Hospital Costs > In New Hampshire > Catholic Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 213 | 351 / 5 | $68.326,50 | 1949 / 11 | $14.988,80 | 1311 / 8 | $11.617,60 | 1279 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 162 | 354 / 4 | $32.785,70 | 927 / 7 | $11.525,10 | 1396 / 2 | $10.840,10 | 1369 / 5 |
| Heart Failure & Shock W Mcc | 139 | 145 / 1 | $27.162,00 | 913 / 5 | $9.293,63 | 1140 / 3 | $8.488,60 | 1137 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 137 | 66 / 1 | $18.824,50 | 630 / 3 | $7.560,71 | 837 / 3 | $6.084,99 | 832 / 4 |
| Heart Failure & Shock W Cc | 131 | 147 / 2 | $19.672,80 | 1142 / 6 | $6.146,63 | 1116 / 1 | $5.382,82 | 1114 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 104 | 171 / 3 | $15.555,10 | 821 / 3 | $4.941,26 | 962 / 2 | $3.736,95 | 954 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 100 | 105 / 2 | $24.587,50 | 677 / 5 | $8.742,12 | 1098 / 1 | $7.983,24 | 1098 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 79 | 117 / 2 | $70.632,30 | 698 / 5 | $15.249,60 | 695 / 6 | $11.208,40 | 691 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 76 | 85 / 1 | $17.049,50 | 751 / 7 | $5.089,12 | 662 / 2 | $3.973,61 | 659 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 74 | 114 / 2 | $30.267,20 | 530 / 4 | $6.924,11 | 735 / 3 | $5.788,35 | 733 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 72 | 161 / 1 | $15.235,30 | 972 / 3 | $4.759,14 | 768 / 2 | $3.804,92 | 763 / 3 |
| G.I. Hemorrhage W Cc | 72 | 146 / 3 | $20.997,00 | 835 / 6 | $6.275,61 | 999 / 2 | $5.361,83 | 997 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 71 | 79 / 1 | $13.180,90 | 744 / 6 | $3.803,34 | 726 / 5 | $2.614,32 | 722 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 69 | 134 / 2 | $15.787,90 | 658 / 3 | $6.079,46 | 1007 / 1 | $5.085,59 | 1004 / 3 |
| Cellulitis W/O Mcc | 65 | 124 / 2 | $14.632,30 | 814 / 4 | $5.307,83 | 946 / 1 | $4.236,43 | 940 / 3 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 65 | 55 / 2 | $173.552,00 | 354 / 3 | $38.857,70 | 307 / 3 | $33.902,50 | 307 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 64 | 61 / 2 | $33.092,40 | 554 / 6 | $10.764,00 | 765 / 2 | $9.638,75 | 764 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 61 | 62 / 2 | $23.071,40 | 531 / 5 | $7.640,87 | 839 / 1 | $6.869,72 | 836 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 59 | 107 / 2 | $13.092,70 | 698 / 2 | $4.423,53 | 700 / 4 | $3.450,80 | 698 / 2 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 56 | 34 / 1 | $130.103,00 | 404 / 3 | $24.973,70 | 394 / 1 | $23.562,90 | 393 / 3 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 55 | 61 / 1 | $269.570,00 | 351 / 3 | $63.941,80 | 379 / 2 | $61.464,70 | 379 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 55 | 124 / 2 | $16.034,20 | 610 / 3 | $6.284,29 | 871 / 5 | $4.851,78 | 868 / 5 |
| Other Vascular Procedures W Cc | 53 | 50 / 2 | $74.685,60 | 587 / 4 | $16.472,20 | 625 / 3 | $15.696,40 | 622 / 3 |
| Syncope & Collapse | 51 | 118 / 1 | $17.899,30 | 668 / 3 | $4.582,22 | 583 / 1 | $3.634,76 | 580 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 47 | 51 / 2 | $27.000,80 | 340 / 3 | $6.619,30 | 433 / 1 | $5.566,02 | 432 / 3 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 47 | 48 / 1 | $85.961,30 | 382 / 2 | $14.143,10 | 303 / 1 | $11.922,70 | 300 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 7 | $23.199,80 | 1092 / 6 | $6.602,55 | 1013 / 1 | $5.674,55 | 1010 / 3 |
