Decatur, IL
3 of 5
CMS star rating
178
Beds
8,368
Inpatient discharges a year
$335.9M
Net patient revenue a year
29
In-network payers
Decatur Memorial Hospital is a 178-bed voluntary non-profit - other hospital in Decatur, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 411 disclosed rate categories.
The 24 services Decatur Memorial 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.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$6,269 - $11,488
from 4 insurers · median $7,855
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 neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$8,276 - $17,459
from 4 insurers · median $10,978
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 neonatal nursery services to CMS
Gynecology
CPT 58558
$2,264 - $7,805
from 2 insurers · median $5,034
22 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$321 - $1,782
from 3 insurers · median $841
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$27,965 - $75,679
from 3 insurers · median $49,183
19 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$1,726 - $14,577
from 2 insurers · median $8,152
83 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$1,363 - $8,633
from 2 insurers · median $4,998
86 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$6,269 - $11,488
from 4 insurers · median $7,855
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 neonatal nursery services to CMS
Cardiology and vascular testing
CPT 93306
$583 - $1,317
from 3 insurers · median $740
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,003 - $2,885
from 2 insurers · median $1,944
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$904 - $2,885
from 2 insurers · median $1,895
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$85 - $569
from 3 insurers · median $252
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$153 - $1,418
from 3 insurers · median $575
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$736 - $2,187
from 2 insurers · median $1,462
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$25,630
negotiated rate
27 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$104 - $369
from 3 insurers · median $135
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$525 - $3,122
from 3 insurers · median $1,674
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$1,879 - $14,577
from 2 insurers · median $8,228
83 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70553
$251 - $1,297
from 3 insurers · median $841
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$1,438 - $7,889
from 2 insurers · median $4,663
108 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58661
$1,931 - $14,577
from 2 insurers · median $8,254
Typical for a hospital with this service line
Urology
CPT 50590
$1,454 - $8,499
from 2 insurers · median $4,977
138 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
CT imaging
CPT 71275
$226 - $1,341
from 3 insurers · median $423
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$2,178 - $14,577
from 2 insurers · median $8,377
Typical for a hospital with this service line
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* | 12 | 456% | 0 | 8 |
| Insurer B* | 24 | 236% | 10 | 11 |
| Insurer C* | 23 | 68% | 1 | 18 |
| Insurer D* | 3 | - | 0 | 0 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 5 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 Memorial Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$335.9M net patient revenue
Ownership and leadership
Owned by Memorial Health System
The employer identification numbers (EINs) health plans and networks list for Decatur Memorial 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 |
|---|---|---|
| 37-0661199Decatur Memorial Hospital | 57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more | 1548357973 Decatur Memorial Hospital1386020402 Decatur Memorial Hospital1437246865 Decatur Memorial Hospitaland 17 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.
2300 North Edward Street, Decatur, IL 62526
(217) 876-8121
How Decatur Memorial Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 7 measures
0 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 2 of 6 measures
2 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 9 measures
1 better, 6 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
58%
Lower than 89% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
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
Serious complications (PSI 90)
1.08
Higher than 78% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
220 min
Higher than 88% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
44%
Lower than 88% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 7 measures | |
| Safety | Better on 2 of 6 measures | |
| Readmissions | Worse on 2 of 9 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 58% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.08 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 220 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 44% | 2024-10-01 to 2025-09-30 |
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.
