Hospital Costs > In Florida > Baptist Hospital Of Miami Inc, procedure costs

Baptist Hospital Of Miami Inc, procedure costs

8900 N Kendall Dr, Miami, FL 33176,

Procedure Costs @ Baptist Hospital Of Miami Inc
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 Cc2863 / 23$53.278,101224 / 74$8.166,791126 / 86$7.209,571124 / 91
Acute Myocardial Infarction, Discharged Alive W Mcc4679 / 23$81.282,801566 / 90$12.421,501286 / 103$11.457,601276 / 105
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1439 / 17$50.055,90793 / 54$6.453,57709 / 61$5.331,86705 / 64
Acute Myocardial Infarction, Expired W Mcc1218 / 3$135.659,00199 / 12$18.011,80183 / 12$17.204,40183 / 12
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc1123 / 7$186.628,00160 / 7$35.839,50124 / 7$32.080,40124 / 7
Atherosclerosis W/O Mcc1444 / 18$33.998,60487 / 50$5.471,29 / 57$4.516,36 /
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim1551 / 18$126.399,00555 / 37$16.028,70505 / 40$15.217,50501 / 42
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1178 / 28$60.199,10665 / 39$8.380,82600 / 44$7.283,55599 / 56
Biopsies Of Musculoskeletal System & Connective Tissue W Cc1220 / 10$110.898,00110 / 12$16.919,6098 / 14$16.007,1098 / 16
Bone Diseases & Arthropathies W/O Mcc1232 / 9$28.805,10231 / 16$6.158,75193 / 23$5.150,42193 / 24
Bronchitis & Asthma W Cc/Mcc4828 / 8$45.228,80971 / 87$7.095,08849 / 79$6.188,06845 / 85
Bronchitis & Asthma W/O Cc/Mcc2025 / 13$28.152,20286 / 35$5.910,65280 / 42$4.432,65280 / 42
Cardiac Arrhythmia & Conduction Disorders W Cc56105 / 42$35.986,901827 / 101$6.573,111748 / 127$5.608,161743 / 129
Cardiac Arrhythmia & Conduction Disorders W Mcc4578 / 23$54.836,301617 / 86$9.366,801413 / 106$8.363,131410 / 107
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc23127 / 70$28.078,601706 / 102$5.921,431541 / 131$3.611,831535 / 119
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc12106 / 24$275.055,00491 / 34$41.907,80352 / 37$35.114,20352 / 37
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc2294 / 16$392.086,00439 / 32$62.244,60372 / 32$60.726,00372 / 34
Cellulitis W Mcc1840 / 16$53.275,30753 / 42$10.636,30661 / 57$9.720,39659 / 61
Cellulitis W/O Mcc80109 / 29$30.853,202157 / 97$6.825,252081 / 136$5.755,452073 / 137
Chest Pain17134 / 68$30.376,301398 / 85$5.440,711400 / 115$4.659,291392 / 121
Chronic Obstructive Pulmonary Disease W Cc65114 / 49$43.027,302133 / 113$7.237,741879 / 133$6.311,981872 / 139
Chronic Obstructive Pulmonary Disease W Mcc78124 / 41$58.932,402339 / 128$8.868,942022 / 133$8.023,312014 / 139
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2496 / 61$33.620,801810 / 104$6.119,461772 / 129$5.233,041761 / 132
Circulatory Disorders Except Ami, W Card Cath W Mcc1974 / 24$114.684,00821 / 70$17.894,10670 / 68$14.776,20663 / 69
Circulatory Disorders Except Ami, W Card Cath W/O Mcc58130 / 35$65.904,601455 / 98$9.143,881286 / 112$7.425,501283 / 112
Cirrhosis & Alcoholic Hepatitis W Mcc1230 / 11$87.092,70265 / 22$13.911,40205 / 16$13.191,60205 / 20
Complications Of Treatment W Mcc1635 / 9$58.588,80207 / 14$12.171,10150 / 15$11.632,20150 / 16
Coronary Bypass W Cardiac Cath W Mcc1244 / 16$339.692,00385 / 22$62.392,60292 / 28$47.758,20292 / 28
