Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications
What 1,869 hospitals in the U.S. charged and were paid for a Medicare hospital stay for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications (DRG 640), from 2024 Medicare claims.
Average charge
$61,341
Hospital list price billed
Average payment
$12,830
Medicare + patient + other payers
Medicare paid
$10,642
Average per stay
Volume
73,514
Medicare hospital stays
Hospitals in the U.S. billed an average of $61,341 for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications, about 4.8 times the average total payment of $12,830.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $12,830Billed $61,341
About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Marietta Memorial HospitalMarietta, OH | $7,195 |
|---|---|
| Saint John HospitalLeavenworth, KS | $7,874 |
| Parkwest Medical CenterKnoxville, TN | $7,876 |
| Saint Francis Bartlett Medical CenterBartlett, TN | $7,972 |
| Medina HospitalMedina, OH | $8,032 |
| Southwest General Health CenterMiddleburg Heights, OH | $8,050 |
| Martha Jefferson HospitalCharlottesville, VA | $8,125 |
| Glenwood Regional Medical CenterWest Monroe, LA | $8,138 |
| Iberia General Hospital and Medical CenterNew Iberia, LA | $8,144 |
| CHRISTUS Schumpert Health SystemShreveport, LA | $8,146 |
Highest
| Parkland Health and Hospital SystemDallas, TX | $51,322 |
|---|---|
| Kings County Hospital CenterBrooklyn, NY | $51,172 |
| Bellevue Hospital CenterNew York, NY | $45,539 |
| Queens Hospital CenterJamaica, NY | $43,322 |
| Jps Health NetworkFort Worth, TX | $41,781 |
| Jacobi Medical CenterBronx, NY | $40,704 |
| San Francisco General HospitalSan Francisco, CA | $35,613 |
| Lac/Olive View-UCLA Medical CenterSylmar, CA | $34,436 |
| Elmhurst Hospital CenterNew York, NY | $33,913 |
| Lac/Harbor-UCLA Med CenterTorrance, CA | $31,145 |
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 34 | $50,524 | $10,585 | $7,508 – $22,900 |
| Alaska | 4 | $100,282 | $15,750 | $14,156 – $18,888 |
| Arizona | 38 | $60,962 | $12,394 | $8,948 – $19,245 |
| Arkansas | 20 | $37,565 | $9,830 | $8,343 – $14,454 |
| California | 198 | $89,321 | $15,539 | $9,802 – $35,613 |
| Colorado | 27 | $86,926 | $12,077 | $8,919 – $19,642 |
| Connecticut | 20 | $51,675 | $14,690 | $10,939 – $20,620 |
| Delaware | 5 | $44,869 | $12,354 | $10,760 – $13,418 |
| Florida | 138 | $72,562 | $10,907 | $8,204 – $20,701 |
| Georgia | 63 | $57,209 | $12,728 | $8,632 – $26,968 |
| Hawaii | 7 | $57,013 | $16,209 | $12,391 – $21,081 |
| Idaho | 10 | $49,721 | $11,350 | $8,505 – $14,014 |
| Illinois | 82 | $46,978 | $12,515 | $8,918 – $73,790 |
| Indiana | 44 | $44,914 | $10,882 | $8,767 – $18,990 |
| Iowa | 18 | $41,862 | $10,446 | $8,348 – $15,041 |
| Kansas | 18 | $61,689 | $10,505 | $7,874 – $12,786 |
| Kentucky | 28 | $41,704 | $9,864 | $8,584 – $16,428 |
| Louisiana | 29 | $44,557 | $10,101 | $8,138 – $21,739 |
| Maine | 4 | $44,787 | $14,502 | $10,252 – $16,541 |
| Maryland | 38 | $19,895 | $17,970 | $11,285 – $29,403 |
| Massachusetts | 45 | $33,632 | $13,764 | $9,842 – $23,462 |
| Michigan | 52 | $37,003 | $11,726 | $8,846 – $18,243 |
| Minnesota | 22 | $45,141 | $13,371 | $9,557 – $26,595 |
