Inpatient stays / DRG 640
MS-DRG 640 · 1,869 hospitals · 77,795 stays
DRG 640: Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC
Medicare patients had 77,795 stays in DRG 640 in 2024. Hospitals charged an average of $60,293 per stay and were paid $12,791 — a ratio of 4.7 to 1 — of which Medicare's own share averaged $10,630. Average charges ran from $12,652 at the least expensive hospital to $367,784 at the most; half of hospitals charged between $35,314 and $71,824.
- 1Average charge $60,293
- 2Average paid $12,791
- 3Reporting hospitals 1,869
- 4Medicare stays 77,795
By state
Average charges for DRG 640 were highest in Nevada ($104,410) and lowest in Maryland ($19,859). Payments vary far less than charges, because Medicare sets them: they range across states from $9,798 to $17,939.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 870 | $104,410 | $12,403 | 8.4× |
| New Jersey | 2,486 | $97,749 | $13,386 | 7.3× |
| Alaska | 148 | $96,112 | $16,577 | 5.8× |
| California | 10,006 | $88,573 | $15,580 | 5.7× |
| Colorado | 752 | $84,334 | $12,128 | 7× |
| New York | 4,503 | $83,542 | $17,824 | 4.7× |
| District of Columbia | 310 | $78,713 | $16,614 | 4.7× |
| Florida | 6,037 | $72,104 | $10,936 | 6.6× |
| Texas | 6,618 | $68,203 | $12,119 | 5.6× |
| Pennsylvania | 2,861 | $65,618 | $11,973 | 5.5× |
| Arizona | 1,298 | $60,286 | $12,518 | 4.8× |
| Kansas | 728 | $57,797 | $10,579 | 5.5× |
| Washington | 1,285 | $57,478 | $12,837 | 4.5× |
| Georgia | 2,591 | $56,443 | $12,676 | 4.5× |
| Hawaii | 256 | $56,284 | $16,658 | 3.4× |
| Connecticut | 815 | $50,788 | $14,659 | 3.5× |
| Idaho | 261 | $49,398 | $11,351 | 4.4× |
| Alabama | 1,144 | $49,195 | $10,555 | 4.7× |
| Tennessee | 1,696 | $48,943 | $10,825 | 4.5× |
| Oklahoma | 1,162 | $48,431 | $10,575 | 4.6× |
| Missouri | 1,604 | $48,331 | $11,217 | 4.3× |
| Virginia | 2,128 | $46,929 | $11,494 | 4.1× |
| Illinois | 3,368 | $46,822 | $12,592 | 3.7× |
| South Carolina | 1,514 | $45,956 | $10,975 | 4.2× |
| New Mexico | 421 | $45,380 | $11,975 | 3.8× |
| Oregon | 656 | $44,700 | $13,686 | 3.3× |
| Indiana | 1,557 | $44,332 | $10,914 | 4.1× |
| Delaware | 325 | $44,263 | $12,373 | 3.6× |
| Ohio | 2,483 | $43,430 | $11,016 | 3.9× |
| Minnesota | 1,004 | $43,298 | $13,143 | 3.3× |
| South Dakota | 230 | $43,221 | $11,096 | 3.9× |
| Louisiana | 1,195 | $43,076 | $10,240 | 4.2× |
| Nebraska | 394 | $42,444 | $11,806 | 3.6× |
| New Hampshire | 272 | $42,365 | $11,457 | 3.7× |
| Wyoming | 113 | $42,225 | $14,264 | 3× |
| Kentucky | 1,068 | $41,740 | $9,872 | 4.2× |
| Wisconsin | 1,004 | $41,296 | $11,673 | 3.5× |
| Mississippi | 1,170 | $41,179 | $9,973 | 4.1× |
| Iowa | 587 | $40,716 | $10,458 | 3.9× |
| Rhode Island | 208 | $40,408 | $13,931 | 2.9× |
| Maine | 185 | $40,172 | $13,677 | 2.9× |
| North Carolina | 2,396 | $39,993 | $12,134 | 3.3× |
| Utah | 370 | $39,729 | $12,103 | 3.3× |
| West Virginia | 452 | $38,261 | $10,339 | 3.7× |
| Vermont | 89 | $37,783 | $9,973 | 3.8× |
| Arkansas | 773 | $37,341 | $9,798 | 3.8× |
| Michigan | 2,204 | $36,452 | $11,706 | 3.1× |
| Massachusetts | 2,126 | $33,447 | $13,729 | 2.4× |
| North Dakota | 230 | $31,745 | $11,077 | 2.9× |
| Montana | 201 | $27,504 | $10,471 | 2.6× |
| Maryland | 1,641 | $19,859 | $17,939 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Medical Center - Hopewell Pennington, NJ · 24 stays | $367,784 | $12,653 |
| Capital Health Regional Medical Center Trenton, NJ · 29 stays | $360,911 | $15,028 |
| Stanford Health Care Stanford, CA · 118 stays | $274,698 | $30,172 |
| Doctors Medical Center Modesto, CA · 52 stays | $269,236 | $15,066 |
| Cedars-Sinai Medical Center Los Angeles, CA · 118 stays | $262,272 | $21,883 |
| Regional Medical Center of San Jose San Jose, CA · 28 stays | $261,011 | $16,911 |
| Desert Regional Medical Center Palm Springs, CA · 21 stays | $238,580 | $15,548 |
| Westchester Medical Center Valhalla, NY · 29 stays | $219,437 | $19,024 |
| UCLA West Valley Medical Center West Hills, CA · 42 stays | $198,521 | $13,074 |
| Centennial Hills Hospital Medical Center Las Vegas, NV · 52 stays | $194,085 | $11,656 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Holyoke Medical Center Holyoke, MA · 26 stays | $12,652 | $10,952 |
| Adventist Healthcare Fort Washington Medical Ctr Fort Washington, MD · 19 stays | $12,866 | $11,285 |
| Olean General Hospital Olean, NY · 22 stays | $12,938 | $10,596 |
| Heritage Valley Sewickley Sewickley, PA · 14 stays | $13,373 | $9,129 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 59 stays | $13,383 | $11,989 |
| Roane Medical Center Harriman, TN · 12 stays | $13,478 | $9,536 |
| Jones Memorial Hospital Wellsville, NY · 12 stays | $13,697 | $11,791 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 59 stays | $13,739 | $12,536 |
| Union Hospital of Cecil County Elkton, MD · 27 stays | $13,774 | $12,183 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 58 stays | $13,886 | $12,932 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.