St Marys Hospital
ST MARYS HOSPITAL in Decatur, Illinois charges 6.5x the Medicare reimbursement rate across 29 analyzed procedures, reflecting typical pricing patterns for nonprofit-private healthcare facilities.
Decatur, IL 62521 · Acute Care Hospitals · CMS Rating: 1/5
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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Pricing grade
D
High
Avg markup vs Medicare
6.55x
Charge / Medicare rate
Max markup
9.92x
Worst procedure
Procedures analyzed
29
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $67,318 | $33,659 | — | 9.9x |
| SYNCOPE AND COLLAPSE | 312 | $40,622 | $20,311 | — | 9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $39,171 | $19,585 | — | 8.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $38,115 | $19,057 | — | 8.7x |
| RENAL FAILURE WITH MCC | 682 | $61,020 | $30,510 | — | 7.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $42,626 | $21,313 | — | 7.6x |
| CELLULITIS WITHOUT MCC | 603 | $38,891 | $19,445 | — | 7.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $52,886 | $26,443 | — | 7.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $97,641 | $48,820 | — | 7.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $41,674 | $20,837 | — | 7.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $57,546 | $28,773 | — | 7.1x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $47,849 | $23,924 | — | 7.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $41,228 | $20,614 | — | 6.9x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $116,170 | $58,085 | — | 6.7x |
| RENAL FAILURE WITH CC | 683 | $31,329 | $15,665 | — | 6.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $69,601 | $34,801 | — | 6.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $90,633 | $45,317 | — | 5.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $37,675 | $18,838 | — | 5.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $70,633 | $35,317 | — | 5.8x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $121,500 | $60,750 | — | 5.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $38,569 | $19,284 | — | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $22,559 | $11,279 | — | 5.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $56,940 | $28,470 | — | 5.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $25,607 | $12,804 | — | 5.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $33,727 | $16,863 | — | 5.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $41,112 | $20,556 | — | 5.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $52,683 | $26,341 | — | 4.7x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $91,240 | $45,620 | — | 4x |
| PSYCHOSES | 885 | $26,331 | $13,166 | — | 3.4x |
How ST MARYS HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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