Emory Decatur Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Emory Decatur Hospital, Decatur, GA in 2024, from traditional Medicare claims. Back to the Emory Decatur Hospital profile, with quality ratings, finances and negotiated rates.
1,280
Medicare inpatient discharges
In 43 published DRGs
1.72
Case mix index
IPPS FY 2027
8%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
1,465
Medicare outpatient services
In 27 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases287 discharges in 4 DRGs
| 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 | 213 | $68,228 | $14,764 | $18,626 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 25 | $158,569 | $37,010 | $43,289 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 25 | $376,755 | $68,841 | $102,854 | 6.96 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 24 | $30,519 | $7,733 | $8,332 | 1.03 |
Circulatory system268 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 135 | $47,289 | $10,465 | $12,910 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 25 | $56,870 | $11,283 | $15,525 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 19 | $70,761 | $19,223 | $19,318 | 2.87 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 15 | $52,946 | $9,363 | $14,454 | 1.20 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 13 | $127,929 | $24,959 | $34,925 | 3.35 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 13 | $57,769 | $13,493 | $15,771 | 1.82 |
| Other vascular procedures with CCMS-DRG 253, surgical | 12 | $138,878 | $17,530 | $37,914 | 2.55 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 12 | $34,222 | $6,996 | $9,343 | 0.91 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 12 | $25,675 | $6,367 | $7,009 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 12 | $24,964 | $6,579 | $6,815 | 0.86 |
Respiratory system177 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 56 | $54,008 | $11,947 | $14,744 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 44 | $53,627 | $12,767 | $14,640 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 25 | $40,925 | $10,108 | $11,173 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 22 | $41,656 | $8,296 | $11,372 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 18 | $53,132 | $10,979 | $14,505 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 12 | $99,562 | $17,650 | $27,180 | 2.70 |
Kidney and urinary tract144 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 38 | $41,709 | $10,646 | $11,387 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 37 | $53,621 | $12,723 | $14,639 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 32 | $30,108 | $6,917 | $8,219 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 25 | $30,933 | $8,807 | $8,445 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 12 | $17,814 | $6,107 | $4,863 | 0.81 |
Digestive system126 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 42 | $28,258 | $7,668 | $7,714 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 29 | $60,066 | $12,849 | $16,398 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 16 | $28,572 | $6,340 | $7,800 | 0.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $167,922 | $28,906 | $45,843 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 13 | $33,864 | $7,094 | $9,245 | 0.94 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 11 | $97,609 | $15,521 | $26,647 | 2.37 |
Endocrine, nutritional and metabolic98 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 38 | $49,245 | $9,820 | $13,444 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 22 | $44,274 | $11,052 | $12,087 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 22 | $21,172 | $6,174 | $5,780 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 16 | $29,467 | $7,691 | $8,044 | 0.90 |
Nervous system81 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 27 | $34,158 | $7,592 | $9,325 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 24 | $47,115 | $14,283 | $12,862 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 15 | $60,123 | $13,151 | $16,414 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 15 | $93,790 | $17,293 | $25,605 | 1.98 |
Mental diseases and disorders60 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 60 | $51,390 | $10,115 | $14,029 | 1.37 |
Blood and immune system26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 15 | $60,645 | $14,138 | $16,556 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $33,278 | $6,464 | $9,085 | 0.90 |
Alcohol and drug use13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 13 | $28,686 | $6,889 | $7,831 | 0.86 |
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.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 376 | 356 | $14,841 | $1,984 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 116 | 116 | $18,830 | $2,136 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 101 | 97 | $6,172 | $1,172 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 95 | 90 | $19,437 | $2,332 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 70 | 67 | $38,290 | $10,262 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 59 | 56 | $8,719 | $1,385 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 55 | 53 | $26,982 | $4,134 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 49 | 48 | $16,931 | $2,296 | $2,373 |
| Level 3 Endovascular ProceduresAPC 5193 | 49 | 47 | $36,399 | $8,567 | $8,874 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 47 | 45 | $33,899 | $5,067 | $5,339 |
| Level 2 Endovascular ProceduresAPC 5192 | 47 | 39 | $19,015 | $4,226 | $4,338 |
| Level 5 Urology and Related ServicesAPC 5375 | 45 | 43 | $22,182 | $3,822 | $3,918 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 40 | 40 | $17,851 | $2,430 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 37 | 36 | $17,980 | $2,099 | $2,141 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 37 | 36 | $47,178 | $7,541 | $8,164 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 29 | 29 | $22,588 | $8,270 | $8,569 |
| Level 4 Urology and Related ServicesAPC 5374 | 29 | 25 | $14,907 | $2,577 | $2,629 |
| Level 2 Vascular ProceduresAPC 5182 | 28 | 28 | $6,030 | $1,142 | $1,204 |
| Level 5 ENT ProceduresAPC 5165 | 22 | 22 | $30,426 | $4,330 | $4,436 |
| Level 3 Lower GI ProceduresAPC 5313 | 21 | 21 | $15,682 | $2,082 | $2,176 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 19 | 19 | $15,720 | $2,670 | $2,930 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 19 | 17 | $8,473 | $1,126 | $1,196 |
| Level 4 Endovascular ProceduresAPC 5194 | 17 | 17 | $53,580 | $14,608 | $14,606 |
| Level 4 Vascular ProceduresAPC 5184 | 16 | 15 | $30,351 | $4,063 | $3,946 |
| Level 3 Urology and Related ServicesAPC 5373 | 16 | 15 | $9,913 | $1,506 | $1,516 |
| Level 4 Gynecologic ProceduresAPC 5414 | 15 | 15 | $16,623 | $2,312 | $2,389 |
| Level 8 Urology and Related ServicesAPC 5378 | 11 | $53,565 | $17,045 | $17,428 |
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.