| Mississippi | 26 | $40,840 | $9,938 | $8,496 – $15,647 |
| Missouri | 43 | $49,145 | $11,180 | $8,153 – $25,033 |
| Montana | 7 | $27,092 | $10,486 | $9,987 – $10,979 |
| Nebraska | 14 | $42,793 | $11,976 | $8,480 – $16,688 |
| Nevada | 18 | $105,121 | $12,399 | $10,586 – $15,684 |
| New Hampshire | 12 | $42,356 | $11,482 | $9,545 – $16,815 |
| New Jersey | 54 | $96,178 | $13,341 | $9,643 – $26,719 |
| New Mexico | 11 | $42,764 | $11,737 | $8,064 – $16,350 |
| New York | 93 | $85,615 | $17,999 | $10,596 – $51,172 |
| North Carolina | 55 | $40,279 | $12,208 | $8,838 – $23,945 |
| North Dakota | 6 | $31,839 | $11,054 | $9,752 – $11,630 |
| Ohio | 75 | $44,169 | $11,019 | $7,195 – $17,864 |
| Oklahoma | 25 | $49,883 | $10,615 | $8,751 – $17,839 |
| Oregon | 19 | $46,179 | $13,893 | $10,826 – $20,019 |
| Pennsylvania | 81 | $67,561 | $12,061 | $8,643 – $19,499 |
| Rhode Island | 7 | $40,377 | $14,100 | $10,140 – $17,658 |
| South Carolina | 37 | $46,001 | $10,951 | $8,192 – $17,399 |
| South Dakota | 6 | $44,101 | $11,113 | $8,993 – $13,725 |
| Tennessee | 42 | $49,902 | $10,754 | $7,876 – $18,776 |
| Texas | 148 | $69,163 | $12,131 | $7,901 – $129,345 |
| Utah | 8 | $41,882 | $12,642 | $9,584 – $16,126 |
| Vermont | 3 | $41,248 | $9,383 | $6,186 – $11,209 |
| Virginia | 52 | $47,112 | $11,509 | $8,125 – $26,444 |
| Washington | 35 | $58,423 | $12,878 | $10,446 – $16,824 |
| West Virginia | 14 | $38,186 | $10,418 | $8,386 – $13,858 |
| Wisconsin | 27 | $43,995 | $12,062 | $8,001 – $18,204 |
| Wyoming | 2 | $43,131 | $13,638 | $12,232 – $14,972 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Hollywood Community Hospital of HollywoodLos Angeles, CA | 632 | $59,753 | $14,147 |
| Adventhealth OrlandoOrlando, FL | 413 | $81,739 | $11,408 |
| Los Angeles Community HospitalLos Angeles, CA | 334 | $39,908 | $14,122 |
| New York-Presbyterian HospitalNew York, NY | 293 | $133,831 | $20,004 |
| Methodist HospitalSan Antonio, TX | 269 | $90,447 | $10,350 |
| Sherman Oaks HospitalSherman Oaks, CA | 210 | $26,689 | $13,596 |
| Baptist Medical CenterJacksonville, FL | 204 | $62,959 | $10,619 |
| Baptist Medical CenterSan Antonio, TX | 204 | $89,420 | $10,159 |
| NYU Hospitals CenterNew York, NY | 186 | $142,434 | $20,224 |
| Montefiore Medical CenterBronx, NY | 182 | $159,998 | $23,332 |
| Christiana Care Health Services, INC.Newark, DE | 158 | $48,078 | $13,418 |
| Evanston HospitalEvanston, IL | 155 | $36,431 | $11,904 |
| Mem Hermann Southwest HospHouston, TX | 153 | $59,620 | $12,558 |
| Mayo Clinic HospitalPhoenix, AZ | 152 | $56,119 | $18,119 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 152 | $117,486 | $17,365 |
Questions
How much does miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications (DRG 640) at 1,869 hospitals in the U.S. was billed at $61,341 on average, while the average total payment was $12,830, of which Medicare paid $10,642. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($17,999), Maryland ($17,970), Hawaii ($16,209) and lowest in Vermont ($9,383), Arkansas ($9,830), Kentucky ($9,864).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 4.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.