Oswego Hospital

2019 Age Distribution

2019 Patient Race:

White3,423
Other Race139
Multi-racial143
Black/African American38

2019 Payers:

Medicare 1,827
Blue Cross/Blue Shield 396
Private Health Insurance 163
Managed Care, Unspecified 103
Medicaid 1,115
Federal/State/Local/VA 38
Miscellaneous/Other 8
Self-Pay 93

Conditions treated in 2019

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 461 $2,131 $2,919 $982,276 $1,345,433 2.11
SEPTICEMIA & DISSEMINATED INFECTIONS 362 $22,460 $11,713 $8,130,375 $4,240,147 5.19
VAGINAL DELIVERY 354 $7,048 $6,272 $2,494,973 $2,220,264 2.25
HEART FAILURE 194 $16,258 $8,468 $3,154,067 $1,642,709 4.19
CESAREAN DELIVERY 135 $14,444 $10,555 $1,949,879 $1,424,991 2.67
RESPIRATORY FAILURE 122 $18,082 $9,850 $2,206,031 $1,201,656 3.80
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 117 $14,177 $6,876 $1,658,692 $804,521 3.45
PROCEDURES FOR OBESITY 100 $22,407 $9,628 $2,240,737 $962,801 1.39
OTHER PNEUMONIA 93 $13,999 $6,905 $1,301,952 $642,172 3.34
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 85 $16,837 $8,428 $1,431,168 $716,351 4.16
ACUTE KIDNEY INJURY 80 $15,095 $7,651 $1,207,635 $612,055 3.93
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 67 $11,969 $6,814 $801,898 $456,555 2.66
DIABETES 56 $13,316 $8,271 $745,698 $463,176 2.59
ACUTE MYOCARDIAL INFARCTION 50 $12,456 $6,016 $622,781 $300,784 2.78
CELLULITIS & OTHER SKIN INFECTIONS 50 $11,999 $5,979 $599,937 $298,944 3.76
OTHER GASTROENTERITIS, NAUSEA & VOMITING 49 $13,238 $6,132 $648,684 $300,477 2.98
KIDNEY & URINARY TRACT INFECTIONS 49 $13,496 $6,376 $661,323 $312,408 4.16
DIVERTICULITIS & DIVERTICULOSIS 46 $14,707 $7,954 $676,527 $365,881 3.85
INTESTINAL OBSTRUCTION 45 $16,154 $8,034 $726,914 $361,551 3.67
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 44 $12,231 $6,069 $538,173 $267,019 3.05
KNEE JOINT REPLACEMENT 43 $30,449 $12,759 $1,309,321 $548,624 2.42
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 40 $15,753 $8,234 $630,111 $329,375 4.33
HIP JOINT REPLACEMENT 40 $37,744 $17,229 $1,509,755 $689,162 4.13
OTHER DIGESTIVE SYSTEM DIAGNOSES 36 $17,044 $9,111 $613,588 $328,010 3.50
OTHER DISORDERS OF THE LIVER 35 $21,016 $11,101 $735,561 $388,537 4.80
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 33 $53,094 $28,807 $1,752,098 $950,635 9.73
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 33 $15,723 $7,728 $518,857 $255,027 2.91
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 30 $21,556 $12,861 $646,675 $385,820 4.50
CHOLECYSTECTOMY 30 $23,804 $12,235 $714,123 $367,040 2.60
HIP & FEMUR FRACTURE REPAIR 28 $37,709 $16,888 $1,055,841 $472,863 5.79
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 28 $15,647 $10,756 $438,117 $301,155 1.71
PEPTIC ULCER & GASTRITIS 27 $20,004 $11,542 $540,117 $311,641 3.63
DISORDERS OF GALLBLADDER & BILIARY TRACT 25 $16,547 $7,920 $413,679 $197,991 3.08
PULMONARY EMBOLISM 21 $19,391 $9,479 $407,215 $199,063 3.71
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 21 $2,305 $2,179 $48,403 $45,763 1.33
HYPERTENSION 20 $13,071 $7,199 $261,411 $143,975 2.75
PERIPHERAL & OTHER VASCULAR DISORDERS 18 $13,770 $6,455 $247,851 $116,186 3.44
CVA & PRECEREBRAL OCCLUSION W INFARCT 18 $16,293 $6,696 $293,277 $120,526 3.06
MAJOR LARGE BOWEL PROCEDURES 18 $45,218 $24,987 $813,915 $449,765 6.28
ALCOHOLIC LIVER DISEASE 18 $22,799 $13,306 $410,390 $239,514 5.22
NON-HYPOVOLEMIC SODIUM DISORDERS 17 $11,437 $5,306 $194,437 $90,207 3.29
ALCOHOL ABUSE & DEPENDENCE 17 $19,775 $12,098 $336,169 $205,672 5.00
POISONING OF MEDICINAL AGENTS 16 $15,005 $9,034 $240,078 $144,539 3.44
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 16 $22,436 $11,427 $358,980 $182,825 4.75
