Updated April 2026

Nutritional and Misc Metabolic Disorders with MCC in Pennsylvania

83 Pennsylvania hospitals report Medicare totals for this DRG, averaging $11,963 (close to the $11,374 national mean), with a 2× spread from $6,950 to $16,815. 5 carry an A grade, 1 carry an F.

The Metabolic procedure Nutritional and Misc Metabolic Disorders with MCC carries DRG code 641 in the CMS classification system. 2,704 hospitals in Pennsylvania report payment data, averaging $11,374 per procedure — median $11,065, ranging from $3,981 to $24,023. A $24,023 maximum and $3,981 minimum on the same DRG procedure is normal for the Medicare payment system — DRG codes bundle cases that may differ in complexity, and hospital wage-index adjustments alone can move payments by 30% across regions.

Within Pennsylvania, the 2,704 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($11,374) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Nutritional and Misc Metabolic Disorders with MCC, the cost-comparison logic is straightforward: the per-procedure payment range is meaningfully wide, so the hospital chosen affects total cost. For patients in an emergency, the choice is functionally fixed — but the listed prices still matter for insurance-coverage and out-of-pocket planning.

About This Procedure

This procedure category groups related Medicare DRGs. Cost spread across hospitals is driven by length of stay, case complexity, regional wage indexes, and whether the facility is an academic referral center.

Nutritional and Misc Metabolic Disorders with MCC is Medicare DRG 641 in the Metabolic category. National Medicare average for this DRG is $11,374 across 2,704 reporting hospitals. The state-level view here filters that universe down to Pennsylvania only.

Cost Picture in Pennsylvania

Pennsylvania's average for this DRG sits close to the national Medicare mean. State-level differences are explained primarily by the regional Medicare wage index — the multiplier CMS applies to standardize DRG payments to local labor costs — alongside hospital case mix and the concentration of academic referral centers in the state's larger metros.

Within the state, the 2× spread between the lowest- and highest-reporting facility usually reflects length-of-stay differences, complication adjustments for sicker patients, teaching-status add-ons, and outlier payments for unusually long stays. Two hospitals reporting the same DRG can post meaningfully different totals without anything “wrong” happening at either site. For non-Medicare patients, the more relevant figure is the negotiated commercial rate published in each hospital's machine-readable file under the CMS Hospital Price Transparency Rule.

Quality Alongside Price

For a planned admission, the most useful complement to the cost view is the hospital-specific quality data on CMS Care Compare. The site publishes risk-adjusted measures of mortality, readmission, complication, infection, and patient experience for every Medicare-participating hospital. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators feed many of these CMS measures.

For complex procedures, hospital-level case volume correlates with outcomes in published research, even after risk adjustment. CMS publishes case counts on Care Compare alongside outcome measures.

Hospitals in Pennsylvania Reporting Nutritional and Misc Metabolic Disorders with MCC

Sorted lowest to highest Medicare total payment. Pricing is informational and should be considered alongside CMS quality measures.

