How much does Fluid and Electrolyte Disorder (severe) cost?
MS-DRG 640 · Inpatient stay · 1,869 U.S. hospitals publish a price
Cheapest quarter
under $35,361
Typical charge
$48,503
Dearest quarter
over $71,812
Actually paid
$12,464
The middle U.S. hospital bills $48,503 for Fluid and Electrolyte Disorder (severe). The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $12,464 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Fluid and Electrolyte Disorder (severe) cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Maryland | 38 | $19,531 | $12,866 – $33,496 |
| Massachusetts | 45 | $23,057 | $12,652 – $95,743 |
| Montana | 7 | $24,702 | $21,972 – $36,364 |
| Iowa | 18 | $31,222 | $18,404 – $77,101 |
| Mississippi | 26 | $31,298 | $16,827 – $136,671 |
| North Dakota | 6 | $31,743 | $24,543 – $37,802 |
| Michigan | 52 | $34,463 | $19,184 – $62,668 |
| Vermont | 3 | $34,870 | $29,044 – $48,630 |
| West Virginia | 14 | $34,943 | $20,089 – $61,983 |
| New Hampshire | 12 | $35,464 | $28,702 – $95,982 |
| North Carolina | 55 | $35,952 | $18,723 – $104,975 |
| Rhode Island | 7 | $37,683 | $30,332 – $51,890 |
| Alabama | 34 | $37,909 | $17,519 – $148,921 |
| Oklahoma | 25 | $38,254 | $20,591 – $146,493 |
| Arkansas | 20 | $38,465 | $16,763 – $69,824 |
| Ohio | 75 | $38,483 | $17,429 – $87,032 |
| South Dakota | 6 | $38,800 | $18,507 – $49,795 |
| Virginia | 52 | $39,255 | $16,140 – $110,249 |
| South Carolina | 37 | $39,432 | $23,318 – $99,217 |
| Kentucky | 28 | $39,540 | $20,735 – $73,971 |
| Minnesota | 22 | $40,926 | $19,676 – $105,829 |
| Wisconsin | 27 | $41,361 | $26,233 – $60,888 |
| Delaware | 5 | $41,849 | $32,174 – $50,630 |
| Nebraska | 14 | $41,920 | $30,074 – $69,744 |
| Missouri | 43 | $42,014 | $22,545 – $114,219 |
| Indiana | 44 | $42,764 | $18,153 – $77,968 |
| Louisiana | 29 | $42,903 | $16,007 – $83,666 |
| Oregon | 19 | $43,048 | $26,628 – $98,075 |
| Maine | 4 | $43,092 | $30,428 – $56,934 |
| Utah | 8 | $43,170 | $31,995 – $55,899 |
| Tennessee | 42 | $43,435 | $13,478 – $95,398 |
| New Mexico | 11 | $43,606 | $15,518 – $94,495 |
| Illinois | 82 | $45,578 | $23,767 – $84,085 |
| Kansas | 18 | $45,727 | $20,004 – $132,241 |
| Connecticut | 20 | $45,734 | $35,764 – $68,104 |
| Hawaii | 7 | $45,838 | $27,735 – $83,680 |
| Pennsylvania | 81 | $51,515 | $13,373 – $177,721 |
| Georgia | 63 | $51,738 | $21,733 – $99,660 |
| Washington | 35 | $52,698 | $28,764 – $113,562 |
| Idaho | 10 | $53,620 | $31,713 – $71,570 |
| Arizona | 38 | $57,292 | $30,222 – $156,554 |
| New York | 93 | $59,533 | $12,938 – $219,437 |
| Texas | 148 | $60,982 | $20,052 – $129,841 |
| Florida | 138 | $67,760 | $30,147 – $177,877 |
| District of Columbia | 5 | $70,869 | $37,165 – $117,376 |
| Colorado | 27 | $76,514 | $45,369 – $182,267 |
| California | 198 | $83,201 | $23,215 – $274,698 |
| New Jersey | 54 | $88,042 | $39,768 – $367,784 |
| Alaska | 4 | $104,946 | $73,758 – $118,871 |
| Nevada | 18 | $112,238 | $27,402 – $194,085 |
Where Fluid and Electrolyte Disorder (severe) is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Holyoke Medical Center
Holyoke, MA |
$12,652 | $10,952 |
|
Adventist Healthcare Fort Washington Medical Ctr
Fort Washington, MD |
$12,866 | $11,285 |
|
Olean General Hospital
Olean, NY |
$12,938 | $10,596 |
|
Heritage Valley Sewickley
Sewickley, PA |
$13,373 | $9,129 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$13,383 | $11,989 |
|
Roane Medical Center
Harriman, TN |
$13,478 | $9,536 |
|
Jones Memorial Hospital
Wellsville, NY |
$13,697 | $11,791 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$13,739 | $12,536 |
|
Union Hospital Of Cecil County
Elkton, MD |
$13,774 | $12,183 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$13,886 | $12,932 |
|
Independence Health System Clarion Hospital
Clarion, PA |
$14,045 | $12,564 |
|
Baystate Noble Hospital
Westfield, MA |
$14,300 | $10,490 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$367,784 | $12,653 |
|
Capital Health Regional Medical Center
Trenton, NJ |
$360,911 | $15,028 |
|
Stanford Health Care
Stanford, CA |
$274,698 | $30,172 |
|
Doctors Medical Center
Modesto, CA |
$269,236 | $15,066 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$262,272 | $21,883 |
|
Regional Medical Center Of San Jose
San Jose, CA |
$261,011 | $16,911 |
|
Desert Regional Medical Center
Palm Springs, CA |
$238,580 | $15,548 |
|
Westchester Medical Center
Valhalla, NY |
$219,437 | $19,024 |
|
Ucla West Valley Medical Center
West Hills, CA |
$198,521 | $13,074 |
|
Centennial Hills Hospital Medical Center
Las Vegas, NV |
$194,085 | $11,656 |
|
Adventist Health Sierra Vista
San Luis Obispo, CA |
$190,256 | $12,724 |
|
Summerlin Hospital Medical Center
Las Vegas, NV |
$186,173 | $11,367 |
Questions people ask
How much does Fluid and Electrolyte Disorder (severe) cost in the United States?
Across 1,869 U.S. hospitals, the middle charge for Fluid and Electrolyte Disorder (severe) is $48,503. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $35,361 and the dearest quarter over $71,812.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Fluid and Electrolyte Disorder (severe), the hospitals in the dearest tenth charge about 3.8x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $12,464 is roughly what Medicare actually paid per case, against an average charge of $61,341. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 640: “MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.