Hospital Costs > In Arizona > Chandler Regional Medical Center, 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 | 292 | 226 / 3 | $69.161,40 | 2270 / 39 | $12.679,60 | 1663 / 20 | $11.356,60 | 1631 / 22 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 153 | 411 / 23 | $91.653,40 | 2383 / 45 | $13.755,20 | 1471 / 15 | $11.978,30 | 1438 / 21 |
| Simple Pneumonia & Pleurisy W Mcc | 101 | 104 / 3 | $51.822,20 | 1957 / 36 | $10.533,10 | 1434 / 25 | $8.572,26 | 1434 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 96 | 111 / 5 | $39.105,50 | 2006 / 36 | $7.946,75 | 1697 / 22 | $6.568,83 | 1690 / 24 |
| Heart Failure & Shock W Mcc | 78 | 206 / 9 | $48.565,10 | 1952 / 30 | $10.391,30 | 1670 / 21 | $9.411,36 | 1665 / 23 |
| G.I. Hemorrhage W Cc | 70 | 148 / 8 | $45.822,30 | 2084 / 34 | $7.547,90 | 1804 / 20 | $6.651,46 | 1800 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 68 | 207 / 20 | $32.827,20 | 2273 / 40 | $6.112,01 | 1653 / 23 | $4.284,09 | 1640 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 68 | 135 / 10 | $33.959,60 | 2142 / 38 | $7.189,35 | 1823 / 23 | $5.881,50 | 1815 / 23 |
| Cellulitis W/O Mcc | 66 | 123 / 9 | $32.390,60 | 2216 / 43 | $6.298,55 | 1919 / 20 | $5.382,18 | 1911 / 22 |
| Pulmonary Edema & Respiratory Failure | 65 | 138 / 8 | $50.287,80 | 1765 / 35 | $9.012,38 | 1420 / 17 | $7.641,40 | 1416 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 13 | $32.120,20 | 2285 / 43 | $6.061,93 | 1794 / 21 | $4.682,21 | 1783 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 8 | $39.783,70 | 1913 / 31 | $8.525,07 | 1645 / 23 | $7.081,94 | 1637 / 24 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 51 | 73 / 4 | $160.598,00 | 1082 / 23 | $31.908,40 | 491 / 7 | $29.426,50 | 487 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 50 | 132 / 11 | $39.370,00 | 1498 / 26 | $7.450,92 | 1369 / 17 | $6.509,48 | 1366 / 21 |
| Heart Failure & Shock W Cc | 50 | 228 / 14 | $39.144,50 | 2299 / 41 | $7.268,38 | 2006 / 22 | $6.545,82 | 2001 / 26 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 49 | 147 / 11 | $105.342,00 | 1213 / 31 | $14.719,90 | 1045 / 18 | $12.813,20 | 1038 / 27 |
| Renal Failure W Mcc | 49 | 146 / 7 | $52.221,50 | 1630 / 27 | $10.593,00 | 1442 / 14 | $10.074,50 | 1442 / 21 |
| Renal Failure W Cc | 49 | 172 / 10 | $32.733,40 | 1823 / 31 | $6.904,82 | 1617 / 17 | $5.965,06 | 1608 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 45 | 121 / 12 | $32.322,30 | 2206 / 36 | $5.621,62 | 1864 / 22 | $4.588,87 | 1858 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 8 | $26.132,70 | 1659 / 36 | $4.770,43 | 1452 / 23 | $3.408,11 | 1446 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 7 | $34.959,40 | 1801 / 37 | $6.134,05 | 1509 / 23 | $4.999,32 | 1504 / 24 |
| Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 13 | $87.834,30 | 1795 / 37 | $13.077,40 | 1280 / 17 | $11.912,20 | 1263 / 20 |
| Other Circulatory System Diagnoses W Mcc | 40 | 76 / 5 | $73.883,80 | 1092 / 24 | $12.719,20 | 781 / 16 | $11.976,90 | 777 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 12 | $55.095,20 | 1047 / 19 | $11.356,00 | 625 / 11 | $9.687,38 | 624 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 38 | 63 / 7 | $54.305,60 | 828 / 21 | $10.797,20 | 677 / 11 | $10.025,40 | 675 / 14 |
| Medical Back Problems W/O Mcc | 36 | 85 / 9 | $42.448,30 | 1302 / 26 | $6.314,19 | 945 / 14 | $5.076,97 | 942 / 17 |
| Respiratory Infections & Inflammations W Mcc | 35 | 101 / 9 | $62.959,70 | 1318 / 19 | $12.982,90 | 913 / 14 | $11.429,70 | 903 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 33 | 93 / 11 | $36.727,70 | 1219 / 27 | $7.950,52 | 1080 / 14 | $7.291,12 | 1077 / 16 |
