Cayuga Medical Center at Ithaca

2017 Age Distribution

2017 Patient Race:

Black/African American362
Other Race562
White6,134

2017 Payers:

Blue Cross/Blue Shield 1,281
Department of Corrections 16
Federal/State/Local/VA 46
Medicaid 1,119
Medicare 3,008
Miscellaneous/Other 18
Private Health Insurance 879
Self-Pay 691

Conditions treated in 2017

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 700 $1,847 $1,614 $1,292,799 $1,129,550 1.93
Vaginal delivery 544 $4,109 $5,101 $2,235,538 $2,774,799 2.29
Septicemia & disseminated infections 338 $14,259 $10,726 $4,819,462 $3,625,452 5.35
Knee joint replacement 247 $29,797 $14,350 $7,359,789 $3,544,382 3.11
Major depressive disorders & other/unspecified psychoses 239 $10,372 $5,870 $2,478,893 $1,402,924 7.03
Cesarean delivery 237 $8,995 $7,652 $2,131,884 $1,813,540 3.40
Bipolar disorders 194 $12,233 $6,961 $2,373,183 $1,350,528 8.34
Hip joint replacement 178 $32,762 $15,339 $5,831,576 $2,730,354 3.89
Heart failure 172 $11,677 $9,048 $2,008,515 $1,556,325 4.98
Chronic obstructive pulmonary disease 161 $10,195 $6,744 $1,641,423 $1,085,723 4.04
Depression except major depressive disorder 142 $7,361 $4,129 $1,045,221 $586,258 4.87
Cardiac arrhythmia & conduction disorders 135 $9,076 $6,921 $1,225,195 $934,270 4.00
Schizophrenia 133 $18,652 $10,698 $2,480,752 $1,422,893 12.50
CVA & precerebral occlusion w infarct 120 $18,440 $11,462 $2,212,819 $1,375,471 4.35
Other pneumonia 115 $9,994 $6,991 $1,149,365 $804,017 4.28
Kidney & urinary tract infections 90 $7,334 $4,821 $660,021 $433,872 3.76
Adjustment disorders & neuroses except depressive diagnoses 88 $7,716 $4,297 $678,977 $378,169 5.00
Percutaneous coronary intervention w AMI 87 $37,700 $16,851 $3,279,883 $1,466,046 3.87
Alcohol abuse & dependence 85 $8,801 $6,151 $748,120 $522,869 5.36
Rehabilitation 82 $24,300 $16,863 $1,992,636 $1,382,804 10.34
Procedures for obesity 79 $19,722 $11,527 $1,558,008 $910,666 2.33
Respiratory Failure 72 $13,923 $10,604 $1,002,433 $763,498 4.99
Cellulitis & other skin infections 70 $9,548 $6,766 $668,382 $473,589 4.46
Acute myocardial infarction 67 $14,619 $9,228 $979,495 $618,249 3.79
Other gastroenteritis, nausa & vomiting 61 $8,635 $4,990 $526,723 $304,387 3.25
Other digestive system diagnoses 61 $8,954 $6,050 $546,184 $369,032 3.82
Acute Kidney Injury 54 $9,648 $7,183 $521,007 $387,863 4.28
Hip and femur fracture repair 53 $27,764 $17,073 $1,471,468 $904,886 7.85
Other disorders of nervous system 52 $26,156 $18,078 $1,360,113 $940,071 11.10
Signs, symptoms & other factors influencing health status 52 $9,381 $6,401 $487,786 $332,853 4.38
Intestinal obstruction 49 $8,009 $4,787 $392,438 $234,559 3.57
Major respiratory infections & inflammations 47 $16,716 $12,803 $785,643 $601,761 6.72
Major small & large bowel procedures 46 $33,796 $24,332 $1,554,601 $1,119,258 8.20
Diverticulitis & diverticulosis 46 $7,402 $4,923 $340,508 $226,450 3.61
Infectious & parasitic diseases including HIV w O.R. procedure 46 $32,379 $23,883 $1,489,440 $1,098,633 11.63
Seizure 45 $14,440 $9,778 $649,813 $440,012 3.82
Acute anxiety & delirium states 43 $8,744 $4,775 $376,005 $205,312 4.93
Diabetes 41 $9,359 $7,133 $383,733 $292,438 3.46