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 15 $11,221 $6,034 $168,311 $90,511 3.73
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 15 $13,804 $6,708 $207,062 $100,623 4.00
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 13 $17,314 $9,076 $225,076 $117,987 4.62
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 13 $13,953 $7,568 $181,395 $98,390 4.38
MAJOR SMALL BOWEL PROCEDURES 13 $58,237 $32,486 $757,082 $422,312 11.92
FOOT & TOE PROCEDURES 12 $24,168 $13,646 $290,014 $163,756 6.17
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 12 $18,872 $9,749 $226,458 $116,985 6.58
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 11 $17,685 $9,878 $194,536 $108,657 3.91
FRACTURE OF FEMUR 11 $9,468 $4,332 $104,147 $47,650 2.36
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 11 $3,192 $4,216 $35,112 $46,379 2.91
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 10 $13,150 $5,808 $131,495 $58,077 2.80
ACUTE BRONCHITIS AND RELATED SYMPTOMS 10 $11,340 $5,905 $113,402 $59,053 2.60
OVERDOSE 10 $16,578 $10,451 $165,779 $104,511 2.80
SKIN ULCERS 10 $16,614 $8,225 $166,137 $82,248 5.50
FRACTURE OF PELVIS OR DISLOCATION OF HIP 10 $9,816 $4,700 $98,155 $47,000 3.10
DIGESTIVE MALIGNANCY 9 $23,953 $12,804 $215,581 $115,233 5.44
ASTHMA 9 $10,812 $5,795 $97,307 $52,156 2.67
VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C 9 $15,254 $11,199 $137,283 $100,789 3.11
OTHER ANTEPARTUM DIAGNOSES 9 $7,205 $4,418 $64,841 $39,765 2.22
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 8 $11,852 $6,100 $94,813 $48,801 2.75
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 8 $29,423 $12,453 $235,384 $99,625 4.00
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 8 $23,397 $11,876 $187,177 $95,010 1.75
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 8 $16,361 $11,163 $130,886 $89,302 1.88
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 8 $2,942 $3,943 $23,538 $31,544 2.63
OTHER DISORDERS OF NERVOUS SYSTEM 7 $16,966 $8,163 $118,763 $57,141 4.43
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 7 $30,658 $15,928 $214,607 $111,499 6.71
MAJOR ESOPHAGEAL DISORDERS 7 $25,037 $15,549 $175,257 $108,843 4.43
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 7 $30,732 $16,763 $215,121 $117,342 4.14
INFLAMMATORY BOWEL DISEASE 7 $12,269 $6,073 $85,882 $42,511 2.57
INTERSTITIAL & ALVEOLAR LUNG DISEASES 6 $13,028 $6,787 $78,166 $40,724 3.33
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 6 $18,326 $8,094 $109,955 $48,561 4.00
VAGINAL DELIVERY W STERILIZATION &/OR D&C 6 $11,414 $9,562 $68,484 $57,374 2.33
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 6 $17,058 $8,308 $102,346 $49,849 3.67
ALTERATION IN CONSCIOUSNESS 6 $12,473 $6,064 $74,837 $36,383 2.67
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 6 $10,902 $5,966 $65,411 $35,793 2.17
URETHRAL & TRANSURETHRAL PROCEDURES 5 $25,804 $14,144 $129,018 $70,721 3.60
GASTROINTESTINAL VASCULAR INSUFFICIENCY 5 $16,076 $7,679 $80,381 $38,395 3.00
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 5 $17,962 $11,199 $89,810 $55,993 4.40
RESPIRATORY MALIGNANCY 5 $14,584 $7,328 $72,921 $36,641 3.20
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 5 $19,098 $9,739 $95,489 $48,695 4.60
AMPUTATION OF LOWER LIMB EXCEPT TOES 5 $30,042 $15,611 $150,208 $78,056 7.80
SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 5 $20,426 $9,517 $102,128 $47,583 2.20
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 5 $66,937 $41,233 $334,686 $206,163 12.40
OTHER SMALL & LARGE BOWEL PROCEDURES 5 $24,807 $14,041 $124,035 $70,207 3.40
INFECTIONS OF UPPER RESPIRATORY TRACT 5 $15,707 $8,428 $78,533 $42,138 3.40