How Medicare adjusts Decatur Memorial Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.65% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Decatur Memorial Hospital, beside the US median and the average of IL hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Decatur Memorial Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 29 cases | 4.9 | 4.1 | 4.202 | Worse than 81% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 2,284 cases | 4.9 | 3.9 | 4.052 | Worse than 87% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 120 cases | 13.1 | 11.8 | 11.78 | Worse than 86% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.39 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 215 cases | 8.3 | 8.5 | 8.223 | Better than 53% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 364 cases | 11.7 | 11 | 10.49 | Worse than 64% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 536 cases | 20.4 | 15.2 | 15.41 | Worse than 96% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 264 cases | 16.7 | 11.6 | 11.77 | Worse than 94% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 4,464 cases | 1.05 | 0.51 | 0.5668 | No Different Than the National Rate | Worse than 89% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 64 cases | 195 | 173 | 173 | No Different Than the National Rate | Worse than 83% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 4,907 cases | 0.18 | 0.2 | 0.2122 | No Different Than the National Rate | Better than 76% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 4,967 cases | 0.27 | 0.27 | 0.2728 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 985 cases | 2.62 | 2.29 | 2.301 | No Different Than the National Rate | Worse than 83% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 338 cases | 1.44 | 1.63 | 1.67 | No Different Than the National Rate | Better than 85% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 320 cases | 7.13 | 8.88 | 9.531 | No Different Than the National Rate | Better than 83% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 1,057 cases | 5.03 | 3.4 | 3.714 | No Different Than the National Rate | Worse than 96% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 298 cases | 4.14 | 5.105 | 5.152 | No Different Than the National Rate | Better than 91% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 234 cases | 1.62 | 1.72 | 1.741 | No Different Than the National Rate | Better than 83% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 1,026 cases | 1.05 | 1.02 | 1.045 | No Different Than the National Rate | Worse than 64% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Decatur Memorial Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 99 cases | 35.9 | 4.2 | 11.54 | Worse than 88% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 398 cases | 33 | 1.25 | 8.216 | Worse than 85% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 516 cases | 2.5 | 3.85 | 13.94 | Better than 52% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 1,792 cases | 13.2 | 12.9 | 12.97 | No Different Than the National Rate | Worse than 62% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 77 cases | 10.2 | 10.7 | 11.17 | No Different Than the National Rate | Better than 64% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 77 cases | 4.9 | 5.3 | 5.176 | No Different Than the National Rate | Better than 75% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 928 cases | 0.9 | 1 | 1.016 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 134 cases | 14.9 | 14.4 | 14.43 | Worse than 74% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 314 cases | 19 | 19.8 | 20.07 | Better than 84% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 450 cases | 23 | 21.3 | 21.51 | Worse than 90% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 33 cases | 6.5 | 5.8 | 5.976 | Worse than 84% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 566 cases | 16.2 | 17.2 | 17.5 | Better than 88% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Decatur Memorial Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.315 | Better than the National Benchmark | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.781 | 1.504 | 2.097 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 4,421 | 1,370 | 4,356 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 3.838 | 0.9835 | 4.318 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.961 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.484 | 0.7494 | Better than the National Benchmark | The best result, shared by 21% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2157 | Better than the National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.654 | 1.392 | 1.915 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 4,916 | 1,799 | 3,807 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 4.581 | 1.377 | 4.51 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.56 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.5759 | Better than the National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.15 | 0.2345 | 0.3411 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.947 | 2.135 | 2.549 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 89 | 61 | 96.21 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 2.242 | 1.591 | 2.6 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 2 | 1 | 2.339 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.892 | 0.7155 | 0.9044 | No Different than National Benchmark | Worse than 62% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3129 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.282 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 76 | 38 | 84.23 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.639 | 0.328 | 0.7325 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.72 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.899 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1945 | No Different than National Benchmark | ||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.27 | 1.855 | 2.01 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 47,720 | 14,451 | 38,381 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 2.358 | 0.567 | 2.311 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.305 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0 | 0.597 | 0.5504 | No Different than National Benchmark | The best result, shared by 18% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.068 | 0.127 | 0.1833 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.519 | 0.747 | 1.212 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 46,268 | 13,646 | 35,800 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 18.6 | 5.683 | 19.22 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 4 | 2 | 7.192 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.215 | 0.279 | 0.4067 | Better than the National Benchmark | Better than 60% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Decatur Memorial Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 655 cases | 62 | 73 | 72.75 | Worse than 90% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 655 cases | 13 | 8 | 9.158 | Worse than 81% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 655 cases | 25 | 18 | 18.09 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 655 cases | 82 | 87 | 85.64 | Worse than 83% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 655 cases | 2 | 4 | 3.195 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 655 cases | 72 | 80 | 79.29 | Worse than 90% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 