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant1329 / 8$299.503,00163 / 10$44.146,80130 / 10$43.119,80130 / 10
Craniotomy & Endovascular Intracranial Procedures W Mcc3167 / 8$203.934,00433 / 29$31.290,50318 / 26$30.276,50318 / 32
Degenerative Nervous System Disorders W Mcc1226 / 9$58.872,30164 / 13$12.053,80124 / 15$11.438,90124 / 16
Degenerative Nervous System Disorders W/O Mcc1761 / 29$40.483,10677 / 53$7.787,82622 / 63$6.858,24622 / 67
Diabetes W Cc1478 / 40$49.428,401535 / 107$6.736,571243 / 98$5.925,431238 / 99
Diabetes W Mcc1146 / 17$50.463,70559 / 36$9.488,27433 / 38$8.932,18433 / 43
Digestive Malignancy W Mcc1819 / 2$126.612,00147 / 8$17.718,80113 / 6$17.165,90113 / 6
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1654 / 13$45.907,90499 / 35$7.307,19362 / 29$6.518,31362 / 33
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1165 / 19$39.088,90200 / 7$12.764,50309 / 22$12.315,70309 / 27
Disorders Of The Biliary Tract W Cc1242 / 17$53.211,40414 / 29$8.823,50381 / 35$8.113,00381 / 38
Disorders Of The Biliary Tract W Mcc1326 / 7$118.970,00252 / 20$13.271,40156 / 15$11.451,20156 / 14
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1566 / 15$688.958,00372 / 33$130.339,00270 / 32$121.039,00269 / 33
Esophagitis, Gastroent & Misc Digest Disorders W Mcc4254 / 17$62.444,301301 / 95$11.407,001101 / 107$8.620,191096 / 98
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc110165 / 54$35.369,102362 / 108$6.383,872168 / 140$5.168,932154 / 139
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc1628 / 13$115.704,00358 / 35$19.671,40213 / 39$17.267,40212 / 38
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc3627 / 6$181.106,00586 / 47$34.012,60498 / 51$33.230,80498 / 56
Fractures Of Hip & Pelvis W/O Mcc1645 / 29$34.819,70803 / 72$6.111,38750 / 76$4.898,12749 / 78
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1943 / 22$25.390,00519 / 40$6.294,11614 / 77$5.145,68612 / 78
G.I. Hemorrhage W Cc109109 / 24$41.031,601980 / 93$7.926,981913 / 130$6.949,421909 / 132
G.I. Hemorrhage W Mcc6457 / 6$63.665,401249 / 68$12.193,501031 / 96$11.393,801023 / 100
G.I. Hemorrhage W/O Cc/Mcc1850 / 28$26.521,40738 / 56$5.969,11816 / 89$5.025,22812 / 90
G.I. Obstruction W Cc4151 / 19$31.521,201248 / 56$7.114,731415 / 110$6.285,461410 / 116
G.I. Obstruction W Mcc2022 / 5$70.481,10453 / 34$12.746,50406 / 42$11.835,80406 / 45
G.I. Obstruction W/O Cc/Mcc2546 / 23$27.118,801063 / 54$5.478,561105 / 88$4.314,521102 / 88
Heart Failure & Shock W Cc75203 / 62$39.036,702294 / 108$7.612,952168 / 138$6.900,332162 / 140
Heart Failure & Shock W Mcc23958 / 7$67.287,702304 / 120$11.400,802082 / 140$10.692,602073 / 142
Hip & Femur Procedures Except Major Joint W Cc5984 / 22$92.131,701826 / 97$13.904,901385 / 117$12.329,501367 / 115
Hip & Femur Procedures Except Major Joint W Mcc2042 / 15$125.943,00810 / 51$22.013,10527 / 66$18.528,70524 / 60
Infectious & Parasitic Diseases W O.R. Procedure W Cc1422 / 8$98.502,50293 / 12$16.662,60219 / 21$15.788,60219 / 22
Infectious & Parasitic Diseases W O.R. Procedure W Mcc5866 / 11$320.790,001529 / 107$54.377,401471 / 106$49.179,901461 / 109
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs9983 / 8$49.049,701721 / 84$8.152,181496 / 106$6.865,011493 / 109
