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$10,803). Of demographic groups measured, only black race and a lymphoma diagnosis had less then 50% hospice enrollment for three days or more before death. Conclusions This study reinforces previous studies regarding costs in the last 30 days of life. The graphic representation highlights the dollar cost and the costs of lost opportunity. Using these data to improve communication, addressing socioeconomic support, and formal palliative care integration are potential strategies to improve care.Background Caring for a child or adolescent