Inpatient stays / DRG 641
MS-DRG 641 · 1,940 hospitals · 66,811 stays
DRG 641: Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC
Medicare patients had 66,811 stays in DRG 641 in 2024. Hospitals charged an average of $37,058 per stay and were paid $7,789 — a ratio of 4.8 to 1 — of which Medicare's own share averaged $5,891. Average charges ran from $7,507 at the least expensive hospital to $256,485 at the most; half of hospitals charged between $22,594 and $45,594.
- 1Average charge $37,058
- 2Average paid $7,789
- 3Reporting hospitals 1,940
- 4Medicare stays 66,811
By state
Average charges for DRG 641 were highest in Nevada ($67,302) and lowest in Maryland ($11,977). Payments vary far less than charges, because Medicare sets them: they range across states from $5,920 to $12,192.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 578 | $67,302 | $7,878 | 8.5× |
| New Jersey | 2,209 | $62,001 | $7,913 | 7.8× |
| California | 6,423 | $60,462 | $9,715 | 6.2× |
| Alaska | 121 | $56,253 | $12,192 | 4.6× |
| Colorado | 597 | $54,492 | $7,438 | 7.3× |
| Florida | 5,588 | $47,814 | $6,953 | 6.9× |
| District of Columbia | 157 | $47,647 | $9,648 | 4.9× |
| New York | 3,854 | $45,769 | $10,057 | 4.6× |
| Texas | 4,319 | $43,323 | $8,201 | 5.3× |
| Arizona | 1,280 | $40,818 | $7,386 | 5.5× |
| Pennsylvania | 2,987 | $39,830 | $7,070 | 5.6× |
| Kansas | 654 | $37,901 | $6,544 | 5.8× |
| Washington | 870 | $36,151 | $7,863 | 4.6× |
| Georgia | 2,008 | $34,066 | $7,979 | 4.3× |
| South Carolina | 1,478 | $32,702 | $7,106 | 4.6× |
| New Mexico | 353 | $32,191 | $7,967 | 4× |
| Connecticut | 571 | $32,124 | $8,615 | 3.7× |
| Hawaii | 180 | $31,540 | $9,585 | 3.3× |
| Illinois | 2,918 | $31,171 | $7,676 | 4.1× |
| Tennessee | 1,495 | $30,797 | $6,940 | 4.4× |
| Missouri | 1,452 | $30,438 | $6,908 | 4.4× |
| Idaho | 263 | $30,328 | $7,067 | 4.3× |
| Virginia | 1,772 | $29,765 | $7,064 | 4.2× |
| Delaware | 310 | $29,671 | $7,742 | 3.8× |
| Oklahoma | 1,121 | $29,243 | $6,846 | 4.3× |
| South Dakota | 249 | $28,666 | $7,151 | 4× |
| Oregon | 496 | $28,537 | $8,295 | 3.4× |
| Vermont | 134 | $28,404 | $5,920 | 4.8× |
| Indiana | 1,526 | $28,358 | $6,740 | 4.2× |
| New Hampshire | 287 | $28,321 | $7,131 | 4× |
| Ohio | 2,467 | $27,836 | $6,746 | 4.1× |
| Minnesota | 842 | $27,803 | $7,865 | 3.5× |
| Kentucky | 1,138 | $27,478 | $6,011 | 4.6× |
| Alabama | 1,288 | $27,292 | $6,747 | 4× |
| Louisiana | 1,122 | $27,038 | $6,373 | 4.2× |
| North Carolina | 2,442 | $26,672 | $7,483 | 3.6× |
| Wisconsin | 901 | $26,588 | $7,081 | 3.8× |
| Utah | 319 | $25,972 | $7,647 | 3.4× |
| Nebraska | 375 | $25,922 | $6,936 | 3.7× |
| Rhode Island | 217 | $25,299 | $7,797 | 3.2× |
| Mississippi | 954 | $24,613 | $6,390 | 3.9× |
| Iowa | 560 | $24,304 | $6,265 | 3.9× |
| Michigan | 1,831 | $24,132 | $7,287 | 3.3× |
| West Virginia | 536 | $24,108 | $6,367 | 3.8× |
| Maine | 221 | $23,872 | $7,687 | 3.1× |
| Wyoming | 146 | $23,782 | $8,657 | 2.7× |
| Arkansas | 778 | $23,607 | $6,024 | 3.9× |
| Montana | 213 | $23,311 | $6,761 | 3.4× |
| North Dakota | 157 | $22,017 | $6,514 | 3.4× |
| Massachusetts | 2,147 | $18,711 | $7,974 | 2.3× |
| Maryland | 1,907 | $11,977 | $10,821 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Regional Medical Center Trenton, NJ · 20 stays | $256,485 | $10,609 |
| Capital Health Medical Center - Hopewell Pennington, NJ · 27 stays | $227,071 | $8,215 |
| Carepoint Health - Bayonne Medical Center Bayonne, NJ · 16 stays | $203,368 | $9,130 |
| Doctors Medical Center Modesto, CA · 18 stays | $158,383 | $8,581 |
| Stanford Health Care Stanford, CA · 81 stays | $156,028 | $16,728 |
| Regional Medical Center of San Jose San Jose, CA · 18 stays | $145,195 | $9,659 |
| Westchester Medical Center Valhalla, NY · 27 stays | $138,171 | $9,826 |
| Cedars-Sinai Medical Center Los Angeles, CA · 90 stays | $129,889 | $11,069 |
| Doctors Hospital of Manteca Manteca, CA · 12 stays | $127,732 | $7,906 |
| Martin Luther King, Jr. Community Hospital Los Angeles, CA · 11 stays | $127,085 | $12,280 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Howard County Medical Center Columbia, MD · 74 stays | $7,507 | $6,866 |
| Holyoke Medical Center Holyoke, MA · 20 stays | $8,083 | $6,994 |
| Mizell Memorial Hospital Opp, AL · 11 stays | $8,131 | $6,405 |
| Atlantic General Hospital Berlin, MD · 18 stays | $8,764 | $8,328 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 173 stays | $8,905 | $8,243 |
| Geneva General Hospital Geneva, NY · 11 stays | $8,938 | $7,083 |
| Suburban Hospital Bethesda, MD · 86 stays | $9,170 | $8,227 |
| Frederick Health Hospital Frederick, MD · 91 stays | $9,254 | $8,490 |
| Meritus Medical Center Hagerstown, MD · 79 stays | $9,330 | $8,613 |
| Holy Cross Germantown Hospital Germantown, MD · 28 stays | $9,382 | $8,455 |
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.