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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Emory Decatur Hospital

Emory Healthcare · Decatur, GA

2701 North Decatur Road, Decatur, GA 30033(404) 501-1000

2 of 5

CMS star rating

431

Beds

21,527

Inpatient discharges a year

$580.7M

Net patient revenue a year

36

In-network payers

About this hospital

Emory Decatur Hospital is a 431-bed voluntary non-profit - private hospital in Decatur, GA, affiliated with Emory Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 516 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
CCN
110076
NPI
1093716979
Health system
Emory Healthcare
Teaching
Teaching hospital
County
DeKalb County
Metro area
Atlanta-Sandy Springs-Roswell, GA MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2025

Prices for common services

The 24 services Emory Decatur 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

Vaginal delivery, hospital stay

MS-DRG 807

$10,986 - $12,418

from 4 insurers · median $11,642

UnitedHealthcare$11,890
Insurer A*$10,986
Insurer B*$11,395
Insurer C*$12,418

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

Cesarean delivery, hospital stay

MS-DRG 788

$15,038 - $16,393

from 4 insurers · median $15,325

UnitedHealthcare$16,393
Insurer A*$15,038
Insurer B*$15,271
Insurer C*$15,380

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

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$29,755 - $36,410

from 4 insurers · median $33,954

Aetna$33,537
Insurer A*$29,755
Insurer B*$34,372
Insurer C*$36,410
Medicare $12,862Nearby hospitals $31,3448% above nearby hospitals

40 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$10,986 - $12,418

from 4 insurers · median $11,642

UnitedHealthcare$11,890
Insurer A*$10,986
Insurer B*$11,395
Insurer C*$12,418

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

How the insurers pay at Emory Decatur 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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
393%
171
Insurer B*24
258%
39
Insurer C*20
198%
512
Insurer D*24
143%
615

How we chose these services: 6 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 4 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 Emory Decatur 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.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    2 of 5 stars

    • 222 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.35%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 26 services, including trauma care
    • 1,369 affiliated clinicians
    See doctors and services
  • Finances

    $580.7M net patient revenue

    • Operating margin on patient care 5.7%
    • $35.9M unreimbursed and uncompensated care
    • $48.7M net income
    See finances
  • Ownership and leadership

    Owned by Dekalb Regional Health System

    • Private (not for profit)
    • Jen Schuck, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
58-1966795Dekalb Medical Center INC61Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 56 more1093716979 Dekalb Medical Center Inc.1962403865 Dekalb Medical Center Inc.1821099474 Dekalb Medical Psych Unitand 3 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

2701 North Decatur Road, Decatur, GA 30033

(404) 501-1000

Get directions

Frequently asked questions

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

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

For CT head or brain without contrast (CPT 70450), published negotiated rates at Emory Decatur Hospital range from $280 to $705 across 3 insurers. Cigna's rate is $705. The median at nearby comparable hospitals is $271. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Emory Decatur Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Emory Decatur Hospital range from $2,134 to $4,797 across 4 insurers. Blue Cross Blue Shield's rate is $2,134. The median at nearby comparable hospitals is $3,221. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Emory Decatur Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Emory Decatur Hospital range from $10,986 to $12,418 across 4 insurers. UnitedHealthcare's rate is $11,890. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Emory Decatur Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Emory Decatur Hospital range from $156 to $250 across 4 insurers. Cigna's rate is $228. The median at nearby comparable hospitals is $214. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Emory Decatur Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Emory Decatur Hospital range from $29,755 to $36,410 across 4 insurers. Aetna's rate is $33,537. The median at nearby comparable hospitals is $31,344. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Emory Decatur Hospital's CMS star rating?

Emory Decatur Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Emory Decatur Hospital a teaching hospital?

Yes. CMS counts 0.03 Medicare-funded residents per bed at Emory Decatur Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Emory Decatur Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Emory Decatur Hospital's base inpatient payments by an estimated 0.35% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (213 discharges), heart failure and shock with mcc (135 discharges), psychoses (60 discharges).

What is Emory Decatur Hospital's case mix index?

Emory Decatur Hospital's Medicare case mix index is 1.72 for fiscal year 2027, higher than 55% of hospitals paid under the inpatient prospective payment system.

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.

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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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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