655 cases | 89 | 91 | 90.92 | Worse than 79% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 655 cases | 5 | 4 | 4.576 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 655 cases | 2 | 3 | 3.305 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 655 cases | 23 | 16 | 16.13 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 655 cases | 72 | 79 | 78.82 | Worse than 91% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 655 cases | 88 | 91 | 90.1 | Worse than 83% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 655 cases | 8 | 5 | 5.823 | Worse than 84% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 655 cases | 2 | 3 | 2.89 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 655 cases | 20 | 16 | 15.36 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 655 cases | 53 | 61 | 61.18 | Worse than 90% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 655 cases | 72 | 77 | 76.11 | Worse than 84% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 655 cases | 25 | 19 | 19.8 | Worse than 84% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 655 cases | 2 | 3 | 2.559 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 655 cases | 22 | 19 | 19.01 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 655 cases | 81 | 86 | 85.26 | Worse than 87% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 655 cases | 19 | 13 | 13.92 | Worse than 89% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 655 cases | 2 | 3 | 3.237 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 655 cases | 81 | 87 | 86.08 | Worse than 89% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 655 cases | 21 | 14 | 14.8 | Worse than 88% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 655 cases | 79 | 86 | 85.2 | Worse than 88% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 655 cases | 66 | 74 | 73.24 | Worse than 92% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 655 cases | 10 | 7 | 7.369 | Worse than 84% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 655 cases | 24 | 19 | 19.39 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 655 cases | 70 | 77 | 76.95 | Worse than 90% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 655 cases | 8 | 6 | 6.199 | Worse than 77% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 655 cases | 22 | 17 | 16.85 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 655 cases | 80 | 85 | 84.2 | Worse than 85% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 655 cases | 5 | 3 | 3.979 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 655 cases | 15 | 11 | 11.82 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 655 cases | 11 | 8 | 8.937 | Worse than 75% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 655 cases | 30 | 20 | 20.87 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 655 cases | 59 | 72 | 70.19 | Worse than 91% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 655 cases | 84 | 88 | 87.19 | Worse than 85% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 655 cases | 2 | 3 | 3.136 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 655 cases | 68 | 74 | 73.94 | Worse than 86% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 655 cases | 14 | 9 | 9.858 | Worse than 87% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 655 cases | 18 | 16 | 16.2 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 655 cases | 65 | 75 | 74.61 | Worse than 95% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 655 cases | 7 | 5 | 5.915 | Worse than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 655 cases | 28 | 20 | 19.48 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 655 cases | 69 | 77 | 76.32 | Worse than 89% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 655 cases | 6 | 4 | 4.894 | Worse than 71% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 655 cases | 25 | 19 | 18.79 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 655 cases | 80 | 86 | 84.9 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 655 cases | 3 | 3 | 3.085 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 655 cases | 17 | 11 | 12.01 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 655 cases | 53 | 59 | 59.03 | Worse than 71% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 655 cases | 11 | 9 | 10.03 | Worse than 60% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 655 cases | 36 | 31 | 30.94 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 655 cases | 80 | 82 | 81.16 | Worse than 59% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 655 cases | 3 | 3 | 3.237 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 655 cases | 7 | 5 | 6.753 | Worse than 67% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 655 cases | 58 | 71 | 68.65 | Worse than 89% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 655 cases | 83 | 87 | 85.89 | Worse than 80% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 655 cases | 35 | 23 | 24.6 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 655 cases | 3 | 4 | 3.458 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 655 cases | 38 | 47 | 46.95 | Worse than 91% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 655 cases | 36 | 30 | 30.69 | Worse than 79% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 655 cases | 26 | 22 | 22.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 655 cases | 2 | 3 | 3.119 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 655 cases | 16 | 12 | 13.09 | Worse than 81% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 655 cases | 84 | 88 | 86.91 | Worse than 81% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Decatur Memorial Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.656 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.114 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2258 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 2,387 cases | 74 | 79 | 83.65 | Worse than 58% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 885 cases | 227 | 154 | 183 | Worse than 89% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 818 cases | 220 | 148 | 175 | Worse than 88% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 49 cases | 266 | 247 | 304 | Worse than 57% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 21 cases | 333 | 293 | 315 | Worse than 66% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 41,643 cases | 8 | 1 | 2.469 | Worse than 99% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 30 cases | 83 | 74 | 78.84 | Better than 71% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 63 cases | 100 | 97 | 94.09 | The best result, shared by 27% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 90 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 40.38 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,587 cases | 13 | 15 | 15.81 | Better than 60% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 128 cases | 44 | 65 | 62.57 | Worse than 88% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 45 cases | 53 | 73 | 71.03 | Worse than 86% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 21 cases | 52 | 88 | 85.26 | Worse than 97% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 129 cases | 73 | 82 | 79.02 | Worse than 78% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 71 cases | 92 | 94 | 92.05 | Worse than 61% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 172 cases | 92 | 98 | 97 | Worse than 89% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 75.87 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 