIS, Form 2552-10), report 832302, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Medicare inpatient stays

What Decatur Community Hospital treats Medicare patients for most often, in 2024. 182 Medicare discharges in 7 published DRGs; 0% surgical; 90% in DRGs with complications (CC or MCC).

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical	53	$141,433	$12,639	$34,651	1.98
Heart failure and shock with MCCMS-DRG 291, medical	39	$95,144	$6,996	$23,310	1.28
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	24	$102,041	$7,204	$25,000	1.33
Pulmonary edema and respiratory failureMS-DRG 189, medical	19	$102,373	$7,738	$25,081	1.23
Respiratory infections and inflammations with MCCMS-DRG 177, medical	18	$118,853	$9,085	$29,119	1.70
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	16	$77,192	$3,710	$18,912	0.74
Kidney and urinary tract infections with MCCMS-DRG 689, medical	13	$74,973	$6,598	$18,368	1.17

Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.

Medicare outpatient services

The comprehensive outpatient service groups (APCs) Decatur Community Hospital billed Medicare for most in 2024: 234 services in all.

Service group	Services	Patients	Average charges	Average Medicare payment	US average payment
Comprehensive Observation ServicesAPC 8011	75	72	$51,031	$1,942	$2,090
Level 1 Endovascular ProceduresAPC 5191	33	33	$60,320	$2,032	$2,208
Level 3 Vascular ProceduresAPC 5183	23	23	$32,733	$2,289	$2,405
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	19	19	$19,807	$1,166	$1,220
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073	19	19	$38,278	$2,031	$2,141
Level 3 Musculoskeletal ProceduresAPC 5113	15	15	$37,804	$2,328	$2,373
Level 2 Upper GI ProceduresAPC 5302	14	14	$25,822	$1,381	$1,445
Level 1 Laparoscopy and Related ServicesAPC 5361	14	14	$79,451	$3,849	$4,358
Level 3 Endovascular ProceduresAPC 5193	11	11	$183,703	$8,292	$8,874
Level 4 Urology and Related ServicesAPC 5374	11	11	$33,012	$2,280	$2,629

Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.

Income statement

Revenue, expenses and income Decatur Community Hospital reported to Medicare for Dec 1, 2023 to May 31, 2024. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$751.6M	1131.7%
Inpatient	$333.7M	502.5%
Outpatient	$417.9M	629.2%
Contractual allowances and discounts	-$685.2M	-1031.7%
Net patient revenue	$66.4M	100.0%
Operating expenses	-$96.3M	-145.0%
Operating income from patient care	-$29.9M	-45.0%
Other income	$428,237	0.6%
Net income	-$29.4M	-44.3%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$154.7M	20.6%
Medicaid (including managed care)	$35.1M	4.7%
Other payers and self-pay	$561.8M	74.7%
Total charges	$751.6M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 832302, amended. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Decatur Community Hospital's latest cost report, which covers 183 days; income and expense figures are scaled to a year.

-45.0%
Operating margin
Operating income from patient care / net patient revenue
-44.0%
Total margin
Net income / net patient revenue plus other income
-33.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
30% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$41.84
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-31.7%
Return on assets
Net income for a year / total assets
3.13
Current ratio
Current assets / current liabilities
2.20
Quick ratio
Cash, temporary investments and net receivables / current liabilities
11 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
131 days
Days in patient receivables
Net patient receivables / daily net patient revenue
49 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.72
Asset turnover
Total revenue for a year / total assets
0.4 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 832302, amended. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Decatur Community Hospital owned and owed at the end of its reporting period (May 2024), across all fund types: $185.3M in total assets and a -$27.2M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$5.5M	3.0%
Patient receivables, net	$47.5M	25.6%
Inventory	$7.8M	4.2%
Total current assets	$75.2M	40.6%
Property and equipment, net of depreciation	$104.1M	56.2%
Investments and other assets	$6.1M	3.3%
Total assets	$185.3M	100.0%
Current liabilities	$24.1M	13.0%
Long-term debt	$184.9M	99.7%
Total liabilities	$212.6M	114.7%
Fund balance (net assets)	-$27.2M	-14.7%

Source: CMS cost report (HCRIS, Form 2552-10), report 832302, amended. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Decatur Community Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.

