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Nutrition/Metabolic/Fluid/Electrolyte Disorder (with MCC)

Pennsylvania rates for MS-DRG 640

Miscellaneous Disorders of Nutrition, Metabolism, and Fluids and Electrolytes with MCC

Rates data updated July 2026.

How much does Nutrition/Metabolic/Fluid/Electrolyte Disorder (with MCC) cost?

$20,417

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $20,417 for this service. Most negotiated rates run $16,596 to $25,119.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $20,417 · 10th to 90th $12,023 to $28,184
$5K$10K$20Kfacility $20,417

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$20,417.38
Typical High
$28,183.83
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$22,387.21
Typical High
$33,884.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$20,892.96
Typical High
$29,512.09
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$28,840.32
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$22,387.21
Typical High
$27,542.29
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$22,387.21
Typical High
$35,481.34
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$19,952.62
Typical High
$28,183.83
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$21,379.62
Typical High
$23,988.33
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$16,982.44
Typical High
$31,622.78

Where Pennsylvania sits

The same service costs 4.6 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 28th of 51

$20,417

MT $48,978NM $10,715

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.