Hospital Costs > In Alabama > Baptist Medical Center-Princeton, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 156 | 360 / 13 | $70.101,00 | 2282 / 52 | $11.316,50 | 967 / 47 | $10.144,10 | 959 / 47 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 146 | 418 / 23 | $69.195,80 | 1975 / 36 | $12.336,60 | 830 / 34 | $10.806,20 | 816 / 36 |
| Heart Failure & Shock W Cc | 113 | 165 / 10 | $29.537,90 | 1931 / 55 | $6.439,87 | 1178 / 55 | $5.428,81 | 1175 / 55 |
| Renal Failure W Mcc | 94 | 101 / 5 | $39.310,40 | 1259 / 31 | $9.152,55 | 642 / 33 | $8.270,17 | 642 / 34 |
| Heart Failure & Shock W Mcc | 89 | 195 / 13 | $46.989,50 | 1908 / 43 | $9.283,69 | 1234 / 45 | $8.625,62 | 1231 / 47 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 86 | 102 / 7 | $33.514,30 | 685 / 18 | $6.861,00 | 775 / 24 | $5.867,41 | 773 / 28 |
| G.I. Hemorrhage W Cc | 80 | 138 / 10 | $31.625,20 | 1646 / 43 | $6.669,74 | 943 / 49 | $5.319,20 | 941 / 44 |
| Renal Failure W Cc | 80 | 141 / 9 | $32.892,90 | 1828 / 43 | $6.178,98 | 1078 / 39 | $5.261,71 | 1070 / 43 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 79 | 117 / 9 | $77.507,00 | 825 / 14 | $12.174,30 | 655 / 21 | $11.117,10 | 651 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 77 | 105 / 8 | $39.845,80 | 1512 / 38 | $6.931,75 | 698 / 38 | $5.432,39 | 697 / 33 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 75 | 43 / 2 | $215.845,00 | 253 / 8 | $43.193,70 | 52 / 6 | $42.304,10 | 52 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 67 | 136 / 16 | $34.703,80 | 2169 / 63 | $6.567,76 | 824 / 64 | $4.932,37 | 821 / 51 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 26 | $29.252,20 | 2130 / 61 | $4.924,23 | 1459 / 56 | $4.093,59 | 1448 / 63 |
| Kidney & Urinary Tract Infections W/O Mcc | 58 | 175 / 22 | $30.423,30 | 2238 / 63 | $5.649,76 | 800 / 65 | $3.825,19 | 795 / 48 |
| Chronic Obstructive Pulmonary Disease W Cc | 57 | 122 / 18 | $40.653,40 | 2081 / 58 | $6.726,47 | 775 / 59 | $4.777,33 | 773 / 47 |
| Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 17 | $62.343,10 | 2130 / 45 | $9.065,40 | 1039 / 41 | $7.917,35 | 1039 / 46 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 17 | $25.637,30 | 1921 / 58 | $4.641,94 | 953 / 49 | $3.619,30 | 950 / 52 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 47 | 103 / 13 | $13.293,50 | 760 / 22 | $3.879,11 | 1074 / 29 | $2.883,30 | 1069 / 33 |
| Transient Ischemia | 47 | 78 / 7 | $27.509,30 | 1081 / 25 | $4.807,87 | 616 / 30 | $3.492,34 | 612 / 28 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 47 | 71 / 2 | $183.648,00 | 384 / 10 | $29.801,30 | 117 / 10 | $28.802,50 | 117 / 10 |
| Syncope & Collapse | 45 | 124 / 12 | $31.355,10 | 1482 / 41 | $4.893,31 | 697 / 37 | $3.744,18 | 694 / 38 |
| Spinal Fusion Except Cervical W/O Mcc | 44 | 150 / 16 | $90.135,40 | 638 / 17 | $22.259,50 | 337 / 20 | $20.824,90 | 336 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 13 | $24.497,60 | 1379 / 32 | $5.596,11 | 873 / 42 | $4.173,75 | 870 / 36 |
| Major Small & Large Bowel Procedures W Cc | 44 | 64 / 6 | $106.999,00 | 1273 / 27 | $16.886,80 | 83 / 30 | $11.792,90 | 83 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 43 | 88 / 7 | $86.399,00 | 1385 / 29 | $13.284,20 | 439 / 18 | $12.285,30 | 434 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 43 | 83 / 6 | $42.192,50 | 1348 / 28 | $7.336,51 | 610 / 26 | $6.209,77 | 607 / 25 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 43 | 45 / 4 | $128.667,00 | 399 / 12 | $21.575,50 | 136 / 12 | $19.315,30 | 135 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 26 | $47.806,00 | 2132 / 55 | $7.413,00 | 493 / 47 | $5.777,57 | 492 / 39 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 42 | 126 / 9 | $63.149,50 | 1183 / 26 | $11.188,70 | 389 / 24 | $9.060,40 | 388 / 20 |