Other back & neck disorders, fractures & injuries 40 $10,628 $6,095 $425,105 $243,799 5.08
Poisoning of medicinal agents 39 $9,301 $7,026 $362,735 $274,016 3.03
Pulmonary embolism 38 $17,416 $11,897 $661,803 $452,078 4.50
Other anemia & disorders of blood & blood-forming organs 36 $9,321 $6,570 $335,557 $236,525 3.44
Other musculoskeletal system & connective tissue diagnoses 35 $10,114 $6,987 $353,977 $244,540 4.66
Hypovolemia & related electrolyte disorders 33 $7,684 $5,300 $253,577 $174,885 3.64
Neonate bwt 2000-2499g, normal newborn or neonate w other problem 32 $3,477 $2,405 $111,254 $76,945 3.00
Opioid abuse & dependence 32 $10,190 $5,957 $326,083 $190,624 6.66
Infections of upper respiratory tract 31 $6,467 $4,211 $200,492 $130,556 2.84
Shoulder, upper arm & forearm procedures except joint replacement 31 $33,820 $14,754 $1,048,427 $457,372 3.29
Major hematologic/immunologic diag exc sickle cell crisis & coagul 31 $10,357 $8,083 $321,059 $250,560 4.97
Moderately extensive procedure unrelated to principal diagnosis 31 $26,518 $20,406 $822,069 $632,573 8.71
Laparoscopic cholecystectomy 29 $17,889 $10,542 $518,795 $305,723 3.83
Disorders of pancreas except malignancy 29 $10,367 $6,816 $300,642 $197,666 4.21
Knee & lower leg procedures except foot 28 $20,915 $12,598 $585,628 $352,756 4.32
Other musculoskeletal system & connective tissue procedures 27 $16,636 $10,559 $449,180 $285,103 4.70
Malfunction, reaction, complic of genitourinary device or proc 27 $11,980 $8,628 $323,450 $232,958 6.00
Intracranial hemorrhage 26 $16,679 $11,634 $433,647 $302,489 5.42
Cocaine abuse & dependence 26 $8,280 $4,760 $215,267 $123,754 5.77
Cardiac catheterization for other non-coronary conditions 25 $17,136 $9,508 $428,390 $237,701 3.92
Other endocrine disorders 25 $16,154 $11,153 $403,853 $278,829 7.52
Nontraumatic stupor & coma 24 $12,380 $7,956 $297,117 $190,948 5.83
Peptic ulcer & gastritis 24 $13,171 $10,689 $316,113 $256,525 9.21
Major gastrointestinal & peritoneal infections 24 $11,079 $7,110 $265,888 $170,630 5.08
Electrolyte disorders except hypovolemia related 23 $8,127 $5,779 $186,923 $132,919 3.22
Post-operative, post-traumatic, other device infections 23 $10,730 $7,405 $246,789 $170,305 5.00
Other respiratory diagnoses except signs, symptoms & minor diagnoses 22 $15,196 $11,064 $334,307 $243,410 5.68
Hepatic coma & other major acute liver disorders 22 $10,527 $7,945 $231,591 $174,791 4.09
Vaginal delivery w complicating procedures exc sterilization &/or D&C 22 $4,799 $5,729 $105,579 $126,028 2.59
Perm cardiac pacemaker implant w/o AMI, heart failure or shock 21 $33,180 $13,703 $696,787 $287,756 3.71
Behavioral disorders 21 $13,580 $7,798 $285,177 $163,755 9.52
Respiratory signs, symptoms & minor diagnoses 20 $9,922 $7,141 $198,446 $142,819 4.05
Head trauma w coma >1 hr or hemorrhage 19 $12,350 $9,627 $234,654 $182,912 10.63
Angina pectoris & coronary atherosclerosis 19 $8,004 $4,631 $152,076 $87,989 2.16
Other & unspecified gastrointestinal hemorrhage 19 $9,715 $7,069 $184,594 $134,315 3.05
Nervous system malignancy 17 $18,382 $12,393 $312,497 $210,687 7.88
Transient ischemia 17 $10,689 $6,088 $181,705 $103,503 3.06