Intracranial Hemorrhage Or Cerebral Infarction W Mcc10168 / 5$77.666,501349 / 74$12.535,401109 / 88$11.603,201103 / 92
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3468 / 24$36.593,501280 / 66$6.873,321191 / 98$4.809,061187 / 95
Kidney & Urinary Tract Infections W Mcc8955 / 14$40.943,801527 / 81$8.499,831545 / 116$7.789,631541 / 123
Kidney & Urinary Tract Infections W/O Mcc97136 / 48$31.963,002280 / 103$6.303,072150 / 139$5.327,072139 / 141
Kidney & Urinary Tract Signs & Symptoms W/O Mcc1118 / 9$23.952,5096 / 11$5.812,91112 / 17$5.042,18112 / 18
Laparoscopic Cholecystectomy W/O C.D.E. W Cc2531 / 17$77.435,70715 / 48$12.414,80594 / 72$10.134,90592 / 75
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc1624 / 11$96.670,00342 / 21$16.633,00240 / 33$15.159,20239 / 32
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1532 / 19$63.694,60499 / 38$9.189,87470 / 52$8.220,47469 / 56
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1441 / 21$89.216,80548 / 43$13.722,00448 / 47$12.851,40444 / 55
Major Cardiovasc Procedures W Mcc1553 / 19$224.143,00551 / 48$55.771,80113 / 54$28.388,30113 / 22
Major Cardiovasc Procedures W/O Mcc3467 / 21$154.996,00889 / 54$22.819,20648 / 60$21.859,10647 / 66
Major Chest Procedures W Cc1163 / 21$174.209,00485 / 36$18.934,80368 / 35$17.836,60366 / 39
Major Chest Procedures W Mcc1435 / 7$198.475,00270 / 11$33.904,90197 / 10$33.068,90196 / 13
Major Gastrointestinal Disorders & Peritoneal Infections W Cc2449 / 24$44.471,40887 / 61$9.422,83530 / 86$6.722,21528 / 67
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1739 / 14$78.795,70576 / 41$13.325,50381 / 41$12.034,70380 / 42
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1538 / 14$88.236,40470 / 45$13.564,60463 / 45$12.841,60463 / 45
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc1217 / 5$107.296,0093 / 9$16.691,2061 / 9$15.787,8060 / 10
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1352 / 25$143.708,00828 / 51$23.552,40686 / 63$21.924,80683 / 66
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc256309 / 40$78.793,902185 / 80$15.876,101742 / 134$12.660,901702 / 125
Major Joint/Limb Reattachment Procedure Of Upper Extremities2049 / 14$130.505,00455 / 39$17.595,80335 / 37$16.443,60335 / 40
Major Small & Large Bowel Procedures W Cc4167 / 19$113.854,001316 / 65$18.523,301059 / 88$16.223,901046 / 96
Major Small & Large Bowel Procedures W Mcc2560 / 22$245.848,001158 / 69$42.788,001115 / 85$41.615,601113 / 87
Major Small & Large Bowel Procedures W/O Cc/Mcc2638 / 9$73.847,60651 / 41$18.596,70375 / 54$9.015,62375 / 45
Malignancy Of Hepatobiliary System Or Pancreas W Mcc1835 / 5$69.917,80262 / 13$12.261,80172 / 16$11.383,40173 / 19
Medical Back Problems W Mcc1128 / 14$58.052,10245 / 19$11.550,50205 / 22$10.671,60205 / 22
Medical Back Problems W/O Mcc6160 / 22$29.848,701007 / 59$6.860,921137 / 108$5.759,131133 / 113
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc3789 / 23$56.500,701567 / 96$10.125,801459 / 103$9.137,681456 / 105
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc37129 / 57$35.816,802279 / 119$6.307,572153 / 134$5.393,592145 / 140
Nervous System Neoplasms W Mcc1731 / 7$55.679,10235 / 22$10.338,50196 / 22$9.414,53196 / 24