| Red Blood Cell Disorders W/O Mcc | 40 | 103 / 13 | $26.112,60 | 1320 / 41 | $5.266,77 | 866 / 38 | $4.372,62 | 861 / 43 |
| Cellulitis W/O Mcc | 36 | 153 / 24 | $28.669,90 | 2069 / 57 | $5.963,17 | 645 / 58 | $4.009,00 | 642 / 45 |
| Other Digestive System Diagnoses W Cc | 35 | 62 / 7 | $38.178,40 | 1093 / 22 | $6.924,80 | 352 / 26 | $4.953,11 | 349 / 23 |
| Chest Pain | 35 | 116 / 15 | $17.183,50 | 705 / 20 | $4.139,77 | 827 / 30 | $3.285,14 | 822 / 34 |
| Kidney & Urinary Tract Infections W Mcc | 34 | 110 / 10 | $54.684,10 | 1742 / 36 | $7.409,26 | 925 / 39 | $6.258,44 | 922 / 37 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 34 | 43 / 2 | $59.882,20 | 322 / 5 | $9.392,68 | 107 / 8 | $7.929,09 | 107 / 8 |
| Diabetes W Cc | 33 | 59 / 9 | $30.684,10 | 1198 / 30 | $5.389,00 | 543 / 27 | $4.331,55 | 543 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 14 | $30.399,90 | 983 / 20 | $7.523,58 | 789 / 23 | $6.793,39 | 786 / 29 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 32 | 44 / 5 | $151.413,00 | 362 / 14 | $26.144,30 | 124 / 17 | $23.841,10 | 124 / 17 |
| Pulmonary Edema & Respiratory Failure | 32 | 171 / 20 | $43.177,30 | 1608 / 37 | $7.576,78 | 945 / 34 | $6.861,78 | 945 / 40 |
| G.I. Hemorrhage W Mcc | 30 | 91 / 11 | $42.890,80 | 803 / 17 | $10.860,00 | 395 / 22 | $9.386,30 | 395 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 16 | $27.504,30 | 1001 / 23 | $5.049,55 | 696 / 26 | $3.854,14 | 692 / 27 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 24 | $20.884,10 | 1321 / 53 | $4.754,83 | 1068 / 49 | $3.799,24 | 1059 / 52 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 11 | $184.730,00 | 1195 / 23 | $33.101,30 | 152 / 24 | $26.283,50 | 152 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 21 | $38.284,10 | 1978 / 45 | $7.358,54 | 672 / 46 | $5.370,61 | 670 / 39 |
| Major Cardiovasc Procedures W/O Mcc | 28 | 73 / 11 | $85.109,40 | 437 / 14 | $19.519,10 | 307 / 18 | $18.613,90 | 307 / 20 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 27 | 42 / 3 | $85.039,10 | 441 / 9 | $10.966,60 | 218 / 10 | $9.850,11 | 218 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 17 | $15.202,50 | 868 / 30 | $4.530,52 | 995 / 39 | $3.728,15 | 987 / 42 |
| Other Circulatory System Diagnoses W Mcc | 25 | 91 / 10 | $50.952,40 | 767 / 16 | $10.959,80 | 242 / 12 | $9.760,48 | 242 / 14 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 25 | 39 / 7 | $79.286,80 | 667 / 16 | $9.893,48 | 339 / 15 | $8.783,72 | 339 / 20 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 25 | 68 / 9 | $54.273,70 | 390 / 10 | $12.651,50 | 259 / 13 | $11.339,80 | 254 / 16 |
| Other Circulatory System O.R. Procedures | 24 | 31 / 6 | $86.067,10 | 281 / 9 | $15.085,30 | 64 / 7 | $14.380,00 | 64 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 9 | $31.029,80 | 772 / 14 | $6.676,67 | 716 / 22 | $5.918,00 | 714 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 10 | $55.183,60 | 1221 / 26 | $7.858,83 | 518 / 22 | $6.658,83 | 515 / 26 |
| Other Vascular Procedures W Cc | 23 | 79 / 11 | $65.706,60 | 458 / 12 | $14.827,20 | 313 / 18 | $13.988,20 | 311 / 21 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 22 | 73 / 5 | $73.062,70 | 286 / 9 | $11.908,30 | 67 / 10 | $9.749,00 | 66 / 7 |
