St. Mary's Healthcare

2020 Age Distribution

2020 Patient Race:

Other Race476
White3,439
Black/African American131

2020 Payers:

Medicaid 1,299
Medicare 1,862
Blue Cross/Blue Shield 363
Miscellaneous/Other 47
Federal/State/Local/VA 21
Private Health Insurance 334
Self-Pay 120

Conditions treated in 2020

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
SEPTICEMIA & DISSEMINATED INFECTIONS 417 $31,329 $12,057 $13,064,318 $5,027,598 5.87
NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 305 $3,473 $3,385 $1,059,336 $1,032,438 1.80
VAGINAL DELIVERY 230 $6,861 $5,379 $1,578,075 $1,237,223 2.06
HEART FAILURE 209 $23,605 $11,130 $4,933,374 $2,326,200 4.86
ALCOHOL ABUSE & DEPENDENCE 157 $11,847 $4,966 $1,859,968 $779,654 3.36
SCHIZOPHRENIA 156 $14,332 $8,544 $2,235,796 $1,332,806 9.33
BIPOLAR DISORDERS 155 $12,760 $7,298 $1,977,727 $1,131,212 7.39
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 123 $29,142 $12,951 $3,584,416 $1,592,953 6.98
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES 109 $9,528 $5,116 $1,038,602 $557,646 5.47
CESAREAN SECTION W/O STERILIZATION 89 $12,205 $7,713 $1,086,249 $686,460 2.61
ACUTE KIDNEY INJURY 81 $22,793 $9,508 $1,846,200 $770,152 4.96
KIDNEY & URINARY TRACT INFECTIONS 77 $18,276 $7,073 $1,407,281 $544,605 3.84
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 70 $41,221 $17,664 $2,885,491 $1,236,476 1.89
OTHER PNEUMONIA 70 $20,142 $8,616 $1,409,920 $603,113 4.50
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 66 $18,692 $8,044 $1,233,681 $530,887 3.91
DIABETES 59 $18,752 $7,368 $1,106,368 $434,738 3.68
RESPIRATORY FAILURE 53 $30,884 $13,367 $1,636,828 $708,434 5.77
ACUTE MYOCARDIAL INFARCTION 52 $16,379 $7,251 $851,724 $377,038 2.65
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 50 $6,967 $3,233 $348,341 $161,655 3.24
ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY 45 $21,418 $13,983 $963,796 $629,221 18.87
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 45 $8,836 $4,186 $397,626 $188,386 4.58
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 45 $17,699 $8,227 $796,451 $370,210 3.18
OPIOID ABUSE & DEPENDENCE 42 $10,040 $4,492 $421,672 $188,674 3.64
CVA & PRECEREBRAL OCCLUSION W INFARCT 35 $24,009 $9,498 $840,306 $332,416 3.14
CELLULITIS & OTHER SKIN INFECTIONS 34 $19,135 $9,270 $650,590 $315,196 4.44
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 33 $16,008 $6,850 $528,261 $226,063 1.03
PEPTIC ULCER & GASTRITIS 31 $29,243 $11,271 $906,533 $349,408 4.81
NON-HYPOVOLEMIC SODIUM DISORDERS 30 $22,849 $9,057 $685,456 $271,722 4.70
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 30 $21,700 $8,710 $650,995 $261,314 4.67
DIVERTICULITIS & DIVERTICULOSIS 29 $17,670 $6,163 $512,436 $178,721 2.93
HIP JOINT REPLACEMENT 28 $28,920 $13,534 $809,760 $378,939 4.57
HIP & FEMUR FRACTURE REPAIR 28 $30,715 $13,928 $860,007 $389,988 4.89
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 28 $7,513 $3,386 $210,365 $94,806 3.25
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 27 $26,460 $11,418 $714,407 $308,274 5.78
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 26 $21,661 $7,434 $563,173 $193,289 3.96
COCAINE ABUSE & DEPENDENCE 26 $8,139 $3,832 $211,619 $99,635 3.38
ANTEPARTUM W/O O.R. PROCEDURE 26 $7,720 $4,601 $200,723 $119,627 3.00
CESAREAN SECTION W STERILIZATION 25 $10,531 $6,319 $263,280 $157,967 1.80
PULMONARY EMBOLISM 23 $20,864 $10,696 $479,882 $246,011 3.39
CHOLECYSTECTOMY 23 $29,833 $10,733 $686,156 $246,858 2.78
MAJOR LARGE BOWEL PROCEDURES 22 $28,561 $11,984 $628,350 $263,656 4.41
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 22 $25,544 $10,809 $561,976 $237,806 3.32
OTHER DIGESTIVE SYSTEM DIAGNOSES 22 $21,659 $8,084 $476,501 $177,847 3.55
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 20 $38,168 $14,572 $763,367 $291,443 6.50