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 5 $21,105 $13,900 $105,524 $69,502 3.60
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 5 $16,812 $8,556 $84,061 $42,780 4.20
OTHER ESOPHAGEAL DISORDERS 4 $18,227 $9,501 $72,907 $38,003 3.50
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 4 $13,104 $8,146 $52,417 $32,584 2.50
OTHER CIRCULATORY SYSTEM DIAGNOSES 4 $13,700 $7,252 $54,800 $29,008 3.50
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 4 $29,127 $16,011 $116,508 $64,042 4.50
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 4 $16,059 $9,529 $64,234 $38,114 6.00
INBORN ERRORS OF METABOLISM 4 $18,102 $11,718 $72,407 $46,870 5.50
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 4 $44,788 $25,782 $179,153 $103,127 9.75
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 4 $13,116 $8,540 $52,462 $34,161 2.50
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 4 $17,703 $8,827 $70,813 $35,308 5.50
TRANSIENT ISCHEMIA 3 $15,390 $6,111 $46,171 $18,333 2.00
SYNCOPE & COLLAPSE 3 $8,141 $3,447 $24,424 $10,342 2.00
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 3 $29,701 $16,900 $89,103 $50,700 4.67
CARDIAC STRUCTURAL & VALVULAR DISORDERS 3 $15,182 $6,622 $45,546 $19,865 2.33
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 3 $39,340 $20,717 $118,021 $62,150 12.67
OTHER AFTERCARE & CONVALESCENCE 3 $17,650 $9,520 $52,950 $28,560 2.33
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 3 $23,420 $12,227 $70,259 $36,680 5.33
MAJOR CHEST & RESPIRATORY TRAUMA 3 $19,221 $9,201 $57,664 $27,604 5.67
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 3 $15,513 $7,652 $46,540 $22,955 4.33
VIRAL ILLNESS 3 $12,541 $4,765 $37,622 $14,295 2.33
OTHER DRUG ABUSE & DEPENDENCE 3 $15,917 $10,604 $47,751 $31,811 4.33
OTHER BLADDER PROCEDURES 3 $22,410 $11,699 $67,229 $35,098 2.67
MIGRAINE & OTHER HEADACHES 3 $9,633 $4,320 $28,900 $12,961 1.33
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 3 $30,681 $16,445 $92,042 $49,336 7.33
SEIZURE 3 $16,517 $8,847 $49,551 $26,541 3.33
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 3 $11,604 $6,839 $34,812 $20,517 5.33
APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 3 $28,934 $14,902 $86,802 $44,705 5.00
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 2 $16,233 $8,874 $32,466 $17,747 4.00
OTHER ENDOCRINE DISORDERS 2 $12,025 $4,399 $24,049 $8,798 2.00
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 2 $17,874 $10,465 $35,748 $20,930 7.00
ALLERGIC REACTIONS 2 $6,737 $5,074 $13,474 $10,147 1.50
ACUTE & SUBACUTE ENDOCARDITIS 2 $14,032 $5,776 $28,064 $11,552 3.00
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 2 $7,075 $2,860 $14,149 $5,720 1.00
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 2 $27,502 $15,299 $55,003 $30,597 5.00
KIDNEY & URINARY TRACT MALIGNANCY 2 $19,305 $7,614 $38,609 $15,228 4.00
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 2 $56,901 $28,714 $113,802 $57,427 12.00
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 2 $38,096 $15,796 $76,191 $31,591 5.50
INTRACRANIAL HEMORRHAGE 2 $7,555 $3,637 $15,110 $7,273 2.50
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 2 $65,629 $38,678 $131,258 $77,355 7.00
CONNECTIVE TISSUE DISORDERS 2 $9,865 $4,045 $19,730 $8,089 2.00
APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 2 $22,486 $10,927 $44,972 $21,853 1.00
OTHER INFECTIOUS & PARASITIC DISEASES 2 $27,269 $14,817 $54,537 $29,634 7.00
COAGULATION & PLATELET DISORDERS 2 $26,423 $14,427 $52,846 $28,854 5.00
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 2 $17,256 $10,250 $34,511 $20,499 2.50
OPIOID ABUSE & DEPENDENCE 2 $12,987 $8,995 $25,974 $17,990 2.50