| Pulmonary Edema & Respiratory Failure | 46 | 157 / 5 | $23.529,10 | 630 / 5 | $7.943,39 | 854 / 3 | $6.770,00 | 854 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 2 | $13.411,70 | 649 / 4 | $4.281,34 | 439 / 2 | $3.247,98 | 437 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 40 | 154 / 3 | $167.242,00 | 1185 / 8 | $32.522,70 | 1218 / 6 | $31.343,50 | 1213 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 39 | 52 / 2 | $21.716,50 | 366 / 5 | $6.956,00 | 605 / 3 | $5.668,62 | 604 / 5 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 39 | 30 / 2 | $61.119,10 | 276 / 2 | $12.025,50 | 251 / 1 | $10.076,80 | 251 / 1 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 38 | 15 / 1 | $18.289,10 | 240 / 1 | $4.943,92 | 222 / 3 | $3.637,18 | 221 / 1 |
| Respiratory Infections & Inflammations W Mcc | 38 | 98 / 1 | $31.757,40 | 453 / 6 | $12.140,90 | 954 / 5 | $11.566,60 | 944 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 35 | 58 / 1 | $13.699,60 | 579 / 4 | $4.398,77 | 679 / 1 | $3.397,63 | 676 / 1 |
| Medical Back Problems W/O Mcc | 34 | 87 / 4 | $16.254,70 | 293 / 3 | $5.226,47 | 479 / 2 | $4.195,88 | 479 / 3 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 34 | 42 / 1 | $151.226,00 | 360 / 2 | $31.109,40 | 435 / 1 | $30.010,00 | 435 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 5 | $23.199,10 | 675 / 6 | $6.640,76 | 831 / 2 | $5.585,73 | 829 / 4 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 3 | $14.292,80 | 699 / 5 | $4.433,03 | 734 / 1 | $3.519,58 | 731 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 33 | 44 / 2 | $69.722,30 | 484 / 5 | $16.764,50 | 472 / 1 | $15.698,80 | 471 / 2 |
| Signs & Symptoms W/O Mcc | 32 | 59 / 3 | $14.575,40 | 303 / 3 | $4.780,38 | 305 / 4 | $3.391,09 | 304 / 3 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 32 | 25 / 2 | $58.557,30 | 381 / 3 | $13.591,30 | 391 / 1 | $12.608,30 | 390 / 2 |
| G.I. Hemorrhage W Mcc | 31 | 90 / 2 | $38.654,10 | 646 / 5 | $10.908,10 | 659 / 3 | $10.090,50 | 660 / 3 |
| Renal Failure W Cc | 30 | 191 / 10 | $16.478,00 | 611 / 3 | $5.953,47 | 1206 / 1 | $5.389,20 | 1198 / 6 |
| Chest Pain | 29 | 122 / 4 | $19.436,40 | 880 / 5 | $3.803,93 | 453 / 1 | $2.883,66 | 451 / 4 |
| Renal Failure W Mcc | 28 | 167 / 6 | $33.799,00 | 991 / 6 | $9.792,14 | 979 / 2 | $8.884,71 | 979 / 3 |
| Transient Ischemia | 28 | 97 / 1 | $19.866,70 | 660 / 6 | $4.296,14 | 433 / 2 | $3.299,57 | 432 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 1 | $23.535,50 | 369 / 5 | $7.534,07 | 475 / 2 | $6.573,50 | 472 / 2 |
| Other Vascular Procedures W Mcc | 28 | 69 / 1 | $89.953,30 | 490 / 3 | $20.188,70 | 365 / 1 | $19.365,80 | 363 / 2 |
| G.I. Obstruction W Cc | 28 | 64 / 2 | $17.131,50 | 440 / 5 | $5.609,21 | 635 / 4 | $4.617,21 | 634 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 9 | $44.450,70 | 821 / 6 | $12.405,40 | 1128 / 4 | $11.381,40 | 1114 / 5 |
| Major Cardiovasc Procedures W/O Mcc | 26 | 75 / 2 | $97.261,50 | 557 / 8 | $21.664,30 | 534 / 1 | $20.642,70 | 534 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 2 | $57.158,10 | 841 / 9 | $15.090,10 | 778 / 5 | $13.237,20 | 770 / 4 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 26 | 47 / 2 | $42.793,80 | 201 / 2 | $9.244,12 | 117 / 1 | $6.170,04 | 117 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 25 | 68 / 2 | $56.180,10 | 415 / 3 | $13.335,90 | 486 / 1 | $12.809,80 | 480 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 2 | $124.943,00 | 610 / 6 | $39.242,20 | 1010 / 5 | $37.898,20 | 1008 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 4 | $19.923,70 | 565 / 6 | $4.687,20 | 531 / 2 | $3.668,32 | 527 / 4 |