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 20 $43,014 $16,711 $860,282 $334,219 6.90
KNEE JOINT REPLACEMENT 19 $27,792 $11,463 $528,048 $217,800 2.58
OTHER GASTROENTERITIS, NAUSEA & VOMITING 19 $21,238 $7,721 $403,519 $146,703 4.32
INTENTIONAL SELF-HARM & ATTEMPTED SUICIDE 18 $16,303 $4,532 $293,450 $81,568 1.89
DISORDERS OF GALLBLADDER & BILIARY TRACT 18 $28,234 $9,638 $508,218 $173,486 3.67
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 17 $4,520 $4,431 $76,833 $75,323 2.29
SHOULDER & ELBOW JOINT REPLACEMENT 16 $21,931 $8,930 $350,889 $142,872 1.00
HYPERTENSION 16 $18,945 $8,125 $303,114 $130,006 2.94
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 16 $26,714 $9,982 $427,429 $159,716 4.38
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 16 $19,892 $7,864 $318,279 $125,827 4.38
OTHER DRUG ABUSE & DEPENDENCE 15 $8,882 $4,768 $133,227 $71,513 5.07
INTESTINAL OBSTRUCTION 14 $15,650 $4,852 $219,099 $67,931 2.79
RESPIRATORY MALIGNANCY 14 $28,639 $10,679 $400,951 $149,505 5.64
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 13 $3,268 $2,272 $42,480 $29,530 1.08
POISONING OF MEDICINAL AGENTS 13 $19,647 $6,772 $255,410 $88,041 3.15
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 13 $29,383 $12,207 $381,974 $158,691 6.38
DIGESTIVE MALIGNANCY 13 $30,935 $11,734 $402,157 $152,540 5.31
ALCOHOLIC LIVER DISEASE 12 $25,675 $8,671 $308,097 $104,056 4.25
INFECTIONS OF UPPER RESPIRATORY TRACT 12 $18,937 $7,910 $227,248 $94,917 4.50
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 12 $20,659 $9,295 $247,911 $111,540 4.08
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 10 $22,955 $8,290 $229,553 $82,902 4.70
SKIN ULCERS 10 $20,075 $9,770 $200,752 $97,700 4.90
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 10 $97,988 $37,582 $979,881 $375,815 17.50
URETHRAL & TRANSURETHRAL PROCEDURES 10 $24,813 $9,361 $248,130 $93,607 3.50
SEIZURE 10 $15,974 $5,665 $159,735 $56,646 2.30
INFLAMMATORY BOWEL DISEASE 9 $26,072 $9,284 $234,649 $83,558 5.67
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 9 $4,508 $4,252 $40,575 $38,271 2.22
ASTHMA 9 $17,138 $7,441 $154,243 $66,973 4.33
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 9 $18,485 $7,491 $166,368 $67,417 4.22
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 9 $19,900 $8,652 $179,098 $77,869 3.89
OTHER CIRCULATORY SYSTEM DIAGNOSES 9 $22,422 $9,247 $201,796 $83,226 3.22
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 8 $17,408 $7,252 $139,266 $58,015 4.00
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 8 $19,639 $8,203 $157,111 $65,620 4.13
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 8 $19,180 $8,745 $153,442 $69,963 3.38
MAJOR SMALL BOWEL PROCEDURES 8 $27,501 $12,350 $220,008 $98,801 5.13
FRACTURE OF FEMUR 8 $19,493 $8,378 $155,943 $67,024 4.13
CHRONIC KIDNEY DISEASE 8 $39,228 $17,089 $313,822 $136,710 7.25
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 8 $14,333 $5,267 $114,666 $42,139 2.50
SYNCOPE & COLLAPSE 7 $24,442 $11,806 $171,092 $82,644 3.71
FRACTURE OF PELVIS OR DISLOCATION OF HIP 7 $15,221 $6,750 $106,547 $47,253 3.43
OTHER AFTERCARE & CONVALESCENCE 7 $11,049 $4,325 $77,345 $30,277 2.57
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 7 $21,867 $9,023 $153,068 $63,162 4.71
ALTERATION IN CONSCIOUSNESS 6 $22,695 $9,451 $136,167 $56,705 5.00
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 6 $35,576 $11,740 $213,455 $70,437 4.33
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 6 $19,231 $9,099 $115,387 $54,595 6.00
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 6 $24,822 $10,457 $148,932 $62,744 5.33
OTHER SMALL & LARGE BOWEL PROCEDURES 6 $24,257 $9,747 $145,540 $58,480 3.67
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 6 $17,513 $6,171 $105,076 $37,027 3.67