#	Hospital	City	Payment	Quality	Grade
1	Suburban Community Hospital Norristown	Norristown	$6,950	★★★☆☆	C
2	Jefferson Einstein Philadelphia Hospital Philadelphia	Philadelphia	$7,492	★★☆☆☆	D
3	Schuylkill Medical Center - South Jackson Street Pottsville	Pottsville	$7,705	★★★☆☆	C
4	Wellspan Surgery And Rehabilitation Hospital York	York	$7,952	Not Rated	C
5	Eagleville Hospital Eagleville	Eagleville	$7,992	Not Rated	C
6	Children's Hospital Of Philadelphia Philadelphia	Philadelphia	$8,449	Not Rated	C
7	Upmc Passavant Pittsburgh	Pittsburgh	$8,894	★★★★☆	B
8	Wernersville State Hospital Wernersville	Wernersville	$8,920	Not Rated	C
9	Clarion Psychiatric Center Clarion	Clarion	$9,014	Not Rated	C
10	Wellspan Chambersburg Hospital Chambersburg	Chambersburg	$9,032	★★★☆☆	B
11	Geisinger Wyoming Valley Medical Center Wilkes Barre	Wilkes Barre	$9,110	★★★★☆	B
12	Upmc Northwest Seneca	Seneca	$9,173	★★★★☆	C
13	Upmc Altoona Altoona	Altoona	$9,182	★★☆☆☆	C
14	Temple Health - Chestnut Hill Hospital Philadelphia	Philadelphia	$9,377	★★☆☆☆	C
15	Wayne Memorial Hospital Honesdale	Honesdale	$9,408	★★☆☆☆	C
16	Va Pittsburgh Healthcare System - Univ Dr Pittsburgh	Pittsburgh	$9,445	★★★☆☆	D
17	Upmc Memorial York	York	$9,466	★★★☆☆	C
18	Excela Health Latrobe Hospital Latrobe	Latrobe	$9,523	★★★★☆	C
19	Advanced Surgical Hospital Washington	Washington	$9,556	Not Rated	C
20	Montgomery County Emergency Service Norristown	Norristown	$9,685	Not Rated	C
21	Upmc Mckeesport Hospital Mc Keesport	Mc Keesport	$9,836	★★★☆☆	B
22	Wilkes Barre Va Medical Center Wilkes-Barre	Wilkes-Barre	$9,896	★★★★★	B
23	Wellspan York Hospital York	York	$10,096	★★★★☆	C
24	Wellspan Waynesboro Hospital Waynesboro	Waynesboro	$10,357	★★★★☆	C
25	Warren General Hospital Warren	Warren	$10,415	★★☆☆☆	D
26	Chan Soon- Shiong Medical Center At Windber Windber	Windber	$10,596	★★★☆☆	C
27	Penn State Health St. Joseph Reading	Reading	$10,666	★★★★☆	B
28	Phoenixville Hospital Phoenixville	Phoenixville	$10,773	★★★☆☆	C
29	Mount Nittany Medical Center State College	State College	$10,848	★★★★★	A
30	Punxsutawney Area Hospital Punxsutawney	Punxsutawney	$11,180	Not Rated	C
31	Upmc Lititz Lititz	Lititz	$11,241	★★★☆☆	D
32	Penn State Health Hampden Medical Center Enola	Enola	$11,400	Not Rated	C
33	Penn State Health Holy Spirit Medical Center Camp Hill	Camp Hill	$11,590	★★☆☆☆	C
34	Wills Eye Hospital Philadelphia	Philadelphia	$11,615	Not Rated	C
35	Geisinger Medical Center Muncy Muncy	Muncy	$11,619	Not Rated	C
36	Lancaster General Hospital Lancaster	Lancaster	$11,705	★★★★★	A
37	Washington Hospital, The Washington	Washington	$11,890	★★★☆☆	C
38	Allegheny General Hospital Pittsburgh	Pittsburgh	$11,895	★★☆☆☆	D
39	Crozer Chester Medical Center Upland	Upland	$11,921	★★☆☆☆	C
40	Grove City Medical Center Grove City	Grove City	$11,999	Not Rated	C
41	Geisinger St. Luke's Hospital Orwigsburg	Orwigsburg	$12,158	★★★★☆	B
42	Warren State Hospital North Warren	North Warren	$12,193	Not Rated	C
43	Geisinger Behavioral Health Center Northeast Moosic	Moosic	$12,276	Not Rated	C
44	Foundations Behavioral Health Doylestown	Doylestown	$12,429	Not Rated	C
45	Meadville Medical Center Meadville	Meadville	$12,492	★★★☆☆	C
46	Bucktail Medical Center Renovo	Renovo	$12,529	Not Rated	C
47	Torrance State Hospital Torrance	Torrance	$12,608	Not Rated	C
48	Riddle Memorial Hospital Media	Media	$12,635	★★★☆☆	B
49	Hospital Of Univ Of Pennsylvania Philadelphia	Philadelphia	$12,755	★★★★★	A
50	Penn Highlands Dubois Dubois	Dubois	$12,830	★☆☆☆☆	D
51	Haven Behavioral Hospital Of Eastern Pennsylvania Reading	Reading	$12,892	Not Rated	C
52	Allegheny Valley Hospital Natrona	Natrona	$12,958	★★★★☆	B
53	Oss Orthopaedic Hospital York	York	$13,120	Not Rated	C
54	Upmc Jameson New Castle	New Castle	$13,122	★★★☆☆	C
55	Troy Community Hospital Troy	Troy	$13,129	★★★☆☆	B
56	Magee Womens Hospital Of Upmc Health System Pittsburgh	Pittsburgh	$13,305	★★★☆☆	C
57	Jefferson Hospital Jefferson Hills	Jefferson Hills	$13,397	★★★☆☆	B
58	Upmc Horizon Greenville	Greenville	$13,434	★★★☆☆	C
59	Erie Va Medical Center Erie	Erie	$13,478	Not Rated	C
60	Meadows Psychiatric Center Centre Hall	Centre Hall	$13,479	Not Rated	F
61	Wellspan Evangelical Community Hospital Lewisburg	Lewisburg	$13,603	★★★★★	A
62	Malvern Behavioral Health Philadelphia	Philadelphia	$13,621	Not Rated	C
63	Friends Hospital Philadelphia	Philadelphia	$13,627	Not Rated	D
64	Rothman Orthopaedic Specialty Hospital Bensalem	Bensalem	$13,666	Not Rated	D
65	Bryn Mawr Hospital Bryn Mawr	Bryn Mawr	$13,686	★★★★☆	C
66	Wellspan Good Samaritan Hospital Lebanon	Lebanon	$13,814	★★★★★	A
67	Lehigh Valley Hospital - Pocono East Stroudsburg	East Stroudsburg	$13,826	★★★☆☆	C
68	Upmc Hanover Hanover	Hanover	$13,828	★★★☆☆	C
69	Lower Bucks Hospital Bristol	Bristol	$13,965	★★★☆☆	C
70	Acmh Hospital Kittanning	Kittanning	$14,104	★★☆☆☆	C
71	St Luke's Hospital - Upper Bucks Campus Quakertown	Quakertown	$14,609	★★★★☆	B
72	Penn Highlands Elk Saint Marys	Saint Marys	$14,715	★★★☆☆	C
73	Lancaster Behavioral Health Hospital Lancaster	Lancaster	$14,910	Not Rated	C
74	Upmc Wellsboro Wellsboro	Wellsboro	$14,988	★★★☆☆	C
75	St Mary Medical Center Langhorne	Langhorne	$14,994	★★☆☆☆	D
76	Haven Behavioral Hospital Of West Chester West Chester	West Chester	$14,998	Not Rated	D
77	Upmc Kane Kane	Kane	$15,109	Not Rated	C
78	Ahn Emerus Westmoreland, Llc Greensburg	Greensburg	$15,307	Not Rated	C
79	Upmc Somerset Somerset	Somerset	$15,753	★★★★☆	B
80	Titusville Area Hospital Titusville	Titusville	$15,876	Not Rated	C
81	Endless Mountains Health Systems Montrose	Montrose	$15,878	★★★☆☆	C
82	St Christopher's Hospital For Children Philadelphia	Philadelphia	$16,129	Not Rated	C
83	Haven Behavioral Hospital Of Philadelphia Philadelphia	Philadelphia	$16,815	Not Rated	C