| Diabetes W Mcc | 22 | 35 / 7 | $61.728,90 | 648 / 15 | $10.407,50 | 154 / 14 | $7.268,59 | 154 / 10 |
| G.I. Obstruction W Cc | 22 | 70 / 14 | $40.507,50 | 1464 / 27 | $5.681,00 | 907 / 25 | $4.963,91 | 905 / 30 |
| Red Blood Cell Disorders W Mcc | 22 | 49 / 9 | $47.093,70 | 793 / 20 | $8.367,36 | 609 / 21 | $7.821,95 | 606 / 23 |
| Other Circulatory System Diagnoses W Cc | 21 | 45 / 5 | $21.449,00 | 229 / 6 | $6.078,52 | 281 / 9 | $5.459,10 | 280 / 13 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 8 | $184.183,00 | 689 / 15 | $31.695,80 | 13 / 7 | $26.684,80 | 13 / 2 |
| G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 8 | $22.177,40 | 635 / 20 | $4.652,81 | 456 / 24 | $3.674,52 | 452 / 26 |
| Seizures W/O Mcc | 19 | 89 / 15 | $25.739,10 | 798 / 17 | $4.950,84 | 562 / 17 | $4.189,58 | 559 / 22 |
| Carotid Artery Stent Procedure W/O Cc/Mcc | 19 | 13 / 1 | $55.416,50 | 65 / 3 | $10.393,40 | 48 / 5 | $9.568,16 | 48 / 5 |
| Major Chest Procedures W Cc | 19 | 55 / 5 | $103.906,00 | 411 / 11 | $15.090,90 | 106 / 9 | $13.388,50 | 106 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 15 | $51.240,80 | 1168 / 20 | $10.699,40 | 498 / 24 | $8.996,32 | 497 / 19 |
| Peripheral Vascular Disorders W Cc | 18 | 66 / 12 | $31.035,60 | 837 / 23 | $9.170,22 | 115 / 30 | $4.448,22 | 115 / 15 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 9 | $144.002,00 | 523 / 13 | $28.159,00 | 143 / 12 | $27.067,90 | 143 / 14 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 12 | $25.013,90 | 649 / 22 | $4.382,59 | 300 / 24 | $3.331,76 | 299 / 24 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 14 | $180.738,00 | 971 / 21 | $29.211,20 | 157 / 16 | $25.959,40 | 157 / 6 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 10 | $52.151,10 | 739 / 20 | $8.063,81 | 233 / 11 | $7.421,81 | 232 / 16 |
| Cellulitis W Mcc | 16 | 42 / 5 | $43.235,80 | 657 / 14 | $8.552,00 | 161 / 8 | $7.279,94 | 161 / 11 |
| Major Chest Procedures W Mcc | 16 | 33 / 5 | $181.493,00 | 254 / 8 | $28.959,60 | 25 / 5 | $24.237,90 | 25 / 4 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 7 | $224.047,00 | 665 / 14 | $32.900,10 | 56 / 15 | $24.075,20 | 56 / 5 |
| Nonspecific Cerebrovascular Disorders W Mcc | 16 | 35 / 4 | $47.859,20 | 247 / 5 | $9.966,25 | 49 / 7 | $8.278,88 | 49 / 6 |
| Other Resp System O.R. Procedures W Mcc | 16 | 47 / 9 | $120.986,00 | 423 / 9 | $19.623,90 | 83 / 2 | $18.795,90 | 83 / 3 |
| Hypertension W/O Mcc | 15 | 50 / 9 | $23.717,00 | 506 / 16 | $4.230,27 | 309 / 13 | $3.182,80 | 307 / 14 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 11 | $47.702,50 | 751 / 13 | $5.820,67 | 262 / 10 | $5.176,40 | 262 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 9 | $69.580,40 | 951 / 16 | $9.269,40 | 228 / 9 | $8.096,07 | 228 / 11 |
| Medical Back Problems W/O Mcc | 15 | 106 / 20 | $31.162,20 | 1053 / 20 | $6.739,73 | 345 / 27 | $4.028,73 | 345 / 18 |
| Other Vascular Procedures W Mcc | 15 | 82 / 14 | $124.391,00 | 759 / 20 | $20.720,10 | 433 / 20 | $19.999,00 | 431 / 20 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 17 | $120.445,00 | 672 / 12 | $18.541,70 | 269 / 13 | $17.677,70 | 267 / 16 |
| Organic Disturbances & Mental Retardation | 14 | 45 / 9 | $31.065,20 | 358 / 13 | $6.092,50 | 130 / 9 | $5.233,07 | 130 / 12 |
| Seizures W Mcc | 14 | 52 / 9 | $60.829,90 | 581 / 13 | $9.227,21 | 166 / 10 | $8.189,50 | 166 / 10 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 13 | $29.671,70 | 826 / 21 | $7.222,07 | 438 / 27 | $5.076,71 | 437 / 24 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 23 | $60.542,50 | 1272 / 26 | $11.852,20 | 815 / 25 | $11.161,90 | 805 / 28 |
