Hospital Sisters Health System · Decatur, IL
1 of 5
CMS star rating
103
Beds
2,367
Inpatient discharges a year
$119.1M
Net patient revenue a year
35
In-network payers
St Mary S Hospital Decatur is a 103-bed voluntary non-profit - private hospital in Decatur, IL, affiliated with Hospital Sisters Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 361 disclosed rate categories.
The 24 services St Mary S Hospital Decatur 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
$8,606 - $12,237
from 4 insurers · median $10,253
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
$12,400 - $17,402
from 4 insurers · median $13,728
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
CPT 66984
$4,300 - $8,005
from 2 insurers · median $6,152
281 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Digestive procedures
CPT 43239
$3,400 - $6,525
from 2 insurers · median $4,963
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$43,632 - $60,625
from 3 insurers · median $44,062
11 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$8,606 - $12,237
from 4 insurers · median $10,253
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
Digestive procedures
CPT 45385
$3,400 - $5,524
from 2 insurers · median $4,462
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$3,400 - $4,066
from 2 insurers · median $3,733
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$214 - $2,590
from 3 insurers · median $482
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$339 - $1,752
from 2 insurers · median $1,045
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$7,400 - $8,005
from 2 insurers · median $7,702
36 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$145 - $935
from 3 insurers · median $218
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$3,400 - $4,151
from 2 insurers · median $3,775
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$31,562 - $44,310
from 4 insurers · median $39,683
Hospital reports neurosurgical services to CMS
Gynecology
CPT 58571
$7,400 - $8,312
from 2 insurers · median $7,856
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$24,942 - $35,010
from 4 insurers · median $30,402
Hospital reports orthopedic surgery services to CMS
Nuclear imaging
CPT 78815
$1,639 - $15,604
from 3 insurers · median $2,254
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$3,400 - $7,733
from 2 insurers · median $5,567
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$1,261 - $5,995
from 2 insurers · median $3,628
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$427 - $5,136
from 3 insurers · median $649
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$126 - $682
from 3 insurers · median $136
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$212 - $1,334
from 3 insurers · median $315
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$342 - $1,943
from 3 insurers · median $399
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$4,300 - $5,140
from 2 insurers · median $4,720
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* | 15 | 727% | 4 | 7 |
| Insurer B* | 15 | 215% | 6 | 4 |
| Insurer C* | 24 | 155% | 11 | 8 |
| Insurer D* | 12 | 129% | 2 | 7 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 13 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 St Mary S Hospital Decatur, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
1 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$119.1M net patient revenue
Ownership and leadership
Owned by Hospital Sisters Services Inc
The employer identification numbers (EINs) health plans and networks list for St Mary S Hospital Decatur 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 |
|---|---|---|
| 37-0661244St. Marys Hospital | 58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more | 1326041229 St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order1255639100 St Marys Hospital Sisters Of The Third Order Of St Francis1891961371 St Marys Hospital Decatur Of The Hospital Sisters Of The Third Orderand 4 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.
1800 East Lake Shore Drive, Decatur, IL 62521
(217) 464-2966
How St Mary S Hospital Decatur compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
1 of 5
The lowest rating, shared by 6% 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
Worse on 1 of 3 measures
0 better, 2 no different, 1 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 9 measures
0 better, 7 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
64%
Lower than 76% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.67
Higher than 99% 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
148 min
Lower than 50% 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
61%
Lower than 60% 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 | 1 of 5 | |
| Death rates | No different on 7 measures | |
| Safety | Worse on 1 of 3 measures | |
| Readmissions | Worse on 2 of 9 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 64% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.67 | 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 | 148 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 61% | 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 St Mary S Hospital Decatur's inpatient payments for its readmissions, quality and cost results.