Percutaneous coronary intervention w/o AMI 17 $34,467 $12,594 $585,933 $214,100 2.59
Syncope & collapse 17 $7,734 $4,750 $131,480 $80,743 3.47
Other small & large bowel procedures 17 $19,332 $13,341 $328,639 $226,793 5.24
Disorders of gallbladder & biliary tract 17 $12,883 $6,317 $219,013 $107,390 2.94
Hypertension 16 $10,753 $6,154 $172,054 $98,467 3.81
Degenerative nervous system disorders exc mult sclerosis 15 $15,812 $10,652 $237,183 $159,784 6.33
Respiratory malignancy 15 $21,689 $14,174 $325,330 $212,615 7.73
Bronchiolitis & RSV pneumonia 15 $3,828 $3,407 $57,423 $51,105 3.20
Other circulatory system diagnoses 15 $10,448 $6,633 $156,715 $99,501 3.13
Amputation of lower limb except toes 15 $22,166 $15,573 $332,485 $233,599 7.33
Fracture of pelvis or dislocation of hip 15 $8,985 $5,400 $134,770 $81,003 4.73
Fractures & dislocations except femur, pelvis & back 15 $8,102 $6,201 $121,536 $93,021 4.93
Osteomyelitis, septic arthritis & other musculoskeletal infections 15 $10,723 $6,712 $160,846 $100,674 4.40
Other drug abuse & dependence 15 $10,110 $5,621 $151,652 $84,322 6.87
Abdominal pain 14 $9,384 $5,000 $131,374 $69,996 3.36
Hernia procedures except inguinal, femoral & umbilical 13 $21,235 $13,702 $276,051 $178,130 4.85
Other esophageal disorders 13 $7,519 $5,533 $97,752 $71,923 3.85
Organic mental health disturbances 13 $8,729 $6,281 $113,480 $81,652 5.85
Toxic effects of non-medicinal substances 13 $8,709 $6,288 $113,216 $81,749 3.23
Asthma 12 $8,622 $5,433 $103,461 $65,199 3.17
Cardiac catheterization for coronary artery disease 12 $19,160 $9,802 $229,916 $117,619 3.42
Alcoholic liver disease 12 $12,537 $9,029 $150,446 $108,342 5.08
Other skin, subcutaneous tissue & related procedures 12 $8,906 $6,413 $106,867 $76,956 3.33
Vaginal delivery w sterilization &/or D&C 12 $5,103 $5,800 $61,230 $69,594 2.42
Neonate birthwt >2499g w other significant condition 12 $3,673 $2,738 $44,073 $32,854 3.00
Other aftercare & convalescence 12 $13,006 $9,725 $156,068 $116,699 6.25
Appendectomy 11 $17,845 $11,256 $196,296 $123,819 4.82
Gastrointestinal vascular insufficiency 11 $9,610 $5,502 $105,715 $60,518 3.27
Fracture of femur 11 $8,489 $6,730 $93,376 $74,034 4.18
Malfunction, reaction, complic of orthopedic device or procedure 11 $11,494 $8,088 $126,432 $88,964 4.55
Other antepartum diagnoses 11 $10,734 $7,295 $118,074 $80,241 5.82
Other infectious & parasitic diseases 11 $9,660 $6,086 $106,255 $66,947 3.55
Disorders of personality & impulse control 11 $6,481 $3,717 $71,295 $40,891 3.82
Multiple sclerosis & other demyelinating diseases 10 $9,622 $5,743 $96,221 $57,428 3.60
Vertigo & other labyrinth disorders 10 $7,841 $3,884 $78,409 $38,840 2.60
Digestive malignancy 10 $12,464 $8,628 $124,636 $86,283 6.50
Inflammatory bowel disease 10 $10,551 $7,362 $105,514 $73,620 3.80
Connective tissue disorders 10 $10,111 $6,508 $101,107 $65,084 3.80
Skin ulcers 10 $12,960 $9,034 $129,603 $90,336 6.20
Neonate, transferred < 5 days old, born here 10 $5,986 $3,000 $59,863 $30,003 1.40
Other mental health disorders 10 $11,967 $7,679 $119,668 $76,793 7.90
Peripheral, cranial & autonomic nerve disorders 9 $10,830 $7,450 $97,466 $67,051 5.89
