Hospital Costs > In Arizona > Banner Del E Webb Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 36 | 55 / 1 | $32.977,80 | 851 / 8 | $6.548,28 | 316 / 4 | $5.172,86 | 315 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 43 | 82 / 2 | $40.587,30 | 827 / 8 | $10.716,80 | 579 / 8 | $9.172,19 | 578 / 6 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 23 | 30 / 1 | $29.589,20 | 566 / 10 | $5.055,17 | 269 / 7 | $3.710,48 | 267 / 7 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 13 | $36.188,00 | 402 / 6 | $10.821,50 | 142 / 18 | $4.969,27 | 142 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 6 | $37.924,20 | 856 / 18 | $5.549,81 | 368 / 6 | $4.487,81 | 364 / 7 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 2 | $27.489,70 | 280 / 3 | $4.574,55 | 95 / 2 | $2.940,55 | 95 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 67 | 94 / 4 | $25.311,10 | 1415 / 19 | $5.201,51 | 772 / 11 | $4.087,88 | 769 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 48 | 75 / 2 | $34.869,90 | 1156 / 9 | $7.477,77 | 721 / 8 | $6.693,48 | 718 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 91 | 60 / 3 | $20.043,40 | 1394 / 23 | $3.755,00 | 695 / 8 | $2.583,05 | 691 / 10 |
| Cellulitis W/O Mcc | 76 | 113 / 7 | $23.361,40 | 1767 / 27 | $5.364,12 | 1019 / 9 | $4.283,17 | 1013 / 10 |
| Chronic Obstructive Pulmonary Disease W Cc | 59 | 120 / 5 | $32.300,10 | 1823 / 24 | $5.898,42 | 962 / 7 | $4.927,93 | 959 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 67 | 135 / 5 | $39.663,00 | 1906 / 30 | $7.438,55 | 1094 / 10 | $6.327,27 | 1089 / 11 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 7 | $29.101,70 | 1685 / 18 | $4.631,48 | 1003 / 7 | $3.733,13 | 994 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 16 | $36.681,00 | 825 / 8 | $7.159,78 | 500 / 10 | $5.446,57 | 498 / 9 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 11 | 36 / 2 | $148.408,00 | 57 / 1 | $37.397,30 | 48 / 1 | $36.178,00 | 48 / 2 |
| Complications Of Treatment W Mcc | 11 | 40 / 8 | $47.527,10 | 163 / 3 | $10.314,80 | 45 / 1 | $9.329,55 | 45 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 9 | $30.985,40 | 526 / 6 | $5.933,42 | 241 / 3 | $5.124,75 | 241 / 4 |
| Diabetes W Cc | 18 | 74 / 7 | $28.375,90 | 1120 / 15 | $5.973,94 | 190 / 11 | $3.808,00 | 190 / 4 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 16 | 54 / 3 | $29.354,60 | 361 / 6 | $5.897,25 | 167 / 2 | $5.138,00 | 167 / 3 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 5 | $52.136,30 | 325 / 4 | $11.522,60 | 50 / 1 | $9.318,77 | 50 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 6 | $45.039,60 | 835 / 19 | $6.425,00 | 226 / 8 | $4.565,82 | 226 / 6 |
| Dysequilibrium | 13 | 52 / 4 | $24.798,80 | 343 / 2 | $4.084,23 | 148 / 3 | $2.962,15 | 148 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 13 | $40.696,00 | 965 / 17 | $7.442,94 | 452 / 6 | $6.531,75 | 449 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 111 | 164 / 7 | $30.680,00 | 2202 / 39 | $4.897,84 | 1033 / 9 | $3.779,51 | 1025 / 10 |
| G.I. Hemorrhage W Cc | 102 | 116 / 5 | $31.492,40 | 1640 / 16 | $6.567,69 | 1056 / 10 | $5.418,62 | 1054 / 10 |
| G.I. Hemorrhage W Mcc | 28 | 93 / 9 | $50.174,80 | 1010 / 15 | $10.527,10 | 513 / 6 | $9.687,82 | 514 / 5 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 7 | $20.698,80 | 573 / 6 | $4.527,92 | 274 / 6 | $3.313,08 | 272 / 5 |
| G.I. Obstruction W Cc | 39 | 53 / 5 | $28.915,80 | 1158 / 19 | $5.650,92 | 669 / 6 | $4.657,26 | 668 / 9 |
| G.I. Obstruction W/O Cc/Mcc | 29 | 42 / 4 | $23.293,80 | 956 / 22 | $3.997,10 | 676 / 6 | $3.205,69 | 674 / 14 |
| Headaches W/O Mcc | 11 | 32 / 2 | $27.466,50 | 156 / 3 | $4.361,09 | 90 / 1 | $3.477,36 | 90 / 2 |
| Heart Failure & Shock W Cc | 58 | 220 / 10 | $30.448,00 | 1974 / 27 | $6.244,47 | 1281 / 8 | $5.532,72 | 1277 / 11 |
| Heart Failure & Shock W Mcc | 93 | 191 / 5 | $35.958,10 | 1450 / 13 | $9.305,51 | 1081 / 10 | $8.409,72 | 1078 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 11 | $22.843,00 | 1442 / 13 | $4.394,19 | 890 / 7 | $3.632,00 | 884 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 58 | 85 / 5 | $54.000,50 | 1178 / 15 | $11.925,90 | 680 / 9 | $10.399,60 | 677 / 7 |
| Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 6 | $74.675,90 | 470 / 5 | $17.072,30 | 208 / 2 | $15.919,10 | 207 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 25 | 31 / 2 | $53.290,60 | 630 / 9 | $9.941,24 | 420 / 6 | $8.877,04 | 418 / 7 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 15 | 21 / 4 | $64.815,50 | 190 / 5 | $16.112,90 | 76 / 3 | $12.753,80 | 76 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 44 | 80 / 6 | $125.048,00 | 784 / 11 | $28.908,40 | 295 / 1 | $27.951,30 | 295 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 85 | 97 / 3 | $33.830,90 | 1316 / 14 | $6.652,52 | 863 / 6 | $5.639,28 | 861 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 28 | 140 / 14 | $52.212,90 | 1004 / 17 | $10.707,10 | 740 / 7 | $10.011,20 | 739 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 61 | 41 / 2 | $30.617,00 | 1125 / 17 | $5.032,61 | 644 / 5 | $3.789,20 | 640 / 8 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 13 | 31 / 2 | $68.666,70 | 115 / 3 | $16.979,20 | 31 / 3 | $10.845,00 | 31 / 2 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 13 | 32 / 2 | $46.969,20 | 70 / 1 | $11.194,40 | 38 / 1 | $10.171,20 | 38 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 10 | $33.897,20 | 1325 / 18 | $7.267,21 | 457 / 9 | $5.656,64 | 456 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 70 | 163 / 7 | $25.582,10 | 2003 / 32 | $5.053,04 | 884 / 8 | $3.878,67 | 877 / 10 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 8 | $59.398,10 | 576 / 14 | $11.439,30 | 355 / 12 | $8.892,06 | 355 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 18 | 22 / 2 | $76.754,20 | 274 / 7 | $15.048,30 | 167 / 2 | $13.924,30 | 166 / 4 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 8 | $51.106,80 | 271 / 4 | $11.938,40 | 252 / 3 | $10.924,80 | 252 / 6 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 20 | 27 / 1 | $50.103,50 | 316 / 2 | $10.660,70 | 114 / 6 | $7.290,60 | 114 / 1 |
| Major Cardiovasc Procedures W Mcc | 17 | 51 / 6 | $121.327,00 | 218 / 3 | $29.456,50 | 112 / 1 | $28.377,90 | 112 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 15 | $83.986,20 | 421 / 7 | $20.174,10 | 377 / 4 | $19.148,70 | 377 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 36 | 37 / 4 | $32.694,60 | 713 / 12 | $7.199,00 | 506 / 8 | $6.656,69 | 504 / 9 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 7 | $30.213,50 | 207 / 3 | $7.442,73 | 108 / 3 | $6.345,91 | 108 / 4 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 59 | 37 / 3 | $54.605,10 | 412 / 9 | $13.830,70 | 394 / 7 | $12.132,30 | 391 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 7 | $73.943,30 | 428 / 5 | $17.912,70 | 209 / 2 | $16.860,40 | 208 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 372 | 208 / 10 | $50.355,20 | 1306 / 13 | $13.600,40 | 1290 / 13 | $11.563,30 | 1258 / 18 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 18 | 51 / 7 | $62.256,70 | 218 / 6 | $16.014,10 | 241 / 5 | $14.871,80 | 241 / 7 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 10 | $79.629,90 | 999 / 13 | $15.475,40 | 743 / 6 | $14.527,60 | 735 / 15 |
| Major Small & Large Bowel Procedures W Mcc | 26 | 59 / 7 | $181.313,00 | 980 / 21 | $32.872,40 | 649 / 10 | $31.483,10 | 647 / 14 |
| Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 1 | $26.892,90 | 52 / 1 | $6.929,64 | 38 / 1 | $6.046,00 | 38 / 1 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 14 | 39 / 4 | $41.064,70 | 106 / 2 | $10.197,50 | 47 / 1 | $9.247,86 | 47 / 1 |
| Medical Back Problems W/O Mcc | 12 | 109 / 21 | $30.546,10 | 1029 / 18 | $5.242,75 | 506 / 3 | $4.234,58 | 505 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 17 | $32.670,30 | 1078 / 20 | $6.925,35 | 504 / 4 | $6.022,17 | 501 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 43 | 123 / 13 | $24.758,30 | 1870 / 23 | $4.647,95 | 805 / 9 | $3.519,49 | 802 / 7 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 15 | $46.948,20 | 673 / 6 | $12.010,50 | 133 / 10 | $9.292,53 | 133 / 1 |
| Other Circulatory System O.R. Procedures | 13 | 42 / 4 | $59.270,80 | 153 / 4 | $16.042,00 | 101 / 1 | $15.203,80 | 101 / 1 |
| Other Digestive System Diagnoses W Cc | 29 | 68 / 5 | $32.284,50 | 943 / 15 | $6.120,90 | 448 / 8 | $5.119,10 | 445 / 11 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 9 | $29.558,40 | 517 / 14 | $6.204,88 | 275 / 6 | $5.393,88 | 275 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 39 | 62 / 6 | $35.410,60 | 532 / 7 | $9.351,62 | 377 / 4 | $8.659,59 | 377 / 5 |
| Other Resp System O.R. Procedures W Cc | 13 | 34 / 5 | $54.939,80 | 182 / 5 | $11.487,10 | 127 / 2 | $11.015,10 | 127 / 3 |
| Other Resp System O.R. Procedures W Mcc | 24 | 39 / 2 | $75.992,00 | 187 / 4 | $21.935,20 | 85 / 3 | $18.813,80 | 85 / 1 |
| Other Vascular Procedures W Cc | 12 | 90 / 11 | $73.521,40 | 560 / 5 | $15.238,40 | 388 / 3 | $14.326,90 | 386 / 7 |
| Other Vascular Procedures W Mcc | 13 | 84 / 10 | $85.723,70 | 448 / 5 | $18.943,30 | 218 / 4 | $18.071,80 | 217 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 10 | $94.264,50 | 433 / 6 | $19.146,10 | 338 / 2 | $18.218,30 | 336 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 70 | 126 / 5 | $69.530,80 | 672 / 7 | $14.609,70 | 443 / 16 | $10.506,50 | 442 / 7 |
| Peripheral Vascular Disorders W Cc | 26 | 58 / 5 | $28.577,60 | 763 / 14 | $6.475,42 | 401 / 8 | $5.108,19 | 399 / 7 |
| Peripheral Vascular Disorders W Mcc | 12 | 37 / 8 | $32.777,50 | 253 / 6 | $8.948,00 | 77 / 3 | $6.848,42 | 77 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 21 | 56 / 6 | $62.082,20 | 377 / 6 | $17.350,70 | 214 / 10 | $14.111,30 | 213 / 4 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 7 | $83.563,20 | 229 / 4 | $21.638,50 | 169 / 3 | $20.348,10 | 169 / 3 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 23 | 34 / 3 | $55.686,20 | 352 / 5 | $13.146,90 | 307 / 3 | $11.986,90 | 306 / 8 |
| Pleural Effusion W Mcc | 11 | 19 / 5 | $36.811,50 | 82 / 4 | $9.357,73 | 60 / 2 | $8.690,64 | 60 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 9 | $41.875,80 | 597 / 11 | $8.655,94 | 344 / 4 | $7.867,29 | 343 / 8 |
| Postoperative & Post-Traumatic Infections W Mcc | 12 | 31 / 2 | $60.263,00 | 147 / 5 | $12.410,60 | 24 / 3 | $9.481,83 | 24 / 2 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 6 | $23.668,10 | 183 / 3 | $6.229,83 | 122 / 3 | $5.421,17 | 122 / 6 |