-1.01% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% 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 St Mary S Hospital Decatur, 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 | St Mary S Hospital Decatur | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.202 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 745 cases | 4.1 | 3.9 | 4.052 | Worse than 57% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 58 cases | 11.8 | 11.8 | 11.78 | Worse than 49% 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 · 93 cases | 10 | 8.5 | 8.223 | Worse than 84% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 282 cases | 12.3 | 11 | 10.49 | Worse than 74% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 290 cases | 15 | 15.2 | 15.41 | Better than 52% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 39 cases | 13 | 11.6 | 11.77 | Worse than 71% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 2,011 cases | 1.92 | 0.51 | 0.5668 | Worse Than the National Rate | Worse than 98% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 42 cases | 178 | 173 | 173 | No Different Than the National Rate | Worse than 57% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 2,457 cases | 0.25 | 0.2 | 0.2122 | No Different Than the National Rate | Worse than 82% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 2,468 cases | 0.25 | 0.27 | 0.2728 | No Different Than the National Rate | Better than 71% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 502 cases | 2.3 | 2.29 | 2.301 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 216 cases | 2.02 | 1.63 | 1.67 | No Different Than the National Rate | Worse than 88% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 222 cases | 17.6 | 8.88 | 9.531 | No Different Than the National Rate | Worse than 98% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 533 cases | 4.14 | 3.4 | 3.714 | No Different Than the National Rate | Worse than 85% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 185 cases | 6.38 | 5.105 | 5.152 | No Different Than the National Rate | Worse than 86% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 100 cases | 1.69 | 1.72 | 1.741 | No Different Than the National Rate | Better than 63% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 352 cases | 1.22 | 1.02 | 1.045 | No Different Than the National Rate | Worse than 83% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | St Mary S Hospital Decatur | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 56 cases | -9.9 | 4.2 | 11.54 | Better than 75% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 318 cases | 23.2 | 1.25 | 8.216 | Worse than 78% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 303 cases | 64.2 | 3.85 | 13.94 | Worse than 96% 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 · 759 cases | 12.5 | 12.9 | 12.97 | No Different Than the National Rate | Better than 75% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 25 cases | 10.1 | 10.7 | 11.17 | No Different Than the National Rate | Better than 68% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 25 cases | 5.3 | 5.3 | 5.176 | No Different Than the National Rate | Better than 48% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 254 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 · 50 cases | 14.2 | 14.4 | 14.43 | Better than 55% 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 · 121 cases | 20.8 | 19.8 | 20.07 | Worse than 84% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 308 cases | 22.7 | 21.3 | 21.51 | Worse than 86% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.976 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 292 cases | 18.6 | 17.2 | 17.5 | Worse than 88% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | St Mary S Hospital Decatur | 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 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.097 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 368 | 1,370 | 4,356 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.248 | 0.9835 | 4.318 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.961 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.7494 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2157 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.915 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 495 | 1,799 | 3,807 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.271 | 1.377 | 4.51 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.56 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5759 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3411 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.549 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 25 | 61 | 96.21 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.663 | 1.591 | 2.6 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.339 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9044 | |||
| 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 | Not Available | 84.23 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.7325 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 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 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.01 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 9,292 | 14,451 | 38,381 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.274 | 0.567 | 2.311 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.305 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.5504 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1833 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.458 | 0.747 | 1.212 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 9,292 | 13,646 | 35,800 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.055 | 5.683 | 19.22 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 7.192 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.4067 