Migraine & other headaches 9 $13,222 $7,361 $119,002 $66,253 3.78
Chest pain 9 $8,604 $4,530 $77,436 $40,767 2.89
Peritoneal adhesiolysis 9 $20,501 $14,523 $184,511 $130,709 7.33
Malignancy of hepatobiliary system & pancreas 9 $20,299 $11,822 $182,693 $106,402 5.89
Foot & toe procedures 9 $14,535 $10,858 $130,814 $97,718 5.00
Urethral & transurethral procedures 9 $9,607 $6,175 $86,461 $55,579 2.78
Other Chemotherapy 9 $32,959 $21,125 $296,630 $190,122 4.44
Viral illness 9 $7,481 $5,125 $67,328 $46,128 3.67
Nonextensive procedure unrelated to principal diagnosis 9 $15,429 $10,428 $138,857 $93,848 5.11
Other disorders of the liver 8 $9,333 $5,880 $74,663 $47,040 3.63
Intervertebral disc excision & decompression 8 $11,459 $7,944 $91,674 $63,550 3.38
Other kidney & urinary tract diagnoses, signs & symptoms 8 $7,945 $4,797 $63,561 $38,378 3.50
Post-op, post-trauma, other device infections w O.R. procedure 8 $17,795 $13,898 $142,359 $111,185 7.88
Other respiratory & chest procedures 7 $21,594 $16,285 $151,157 $113,997 6.57
Cardiac arrest and shock 7 $14,242 $8,303 $99,697 $58,120 3.00
Tendon, muscle & other soft tissue procedures 7 $11,950 $7,795 $83,651 $54,562 4.14
Malnutrition, failure to thrive & other nutritional disorders 7 $11,183 $7,595 $78,282 $53,168 5.57
Neonate bwt 1500-1999g w or w/o other significant condition 7 $6,869 $3,920 $48,081 $27,441 5.57
Coagulation & platelet disorders 7 $19,519 $13,600 $136,630 $95,199 5.57
Other complications of treatment 7 $13,847 $10,769 $96,932 $75,385 6.00
Craniotomy for trauma 6 $34,789 $26,886 $208,733 $161,315 7.00
Bacterial & tuberculous infections of nervous system 6 $38,371 $23,938 $230,228 $143,627 5.00
Viral meningitis 6 $7,471 $4,543 $44,823 $27,260 4.00
Other ear, nose, mouth & throat procedures 6 $11,002 $8,161 $66,011 $48,963 3.83
Dental & oral diseases & injuries 6 $4,378 $3,459 $26,270 $20,754 2.67
Interstitial & alveolar lung diseases 6 $10,006 $7,500 $60,033 $45,000 5.83
Peripheral & other vascular disorders 6 $14,576 $10,082 $87,456 $60,494 5.83
Malfunction,reaction,complication of cardiac/vasc device or procedure 6 $19,074 $15,533 $114,441 $93,199 9.17
Malfunction, reaction & complication of GI device or procedure 6 $16,285 $11,414 $97,709 $68,481 6.00
Hand & wrist procedures 6 $12,136 $8,817 $72,814 $52,899 5.67
Kidney & urinary tract procedures for nonmalignancy 6 $11,444 $8,668 $68,665 $52,010 4.83
Female reproductive system infections 6 $6,320 $4,219 $37,920 $25,311 3.00
Postpartum & post abortion diagnoses w/o procedure 6 $3,753 $2,734 $22,516 $16,405 2.00
Fever 6 $5,848 $3,692 $35,089 $22,153 2.33
Drug & alcohol abuse or dependence, left against medical advice 6 $5,721 $4,111 $34,325 $24,667 2.17
Respiratory system diagnosis w ventilator support 96+ hours 5 $58,970 $45,337 $294,850 $226,684 13.40
Major stomach, esophageal & duodenal procedures 5 $28,521 $18,980 $142,607 $94,900 5.80
Shoulder & elbow joint replacement 5 $35,218 $22,383 $176,092 $111,914 1.80
Musculoskeletal malignancy & pathol fracture d/t muscskel malig 5 $20,824 $11,508 $104,118 $57,539 7.20
Contusion, open wound & other trauma to skin & subcutaneous tissue 5 $6,253 $3,791 $31,263 $18,954 3.80
