Georgia / Emory Decatur Hospital
CMS certification 110076 · Decatur, GA · 4 entries in CMS's price-transparency list
Emory Decatur Hospital: charges and Medicare payments
Emory Decatur Hospital reported 1,280 Medicare inpatient stays across 43 DRGs in 2024. Across them it charged 3.89 times what it was paid — among the lower ratios in Georgia, number 50 of 74 hospitals with at least 100 stays (state median 4.44×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 213 stays at an average charge of $68,228, 24% below the national average. It also billed 1,465 outpatient services, charging 5.76 times what Medicare paid.
- 1Medicare inpatient stays 1,280
- 2Charge ÷ paid, inpatient 3.89×
- 3Rank in GA (highest ratio = 1) 50 of 74
- 4CMS price-transparency actions 4
Inpatient stays
For the 43 DRGs that can be compared with the national average, Emory Decatur Hospital charged more than the national average in 4 (9%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 213 | $68,228 | -24% | $16,292 |
| 291 Heart Failure and Shock with MCC | 135 | $47,289 | -16% | $12,013 |
| 885 Psychoses | 60 | $51,390 | +17% | $13,246 |
| 189 Pulmonary Edema and Respiratory Failure | 56 | $54,008 | -6% | $13,998 |
| 177 Respiratory Infections and Inflammations with MCC | 44 | $53,627 | -24% | $14,222 |
| 378 Gastrointestinal Hemorrhage with CC | 42 | $28,258 | -42% | $9,792 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 38 | $49,245 | -18% | $12,297 |
| 682 Renal Failure with MCC | 38 | $41,709 | -37% | $12,921 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 37 | $53,621 | -27% | $13,804 |
| 683 Renal Failure with CC | 32 | $30,108 | -26% | $9,750 |
| 377 Gastrointestinal Hemorrhage with MCC | 29 | $60,066 | -30% | $16,470 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 27 | $34,158 | -39% | $9,406 |
| 193 Simple Pneumonia and Pleurisy with MCC | 25 | $40,925 | -32% | $11,723 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 25 | $56,870 | -25% | $13,579 |
| 689 Kidney and Urinary Tract Infections with MCC | 25 | $30,933 | -40% | $10,202 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 25 | $158,569 | -31% | $42,034 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 25 | $376,755 | +17% | $73,348 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 24 | $47,115 | -53% | $16,694 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $30,519 | -38% | $9,806 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 22 | $41,656 | -18% | $9,669 |
| 637 Diabetes with MCC | 22 | $44,274 | -33% | $13,127 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $21,172 | -43% | $7,856 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $70,761 | -57% | $22,560 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 18 | $53,132 | -18% | $12,443 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $28,572 | -29% | $7,450 |
| 638 Diabetes with CC | 16 | $29,467 | -29% | $8,835 |
| 057 Degenerative Nervous System Disorders without MCC | 15 | $60,123 | +6% | $16,015 |
| 100 Seizures with MCC | 15 | $93,790 | -1% | $18,849 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 15 | $52,946 | -7% | $11,052 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $167,922 | -22% | $43,132 |
| 811 Red Blood Cell Disorders with MCC | 15 | $60,645 | -11% | $14,990 |
| 252 Other Vascular Procedures with MCC | 13 | $127,929 | -25% | $34,415 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $57,769 | -50% | $15,198 |
| 394 Other Digestive System Diagnoses with CC | 13 | $33,864 | -28% | $10,091 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 13 | $28,686 | -23% | $9,102 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 12 | $99,562 | -27% | $19,138 |
| 253 Other Vascular Procedures with CC | 12 | $138,878 | +5% | $51,806 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $34,222 | -32% | $9,460 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 12 | $25,675 | -29% | $7,602 |
| 312 Syncope and Collapse | 12 | $24,964 | -45% | $9,779 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $17,814 | -53% | $7,800 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $97,609 | -18% | $23,004 |
| 812 Red Blood Cell Disorders without MCC | 11 | $33,278 | -25% | $9,450 |
Outpatient services
Against the Georgia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Emory Decatur Hospital charged $68,228 on average, 20% less than the Georgia average of $85,396, and was paid $16,292 against a state average of $17,147. For Heart Failure and Shock with MCC (DRG 291), Emory Decatur Hospital charged $47,289 on average, 10% less than the Georgia average of $52,781, and was paid $12,013 against a state average of $12,005. For Psychoses (DRG 885), Emory Decatur Hospital charged $51,390 on average, 15% more than the Georgia average of $44,827, and was paid $13,246 against a state average of $13,646. For Pulmonary Edema and Respiratory Failure (DRG 189), Emory Decatur Hospital charged $54,008 on average, 3% less than the Georgia average of $55,758, and was paid $13,998 against a state average of $11,742. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,841 was 29% below the state average of $20,900. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,830 was 30% below the state average of $26,927. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,172 was 52% below the state average of $12,974. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $19,437 was 17% below the state average of $23,334.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Emory Decatur Hospital in Decatur, GA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-06-22 (CMS case 726)
- Closure Notice — 2023-09-28 (CMS case 726)
- Warning Notice — 2025-03-24 (CMS case 3366)
- Closure Notice — 2025-06-04 (CMS case 3366)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.