140 cases | 97 | 94 | 94.02 | Better than 73% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 3,409 cases | 69 | 90 | 81.77 | Worse than 80% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 94.61 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Decatur Memorial Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 8.3 | 5 | 6.493 | Worse than 79% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 9.2 | 6.6 | 7.806 | Worse than 77% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Decatur Memorial Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.03 | 0.99 | 0.9996 | Worse than 70% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Decatur Memorial Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 10 | 20 | 28.09 | Worse than 70% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 2.5 | 5 | 7.071 | Worse than 70% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 13.71 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 3.521 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 13 | 34 | 34.29 | Worse than 92% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 3.25 | 8.75 | 8.88 | Worse than 92% of US hospitals | |
| VBP safety domain scoreFY 2026 | 55 | 40 | 36.66 | Better than 74% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 13.75 | 10 | 9.377 | Better than 73% of US hospitals | |
| VBP total performance scoreFY 2026 | 19.5 | 29.5 | 28.2 | Worse than 85% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 46 | 36.67 | 32.5 | 8 | 8 | 10 |
| VBP clinical outcomes weighted domain score | 11.5 | 9.167 | 8.125 | 2 | 2 | 2.5 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 10 | 0 | 10 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 2.5 | 0 | 2.5 | 0 |
| VBP person and community engagement domain score | 22 | Not Available | Not Available | 12 | 10 | 13 |
| VBP person and community engagement weighted domain score | 5.5 | Not Available | Not Available | 3 | 2.5 | 3.25 |
| VBP safety domain score | 48 | Not Available | Not Available | 36 | 32 | 55 |
| VBP safety weighted domain score | 12 | Not Available | Not Available | 9 | 8 | 13.75 |
| VBP total performance score | 29 | Not Available | Not Available | 14 | 15 | 19.5 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Decatur Memorial Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 0.9488 | 0.9995 | 1.015 | Better than 80% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.026 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 232 cases | 1.003 | 0.9969 | 1.009 | Worse than 56% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 384 cases | 0.9834 | 0.9983 | 1.013 | Better than 61% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.055 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 441 cases | 0.854 | 0.9955 | 1.018 | Better than 99% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9496 | 0.9571 | 0.9527 | 0.9292 | 0.9457 | 0.9488 |
| READM-30-CABG-HRRP | 1.021 | 1.068 | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.074 | 1.03 | 1.006 | 0.9194 | 0.95 | 1.003 |
| READM-30-HF-HRRP | 0.9382 | 0.9532 | 1.025 | 1.025 | 1.032 | 0.9834 |
| READM-30-HIP-KNEE-HRRP | 0.8443 | 0.7205 | 0.816 | 0.8261 | 1.118 | N/A |
| READM-30-PN-HRRP | 1.012 | 1.072 | 1.125 | 0.9889 | 0.8881 | 0.854 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Decatur Memorial Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.126 | 0.489 | 0.5958 | Better than 83% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.226 | 0.346 | 0.436 | Better than 69% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.5 | 0.559 | 0.7638 | Better than 55% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.468 | 0.6405 | 0.6364 | Better than 66% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.077 | 0.9628 | 0.9883 | Worse than 78% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.095 | 0.7945 | 0.9041 | Worse than 69% of US hospitals | |
| Total HAC scoreFY 2026 | -0.215 | -0.0453 | 0.07842 | Better than 62% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | Yes | N/A | No | No | No |
| Total HAC score | 0.673 | 0.4765 | 0 | 0.1868 | 0.125 | -0.215 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, 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.
The Joint Commission (since 2022)
Accreditation
Limited
Medical school affiliation
Other
Ownership type
372
Medicare-certified beds
226
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Decatur Memorial Hospital reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
8,368
Inpatient discharges
Medicare 34%, Medicaid 4%
40,988
Inpatient days
63% of available bed days used
1,557
Employees (full-time equivalent)
15
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 831147). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Decatur Memorial Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 14,294 | 1,212 | 25,482 | 40,988 |
| Discharges | 2,876 | 357 | 5,135 | 8,368 |
| Average length of stay | 5.0 days | 3.4 days | 5.0 days | 4.9 days |
| Average daily census | 39.2 | 3.3 | 69.8 | 112.3 |
12,337
Medicare Advantage days
2,132 discharges
6,362
Medicaid managed care days
1,663 discharges
3,362
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 136 | 29,483 | 10,648 | 59% |
| Intensive care unit | 22 | 5,428 | 2,237 | 68% |
| Coronary care unit | 20 | 4,781 | 1,409 | 65% |
| Nursery | 1,296 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831147, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Decatur Memorial Hospital treats Medicare patients for most often, in 2024. 2,197 Medicare discharges in 67 published DRGs; 14% surgical; 67% 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 | 192 | $59,569 | $13,358 | $15,488 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 188 | $33,789 | $8,434 | $8,785 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 93 | $42,542 | $10,572 | $11,061 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 86 | $55,165 | $8,606 | $14,343 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 72 | $40,673 | $8,610 | $10,575 | 1.33 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 67 | $23,484 | $4,927 | $6,106 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 65 | $30,517 | $7,279 | $7,934 | 1.17 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 59 | $36,007 | $5,970 | $9,362 | 1.02 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 58 | $25,086 | $4,756 | $6,522 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 51 | $39,127 | $6,799 | $10,173 | 1.10 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 48 | $28,569 | $5,014 | $7,428 | 0.78 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 47 | $27,455 | $4,899 | $7,138 | 0.79 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 44 | $26,361 | $4,654 | $6,854 | 0.90 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 41 | $22,193 | $3,904 | $5,770 | 0.74 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 41 | $80,719 | $13,749 | $20,987 | 2.11 |
| Renal failure with MCCMS-DRG 682, medical | 41 | $47,810 | $12,130 | $12,431 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 41 | $28,191 | $5,827 | $7,330 | 0.90 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 39 | $30,103 | $6,784 | $7,827 | 1.20 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 39 | $32,204 | $6,514 | $8,373 | 0.98 |
| Cellulitis without MCCMS-DRG 603, medical | 38 | $28,039 | $5,494 | $7,290 | 0.88 |
See all 67 Medicare inpatient DRGs at Decatur Memorial Hospital
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.