Nonspecific Cerebrovascular Disorders W Cc1145 / 16$48.385,60409 / 27$7.609,91352 / 33$6.737,64352 / 33
Nonspecific Cerebrovascular Disorders W Mcc1536 / 10$92.244,30384 / 25$14.644,20362 / 23$13.912,70362 / 25
Other Circulatory System Diagnoses W Cc1650 / 20$41.944,00553 / 42$7.545,50513 / 47$6.940,38512 / 54
Other Circulatory System Diagnoses W Mcc3878 / 22$99.543,801269 / 99$14.741,40803 / 94$12.122,60798 / 85
Other Circulatory System O.R. Procedures3124 / 5$145.448,00413 / 35$24.557,30338 / 36$21.099,50338 / 33
Other Digestive System Diagnoses W Cc2176 / 36$43.421,601180 / 75$7.633,001126 / 97$7.000,241122 / 103
Other Digestive System Diagnoses W Mcc1547 / 19$91.667,70704 / 60$14.917,40607 / 57$13.573,30606 / 58
Other Digestive System Diagnoses W/O Cc/Mcc1132 / 19$26.519,40245 / 23$5.847,82288 / 48$4.972,64288 / 49
Other Disorders Of Nervous System W Cc1244 / 21$37.867,50471 / 29$7.162,50462 / 42$6.453,83462 / 45
Other Disorders Of Nervous System W Mcc1129 / 14$51.042,20213 / 16$10.916,10148 / 19$9.952,91148 / 21
Other Kidney & Urinary Tract Diagnoses W Cc1390 / 28$33.672,30577 / 34$7.125,54484 / 54$6.193,69484 / 60
Other Kidney & Urinary Tract Diagnoses W Mcc2180 / 23$68.121,90947 / 47$11.255,10695 / 54$10.140,50693 / 55
Other Kidney & Urinary Tract Procedures W Cc1115 / 5$94.927,4078 / 8$16.014,3017 / 4$11.996,4017 / 3
Other Kidney & Urinary Tract Procedures W Mcc1820 / 6$152.949,00197 / 13$24.925,60173 / 11$24.185,80172 / 15
Other Resp System O.R. Procedures W Mcc2637 / 8$191.216,00543 / 52$30.676,90509 / 51$30.100,80508 / 54
Other Vascular Procedures W Cc3270 / 21$132.136,001020 / 66$20.528,50784 / 74$17.148,90779 / 75
Other Vascular Procedures W Mcc5839 / 7$135.813,00811 / 64$24.132,50666 / 76$23.093,60663 / 76
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc1822 / 5$45.341,40223 / 14$8.228,61153 / 14$7.158,39153 / 16
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents2575 / 22$164.059,00872 / 62$22.246,20647 / 65$21.222,60643 / 70
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc73123 / 29$120.005,001318 / 87$16.404,501109 / 98$13.253,401102 / 99
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1158 / 26$95.163,00480 / 32$11.983,80331 / 33$10.773,90330 / 37
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc1737 / 11$189.218,00263 / 24$29.082,60190 / 23$23.318,10190 / 23
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc3263 / 19$161.236,00583 / 63$17.010,60522 / 59$16.249,80518 / 64
Peripheral Vascular Disorders W Cc5034 / 9$48.148,901131 / 101$7.939,14984 / 97$7.088,62981 / 102
Peripheral Vascular Disorders W Mcc3514 / 2$58.728,20477 / 43$11.976,50355 / 48$8.906,94355 / 43
Permanent Cardiac Pacemaker Implant W Cc1958 / 26$93.482,10728 / 48$20.254,00515 / 77$16.004,70514 / 73
Permanent Cardiac Pacemaker Implant W Mcc1537 / 14$116.885,00406 / 26$23.132,40281 / 36$22.322,60281 / 42
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1443 / 25$67.229,80489 / 34$16.479,30383 / 63$12.576,60382 / 57
Postoperative & Post-Traumatic Infections W Mcc1528 / 6$79.365,90187 / 18$15.271,50128 / 21$13.239,80128 / 21
Postoperative & Post-Traumatic Infections W/O Mcc1638 / 16$57.477,60429 / 48$11.969,90372 / 49$8.132,38372 / 47
Pulmonary Edema & Respiratory Failure79124 / 15$63.302,001975 / 109$9.669,241826 / 120$9.031,481821 / 130