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | St Mary S Hospital Decatur | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 384 cases | 63 | 73 | 72.75 | Worse than 87% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 384 cases | 14 | 8 | 9.158 | Worse than 86% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 384 cases | 23 | 18 | 18.09 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 384 cases | 82 | 87 | 85.64 | Worse than 83% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 384 cases | 2 | 4 | 3.195 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 384 cases | 80 | 80 | 79.29 | Better than 49% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 384 cases | 92 | 91 | 90.92 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 384 cases | 5 | 4 | 4.576 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 384 cases | 4 | 3 | 3.305 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 384 cases | 15 | 16 | 16.13 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 384 cases | 79 | 79 | 78.82 | Worse than 47% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 384 cases | 91 | 91 | 90.1 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 384 cases | 6 | 5 | 5.823 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 384 cases | 3 | 3 | 2.89 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 384 cases | 15 | 16 | 15.36 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 384 cases | 56 | 61 | 61.18 | Worse than 77% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 384 cases | 74 | 77 | 76.11 | Worse than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 384 cases | 23 | 19 | 19.8 | Worse than 73% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 384 cases | 2 | 3 | 2.559 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 384 cases | 21 | 19 | 19.01 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 384 cases | 87 | 86 | 85.26 | Better than 55% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 384 cases | 13 | 13 | 13.92 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 384 cases | 4 | 3 | 3.237 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 384 cases | 87 | 87 | 86.08 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 384 cases | 14 | 14 | 14.8 | Better than 49% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 384 cases | 86 | 86 | 85.2 | Better than 49% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 384 cases | 72 | 74 | 73.24 | Worse than 60% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 384 cases | 7 | 7 | 7.369 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 384 cases | 21 | 19 | 19.39 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 384 cases | 78 | 77 | 76.95 | Better than 51% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 384 cases | 7 | 6 | 6.199 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 384 cases | 15 | 17 | 16.85 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 384 cases | 86 | 85 | 84.2 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 384 cases | 3 | 3 | 3.979 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 384 cases | 11 | 11 | 11.82 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 384 cases | 10 | 8 | 8.937 | Worse than 67% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 384 cases | 21 | 20 | 20.87 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 384 cases | 69 | 72 | 70.19 | Worse than 60% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 384 cases | 86 | 88 | 87.19 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 384 cases | 3 | 3 | 3.136 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 384 cases | 74 | 74 | 73.94 | Worse than 48% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 384 cases | 11 | 9 | 9.858 | Worse than 62% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 384 cases | 15 | 16 | 16.2 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 384 cases | 76 | 75 | 74.61 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 384 cases | 6 | 5 | 5.915 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 384 cases | 18 | 20 | 19.48 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 384 cases | 77 | 77 | 76.32 | Better than 49% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 384 cases | 5 | 4 | 4.894 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 384 cases | 18 | 19 | 18.79 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 384 cases | 87 | 86 | 84.9 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 384 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 · 384 cases | 10 | 11 | 12.01 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 384 cases | 60 | 59 | 59.03 | Better than 51% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 384 cases | 7 | 9 | 10.03 | Better than 61% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 384 cases | 33 | 31 | 30.94 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 384 cases | 84 | 82 | 81.16 | Better than 63% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 384 cases | 4 | 3 | 3.237 | Better than 56% 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 · 384 cases | 7 | 5 | 6.753 | Worse than 67% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 384 cases | 64 | 71 | 68.65 | Worse than 76% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 384 cases | 85 | 87 | 85.89 | Worse than 67% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 384 cases | 29 | 23 | 24.6 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 384 cases | 3 | 4 | 3.458 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 384 cases | 37 | 47 | 46.95 | Worse than 93% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 384 cases | 36 | 30 | 30.69 | Worse than 79% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 384 cases | 27 | 22 | 22.