The comprehensive outpatient service groups (APCs) Decatur Memorial Hospital billed Medicare for most in 2024: 2,974 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 414 | 385 | $10,746 | $1,184 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 245 | 234 | $16,023 | $2,006 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 236 | 233 | $74,214 | $10,417 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 234 | 182 | $8,620 | $1,495 | $1,516 |
| Level 1 Nerve ProceduresAPC 5431 | 158 | 127 | $14,886 | $1,404 | $1,407 |
| Level 4 Urology and Related ServicesAPC 5374 | 138 | 113 | $15,643 | $2,562 | $2,629 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 109 | 107 | $9,709 | $1,157 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 108 | 103 | $19,403 | $2,383 | $2,373 |
| Level 5 Urology and Related ServicesAPC 5375 | 104 | 101 | $27,787 | $3,808 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 103 | 101 | $40,605 | $5,217 | $5,339 |
See all 34 Medicare outpatient services at Decatur Memorial Hospital
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.
ZIP codes with the most Medicare inpatient stays at Decatur Memorial Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 3,831 in 2020 to 4,880 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 62526 | 1,578 | 32% | 7,870 | $89.2M | 71% | 69% |
| 62521 | 1,259 | 26% | 6,534 | $74M | 58% | 45% |
| 62522 | 517 | 11% | 2,725 | $30.7M | 69% | 64% |
| 62549 | 156 | 3% | 683 | $8.5M | 57% | 32% |
| 62535 | 120 | 2% | 604 | $6.9M | 71% | 68% |
| 62568 | 106 | 2% | 551 | $4.8M | 10% | 7% |
| 62550 | 94 | 2% | 626 | $6.5M | 61% | 40% |
| 61951 | 90 | 2% | 460 | $5.9M | 17% | 17% |
| 62656 | 86 | 2% | 605 | $5M | 10% | 4% |
| 62501 | 79 | 2% | 447 | $4.6M | 58% | 63% |
| 62554 | 69 | 1% | 371 | $4.3M | 100% | 100% |
| 61727 | 66 | 1% | 373 | $3.8M | 13% | 19% |
| 62557 | 61 | 1% | 300 | $3.4M | 15% | 16% |
| 61756 | 60 | 1% | 245 | $3.6M | 85% | 81% |
| 61914 | 42 | 1% | 187 | $2.3M | 44% | 36% |
| 62565 | 40 | 1% | 162 | $2.4M | 7% | 12% |
| 62544 | 38 | 1% | 255 | $1.9M | 50% | 34% |
| 62573 | 35 | 1% | 167 | $1.9M | 100% | 63% |
| 62523 | 34 | 1% | 199 | $2M | 100% | 57% |
| 61818 | 33 | 1% | 147 | $1.8M | 75% | 38% |
| 62513 | 32 | 1% | 101 | $1.1M | 74% | 40% |
| 61937 | 31 | 1% | 136 | $1.3M | 41% | 38% |
| 62548 | 27 | 1% | 122 | $1.2M | 23% | |
| 62525 | 26 | 1% | 141 | $1.9M | 100% | 45% |
| 61856 | 21 | 0% | 192 | $1.5M | 5% | 6% |
Source: CMS Hospital Service Area file. Shares are of the 4,880 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Decatur Memorial Hospital reported at its latest Medicare certification survey (1998). Counts are people, not full-time equivalents.
20
Psychiatric unit beds
26
Rehabilitation unit beds
6
Off-site locations
226
Registered nurses
97
Licensed practical nurses
18
Physicians
16
Resident physicians
4
Physician assistants
14
Nurse anesthetists (CRNAs)
7
Pharmacists
23
Respiratory therapists
13
Physical therapists
3
Occupational therapists
2
Speech pathologists and audiologists
4
Dietitians
3
Social workers
928
Other personnel
Source: CMS Provider of Services file.
545 clinicians who bill Medicare list Decatur Memorial Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Mario Velasco, MD
Medical Oncology Physician
NPI 1326007782
See commercial rates for Mario Velasco, MDSebastien Kairouz, M.D.
Hematology & Oncology Physician
NPI 1396701009
See commercial rates for Sebastien Kairouz, M.D.Perry Guaglianone, M.D.
