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Hospital Profile Acute Care Hospitals Voluntary non-profit - Other

Decatur Memorial Hospital

2300 N EDWARD ST, Decatur, IL 62526

CMS Overall Rating ★★★☆☆
Factual Overview

Decatur Memorial Hospital is a Acute Care Hospitals (Voluntary non-profit - Other) operating in Decatur, IL. Mapped commercial insurance prices across 82 procedures average 6.52x the Medicare baseline. The facility holds a CMS quality rating of 3/5 stars with a patient recommendation score of 58%.

Facility Overview

Setting: urban Bed Count: 178 Beds Teaching Status: Teaching Hospital Annual Discharges: 6,507

Patient Experience

Recommendation Rate: 58% High Patient Rating: 62% ER Wait Time (Med): 205 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 82 codes Avg Markup vs Medicare: 6.52x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 Contact Desk Calc
Blood transfusion
CPT Code: 36430
 $2,114 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 Contact Desk Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $1,900 Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 Contact Desk Calc
CT scan, head (no contrast)
CPT Code: 70450
 $3,590 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $3,694 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $4,627 Calc
CT scan, sinuses
CPT Code: 70486
 $3,564 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $4,218 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $8,053 Calc
X-ray, chest (single view)
CPT Code: 71045
 $393 Calc
X-ray, chest (two views)
CPT Code: 71046
 $529 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $3,908 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $832 Calc
X-ray, lower back
CPT Code: 72110
 $1,135 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $4,546 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $4,529 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $6,550 Calc
X-ray, pelvis
CPT Code: 72170
 $825 Calc
CT scan, pelvis
CPT Code: 72192
 $2,830 Calc
X-ray, shoulder
CPT Code: 73030
 $773 Calc
X-ray, hand
CPT Code: 73130
 $802 Calc
X-ray, hip
CPT Code: 73502
 $870 Calc
X-ray, ankle
CPT Code: 73610
 $829 Calc
X-ray, foot
CPT Code: 73630
 $835 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $6,424 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $6,641 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $7,838 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $1,377 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $2,055 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $1,569 Calc
Ultrasound, pelvis
CPT Code: 76856
 $1,784 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $887 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $604 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $147 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $265 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $327 Calc
Blood test, liver function panel
CPT Code: 80076
 $308 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $70 Calc
Blood test, amylase
CPT Code: 82150
 $202 Calc
Blood test, vitamin D
CPT Code: 82306
 $442 Calc
Blood test, calcium
CPT Code: 82310
 $166 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $50 Calc
Blood test, vitamin B12
CPT Code: 82607
 $370 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $326 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $75 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $254 Calc
Blood test, lipase
CPT Code: 83690
 $164 Calc
Blood test, magnesium
CPT Code: 83735
 $178 Calc
Blood test, potassium
CPT Code: 84132
 $44 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $326 Calc
Blood test, sodium
CPT Code: 84295
 $49 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $337 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $52 Calc
Blood test, hemoglobin
CPT Code: 85018
 $58 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $163 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $62 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $142 Calc
Hepatitis C antibody test
CPT Code: 86803
 $400 Calc
Blood antibody screen
CPT Code: 86850
 $170 Calc
Culture, blood
CPT Code: 87040
 $455 Calc
Culture, bacterial
CPT Code: 87070
 $212 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 Contact Desk Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $484 Calc
Speech therapy (group session)
CPT Code: 92508
 $100 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $357 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $4,493 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $698 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $7,508 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $252 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $282 Calc
Physical therapy (gait training)
CPT Code: 97116
 $202 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $277 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $222 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $226 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $169 Calc
Orthotic fitting and training
CPT Code: 97760
 $256 Calc
Prosthetic fitting and training
CPT Code: 97761
 $121 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $294 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $270 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $398 Calc