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 384 cases | 3 | 3 | 3.119 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 384 cases | 13 | 12 | 13.09 | Worse than 52% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 384 cases | 87 | 88 | 86.91 | Worse than 52% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | St Mary S Hospital Decatur | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| 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 · 3,587 cases | 13 | 8 | 8.656 | Worse than 84% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 739 cases | 3 | 1 | 1.114 | Worse than 92% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 1,525 cases | 1 | 0 | 0.2258 | Worse than 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 635 cases | 79 | 79 | 83.65 | Worse than 50% 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 · 375 cases | 153 | 154 | 183 | Better than 51% 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 · 335 cases | 148 | 148 | 175 | Better than 50% 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 · 26 cases | 226 | 247 | 304 | Better than 58% 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 · 22 cases | 562 | 293 | 315 | Worse than 97% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 21,333 cases | 2 | 1 | 2.469 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 12 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 · 139 cases | 13 | 97 | 94.09 | Worse than 99% 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 · 553 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 · 113 cases | 61 | 65 | 62.57 | Worse than 60% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 30 cases | 80 | 73 | 71.03 | Better than 65% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 19 cases | 100 | 88 | 85.26 | The best result, shared by 11% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 113 cases | 71 | 82 | 79.02 | Worse than 83% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 52 cases | 92 | 94 | 92.05 | Worse than 61% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 32 cases | 100 | 98 | 97 | The best result, shared by 14% 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 · 29 cases | 100 | 94 | 94.02 | The best result, shared by 6% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,194 cases | 87 | 90 | 81.77 | Worse than 57% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 502 cases | 97 | 97 | 94.61 | Better than 45% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | St Mary S Hospital Decatur | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 8.8 | 5 | 6.493 | Worse than 82% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.6 | 6.6 | 7.806 | Worse than 50% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | St Mary S Hospital Decatur | 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 | 0.99 | 0.9996 | Worse than 53% of US hospitals |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | St Mary S Hospital Decatur | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 78 cases | 1.019 | 0.9995 | 1.015 | Worse than 62% 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 · 97 cases | 1.047 | 0.9969 | 1.009 | Worse than 84% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 368 cases | 1.038 | 0.9983 | 1.013 | Worse than 73% 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 · 332 cases | 1.127 | 0.9955 | 1.018 | Worse than 96% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9263 | 0.9103 | 0.9043 | 0.9619 | 0.9933 | 1.019 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.085 | 1.07 | 1.016 | 1.041 | 1.086 | 1.047 |
| READM-30-HF-HRRP | 1.157 | 1.13 | 1.098 | 0.9955 | 0.9978 | 1.038 |
| READM-30-HIP-KNEE-HRRP | 1.161 | 1.246 | 1.066 | 1.144 | 1.227 | N/A |
| READM-30-PN-HRRP | 1.093 | 1.059 | 1.069 | 1.072 | 1.079 | 1.127 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | St Mary S Hospital Decatur | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.572 | 0.489 | 0.5958 | Worse than 58% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.461 | 0.346 | 0.436 | Worse than 67% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.7638 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.701 | 0.6405 | 0.6364 | Worse than 94% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.672 | 0.9628 | 0.9883 | Worse than 99% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.448 | 0.7945 | 0.9041 | Better than 73% of US hospitals | |
| Total HAC scoreFY 2026 | 0.4827 | -0.0453 | 0.07842 | Worse than 80% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | Yes | N/A | No | No | Yes |
| Total HAC score | -0.0662 | 0.3717 | 0 | 0.1366 | 0.1306 | 0.4827 |
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 2024)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
355
Medicare-certified beds
170
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What St Mary S Hospital Decatur reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
2,367
Inpatient discharges
Medicare 39%, Medicaid 2%
8,881
Inpatient days
24% of available bed days used
301
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 844427). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges St Mary S Hospital Decatur reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,555 | 177 | 5,149 | 8,881 |
| Discharges | 933 | 55 | 1,379 | 2,367 |
| Average length of stay | 3.8 days | 3.2 days | 3.7 days | 3.8 days |
| Average daily census | 9.7 | 0.5 | 14.1 | 24.3 |
997
Medicare Advantage days
209 discharges
1,183
Medicaid managed care days
313 discharges
832
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 89 | 6,908 | 2,852 | 21% |