| Other Circulatory System Diagnoses W Mcc | 25 | 91 / 2 | $36.750,60 | 392 / 4 | $11.214,40 | 536 / 2 | $10.879,00 | 534 / 4 |
| Other Vascular Procedures W/O Cc/Mcc | 24 | 32 / 2 | $48.335,00 | 273 / 3 | $11.982,70 | 237 / 3 | $9.354,62 | 236 / 1 |
| Coronary Bypass W Cardiac Cath W Mcc | 23 | 33 / 1 | $207.392,00 | 250 / 2 | $50.920,50 | 310 / 1 | $49.865,90 | 310 / 1 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 23 | 101 / 2 | $17.545,60 | 430 / 4 | $4.314,83 | 179 / 2 | $3.471,70 | 179 / 3 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 22 | 39 / 1 | $14.711,10 | 288 / 3 | $3.998,23 | 243 / 2 | $3.215,32 | 242 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 6 | $34.427,10 | 504 / 7 | $10.479,20 | 539 / 4 | $9.443,00 | 538 / 3 |
| Major Chest Procedures W Cc | 20 | 54 / 3 | $66.710,60 | 244 / 3 | $16.333,20 | 245 / 1 | $15.123,50 | 243 / 1 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 20 | 39 / 1 | $210.762,00 | 176 / 2 | $46.942,70 | 199 / 2 | $46.337,90 | 198 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 1 | $40.315,10 | 271 / 3 | $10.457,30 | 489 / 1 | $9.504,05 | 487 / 1 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 2 | $17.225,40 | 267 / 3 | $4.733,84 | 292 / 2 | $3.866,42 | 292 / 4 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 3 | $20.514,70 | 410 / 5 | $6.136,47 | 497 / 2 | $5.183,21 | 495 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 18 | 43 / 4 | $17.363,70 | 199 / 5 | $6.023,00 | 248 / 2 | $4.605,22 | 247 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 5 | $135.287,00 | 884 / 4 | $34.560,40 | 898 / 2 | $33.893,80 | 892 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 2 | $21.507,30 | 489 / 3 | $7.033,33 | 583 / 3 | $6.160,44 | 580 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 5 | $14.633,40 | 106 / 1 | $6.666,41 | 313 / 2 | $6.169,47 | 312 / 2 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 17 | 33 / 1 | $146.906,00 | 128 / 1 | $37.890,40 | 117 / 1 | $33.654,20 | 117 / 1 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 2 | $145.947,00 | 493 / 2 | $39.616,70 | 601 / 2 | $38.572,50 | 600 / 2 |
| Peripheral Vascular Disorders W Mcc | 17 | 32 / 1 | $22.753,80 | 87 / 2 | $8.169,59 | 146 / 1 | $7.320,59 | 146 / 1 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 5 | $18.721,20 | 781 / 3 | $4.987,12 | 782 / 1 | $4.275,59 | 777 / 3 |
| Dysequilibrium | 17 | 48 / 1 | $17.910,40 | 197 / 1 | $3.916,59 | 136 / 2 | $2.926,47 | 136 / 2 |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 5 | $15.509,50 | 116 / 1 | $8.318,88 | 605 / 2 | $7.564,88 | 602 / 4 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 9 | $28.971,10 | 1134 / 9 | $7.384,81 | 1143 / 8 | $6.647,88 | 1139 / 11 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 3 | $25.741,80 | 235 / 2 | $9.584,06 | 302 / 3 | $7.670,94 | 301 / 1 |