Other skin, subcutaneous tissue & breast disorders 5 $12,233 $10,096 $61,166 $50,480 4.20
Neonate bwt 2000-2499g w other significant condition 5 $12,661 $6,570 $63,305 $32,849 8.20
Neonate birthwt >2499g w major anomaly 5 $8,766 $4,833 $43,829 $24,167 5.00
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond 5 $5,972 $3,078 $29,861 $15,390 2.80
Mental illness diagnosis w O.R. procedure 5 $12,275 $7,682 $61,376 $38,410 6.80
Craniotomy except for trauma 4 $41,919 $32,687 $167,674 $130,747 9.75
Other ear, nose, mouth,throat & cranial/facial diagnoses 4 $12,359 $8,705 $49,436 $34,819 5.75
Major respiratory & chest procedures 4 $18,110 $13,362 $72,439 $53,449 7.75
Major chest & respiratory trauma 4 $12,466 $8,745 $49,864 $34,978 7.00
Dorsal & lumbar fusion proc except for curvature of back 4 $54,318 $19,361 $217,273 $77,443 6.00
Urinary stones & acquired upper urinary tract obstruction 4 $10,221 $5,199 $40,885 $20,797 4.25
Malignancy, male reproductive system 4 $14,575 $9,681 $58,300 $38,723 5.00
Male reproductive system diagnoses except malignancy 4 $4,758 $2,624 $19,030 $10,494 2.00
Uterine & adnexa procedures for non-malignancy except leiomyoma 4 $8,107 $5,960 $32,429 $23,841 1.50
D&C, aspiration curettage or hysterotomy for obstetric diagnoses 4 $4,784 $4,198 $19,135 $16,793 1.50
Lymphoma, myeloma & non-acute leukemia 4 $23,235 $14,878 $92,940 $59,513 5.50
Ungroupable 4 $12,002 $6,144 $48,009 $24,577 8.00
Non-bacterial infections of nervous system exc viral meningitis 3 $17,381 $11,698 $52,142 $35,094 3.67
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma 3 $7,082 $4,126 $21,245 $12,378 2.67
Lower extremity arterial procedures 3 $59,119 $31,546 $177,357 $94,638 4.67
Acute & subacute endocarditis 3 $8,489 $6,001 $25,468 $18,004 4.67
Cardiac structural & valvular disorders 3 $9,573 $5,463 $28,718 $16,389 3.33
Cardiomyopathy 3 $9,179 $5,743 $27,537 $17,228 3.00
Other stomach, esophageal & duodenal procedures 3 $27,939 $20,818 $83,817 $62,455 10.67
Anal procedures 3 $8,628 $5,021 $25,884 $15,062 3.00
Inguinal, femoral & umbilical hernia procedures 3 $16,371 $10,068 $49,112 $30,205 4.33
Other digestive system & abdominal procedures 3 $15,546 $10,374 $46,638 $31,122 5.00
Other hepatobiliary, pancreas & abdominal procedures 3 $21,398 $13,400 $64,193 $40,201 7.67
Other significant hip and femur surgery 3 $27,409 $15,968 $82,226 $47,903 6.00
Cervical spinal fusion & other back/neck proc exc disc excis/decomp 3 $22,620 $10,410 $67,859 $31,231 3.00
Mastectomy procedures 3 $39,604 $15,222 $118,813 $45,665 1.67
Thyroid, parathyroid & thyroglossal procedures 3 $15,342 $11,327 $46,025 $33,982 2.00
Chronic Kidney Disease 3 $15,116 $10,256 $45,349 $30,769 4.33
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond 3 $31,993 $16,199 $95,978 $48,598 16.00
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond 3 $14,812 $7,183 $44,436 $21,550 7.67
Procedure w diag of rehab, aftercare or oth contact w health service 3 $28,844 $13,057 $86,533 $39,172 3.00
Acute major eye infections 2 $17,662 $13,108 $35,323 $26,216 10.00
BPD & oth chronic respiratory diseases arising in perinatal period 2 $33,698 $17,311 $67,395 $34,621 18.50