$2.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$14,237
Bad debt
Patient bills written off as uncollectible, at charges
$2.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$145,572
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$48,337
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$5.2M
Total unreimbursed and uncompensated care
5.4% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)

Source: CMS cost report (HCRIS, Form 2552-10), report 832302, amended. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Decatur Community Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 5 years

Fiscal year ending	Dec 2019	Dec 2020	Dec 2021	Dec 2022	Nov 2023
Net patient revenue	$378.8M	$442.3M	$410.3M	$361M	$265.6M
Operating expenses	$378.2M	$431.5M	$432.7M	$417M	$356.7M
Operating margin	0.1%	2.4%	-5.5%	-15.5%	-34.3%
Net income	$23.3M	$37.6M	-$9.4M	-$45M	-$72M
Total assets	$355M	$428.9M	$360.1M	$288.5M	$318.4M
Discharges	4,155	4,295	4,767	4,487	4,016
Inpatient days	19,061	15,817	19,415	17,083	15,482
Medicare Advantage days	2,844	3,642	3,856		3,735
Beds	116	116	116	116	110
Employees (FTE)	1,789	1,199	1,300	1,174	928

Source: CMS cost report (HCRIS, Form 2552-10), report 832302, amended. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Decatur Community Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 42 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Drugs charged to patients	$1.5M	$10M	$86.4M	0.12	5,354
Operating room	$1.7M	$6.3M	$41.5M	0.15	25,998
Emergency	$1.9M	$5M	$59.7M	0.08	16,967
Medical supplies charged to patient		$4.2M	$55.8M	0.08	478
Laboratory	$634,472	$4.1M	$103.2M	0.04	4,650
Impl. dev. charged to patients		$3.5M	$70.9M	0.05
Delivery room & labor room	$1.1M	$3M	$5M	0.61	18,642
Renal dialysis	$1.2M	$2.5M	$22.7M	0.11	897
Radiology-diagnostic	$765,859	$2.5M	$11.7M	0.21	8,223
Physical therapy	$958,783	$1.7M	$9.4M	0.18	1,419
Cardiac catheterization	$533,861	$1.6M	$32.9M	0.05	3,656
Anesthesiology	$49,589	$1.3M	$7M	0.19	16,717
Ultra sound	$474,846	$1.1M	$15M	0.08	4,904
Wound care	$294,478	$1.1M	$2.8M	0.39	7,161
Respiratory therapy	$503,462	$1.1M	$18.7M	0.06	522
Observation beds (non-distinct part		$752,801	$4.7M	0.16
Recovery room	$324,368	$715,274	$9.8M	0.07	1,903
Cardiac rehabilitation	$174,099	$679,793	$1.8M	0.38	5,904
Occupational therapy	$379,967	$657,928	$4.6M	0.14	690
Ct scan	$275,139	$643,100	$60.9M	0.01	1,059
Whole blood & packed red blood cell		$639,653	$1.3M	0.50	261
Speech pathology	$217,973	$370,557	$1.5M	0.25	215
Electrocardiology	$163,329	$286,959	$15.5M	0.02
Mri	$136,961	$270,715	$11.4M	0.02	612
Radioisotope	$75,259	$259,896	$3.3M	0.08	445
Mammography	$80,042	$146,556	$2.3M	0.06

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$3.3M	$8.7M	$62.1M	0.14	34,649
Intensive care unit	$1.3M	$3.7M	$12.5M	0.29	15,239
Subprovider - ipf	$960,627	$2.6M	$9.1M	0.29	11,334
Subprovider - irf	$706,084	$2.3M	$7.2M	0.31	12,109
Nursery		$276,938	$1.2M	0.23	830