NERVOUS SYSTEM MALIGNANCY 6 $25,179 $8,827 $151,076 $52,961 4.50
SPINAL PROCEDURES 6 $13,235 $5,811 $79,412 $34,865 1.00
BRONCHIOLITIS & RSV PNEUMONIA 5 $6,340 $3,688 $31,698 $18,442 2.00
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 5 $21,377 $10,062 $106,884 $50,310 7.20
OTHER DISORDERS OF THE LIVER 5 $21,468 $6,771 $107,342 $33,855 3.20
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 5 $31,751 $11,284 $158,755 $56,418 5.60
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 5 $17,390 $5,976 $86,952 $29,880 2.20
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 5 $18,138 $5,538 $90,692 $27,689 1.20
PERITONEAL ADHESIOLYSIS 5 $22,340 $7,725 $111,702 $38,627 2.40
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 5 $25,402 $11,045 $127,009 $55,226 5.20
MAJOR ESOPHAGEAL DISORDERS 5 $26,289 $9,505 $131,444 $47,525 4.20
COAGULATION & PLATELET DISORDERS 4 $19,870 $9,080 $79,480 $36,318 3.50
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 4 $20,794 $8,608 $83,176 $34,431 3.50
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 4 $10,408 $5,280 $41,633 $21,120 2.25
NEPHRITIS & NEPHROSIS 4 $24,909 $11,951 $99,634 $47,804 6.50
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 4 $18,830 $7,537 $75,318 $30,148 3.00
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 4 $29,587 $14,166 $118,348 $56,663 7.00
CONNECTIVE TISSUE DISORDERS 4 $37,893 $14,127 $151,572 $56,506 7.50
GASTROINTESTINAL VASCULAR INSUFFICIENCY 4 $19,167 $7,270 $76,667 $29,081 3.25
PERIPHERAL & OTHER VASCULAR DISORDERS 4 $15,201 $7,179 $60,803 $28,716 2.00
TRANSIENT ISCHEMIA 4 $17,583 $8,393 $70,330 $33,570 2.50
BEHAVIORAL DISORDERS 4 $10,072 $4,190 $40,289 $16,759 4.25
VIRAL ILLNESS 4 $19,419 $5,798 $77,674 $23,191 3.00
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 4 $18,507 $7,236 $74,029 $28,942 1.75
OTHER INFECTIOUS & PARASITIC DISEASES 4 $19,554 $6,087 $78,214 $24,347 2.50
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 3 $39,263 $16,371 $117,789 $49,114 5.67
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 3 $17,811 $7,940 $53,433 $23,820 2.00
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 3 $18,669 $6,370 $56,008 $19,109 2.33
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 3 $25,594 $8,710 $76,783 $26,129 2.67
KIDNEY & URINARY TRACT MALIGNANCY 3 $25,918 $12,355 $77,754 $37,066 7.00
ACUTE BRONCHITIS & RELATED SYMPTOMS 3 $21,326 $8,743 $63,977 $26,230 3.33
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 3 $43,039 $17,265 $129,118 $51,794 10.33
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 3 $28,430 $12,330 $85,289 $36,991 4.67
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 3 $12,568 $4,860 $37,703 $14,581 3.00
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 3 $27,484 $11,002 $82,451 $33,007 6.00
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 3 $14,535 $5,977 $43,606 $17,931 2.67
OTHER ESOPHAGEAL DISORDERS 3 $16,540 $5,509 $49,621 $16,527 3.00
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 3 $16,191 $6,892 $48,573 $20,677 2.67
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 3 $15,514 $5,560 $46,541 $16,680 3.33
DISORDERS OF PERSONALITY & IMPULSE CONTROL 3 $9,751 $5,336 $29,253 $16,008 5.67
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 3 $38,462 $14,080 $115,386 $42,241 6.00
MALIGNANT BREAST DISORDERS 3 $43,236 $15,632 $129,708 $46,897 8.00
ACUTE ANXIETY & DELIRIUM STATES 3 $11,998 $6,232 $35,993 $18,696 6.33
CHEST PAIN 3 $14,692 $7,380 $44,077 $22,141 2.00
OTHER SIGNIFICANT HIP & FEMUR SURGERY 2 $51,685 $21,010 $103,370 $42,019 8.50
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 2 $37,497 $17,413 $74,993 $34,825 9.50
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 2 $33,799 $16,383 $67,597 $32,766 6.50