Other circulatory system procedures 2 $16,677 $13,763 $33,353 $27,525 9.00
Malignant breast disorders 2 $3,610 $2,763 $7,220 $5,525 2.00
Uterine & adnexa procedures for leiomyoma 2 $8,048 $5,757 $16,096 $11,513 1.50
Female reproductive system malignancy 2 $7,958 $6,461 $15,916 $12,921 4.50
Menstrual & other female reproductive system disorders 2 $13,216 $10,230 $26,432 $20,459 7.00
Neonate birthwt >2499g w other major procedure 2 $1,568 $1,483 $3,136 $2,965 2.00
Neonate birthwt >2499g w congenital/perinatal infection 2 $8,030 $3,911 $16,060 $7,822 1.50
Lymphatic & other malignancies & neoplasms of uncertain behavior 2 $27,254 $19,351 $54,507 $38,701 10.00
O.R. procedure for other complications of treatment 2 $16,935 $11,121 $33,870 $22,241 5.00
Allergic reactions 2 $3,711 $3,017 $7,421 $6,034 3.00
Other injury, poisoning & toxic effect diagnoses 2 $7,872 $3,903 $15,744 $7,805 3.00
Neonatal aftercare 2 $26,654 $13,813 $53,307 $27,626 17.50
Tracheostomy w MV 96+ hours w extensive procedure or ECMO 1 $127,227 $108,555 $127,227 $108,555 32.00
Ventricular shunt procedures 1 $19,714 $7,551 $19,714 $7,551 2.00
Spinal procedures 1 $37,942 $27,587 $37,942 $27,587 12.00
Spinal disorders & injuries 1 $28,182 $16,918 $28,182 $16,918 6.00
Nonspecific CVA & precerebral occlusion w/o infarct 1 $11,896 $3,846 $11,896 $3,846 2.00
Eye disorders except major infections 1 $16,487 $5,969 $16,487 $5,969 4.00
Major larynx & trachea procedures 1 $59,763 $51,093 $59,763 $51,093 19.00
Cardiac defibrillator & heart assist implant 1 $110,129 $45,630 $110,129 $45,630 10.00
Cardiac pacemaker & defibrillator device replacement 1 $22,145 $6,414 $22,145 $6,414 2.00
Major biliary tract procedures 1 $34,509 $22,979 $34,509 $22,979 9.00
Cholecystectomy except laparoscopic 1 $18,987 $13,829 $18,987 $13,829 5.00
Skin graft for skin & subcutaneous tissue diagnoses 1 $55,445 $43,842 $55,445 $43,842 31.00
Breast procedures except mastectomy 1 $26,190 $18,139 $26,190 $18,139 6.00
Major skin disorders 1 $3,437 $2,848 $3,437 $2,848 2.00
Inborn errors of metabolism 1 $16,508 $11,288 $16,508 $11,288 4.00
Major bladder procedures 1 $11,333 $7,542 $11,333 $7,542 4.00
Other bladder procedures 1 $14,245 $4,516 $14,245 $4,516 2.00
Nephritis & nephrosis 1 $12,277 $6,804 $12,277 $6,804 7.00
Transurethral prostatectomy 1 $12,940 $7,306 $12,940 $7,306 4.00
Other female reproductive system & related procedures 1 $14,019 $6,835 $14,019 $6,835 2.00
Other O.R. proc for obstetric diagnoses except delivery diagnoses 1 $11,812 $7,418 $11,812 $7,418 1.00
Neonate bwt <500g or GA <24 weeks 1 $1,245 $665 $1,245 $665 1.00
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom 1 $48,203 $24,148 $48,203 $24,148 27.00
Neonate birthwt 1500-1999g w major anomaly 1 $22,556 $10,702 $22,556 $10,702 11.00
Sickle cell anemia crisis 1 $7,437 $6,622 $7,437 $6,622 6.00
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms 1 $9,752 $4,011 $9,752 $4,011 1.00
Eating disorders 1 $14,354 $8,296 $14,354 $8,296 10.00
Multiple significant trauma w/o O.R. procedure 1 $26,696 $14,463 $26,696 $14,463 6.00
Extensive procedure unrelated to principal diagnosis 1 $30,390 $28,250 $30,390 $28,250 13.00