Emory Decatur Hospital
Emory Decatur Hospital in Decatur, Georgia charges 4.5x the Medicare reimbursement rate across 42 analyzed procedures, reflecting typical pricing patterns for nonprofit private hospitals in the region.
Decatur, GA 30033 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
4.47x
Charge / Medicare rate
Max markup
7.84x
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 WITH CC | 330 | $93,396 | $46,698 | — | 7.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $31,761 | $15,881 | — | 5.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $40,985 | $20,493 | — | 5.4x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $76,571 | $38,286 | — | 5.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $37,401 | $18,700 | — | 5.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $68,358 | $34,179 | — | 5.1x |
| RENAL FAILURE WITH CC | 683 | $29,213 | $14,607 | — | 5.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $56,520 | $28,260 | — | 5.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $216,148 | $108,074 | — | 5.1x |
| HYPERTENSION WITH MCC | 304 | $38,531 | $19,265 | — | 4.9x |
| CELLULITIS WITHOUT MCC | 603 | $31,085 | $15,542 | — | 4.8x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $131,954 | $65,977 | — | 4.8x |
| DIABETES WITH CC | 638 | $34,695 | $17,348 | — | 4.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $24,590 | $12,295 | — | 4.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $57,135 | $28,567 | — | 4.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $42,138 | $21,069 | — | 4.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $44,777 | $22,389 | — | 4.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $93,250 | $46,625 | — | 4.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $180,116 | $90,058 | — | 4.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $56,697 | $28,349 | — | 4.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $38,662 | $19,331 | — | 4.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $49,809 | $24,905 | — | 4.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $61,484 | $30,742 | — | 4.3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $48,193 | $24,096 | — | 4.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $69,052 | $34,526 | — | 4.3x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $136,412 | $68,206 | — | 4.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $29,910 | $14,955 | — | 4.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $42,005 | $21,003 | — | 4.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $31,604 | $15,802 | — | 4.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $29,794 | $14,897 | — | 4.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $56,009 | $28,005 | — | 4.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $58,186 | $29,093 | — | 4.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $36,280 | $18,140 | — | 4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $38,579 | $19,290 | — | 4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $36,119 | $18,060 | — | 3.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $189,127 | $94,564 | — | 3.8x |
| RENAL FAILURE WITH MCC | 682 | $39,138 | $19,569 | — | 3.8x |
| DIABETES WITH MCC | 637 | $38,292 | $19,146 | — | 3.7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $27,337 | $13,669 | — | 3.6x |
| SEIZURES WITH MCC | 100 | $44,377 | $22,189 | — | 3.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $26,361 | $13,180 | — | 3x |
| PSYCHOSES | 885 | $19,292 | $9,646 | — | 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