St Marys Hospital

1800 E Lake Shore Dr · Decatur, IL 62521

🤖AI Overview

⚠️ This hospital charges 5.8x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$76.8M

Medicare Payments

$13.3M

Discharges

1,339

Avg Length of Stay

4.9 days

Markup Ratio

5.8x

Risk Score

1.99

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

St Marys Hospital charges an average of $57,336 per discharge, but Medicare only pays $9,909 — a markup of 5.8x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

5.8x

State Avg

5.3x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$57,336

State Avg

$72,765

National Avg

$69,838

Avg Length of Stay

This Hospital

4.9 days

State Avg

5.1 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

10.0%

65–74

28.9%

75–84

35.1%

85+

26.0%

Gender

53.6%

Female

46.4%

Male

Dual Eligibility

26.1%

Dual Eligible

73.9%

Non-Dual

Race & Ethnicity

White

91.4%

Black

7.1%

Other

1.2%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Ischemic Heart Disease

63.0%

Arthritis

55.7%

Heart Failure

53.1%

Chronic Kidney Disease

44.2%

Atrial Fibrillation

42.0%

Diabetes

41.8%

Mood Disorders

40.1%

COPD

38.8%

Depression

37.5%

Anxiety

36.4%

Alzheimer's/Dementia

25.1%

Cancer

21.7%

Tobacco Use

20.2%

Stroke/TIA

19.1%

Asthma

17.3%

Osteoporosis

15.0%

Substance Use

10.9%

Schizophrenia/Psychosis

6.8%

Bipolar Disorder

6.4%

Parkinson's

5.5%

ADHD/Conduct Disorders

1.9%

PTSD

1.2%

Personality Disorders

0.8%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.