| Intensive care unit | 14 | 1,973 | 703 | 39% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844427, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What St Mary S Hospital Decatur treats Medicare patients for most often, in 2024. 449 Medicare discharges in 17 published DRGs; 2% surgical; 82% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 101 | $37,073 | $8,305 | $10,195 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 92 | $56,815 | $12,181 | $15,624 | 1.98 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 35 | $43,604 | $8,026 | $11,991 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 27 | $42,693 | $7,708 | $11,741 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 23 | $50,551 | $10,559 | $13,901 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 18 | $34,308 | $5,285 | $9,435 | 0.82 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 18 | $39,603 | $5,932 | $10,891 | 1.03 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 17 | $35,006 | $7,012 | $9,627 | 1.17 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 15 | $48,054 | $9,761 | $13,215 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 15 | $25,105 | $4,234 | $6,904 | 0.74 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 15 | $34,804 | $4,988 | $9,571 | 0.81 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $46,322 | $7,124 | $12,739 | 1.10 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $30,265 | $7,816 | $8,323 | 1.20 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 12 | $45,295 | $5,863 | $12,456 | 1.02 |
| Renal failure with CCMS-DRG 683, medical | 12 | $26,242 | $5,243 | $7,217 | 0.90 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 11 | $55,790 | $7,002 | $15,342 | 1.14 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 11 | $51,855 | $8,483 | $14,260 | 1.32 |
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) St Mary S Hospital Decatur billed Medicare for most in 2024: 1,378 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 281 | 160 | $11,091 | $1,677 | $1,752 |
| Level 1 Endovascular ProceduresAPC 5191 | 214 | 214 | $20,046 | $2,143 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 113 | 109 | $19,794 | $1,977 | $2,090 |
| Level 3 Endovascular ProceduresAPC 5193 | 110 | 103 | $50,255 | $8,518 | $8,874 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 106 | 105 | $64,805 | $10,217 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 68 | 61 | $11,870 | $1,408 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 61 | 52 | $23,678 | $2,231 | $2,405 |
| Level 1 Nerve ProceduresAPC 5431 | 56 | 53 | $13,017 | $1,422 | $1,407 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 48 | 48 | $42,452 | $8,055 | $8,569 |
| Level 2 Endovascular ProceduresAPC 5192 | 46 | 38 | $25,607 | $4,117 | $4,338 |
See all 21 Medicare outpatient services at St Mary S Hospital Decatur
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 St Mary S Hospital Decatur 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 2,486 in 2020 to 1,038 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 62521 | 405 | 39% | 1,269 | $19.5M | 19% | 42% |
| 62526 | 221 | 21% | 748 | $10.2M | 10% | 22% |
| 61951 | 106 | 10% | 532 | $6.6M | 20% | 51% |
| 62522 | 77 | 7% | 261 | $4.3M | 10% | 26% |
| 62549 | 62 | 6% | 231 | $3.3M | 23% | 53% |
| 61914 | 33 | 3% | 141 | $1.8M | 34% | 64% |
| 62544 | 24 | 2% | 78 | $1.5M | 32% | 66% |
| 61937 | 23 | 2% | 65 | $1.1M | 31% | 47% |
| 62550 | 21 | 2% | 48 | $842,239 | 14% | 42% |
| 62535 | 20 | 2% | 53 | $978,019 | 12% | 23% |
| 62565 | 18 | 2% | 67 | $1.1M | 3% | 16% |
| 62501 | 17 | 2% | 36 | $582,424 | 13% | 37% |
| 61727 | 11 | 1% | 30 | $481,762 | 2% | 5% |
Source: CMS Hospital Service Area file. Shares are of the 1,038 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 St Mary S Hospital Decatur reported at its latest Medicare certification survey (2021). Counts are people, not full-time equivalents.
8
Operating rooms
3
Endoscopy rooms
3
Cardiac catheterization rooms
14
Psychiatric unit beds
20
Rehabilitation unit beds
2
Off-site locations
170
Registered nurses
13
Licensed practical nurses
1
Nurse practitioners
13
Nurse anesthetists (CRNAs)
10
Pharmacists
8
Respiratory therapists
7
Physical therapists
4
Occupational therapists
2
Speech pathologists and audiologists
9
Radiology technicians
3
Nuclear medicine technicians
2
Dietitians
1
Social workers
282
Other personnel
Source: CMS Provider of Services file.
318 clinicians who bill Medicare list St Mary S Hospital Decatur 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 PHDMichael Pick, M.D.
Rheumatology Physician
NPI 1861585846
See commercial rates for Michael Pick, M.D.William Hearn, DO
Diagnostic Radiology Physician
NPI 1043259252
See commercial rates for William Hearn, DOSherry 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.Rama Poola, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1932362241
See commercial rates for Rama Poola, MDDavid Crabtree, M.D.
Pulmonary Disease Physician
NPI 1487605291
See commercial rates for David Crabtree, M.D.Marshall Brustein, MD
Orthopaedic Surgery Physician
NPI 1821165978
See commercial rates for Marshall Brustein, MDSamuel Grampsas, MD
Urology Physician
NPI 1386618833
See commercial rates for Samuel Grampsas, MDJonathan Locke, MD
Diagnostic Radiology Physician
NPI 1982650990
See commercial rates for Jonathan Locke, MDKenneth Tuan, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1477520955
See commercial rates for Kenneth Tuan, M.D.Jeffrey Boorstein, MD
Diagnostic Radiology Physician
NPI 1003862806
See commercial rates for Jeffrey Boorstein, MDDanxuan Long, MD
Pulmonary Disease Physician
NPI 1205098738
See commercial rates for Danxuan Long, MDAbdur Rahman Fuzail Ahmad
Clinical Cardiac Electrophysiology Physician
NPI 1053727776
See commercial rates for Abdur Rahman Fuzail AhmadDhirendra Patel, MD
Internal Medicine Physician
NPI 1306837471
See commercial rates for Dhirendra Patel, MDLeo Thai, M.D.
Family Medicine Physician
NPI 1902161086
See commercial rates for Leo Thai, M.D.John Kefalas, M.D.
Orthopaedic Surgery Physician
NPI 1386832855
See commercial rates for John Kefalas, M.D.Susan Wu, M.D.
Physical Medicine & Rehabilitation Physician
NPI 1639146111
See commercial rates for Susan Wu, M.D.Richard Delvalle, M.D.