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$2.5M	$16.9M			33,931
Cap rel costs-mvble equip		$5.8M
Operation of plant	$726,941	$3.2M	28,950	$25.11	39,759
Cap rel costs-bldg & fixt		$2.3M			343,370
Employee benefits department	$4,521	$2.2M	112	$40.37	1,340
Dietary	$615,149	$844,121	29,678	$20.73	12,191
Housekeeping	$489,911	$698,621	27,097	$18.08	32,614
Nursing administration	$446,700	$698,602	9,842	$61.49	2,061
Laundry & linen service		$435,823
Medical records & library		$311,238			1,042
Central services & supply		$60

Source: CMS cost report (HCRIS, Form 2552-10), report 832302, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Medicare payment profile

The factors Medicare uses to set what it pays Decatur Community Hospital for an inpatient stay.

1.62
Case mix index
Higher than 43% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2026); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2026).
14.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2026).
851
Medicare inpatient stays
Medicare claims CMS based FY 2026 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2026).

Show FY 2021 to FY 2026

IPPS fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
Case mix index	1.54	1.54	1.78	1.72	1.67	1.62
Wage index	0.957	0.959	0.956	0.938	0.923	0.972
Readmissions adjustment	-0.54%	-1.00%	-0.39%	-0.31%	-0.35%	-0.69%
Value-based purchasing adjustment	-0.63%	-0.69%	-0.68%	-0.31%	-1.01%	-0.19%
Medicare inpatient stays	1,882	1,882	1,653	1,502	1,423	851

Source: CMS IPPS final rule Impact File (FY 2026).

Frequently asked questions

About Decatur Community Hospital's rates and hospital price transparency.

How much does an MRI cost at Decatur Community Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Decatur Community Hospital range from $616 to $2,029 across 4 insurers. Blue Cross Blue Shield's rate is $1,485. The median at nearby comparable hospitals is $1,593. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Decatur Community Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Decatur Community Hospital range from $341 to $1,852 across 4 insurers. Blue Cross Blue Shield's rate is $1,485. The median at nearby comparable hospitals is $1,368. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Decatur Community Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Decatur Community Hospital range from $2,459 to $3,682 across 4 insurers. Cigna's rate is $3,016. The median at nearby comparable hospitals is $3,285. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Decatur Community Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Decatur Community Hospital range from $5,352 to $8,627 across 4 insurers. UnitedHealthcare's rate is $7,797. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Decatur Community Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Decatur Community Hospital range from $137 to $387 across 4 insurers. Aetna's rate is $228. The median at nearby comparable hospitals is $238. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Decatur Community Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Decatur Community Hospital for fiscal year 2026.

Does Medicare penalize Decatur Community Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Decatur Community Hospital's base inpatient payments by an estimated 0.69% in fiscal year 2026 for more readmissions than expected.

What are the most common Medicare inpatient stays at Decatur Community Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (53 discharges), heart failure and shock with mcc (39 discharges), simple pneumonia and pleurisy with mcc (24 discharges).

What is Decatur Community Hospital's case mix index?

Decatur Community Hospital's Medicare case mix index is 1.62 for fiscal year 2026, higher than 43% of hospitals paid under the inpatient prospective payment system.

How many patients does Decatur Community Hospital admit?

Decatur Community Hospital reported 2,224 inpatient discharges and 9,067 inpatient days from Dec 1, 2023 to May 31, 2024.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]

{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

CMS template layout, in JSON or CSV
Gross, discounted cash, payer-specific and de-identified min / max charges
cms-hpt.txt file and homepage footer link
Refreshed when your contracts change

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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance

CPT, HCPCS, revenue code and modifier errors flagged line by line
Missing, duplicate and outdated charge lines identified
Charges set below payer allowables caught before lesser-of clauses cut payment
Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
Your negotiated rates benchmarked against peer hospitals for the same payers

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About this hospital

Prices for common services

How the insurers pay at Decatur Community Hospital

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

15 services at Decatur Community Hospital

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare inpatient stays

Medicare outpatient services

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Ownership

Changes of ownership

Programs and facilities

Hospital-based units

Hospital-based units with their own Medicare certification

Comparable hospitals nearby

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts