MS-DRG 640

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCC

In plain words: Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications (MCC)

Current code41 hospitals with prices

Title from CMS's list of Medicare Severity Diagnosis Related Groups (MS-DRGs).

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for MS-DRG 640 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$17,832 – $34,58218 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$12,205 – $30,52114 plans——
Garfield County Public Hospital District #1PomeroyFile dated 2026-09-02$6,620 – $7,3997 plans$6,620$7,788
Harborview Medical CenterSeattleFile dated 2026-04-01$23,070 – $55,39412 plans——
Highline Medical CenterBurienFile dated 2026-02-28$16,980 – $32,57613 plans——
Island HospitalAnacortes$9,250 – $18,3008 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$11,289 – $36,0347 plans——
Kittitas Valley Community HospitalEllensburgFile dated 2026-02-04$185,5751 plan$168,705$198,476
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$18,494 – $36,72910 plans——
Lincoln HospitalDavenportFile dated 2026-09-14$12,453 – $19,80010 plans$13,186$14,651
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$25,072 – $76,12912 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$19,112 – $36,06118 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$19,112 – $36,06118 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$19,112 – $36,06118 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$11,844 – $30,70314 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$11,922 – $33,39019 plans——
PeaceHealth Southwest Medical CenteVancouver$4,987 – $28,3765 plans——
PeaceHealth St John Medical CenterLongview$5,079 – $25,3952 plans——
PeaceHealth St Joseph Medical CenterBellingham$26,3041 plan——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$21,217 – $35,83513 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$19,933 – $71,7178 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2,471 – $31,20415 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$12,706 – $40,70619 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$18,412 – $36,8768 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$21,233 – $39,93714 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$20,182 – $36,11917 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$20,182 – $34,72117 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$8,207 – $33,11113 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$20,182 – $34,72117 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$20,182 – $34,72117 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$24,397 – $33,8398 plans——
Summit Pacific Medical CenterElmaFile dated 2026-08-31$29,6682 plans$20,026$37,085
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$12,274 – $37,70117 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$12,095 – $41,76117 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$13,897 – $48,25525 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$13,871 – $48,94819 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$19,112 – $36,06118 plans——
Trios HealthKennewick$18,031 – $23,6003 plans—$85,697
University of Washington Medical CtrSeattleFile dated 2026-04-01$19,433 – $44,60914 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$11,335 – $29,12816 plans——

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Relative weight (how Medicare pays this stay compared with an average one)
1.3392