Internal Medicine Physician
NPI 1932290384
See commercial rates for Richard Delvalle, M.D.Mark Muscato, MD
Diagnostic Radiology Physician
NPI 1902852916
See commercial rates for Mark Muscato, MDHarold Yoon, MD
Radiation Oncology Physician
NPI 1558566984
See commercial rates for Harold Yoon, 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 St Mary S Hospital Decatur reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $512.6M | 430.5% |
| Inpatient | $127.4M | 107.0% |
| Outpatient | $385.2M | 323.5% |
| Contractual allowances and discounts | -$393.5M | -330.5% |
| Net patient revenue | $119.1M | 100.0% |
| Operating expenses | -$133.1M | -111.8% |
| Operating income from patient care | -$14M | -11.8% |
| Other income | $3.1M | 2.6% |
| Contributions and donations | $12,059 | 0.0% |
| Other | $3.1M | 2.6% |
| Other expenses | -$1.3M | -1.1% |
| Net income | -$12.2M | -10.2% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $156M | 31.0% |
| Medicaid (including managed care) | $77.5M | 15.4% |
| Other payers and self-pay | $269.3M | 53.6% |
| Total charges | $502.8M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844427, 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 St Mary S Hospital Decatur's latest cost report.
-11.8%
Operating margin
Operating income from patient care / net patient revenue
-10.0%
Total margin
Net income / net patient revenue plus other income
-1.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
28% 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)
-10.6%
Return on assets
Net income for a year / total assets
0.96
Current ratio
Current assets / current liabilities
0.62
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
35 days
Days in patient receivables
Net patient receivables / daily net patient revenue
55 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.06
Asset turnover
Total revenue for a year / total assets
18.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 844427, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What St Mary S Hospital Decatur owned and owed at the end of its reporting period (Jun 2025), across all fund types: $115.1M in total assets and a -$215M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $20,127 | 0.0% |
| Patient receivables, net | $11.4M | 9.9% |
| Inventory | $2M | 1.8% |
| Total current assets | $17.6M | 15.3% |
| Property and equipment, net of depreciation | $71.6M | 62.2% |
| Investments and other assets | $25.8M | 22.4% |
| Total assets | $115.1M | 100.0% |
| Current liabilities | $18.4M | 16.0% |
| Long-term debt | $311.7M | 270.9% |
| Total liabilities | $330.1M | 286.9% |
| Fund balance (net assets) | -$215M | -186.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844427, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care St Mary S Hospital Decatur provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.3M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$6.6M
Bad debt
Patient bills written off as uncollectible, at charges
$7.8M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$10.5M
Total unreimbursed and uncompensated care
7.9% 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 844427, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
St Mary S Hospital Decatur's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $146.7M | $161.3M | $170.3M | $161.2M | $122.3M | $119.1M |
| Operating expenses | $182.2M | $179.8M | $196.6M | $196M | $151.2M | $133.1M |
| Operating margin | -24.2% | -11.5% | -15.4% | -21.6% | -23.7% | -11.8% |
| Net income | -$40.7M | $10.7M | -$15.6M | -$19.6M | -$30.7M | -$12.2M |
| Total assets | $152.3M | $137M | $127.9M | $114.5M | $102.1M | $115.1M |
| Discharges | 5,525 | 4,696 | 5,125 | 4,514 | 2,475 | 2,367 |
| Inpatient days | 25,243 | 24,119 | 28,585 | 22,935 | 10,187 | 8,881 |
| Medicare Advantage days | 2,029 | 2,438 | 4,208 | 4,981 | 3,024 | 997 |
| Beds | 207 | 207 | 207 | 207 | 131 | 103 |
| Employees (FTE) | 815 | 579 | 655 | 540 | 344 | 301 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844427, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center St Mary S Hospital Decatur 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 |
|---|---|---|---|---|---|
| Drugs charged to patients | $17.3M | $59.6M | 0.29 | ||
| Medical supplies charged to patient | $14.2M | $13.8M | 1.03 | ||