Hematology & Oncology Physician
NPI 1932168309
See commercial rates for Perry Guaglianone, M.D.Evelena Ontiveros, MD PHD
Hematology & Oncology Physician
NPI 1689886962
See commercial rates for Evelena Ontiveros, MD PHDJason Guthrie, M.D
Rheumatology Physician
NPI 1437299682
See commercial rates for Jason Guthrie, M.DMichael Pick, M.D.
Rheumatology Physician
NPI 1861585846
See commercial rates for Michael Pick, M.D.Joseph Baima, M.D.
Diagnostic Radiology Physician
NPI 1144380049
See commercial rates for Joseph Baima, M.D.Timothy Lenardo, M.D.
Rheumatology Physician
NPI 1598873499
See commercial rates for Timothy Lenardo, M.D.Nora Maczura, MD
Gynecologic Oncology Physician
NPI 1043338395
See commercial rates for Nora Maczura, MDCecile Becker, M.D.
Neurology Physician
NPI 1750493540
See commercial rates for Cecile Becker, M.D.Edem Agamah, MD
Hematology & Oncology Physician
NPI 1932147279
See commercial rates for Edem Agamah, MDAshley Kirkpatrick, MSN,FNP-BC
Family Nurse Practitioner
NPI 1073148375
See commercial rates for Ashley Kirkpatrick, MSN,FNP-BCKanchan Gupta, MD
Diagnostic Radiology Physician
NPI 1972544526
See commercial rates for Kanchan Gupta, MDSherry Reid, MD
Neurology Physician
NPI 1104835412
See commercial rates for Sherry Reid, MDNehemiah Tan, M.D.
Rheumatology Physician
NPI 1578520995
See commercial rates for Nehemiah Tan, M.D.John Becker, MD
Diagnostic Radiology Physician
NPI 1316988694
See commercial rates for John Becker, MDRama Poola, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1932362241
See commercial rates for Rama Poola, MDKenneth Barba, M.D.
Ophthalmology Physician
NPI 1265473706
See commercial rates for Kenneth Barba, M.D.Marshall Brustein, MD
Orthopaedic Surgery Physician
NPI 1821165978
See commercial rates for Marshall Brustein, MDKi Hassler, D.O.
Cardiovascular Disease Physician
NPI 1417027665
See commercial rates for Ki Hassler, D.O.Elizabeth Clemente, M.D.
Diagnostic Radiology Physician
NPI 1437392131
See commercial rates for Elizabeth Clemente, M.D.Samuel Grampsas, MD
Urology Physician
NPI 1386618833
See commercial rates for Samuel Grampsas, MDSundeep Das, M.D.
Interventional Cardiology Physician
NPI 1548274749
See commercial rates for Sundeep Das, M.D.Jonathan Locke, MD
Diagnostic Radiology Physician
NPI 1982650990
See commercial rates for Jonathan Locke, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Decatur Memorial Hospital reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.5B | 442.0% |
| Inpatient | $491M | 146.2% |
| Outpatient | $993.9M | 295.9% |
| Contractual allowances and discounts | -$1.1B | -342.0% |
| Net patient revenue | $335.9M | 100.0% |
| Operating expenses | -$389.1M | -115.8% |
| Operating income from patient care | -$53.2M | -15.8% |
| Other income | $31.4M | 9.4% |
| Investment income | $1.8M | 0.5% |
| COVID-19 relief funding | $872,309 | 0.3% |
| Other | $28.8M | 8.6% |
| Net income | -$21.7M | -6.5% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $354.9M | 24.8% |
| Medicaid (including managed care) | $240.5M | 16.8% |
| Other payers and self-pay | $838.4M | 58.5% |
| Total charges | $1.4B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831147, as submitted. 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.
Computed from Decatur Memorial Hospital's latest cost report.