Frequently Asked Questions

How much does nutritional and misc metabolic disorders with mcc cost in Pennsylvania?

Nutritional and Misc Metabolic Disorders with MCC (DRG 641) averages $11,963 in total Medicare payment across 83 Pennsylvania hospitals reporting this code. Within the state, payments span $6,950 to $16,815 — about 2× from cheapest to most expensive.

Is Nutritional and Misc Metabolic Disorders with MCC more or less expensive in Pennsylvania than nationally?

Pennsylvania's state-level average of $11,963 sits close to the national Medicare average of $11,374 for this DRG. State differences are driven primarily by the regional Medicare wage index, case mix, and the share of high-acuity referral hospitals.

Why is the spread between hospitals so wide?

Variation within a state runs 2× because the same DRG can come with different lengths of stay, complication adjustments, teaching-status add-ons, and outlier payments. The CMS Hospital Price Transparency Rule publishes machine-readable rate files that allow direct comparisons against negotiated commercial rates, which often differ from Medicare totals.

Are these the prices a privately insured patient would pay?

No. Figures here are Medicare DRG payments. Privately insured patients are billed under their plan's negotiated network rate, published in each hospital's price-transparency file. Uninsured patients should ask the hospital for the cash-pay rate, also disclosed under federal price-transparency rules.

Should I choose a hospital based only on price?

No. HospitalCostData is informational. Surgeon experience, hospital volume for the procedure, complication rates, and your specific clinical situation matter at least as much as price. Always discuss options with your physician and review CMS Care Compare quality data alongside any pricing benchmark.

See the methodology page for DRG sourcing and Medicare wage-index context.

Sources & Citations

CMS Medicare Inpatient Hospital Payments (IPPS). DRG-level average covered charges, total payments, and Medicare payments per facility. data.cms.gov
CMS Hospital Compare (Care Compare). Star ratings, mortality, readmission, safety-of-care, and patient-experience measures. medicare.gov/care-compare
CMS Hospital Price Transparency Rule. Standard charge files required from every Medicare-participating hospital. cms.gov/hospital-price-transparency
Agency for Healthcare Research and Quality (AHRQ). National benchmarks, quality indicators, and clinical context for hospital outcome measures. ahrq.gov

Dataset last refreshed: April 2026. Underlying CMS files are public domain. Suggested citation: “HospitalCostData, hospitalcostdata.com, accessed May 24, 2026.”

This page is informational only and does not constitute medical, legal, or financial advice. Care decisions should be made with a licensed physician.

Source: CMS Hospital Price Transparency, 2026.