| Pulmonary Edema & Respiratory Failure | 75 | 128 / 7 | $44.762,10 | 1639 / 29 | $8.569,72 | 1141 / 15 | $7.160,12 | 1139 / 11 |
| Pulmonary Embolism W Mcc | 20 | 23 / 4 | $57.963,90 | 474 / 12 | $9.241,20 | 236 / 4 | $8.510,70 | 236 / 6 |
| Pulmonary Embolism W/O Mcc | 43 | 31 / 3 | $36.612,30 | 995 / 25 | $6.260,35 | 574 / 9 | $5.303,14 | 571 / 13 |
| Red Blood Cell Disorders W/O Mcc | 35 | 108 / 4 | $29.159,50 | 1466 / 21 | $5.228,97 | 668 / 7 | $4.157,06 | 664 / 8 |
| Renal Failure W Cc | 83 | 138 / 5 | $30.443,80 | 1714 / 22 | $6.171,64 | 904 / 10 | $5.087,24 | 896 / 9 |
| Renal Failure W Mcc | 40 | 155 / 8 | $48.117,10 | 1530 / 22 | $9.239,62 | 784 / 6 | $8.507,70 | 784 / 6 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 4 | $24.959,20 | 684 / 10 | $4.101,57 | 225 / 2 | $2.977,00 | 224 / 3 |
| Respiratory Infections & Inflammations W Cc | 33 | 55 / 3 | $36.642,90 | 890 / 6 | $8.334,48 | 693 / 5 | $7.746,12 | 688 / 7 |
| Respiratory Infections & Inflammations W Mcc | 23 | 113 / 17 | $46.616,50 | 991 / 8 | $11.679,50 | 736 / 5 | $10.996,70 | 728 / 8 |
| Respiratory Neoplasms W Mcc | 17 | 35 / 5 | $48.852,20 | 369 / 6 | $10.444,00 | 266 / 2 | $9.944,29 | 266 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 43 | 88 / 3 | $77.996,70 | 1289 / 19 | $15.210,80 | 632 / 13 | $12.772,50 | 624 / 5 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 8 | $179.120,00 | 673 / 8 | $39.244,90 | 358 / 9 | $30.030,60 | 358 / 5 |
| Revision Of Hip Or Knee Replacement W Cc | 24 | 62 / 6 | $90.896,00 | 386 / 10 | $20.500,60 | 335 / 8 | $19.894,60 | 334 / 11 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 19 | 50 / 4 | $80.112,60 | 332 / 9 | $16.679,00 | 275 / 10 | $15.660,60 | 274 / 11 |
| Seizures W/O Mcc | 18 | 90 / 10 | $25.775,90 | 799 / 9 | $5.301,00 | 297 / 6 | $3.750,94 | 295 / 4 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 7 | $176.384,00 | 662 / 9 | $33.960,10 | 301 / 3 | $33.266,10 | 300 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 275 | 243 / 5 | $56.475,90 | 1998 / 22 | $11.523,90 | 1090 / 9 | $10.306,10 | 1077 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 111 | 96 / 4 | $34.270,70 | 1832 / 28 | $6.785,77 | 981 / 10 | $5.643,70 | 978 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 81 | 122 / 8 | $36.839,80 | 2243 / 44 | $6.268,16 | 1138 / 13 | $5.184,01 | 1134 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 84 | 121 / 7 | $48.031,70 | 1846 / 29 | $9.000,64 | 989 / 10 | $7.865,08 | 989 / 7 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 12 | $25.284,70 | 1467 / 22 | $4.512,58 | 732 / 6 | $3.442,58 | 728 / 9 |
| Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 20 | $95.885,80 | 692 / 9 | $24.081,60 | 677 / 7 | $22.925,70 | 673 / 14 |
| Syncope & Collapse | 20 | 149 / 16 | $25.573,10 | 1247 / 11 | $4.692,30 | 806 / 6 | $3.850,05 | 802 / 9 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 3 | $29.090,20 | 234 / 2 | $5.162,64 | 106 / 2 | $4.280,36 | 106 / 2 |
| Transient Ischemia | 36 | 89 / 5 | $27.784,00 | 1097 / 12 | $4.531,53 | 613 / 6 | $3.488,53 | 609 / 8 |
| Transurethral Procedures W Cc | 19 | 22 / 4 | $46.136,30 | 258 / 9 | $7.952,84 | 92 / 5 | $6.479,79 | 92 / 2 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 22 | 24 / 3 | $31.854,10 | 289 / 8 | $4.493,00 | 125 / 4 | $3.343,68 | 125 / 3 | Total 111 procedures | 4.079 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.