CARDIAC ARREST & SHOCK 2 $22,855 $11,895 $45,710 $23,789 3.00
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 2 $17,602 $8,620 $35,204 $17,240 3.50
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 2 $29,320 $12,185 $58,640 $24,370 5.50
OTHER COMPLICATIONS OF TREATMENT 2 $23,042 $12,719 $46,084 $25,438 1.50
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 1 $6,294 $2,431 $6,294 $2,431 1.00
ACUTE LEUKEMIA 1 $7,432 $3,535 $7,432 $3,535 1.00
MALIGNANT BREAST DISORDERS 1 $5,710 $4,267 $5,710 $4,267 4.00
FEMALE REPRODUCTIVE SYSTEM INFECTIONS 1 $9,511 $4,622 $9,511 $4,622 3.00
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 1 $105,785 $67,868 $105,785 $67,868 17.00
NERVOUS SYSTEM MALIGNANCY 1 $22,112 $11,443 $22,112 $11,443 9.00
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $14,811 $7,734 $14,811 $7,734 1.00
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 1 $16,248 $9,868 $16,248 $9,868 3.00
ANOXIC & OTHER SEVERE BRAIN DAMAGE 1 $16,562 $8,461 $16,562 $8,461 6.00
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 1 $1,459 $1,549 $1,459 $1,549 1.00
MALIGNANCY, MALE REPRODUCTIVE SYSTEM 1 $34,496 $16,913 $34,496 $16,913 19.00
NEPHRITIS & NEPHROSIS 1 $9,889 $4,969 $9,889 $4,969 2.00
SHOULDER & ELBOW JOINT REPLACEMENT 1 $44,543 $10,704 $44,543 $10,704 1.00
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 1 $17,456 $11,598 $17,456 $11,598 2.00
SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 1 $52,755 $23,382 $52,755 $23,382 12.00
MAJOR BILIARY TRACT PROCEDURES 1 $20,623 $11,322 $20,623 $11,322 2.00
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 1 $16,083 $5,943 $16,083 $5,943 1.00
TRANSURETHRAL PROSTATECTOMY 1 $11,760 $5,857 $11,760 $5,857 1.00
PERITONEAL ADHESIOLYSIS 1 $18,274 $9,196 $18,274 $9,196 1.00
ANAL PROCEDURES 1 $27,049 $18,996 $27,049 $18,996 3.00
NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANOMALY OR W/O LIFE SUSTAINING INTERVENTION 1 $1,036 $1,612 $1,036 $1,612 1.00
THYROID DISORDERS 1 $6,214 $2,882 $6,214 $2,882 2.00
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 1 $8,688 $3,632 $8,688 $3,632 2.00
CHRONIC KIDNEY DISEASE 1 $13,173 $7,241 $13,173 $7,241 5.00
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 1 $21,503 $11,700 $21,503 $11,700 3.00
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 1 $11,957 $5,521 $11,957 $5,521 3.00
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 1 $19,473 $10,387 $19,473 $10,387 2.00
MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES 1 $29,193 $18,379 $29,193 $18,379 5.00
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1 $60,864 $38,384 $60,864 $38,384 6.00
ABDOMINAL PAIN 1 $11,094 $6,119 $11,094 $6,119 3.00
CHEST PAIN 1 $6,249 $3,163 $6,249 $3,163 2.00
OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 1 $13,772 $7,703 $13,772 $7,703 2.00
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND 1 $3,030 $3,759 $3,030 $3,759 3.00
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 1 $12,153 $5,880 $12,153 $5,880 4.00
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 1 $17,221 $7,481 $17,221 $7,481 4.00
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 1 $30,334 $13,542 $30,334 $13,542 4.00
VERTIGO & OTHER LABYRINTH DISORDERS 1 $12,002 $4,999 $12,002 $4,999 3.00
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 1 $17,555 $9,027 $17,555 $9,027 6.00
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 1 $24,689 $11,750 $24,689 $11,750 7.00
D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES 1 $6,923 $6,899 $6,923 $6,899 2.00
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION 1 $1,467 $1,349 $1,467 $1,349 1.00
NEONATE BIRTHWT >2499G W MAJOR ANOMALY 1 $2,481 $3,402 $2,481 $3,402 2.00