Decatur Morgan Hospital - Decatur Campus
DECATUR MORGAN HOSPITAL - DECATUR CAMPUS in Decatur, AL charges 3.7x the Medicare reimbursement rate on average across 42 analyzed procedures at this government-owned facility.
Decatur, AL 35601 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
C
Average
Avg markup vs Medicare
3.66x
Charge / Medicare rate
Max markup
12.69x
Worst procedure
Procedures analyzed
42
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $88,975 | $44,488 | — | 12.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $80,030 | $40,015 | — | 6.5x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $36,849 | $18,425 | — | 6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $62,926 | $31,463 | — | 5.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $58,747 | $29,373 | — | 4.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $19,248 | $9,624 | — | 4.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $15,666 | $7,833 | — | 4.3x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $19,274 | $9,637 | — | 4.2x |
| SYNCOPE AND COLLAPSE | 312 | $18,314 | $9,157 | — | 4.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $14,696 | $7,348 | — | 4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $10,244 | $5,122 | — | 4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $21,119 | $10,560 | — | 3.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $44,058 | $22,029 | — | 3.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $20,952 | $10,476 | — | 3.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $16,272 | $8,136 | — | 3.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $28,308 | $14,154 | — | 3.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $60,422 | $30,211 | — | 3.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $32,728 | $16,364 | — | 3.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $22,273 | $11,137 | — | 3.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $23,817 | $11,909 | — | 3.3x |
| CELLULITIS WITHOUT MCC | 603 | $13,219 | $6,610 | — | 3.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $21,502 | $10,751 | — | 3.1x |
| DIABETES WITH CC | 638 | $14,504 | $7,252 | — | 3.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $12,587 | $6,293 | — | 3.1x |
| DIABETES WITH MCC | 637 | $20,904 | $10,452 | — | 2.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $20,768 | $10,384 | — | 2.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $20,559 | $10,279 | — | 2.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $29,045 | $14,523 | — | 2.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $12,063 | $6,032 | — | 2.8x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $21,050 | $10,525 | — | 2.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $16,357 | $8,178 | — | 2.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $16,271 | $8,136 | — | 2.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $76,581 | $38,291 | — | 2.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $12,225 | $6,112 | — | 2.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $119,533 | $59,766 | — | 2.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $30,194 | $15,097 | — | 2.7x |
| RENAL FAILURE WITH CC | 683 | $11,940 | $5,970 | — | 2.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $13,853 | $6,926 | — | 2.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $14,946 | $7,473 | — | 2.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $21,781 | $10,891 | — | 2.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $18,649 | $9,325 | — | 2.2x |
| RENAL FAILURE WITH MCC | 682 | $16,832 | $8,416 | — | 2x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use