-15.8%
Operating margin
Operating income from patient care / net patient revenue
-5.9%
Total margin
Net income / net patient revenue plus other income
-2.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
52% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$46.69
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-5.7%
Return on assets
Net income for a year / total assets
-25.8%
Return on equity
Net income for a year / fund balance
0.22
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
0.27
Current ratio
Current assets / current liabilities
0.15
Quick ratio
Cash, temporary investments and net receivables / current liabilities
1 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
43 days
Days in patient receivables
Net patient receivables / daily net patient revenue
271 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.96
Asset turnover
Total revenue for a year / total assets
3.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 831147, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Decatur Memorial Hospital owned and owed at the end of its reporting period (Sep 2025), across all fund types: $383.6M in total assets and a $84.4M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1.4M | 0.4% |
| Patient receivables, net | $39.9M | 10.4% |
| Inventory | $4.4M | 1.2% |
| Total current assets | $75M | 19.5% |
| Property and equipment, net of depreciation | $148.7M | 38.8% |
| Investments and other assets | $159.9M | 41.7% |
| Total assets | $383.6M | 100.0% |
| Current liabilities | $280.8M | 73.2% |
| Long-term debt | $18.3M | 4.8% |
| Total liabilities | $299.2M | 78.0% |
| Fund balance (net assets) | $84.4M | 22.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831147, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Decatur Memorial Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$4.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$10.2M
Bad debt
Patient bills written off as uncollectible, at charges
-$7.6M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$6.3M
Total unreimbursed and uncompensated care
1.6% 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 831147, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Decatur Memorial Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $257.6M | $264M | $289.2M | $272.7M | $308.7M | $335.9M |
| Operating expenses | $306.3M | $304.9M | $356.6M | $365.8M | $357.4M | $389.1M |
| Operating margin | -18.9% | -15.5% | -23.3% | -34.1% | -15.8% | -15.8% |
| Net income | -$2M | $16.6M | -$62.6M | -$58.6M | -$20M | -$21.7M |
| Total assets | $331.5M | $331.4M | $316.9M | $341.6M | $354.1M | $383.6M |
| Discharges | 7,202 | 6,433 | 6,218 | 6,507 | 7,741 | 8,368 |
| Inpatient days | 33,495 | 32,661 | 34,778 | 32,821 | 36,620 | 40,988 |
| Medicare Advantage days | 4,068 | 5,365 | 7,132 | 7,477 | 9,265 | 12,337 |
| Beds | 156 | 178 | 178 | 178 | 178 | 178 |
| Employees (FTE) | 1,605 | 1,527 | 1,524 | 1,615 | 1,435 | 1,557 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831147, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Decatur Memorial Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Dmg physician group | $33.6M | $31.4M | $73.6M | 0.43 | 1,863 |
| Medical supplies charged to patient | $28.4M | $74.7M | 0.38 | ||
| Radiology-diagnostic | $9.5M | $26.5M | $338.1M | 0.08 | 34,259 |
| Operating room | $7.6M | $21.6M | $134.9M | 0.16 | 33,364 |
| Laboratory | $5.2M | $20.8M | $161.2M | 0.13 | 7,185 |
| Drugs charged to patients | $19.8M | $96.3M | 0.21 | ||
| Impl. dev. charged to patients | $16.3M | $101.1M | 0.16 | ||
| Emergency | $7.1M | $15.1M | $94.1M | 0.16 | 28,435 |
| Asc (non-distinct part) | $4.4M | $8.3M | $35.2M | 0.24 | 14,412 |
| Electrocardiology | $2.3M | $6.9M | $49.8M | 0.14 | 22,088 |
| Physical therapy | $3.5M | $6.7M | $27M | 0.25 | 2,672 |
| Cath lab | $2.1M | $5.6M | $32.7M | 0.17 | 14,929 |
| Radiology-therapeutic | $1.7M | $5.1M | $41.5M | 0.12 | |
| Anesthesiology | $9.1M | $4.7M | $25.1M | 0.19 | 2,314 |
| Observation beds (non-distinct part | $4M | $3.3M | 1.23 | ||
| Respiratory therapy | $1.7M | $3.6M | $32.1M | 0.11 | 1,750 |
| Clinic | $274,223 | $2.3M | $28.7M | 0.08 | 3,375 |
| Delivery room & labor room | $1.6M | $4.9M | 0.33 | 2,557 | |
| Electroencephalography | $666,180 | $1.5M | $7M | 0.21 | 4,531 |
| Renal dialysis | $288,136 | $761,899 | $4.7M | 0.16 | 1,211 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $16.9M | $39.1M | $40.6M | 0.96 | 63,846 |
| Intensive care unit | $5.7M | $11.3M | $14.2M | 0.79 | 7,108 |
| Coronary care unit | $4.4M | $9.4M | $10.3M | 0.91 | 8,262 |
| Nursery | $83,801 | $2.5M | 0.03 | 994 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $6.2M | $50M | 224,997 | $27.15 | 44,824 |
| Employee benefits department | $972,245 | $20.5M | 3,527 | ||
| Cap rel costs-mvble equip | $11M | ||||
| Operation of plant | $3M | $9.8M | 102,331 | $29.83 | 247,942 |
| I&r services-other prgm costs apprv | $6.2M | ||||
| Pharmacy | $3.9M | $4.5M | 75,089 | $51.55 | 2,436 |
| Nursing administration | $2.8M | $4M | 78,237 | $39.12 | 1,044 |
| Housekeeping | $2.6M | $3.9M | 125,218 | $20.75 | 5,419 |
| Medical records & library | $2M | $2.7M | 65,796 | $30.04 | 1,765 |
| Cafeteria | $1.7M | 80,175 | $22.22 | 19,338 | |
| Cap rel costs-bldg & fixt | $1.3M | 609,044 | |||
| Laundry & linen service | $1.2M | 6,811 | |||
| I&r services-salary & fringes apprv | $963,550 | ||||
| Dietary | $2.3M | $948,636 | 23,440 | $24.51 | 4,128 |
| Central services & supply | $489,527 | $656,149 | 20,369 | $24.27 | 11,068 |
| Paramed ed prgm-(specify) | $14,931 | $93,427 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831147, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Decatur Memorial 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 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.06 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
23.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
2,863
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.77 | 1.78 | 1.90 | 1.80 | 1.68 | 1.60 | 1.62 |
| Wage index | 0.891 | 0.885 | 0.880 | 0.976 | 1.071 | 1.081 | 1.172 |
| Readmissions adjustment | -0.02% | -0.24% | -0.49% | -0.08% | -0.07% | -0.16% | 0.00% |
| Value-based purchasing adjustment | -0.15% | -0.14% | -0.14% | +0.54% | -0.67% | -0.66% | -0.65% |
| Medicare inpatient stays | 4,555 | 4,555 | 2,773 | 2,463 | 2,496 | 2,939 | 2,863 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Decatur Memorial Hospital reports to Medicare as owners or with operational control.