| Operating room | $2.5M | $9.1M | $41.4M | 0.22 | 41,027 |
| Emergency | $3.3M | $8.3M | $44.3M | 0.19 | 31,055 |
| Impl. dev. charged to patients | $5.9M | $22.6M | 0.26 | ||
| Laboratory | $1M | $5.9M | $56.4M | 0.10 | 15,981 |
| Radiology-diagnostic | $1.4M | $3.8M | $20.4M | 0.19 | 19,116 |
| Electrocardiology | $1.5M | $3.8M | $42.8M | 0.09 | 16,382 |
| Cardiac catheterization | $1.5M | $2.7M | $38.4M | 0.07 | |
| Radiation oncology | $466,799 | $2.7M | $6.3M | 0.42 | 6,143 |
| Physical therapy | $1.4M | $2.3M | $14.4M | 0.16 | 2,101 |
| Ct scan | $593,867 | $1.7M | $62.6M | 0.03 | |
| Observation beds (non-distinct part | $1.2M | $1.6M | 0.74 | ||
| Pain center | $455,333 | $1M | $5.4M | 0.19 | 5,031 |
| Respiratory therapy | $577,883 | $982,208 | $13.4M | 0.07 | |
| Recovery room | $489,980 | $802,656 | $5.3M | 0.15 | |
| Cardiac rehabilitation | $244,881 | $789,898 | $1.1M | 0.71 | 6,728 |
| Mri | $147,209 | $767,989 | $19.2M | 0.04 | |
| Endoscopy | $127,906 | $582,531 | $5M | 0.12 | |
| Electroencephalography | $76,032 | $415,491 | $799,889 | 0.52 | 5,006 |
| Wound clinic | $111,730 | $376,681 | $178,845 | 2.11 | 3,481 |
| Asc (non-distinct part) | $132,746 | $295,479 | $733,638 | 0.40 | 1,467 |
| Radioisotope | $54,938 | $291,355 | $759,182 | 0.38 | |
| Anesthesiology | $16,591 | $126,520 | $8.5M | 0.01 | |
| Whole blood & packed red blood cell | $5,851 | $1M | 0.01 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.4M | $10.8M | $12.4M | 0.87 | 21,839 |
| Intensive care unit | $1.5M | $4.8M | $4.7M | 1.04 | 18,707 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $1.4M | $25.2M | 34,713 | $39.05 | 27,680 |
| Cap rel costs-bldg & fixt | $6.1M | 349,327 | |||
| Operation of plant | $1.1M | $5.6M | 39,738 | $26.84 | 400 |
| Cap rel costs-mvble equip | $4.2M | ||||
| Employee benefits department | $3,063 | $3.1M | 66 | $46.64 | 490 |
| Housekeeping | $2M | ||||
| Pharmacy | $1.5M | $2M | 29,262 | $50.20 | 5,031 |
| Cafeteria | $1.2M | 34 | $28.02 | ||
| Medical records & library | $963,160 | 1,200 | |||
| Nursing administration | $659,342 | $603,392 | 5,068 | $31.45 | |
| Social service | $193,899 | $587,299 | 3,837 | $50.54 | 3,016 |
| Central services & supply | $168,618 | $428,019 | 7,489 | $22.51 | |
| Laundry & linen service | $777 | $366,661 | 20 | $39.85 | |
| Dietary | $1,051 | $131,133 | 4 | $28.11 | 14,208 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844427, 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 St Mary S Hospital Decatur for an inpatient stay.
1.68
Case mix index
Higher than 50% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
19.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
928
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 | 1.66 | 1.66 | 1.68 | 1.73 | 1.63 | 1.63 | 1.68 |
| Wage index | 0.882 | 0.878 | 0.898 | 0.976 | 1.071 | 1.081 | 1.172 |
| Readmissions adjustment | -1.31% | -2.20% | -2.16% | -0.74% | -0.59% | -0.65% | -1.01% |
| Value-based purchasing adjustment | +0.61% | -0.16% | -0.16% | -0.01% | -0.96% | -0.65% | 0.00% |
| Medicare inpatient stays | 2,473 | 2,473 | 1,894 | 1,701 | 1,454 | 954 | 928 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations St Mary S Hospital Decatur reports to Medicare as owners or with operational control.
Hospital Sisters Services Inc
5% or greater direct ownership interest, 100%, since 1966
Sources: CMS Hospital All Owners.
The officers and board members on St Mary S Hospital Decatur'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 14 of 15 are shown.
St Mary's Hospital Decatur of the Hospital Sisters of the Third Order of St files the Form 990 for the tax ID insurers list for St Mary S Hospital Decatur, so these people may lead the wider organization rather than St Mary S Hospital Decatur alone.
| Name | Title |
|---|---|
| Michael Scialdone | Treasurer / Hshs SVP & CFO |
| Patricia Allen | CFO - Care Delivery (until 4/30/25) |
| Matthew FRY | President/ceo (until 7/31/24) |
| Chad Markham | Interim President & CEO (began 8/1/24) |
| Paige Toth | Secretary |
| Dale Colee | Vice Chair, Chair (began 11/1/24) |
| MATTHEW Bennett | Chair (until 10/31/24) |
Board members: Allison Matusin, Debra Bogle, Drew Hickey, FR Rick Weltin, Gary Birschbach, James Schwarz, Mary Garrison, Sr Gertrude O'Connor Osf.