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 2 $14,169 $5,157 $28,338 $10,314 2.00
OTHER COMPLICATIONS OF TREATMENT 2 $14,551 $4,948 $29,101 $9,895 2.00
MIGRAINE & OTHER HEADACHES 2 $22,749 $6,768 $45,498 $13,536 2.50
EYE INFECTIONS & OTHER EYE DISORDERS 2 $23,037 $8,764 $46,073 $17,528 5.50
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND 2 $4,977 $4,599 $9,954 $9,198 2.50
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 2 $26,768 $9,102 $53,535 $18,203 5.50
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 2 $30,259 $10,574 $60,517 $21,147 4.50
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 2 $16,421 $4,540 $32,842 $9,080 1.50
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 2 $19,290 $7,766 $38,579 $15,532 4.50
ACUTE & SUBACUTE ENDOCARDITIS 2 $12,269 $8,509 $24,537 $17,017 2.00
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 2 $14,043 $6,811 $28,086 $13,622 2.00
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 2 $45,062 $18,072 $90,123 $36,144 9.50
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 2 $45,611 $18,183 $91,221 $36,365 8.00
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 2 $16,921 $4,321 $33,842 $8,641 2.00
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 2 $24,594 $11,033 $49,187 $22,065 4.00
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 2 $24,884 $9,153 $49,767 $18,306 3.50
OTHER DISORDERS OF NERVOUS SYSTEM 2 $6,818 $2,450 $13,636 $4,900 2.00
FOOT & TOE PROCEDURES 2 $19,157 $6,939 $38,313 $13,878 2.50
NEONATE BIRTHWT >2499G W MAJOR ANOMALY 2 $3,400 $3,131 $6,800 $6,261 1.50
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 2 $31,237 $15,050 $62,474 $30,100 6.50
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C 1 $8,663 $6,813 $8,663 $6,813 3.00
OTHER ENDOCRINE DISORDERS 1 $18,787 $7,036 $18,787 $7,036 4.00
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 1 $7,804 $2,988 $7,804 $2,988 2.00
TRANSURETHRAL PROSTATECTOMY 1 $49,527 $21,349 $49,527 $21,349 8.00
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 1 $237,690 $83,405 $237,690 $83,405 37.00
ANTEPARTUM W O.R. PROCEDURE 1 $11,300 $8,569 $11,300 $8,569 4.00
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 1 $12,017 $6,863 $12,017 $6,863 3.00
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION 1 $12,815 $13,611 $12,815 $13,611 7.00
ORGANIC MENTAL HEALTH DISTURBANCES 1 $14,585 $8,464 $14,585 $8,464 9.00
MALIGNANCY, MALE REPRODUCTIVE SYSTEM 1 $14,495 $5,952 $14,495 $5,952 3.00
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 1 $14,397 $6,400 $14,397 $6,400 1.00
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $34,685 $15,295 $34,685 $15,295 4.00
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 1 $122,554 $47,662 $122,554 $47,662 25.00
OPEN CRANIOTOMY EXCEPT TRAUMA 1 $24,872 $13,188 $24,872 $13,188 5.00
THYROID DISORDERS 1 $9,141 $3,649 $9,141 $3,649 2.00
DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK 1 $68,661 $28,528 $68,661 $28,528 2.00
SPLENECTOMY 1 $55,425 $19,652 $55,425 $19,652 8.00
VERTIGO & OTHER LABYRINTH DISORDERS 1 $34,485 $15,499 $34,485 $15,499 6.00
SICKLE CELL ANEMIA CRISIS 1 $31,815 $11,220 $31,815 $11,220 6.00
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $14,776 $6,812 $14,776 $6,812 3.00
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 1 $37,099 $15,778 $37,099 $15,778 5.00
HAND & WRIST PROCEDURES 1 $13,100 $5,321 $13,100 $5,321 2.00
INTRACRANIAL HEMORRHAGE 1 $6,230 $1,816 $6,230 $1,816 1.00
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION 1 $5,245 $5,747 $5,245 $5,747 3.00
ANOXIC & OTHER SEVERE BRAIN DAMAGE 1 $64,604 $30,854 $64,604 $30,854 15.00
OTHER MENTAL HEALTH DISORDERS 1 $7,518 $3,364 $7,518 $3,364 3.00
BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD 1 $11,211 $7,260 $11,211 $7,260 4.00