Memorial Health System
5% or greater direct ownership interest, 100%, since 2019
Sources: CMS Hospital All Owners.
The officers and board members on Decatur Memorial Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 16 of 17 are shown.
340B drug pricing program
Participating since 2013
340B ID RRC140135-00, registered as a rural referral center; 29 registered outpatient sites; 43 active contract pharmacies. Authorizing official: Tanya Andricks, President & CEO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Decatur Meml Hospital
FAA location ID 8IS6, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
About Decatur Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Decatur Memorial Hospital range from $251 to $1,297 across 3 insurers. UnitedHealthcare's rate is $841. The median at nearby comparable hospitals is $1,287. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Decatur Memorial Hospital range from $321 to $1,782 across 3 insurers. Aetna's rate is $321. The median at nearby comparable hospitals is $1,070. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Decatur Memorial Hospital range from $1,003 to $2,885 across 2 insurers. UnitedHealthcare's rate is $2,885. The median at nearby comparable hospitals is $2,479. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Decatur Memorial Hospital range from $6,269 to $11,488 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $6,269. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Decatur Memorial Hospital range from $104 to $369 across 3 insurers. Aetna's rate is $135. The median at nearby comparable hospitals is $327. What a patient pays depends on their plan's deductible, coinsurance and network status.
Decatur Memorial Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
Yes. CMS counts 0.06 Medicare-funded residents per bed at Decatur Memorial Hospital for fiscal year 2027, so it is a teaching hospital.
No. Decatur Memorial Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (192 discharges), heart failure and shock with mcc (188 discharges), respiratory infections and inflammations with mcc (93 discharges).
Decatur Memorial Hospital's Medicare case mix index is 1.62 for fiscal year 2027, higher than 43% of hospitals paid under the inpatient prospective payment system.
Decatur Memorial Hospital reported 8,368 inpatient discharges and 40,988 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Decatur Memorial Hospital reported 1,557 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Decatur Memorial Hospital reported $335.9M in net patient revenue on $1.5B of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -15.8%, and net income of -$21.7M.
Decatur Memorial Hospital reported $6.3M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $4.1M of charity care at cost.
Decatur Memorial Hospital's Medicare enrollment lists Drew Early as CEO since 2019.
Insurers' price transparency files list Decatur Memorial Hospital under employer identification number 37-0661199 (Decatur Memorial Hospital). 57 health plans and networks list 37-0661199 for it.
Yes. HRSA's 340B database lists Decatur Memorial Hospital (340B ID RRC140135-00) as a participating rural referral center since 2013, with 43 active contract pharmacies.
545 clinicians who bill Medicare list Decatur Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (78), family medicine physician (57), internal medicine physician (41).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Decatur Memorial Hospital, effective 2022.
In its Medicare enrollment, Decatur Memorial Hospital reports Memorial Health System as 5% or greater direct ownership interest (100%).
CMS lists 26 services at Decatur Memorial Hospital, including Acute Renal Dialysis, Anesthesia, Clinical Laboratory, Coronary Care Unit, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Decatur Memorial Hospital came from ZIP codes 62526 (1,578), 62521 (1,259), 62522 (517).
Decatur Memorial Hospital has 178 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 372 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Decatur Memorial Hospital is located at 2300 North Edward Street, Decatur, IL 62526. Its main phone number is (217) 876-8121.
Decatur Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 140135.
The National Provider Identifier (NPI) on file for Decatur Memorial Hospital is 1548357973.
Decatur Memorial Hospital lists 29 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
411 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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