| Major Cardiovasc Procedures W Mcc | 14 | 54 / 9 | $173.183,00 | 438 / 13 | $29.461,60 | 77 / 9 | $27.294,80 | 77 / 8 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 14 | 18 / 6 | $70.406,60 | 109 / 7 | $14.067,30 | 48 / 7 | $13.379,30 | 48 / 7 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 13 | $60.904,40 | 361 / 8 | $15.686,60 | 385 / 17 | $15.080,90 | 384 / 19 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 13 | 68 / 7 | $458.126,00 | 237 / 7 | $89.130,30 | 67 / 5 | $86.281,50 | 67 / 3 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 8 | $383.341,00 | 417 / 9 | $64.335,10 | 259 / 9 | $62.986,20 | 259 / 12 |
| Acute Myocardial Infarction, Expired W Mcc | 13 | 17 / 3 | $60.691,10 | 134 / 4 | $10.207,60 | 32 / 3 | $9.092,54 | 32 / 4 |
| Disorders Of The Biliary Tract W Cc | 13 | 41 / 5 | $35.460,50 | 277 / 6 | $6.626,69 | 144 / 5 | $5.787,31 | 144 / 6 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 11 | $19.030,20 | 523 / 13 | $4.543,85 | 381 / 15 | $3.268,08 | 380 / 14 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 12 | 18 / 3 | $53.648,10 | 107 / 2 | $10.663,80 | 33 / 1 | $9.858,42 | 33 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 11 | $78.909,10 | 725 / 18 | $10.009,20 | 412 / 20 | $9.099,83 | 412 / 21 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 29 | $60.747,90 | 1371 / 25 | $11.631,80 | 864 / 30 | $10.722,50 | 853 / 31 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 16 | $28.291,10 | 1086 / 21 | $4.152,25 | 755 / 15 | $3.354,92 | 752 / 23 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 18 | $26.348,80 | 939 / 26 | $4.626,00 | 636 / 22 | $3.922,00 | 635 / 27 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 9 | $33.143,20 | 250 / 8 | $7.420,67 | 134 / 8 | $6.508,67 | 134 / 10 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 8 | $63.233,60 | 303 / 9 | $7.459,83 | 98 / 6 | $5.989,17 | 98 / 5 |
| Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 13 | $29.011,80 | 294 / 17 | $5.887,08 | 107 / 20 | $2.986,17 | 107 / 14 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 16 | $42.610,40 | 929 / 26 | $5.624,67 | 472 / 19 | $4.723,33 | 468 / 27 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 11 | $59.514,40 | 454 / 13 | $9.474,08 | 79 / 8 | $8.666,08 | 79 / 10 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 11 | $65.973,90 | 416 / 9 | $9.784,36 | 116 / 9 | $8.596,55 | 115 / 11 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 10 | $47.440,40 | 397 / 11 | $7.612,00 | 46 / 9 | $5.267,91 | 46 / 7 |
| Extracranial Procedures W Cc | 11 | 35 / 7 | $55.122,90 | 263 / 9 | $9.681,36 | 164 / 9 | $8.799,91 | 164 / 9 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 17 | $74.889,20 | 630 / 17 | $13.321,60 | 400 / 16 | $12.120,20 | 399 / 17 |
| Other Resp System O.R. Procedures W Cc | 11 | 36 / 6 | $64.025,00 | 229 / 5 | $12.204,70 | 55 / 5 | $10.012,00 | 55 / 4 |
| Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 7 | $181.806,00 | 198 / 6 | $35.496,30 | 2 / 4 | $27.345,70 | 2 / 1 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 11 | 23 / 7 | $123.367,00 | 116 / 7 | $23.997,70 | 9 / 6 | $19.944,80 | 9 / 2 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 11 | 44 / 3 | $118.694,00 | 173 / 5 | $15.467,70 | 6 / 3 | $13.828,80 | 6 / 2 | Total 111 procedures | 3.545 | 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.