Source: IRS Form 990 Part VII filed by St Mary's Hospital Decatur of the Hospital Sisters of the Third Order of St (EIN 37-0661244), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID DSH140166, registered as a disproportionate share hospital. Authorizing official: Patty Allen, Chief Financial Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Rehabilitation unit
CCN 14T166, certified 2008, Medicare prospective payment
Source: Worksheet S-2 Part I of St Mary S Hospital Decatur's latest Medicare cost report (HCRIS).
About St Mary S Hospital Decatur's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St Mary S Hospital Decatur range from $427 to $5,136 across 3 insurers. Cigna's rate is $649. The median at nearby comparable hospitals is $2,061. 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 St Mary S Hospital Decatur range from $214 to $2,590 across 3 insurers. Blue Cross Blue Shield of Illinois's rate is $2,590. The median at nearby comparable hospitals is $1,088. 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 St Mary S Hospital Decatur range from $3,400 to $5,524 across 2 insurers. UnitedHealthcare's rate is $3,400. The median at nearby comparable hospitals is $2,278. 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 St Mary S Hospital Decatur range from $8,606 to $12,237 across 4 insurers. Cigna's rate is $12,237. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St Mary S Hospital Decatur range from $145 to $935 across 3 insurers. Cigna's rate is $218. The median at nearby comparable hospitals is $306. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St Mary S Hospital Decatur range from $24,942 to $35,010 across 4 insurers. Aetna's rate is $30,753. The median at nearby comparable hospitals is $26,420. What a patient pays depends on their plan's deductible, coinsurance and network status.
St Mary S Hospital Decatur has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.
CMS reports no Medicare-funded interns or residents at St Mary S Hospital Decatur for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St Mary S Hospital Decatur's base inpatient payments by an estimated 1.01% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were heart failure and shock with mcc (101 discharges), septicemia or severe sepsis without mv >96 hours with mcc (92 discharges), pulmonary edema and respiratory failure (35 discharges).
St Mary S Hospital Decatur's Medicare case mix index is 1.68 for fiscal year 2027, higher than 50% of hospitals paid under the inpatient prospective payment system.
St Mary S Hospital Decatur reported 2,367 inpatient discharges and 8,881 inpatient days from Jul 1, 2024 to Jun 30, 2025.
St Mary S Hospital Decatur reported 301 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
St Mary S Hospital Decatur reported $119.1M in net patient revenue on $512.6M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -11.8%, and net income of -$12.2M.
St Mary S Hospital Decatur reported $10.5M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $1.3M of charity care at cost.
St Mary S Hospital Decatur's Medicare enrollment lists Jeffery Sterling as Vice President- Managed Care since 2025.
Insurers' price transparency files list St Mary S Hospital Decatur under employer identification number 37-0661244 (St. Marys Hospital). 58 health plans and networks list 37-0661244 for it.
HRSA's 340B database lists St Mary S Hospital Decatur (340B ID DSH140166) as no longer participating since 2025.
318 clinicians who bill Medicare list St Mary S Hospital Decatur as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (41), family medicine physician (28), diagnostic radiology physician (25).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for St Mary S Hospital Decatur, effective 2024.
In its Medicare enrollment, St Mary S Hospital Decatur reports Hospital Sisters Services Inc as 5% or greater direct ownership interest (100%).
CMS lists 38 services at St Mary S Hospital Decatur, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Audiology, Cardiac Catheterization Lab.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at St Mary S Hospital Decatur came from ZIP codes 62521 (405), 62526 (221), 61951 (106).
St Mary S Hospital Decatur has 103 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 355 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
St Mary S Hospital Decatur is located at 1800 East Lake Shore Drive, Decatur, IL 62521. Its main phone number is (217) 464-2966.
St Mary S Hospital Decatur's CMS Certification Number (CCN), also called its Medicare provider number, is 140166.
The National Provider Identifier (NPI) on file for St Mary S Hospital Decatur is 1326041229.
St Mary S Hospital Decatur is affiliated with Hospital Sisters Health System.
St Mary S Hospital Decatur lists 35 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
361 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