| Seizures W/O Mcc | 16 | 92 / 3 | $16.289,20 | 323 / 4 | $4.732,19 | 295 / 1 | $3.748,19 | 294 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 16 | 38 / 1 | $109.119,00 | 159 / 2 | $20.825,50 | 137 / 1 | $20.527,50 | 137 / 1 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 15 | 62 / 2 | $49.975,40 | 262 / 2 | $16.435,10 | 9 / 2 | $6.425,47 | 9 / 1 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 2 | $17.002,80 | 139 / 1 | $5.560,33 | 202 / 1 | $4.672,87 | 202 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 15 | 54 / 2 | $244.764,00 | 130 / 2 | $61.965,80 | 137 / 1 | $61.157,10 | 137 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 2 | $20.115,30 | 385 / 4 | $5.493,27 | 456 / 1 | $4.689,00 | 452 / 2 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 7 | $60.486,80 | 649 / 5 | $15.796,20 | 840 / 2 | $14.910,90 | 832 / 4 |
| Atherosclerosis W/O Mcc | 14 | 44 / 1 | $14.714,40 | 161 / 1 | $3.831,79 | / 1 | $2.878,64 | / |
| Hypertension W/O Mcc | 14 | 51 / 1 | $16.847,90 | 293 / 2 | $3.921,43 | 154 / 2 | $2.794,57 | 153 / 2 |
| Diabetes W Cc | 14 | 78 / 5 | $14.263,80 | 289 / 2 | $5.228,86 | 574 / 1 | $4.360,29 | 574 / 4 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 8 | $17.818,90 | 275 / 3 | $6.400,36 | 274 / 5 | $4.813,00 | 271 / 1 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 2 | $16.505,50 | 404 / 2 | $4.401,38 | 310 / 1 | $3.379,85 | 307 / 1 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 5 | $15.668,50 | 208 / 1 | $6.116,00 | 518 / 1 | $5.372,62 | 516 / 1 |
| Major Chest Procedures W/O Cc/Mcc | 13 | 46 / 3 | $56.860,10 | 156 / 3 | $11.338,10 | 86 / 1 | $10.139,30 | 86 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 5 | $84.229,90 | 326 / 2 | $19.903,50 | 415 / 1 | $18.882,00 | 412 / 1 |
| Signs & Symptoms W Mcc | 13 | 28 / 2 | $23.945,10 | 94 / 1 | $6.838,38 | 46 / 1 | $6.001,46 | 46 / 1 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 3 | $102.139,00 | 126 / 1 | $32.630,60 | 257 / 1 | $31.827,90 | 257 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 5 | $81.307,70 | 676 / 5 | $15.343,60 | 653 / 2 | $14.239,60 | 650 / 4 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 4 | $18.695,80 | 184 / 2 | $5.919,00 | 211 / 1 | $5.012,33 | 211 / 1 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 3 | $99.341,20 | 323 / 3 | $23.549,80 | 307 / 2 | $22.744,50 | 307 / 2 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 12 | 33 / 2 | $96.363,80 | 155 / 2 | $21.066,40 | 183 / 1 | $20.055,80 | 182 / 1 |
| Extracranial Procedures W Cc | 12 | 34 / 2 | $44.761,10 | 200 / 3 | $10.595,40 | 223 / 1 | $9.486,08 | 223 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 1 | $34.785,40 | 233 / 2 | $8.619,83 | 160 / 2 | $5.990,50 | 160 / 1 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 1 | $21.849,00 | 205 / 1 | $7.901,36 | 368 / 1 | $7.019,91 | 366 / 1 |
| Seizures W Mcc | 11 | 55 / 2 | $41.821,00 | 383 / 2 | $9.610,00 | 279 / 2 | $8.731,45 | 279 / 2 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 6 | $27.617,70 | 246 / 3 | $6.908,91 | 327 / 1 | $5.698,73 | 326 / 2 |
| Acute Myocardial Infarction, Expired W Mcc | 11 | 19 / 2 | $55.291,30 | 126 / 2 | $13.096,80 | 133 / 1 | $12.439,40 | 133 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 11 | 35 / 2 | $202.789,00 | 88 / 2 | $43.747,30 | 75 / 1 | $42.766,80 | 75 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 11 | 18 / 2 | $15.807,10 | 31 / 2 | $5.057,91 | 61 / 1 | $4.508,09 | 61 / 2 |
| Vaginal Delivery W/O Complicating Diagnoses | 11 | 14 / 1 | $8.160,27 | 9 / 1 | $3.578,27 | 4 / 1 | $2.478,64 | 4 / 1 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 5 | $50.690,30 | 172 / 3 | $18.070,50 | 413 / 2 | $17.407,30 | 410 / 3 | Total 111 procedures | 4.022 | 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.