Pulmonary Embolism W Mcc1825 / 9$64.457,90505 / 23$10.921,10451 / 27$10.297,90450 / 31
Pulmonary Embolism W/O Mcc4232 / 9$48.855,601151 / 64$7.771,481062 / 67$6.901,931059 / 72
Red Blood Cell Disorders W Mcc3932 / 8$60.102,90948 / 71$10.430,20847 / 84$9.438,21843 / 85
Red Blood Cell Disorders W/O Mcc5588 / 30$42.717,901805 / 129$6.591,671563 / 126$5.693,601554 / 127
Renal Failure W Cc88133 / 40$47.811,502213 / 128$8.045,391973 / 139$6.883,801963 / 139
Renal Failure W Mcc92103 / 22$80.354,201996 / 141$12.463,201742 / 136$11.419,301739 / 141
Renal Failure W/O Cc/Mcc1343 / 29$26.122,70696 / 48$5.467,38675 / 63$4.343,69674 / 63
Respiratory Infections & Inflammations W Cc3553 / 20$54.519,101205 / 57$10.228,401038 / 86$8.825,741033 / 83
Respiratory Infections & Inflammations W Mcc5284 / 18$79.605,001505 / 67$13.446,901244 / 90$12.694,801229 / 95
Respiratory Neoplasms W Cc1235 / 16$74.663,70487 / 48$9.900,50391 / 47$8.990,42390 / 49
Respiratory Neoplasms W Mcc1933 / 10$107.602,00608 / 47$15.853,50585 / 47$14.766,50582 / 49
Respiratory System Diagnosis W Ventilator Support <96 Hours4091 / 29$142.757,001754 / 123$20.190,801620 / 125$19.180,401606 / 129
Respiratory System Diagnosis W Ventilator Support 96+ Hours2051 / 18$255.180,00864 / 68$42.510,10815 / 73$40.965,80814 / 76
Revision Of Hip Or Knee Replacement W Cc1472 / 27$124.254,00552 / 36$21.640,10390 / 46$20.648,50389 / 50
Seizures W Mcc2442 / 12$73.718,30651 / 51$11.573,50470 / 53$10.208,80470 / 56
Seizures W/O Mcc2385 / 34$36.544,001085 / 73$6.385,611008 / 87$5.592,611006 / 93
Septicemia Or Severe Sepsis W Mv 96+ Hours3854 / 10$322.828,001022 / 77$56.892,80932 / 76$48.638,40931 / 77
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc412129 / 6$81.100,102445 / 105$13.856,502140 / 135$12.957,502103 / 140
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc104103 / 18$55.015,802342 / 111$8.479,992031 / 127$7.402,212023 / 133
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc1235 / 14$27.786,00266 / 22$6.091,25260 / 31$5.081,42260 / 33
Signs & Symptoms W/O Mcc2269 / 29$35.297,201139 / 84$5.906,77980 / 94$4.861,55977 / 95
Simple Pneumonia & Pleurisy W Cc72131 / 41$47.990,802522 / 118$7.939,962172 / 140$6.551,392164 / 138
Simple Pneumonia & Pleurisy W Mcc94111 / 21$81.852,502358 / 135$11.902,702127 / 140$10.804,102122 / 145
Simple Pneumonia & Pleurisy W/O Cc/Mcc2370 / 35$35.821,901747 / 101$6.149,961513 / 115$4.480,781505 / 113
Spinal Fusion Except Cervical W/O Mcc31163 / 46$173.790,001209 / 73$30.826,70733 / 82$23.499,10729 / 72
Syncope & Collapse26143 / 77$37.750,901648 / 100$6.092,381543 / 119$5.298,151536 / 122
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1450 / 17$540.973,00524 / 46$95.682,90487 / 44$91.893,40486 / 45
Transient Ischemia3689 / 47$42.511,801481 / 98$6.133,501439 / 111$5.427,581431 / 119
Transurethral Procedures W Cc1427 / 14$75.429,30354 / 34$9.466,79293 / 41$8.508,43293 / 43
Traumatic Stupor & Coma, Coma <1 Hr W Cc1353 / 26$47.395,20409 / 35$8.120,46338 / 36$7.280,77337 / 41
Traumatic Stupor & Coma, Coma <1 Hr W Mcc1140 / 14$123.771,00326 / 30$20.548,90322 / 30$19.315,60322 / 30
Total 150 procedures5.456discharges

DATA

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.