| Spinal Fusion Except Cervical W/O Mcc | 33 | 161 / 18 | $168.454,00 | 1189 / 24 | $28.457,20 | 771 / 18 | $23.855,20 | 767 / 17 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 5 | $67.735,00 | 1430 / 28 | $12.090,40 | 1108 / 17 | $10.701,20 | 1103 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 32 | 70 / 8 | $33.452,10 | 1200 / 22 | $5.822,56 | 1222 / 16 | $4.914,56 | 1218 / 22 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 31 | 157 / 10 | $53.253,60 | 1278 / 30 | $8.138,39 | 1125 / 19 | $6.772,87 | 1122 / 19 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 31 | 28 / 1 | $264.015,00 | 210 / 3 | $37.550,60 | 133 / 3 | $36.928,10 | 132 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 8 | $39.168,90 | 1482 / 25 | $8.090,61 | 1377 / 17 | $7.234,87 | 1373 / 18 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 31 | 42 / 7 | $44.638,50 | 889 / 24 | $8.209,03 | 766 / 16 | $7.585,55 | 764 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 9 | $50.727,90 | 1542 / 28 | $8.972,65 | 1139 / 20 | $7.451,97 | 1136 / 18 |
| Pulmonary Embolism W/O Mcc | 28 | 46 / 7 | $37.206,00 | 1007 / 28 | $7.322,46 | 952 / 17 | $6.331,61 | 949 / 23 |
| Other Disorders Of Nervous System W Mcc | 28 | 12 / 1 | $47.909,40 | 194 / 4 | $10.325,90 | 135 / 2 | $9.756,21 | 135 / 3 |
| Red Blood Cell Disorders W/O Mcc | 27 | 116 / 9 | $33.765,80 | 1635 / 26 | $6.288,93 | 1360 / 18 | $5.109,67 | 1351 / 20 |
| G.I. Hemorrhage W Mcc | 27 | 94 / 10 | $68.014,00 | 1313 / 26 | $12.365,60 | 867 / 16 | $10.725,70 | 862 / 15 |
| G.I. Obstruction W Cc | 26 | 66 / 11 | $33.208,30 | 1301 / 28 | $6.780,04 | 1111 / 21 | $5.313,62 | 1108 / 19 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 9 | $83.186,80 | 1343 / 23 | $15.535,00 | 998 / 16 | $14.097,80 | 988 / 14 |
| Other Disorders Of Nervous System W Cc | 26 | 30 / 2 | $42.772,70 | 511 / 12 | $6.617,04 | 398 / 9 | $5.825,65 | 398 / 10 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 5 | $130.162,00 | 728 / 20 | $20.894,40 | 538 / 8 | $20.041,00 | 534 / 16 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 24 | 49 / 4 | $68.539,90 | 318 / 6 | $10.555,50 | 218 / 6 | $7.324,00 | 218 / 7 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 23 | 40 / 3 | $160.163,00 | 516 / 14 | $28.562,60 | 225 / 2 | $27.639,50 | 225 / 5 |
| Hip & Femur Procedures Except Major Joint W Mcc | 23 | 39 / 4 | $115.211,00 | 771 / 19 | $19.076,00 | 486 / 10 | $18.131,30 | 483 / 13 |
| Peripheral Vascular Disorders W Mcc | 23 | 26 / 1 | $50.242,20 | 432 / 11 | $9.522,70 | 337 / 7 | $8.731,04 | 337 / 8 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 9 | $38.673,80 | 1105 / 25 | $7.703,45 | 785 / 21 | $5.749,95 | 781 / 15 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 17 | $39.488,20 | 2058 / 33 | $7.108,05 | 1556 / 21 | $5.604,41 | 1550 / 19 |
| Permanent Cardiac Pacemaker Implant W Cc | 22 | 55 / 5 | $79.497,70 | 617 / 13 | $17.390,60 | 557 / 11 | $16.352,00 | 556 / 13 |
| Red Blood Cell Disorders W Mcc | 22 | 49 / 1 | $50.762,40 | 847 / 10 | $8.920,77 | 685 / 4 | $8.258,95 | 681 / 6 |
| Cellulitis W Mcc | 21 | 37 / 5 | $41.874,50 | 632 / 10 | $10.278,30 | 633 / 8 | $9.540,43 | 631 / 10 |
| Pulmonary Embolism W Mcc | 21 | 22 / 3 | $49.675,20 | 416 / 7 | $10.248,20 | 362 / 7 | $9.384,24 | 362 / 8 |
| G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 8 | $27.524,90 | 1071 / 25 | $4.947,10 | 966 / 16 | $3.856,05 | 963 / 21 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 20 | 56 / 4 | $267.655,00 | 567 / 11 | $31.529,80 | 448 / 4 | $30.382,70 | 448 / 7 |
| Peripheral Vascular Disorders W Cc | 20 | 64 / 10 | $29.506,90 | 790 / 18 | $7.376,35 | 760 / 15 | $6.050,25 | 757 / 15 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 6 | $50.060,50 | 709 / 18 | $9.486,50 | 542 / 9 | $8.700,90 | 540 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 11 | $46.742,10 | 1097 / 23 | $8.638,89 | 853 / 15 | $7.598,26 | 848 / 16 |
| Transurethral Procedures W Cc | 19 | 22 / 4 | $44.607,00 | 253 / 7 | $9.266,74 | 228 / 9 | $7.567,42 | 228 / 7 |
| Seizures W Mcc | 19 | 47 / 5 | $58.736,00 | 557 / 9 | $10.793,90 | 350 / 5 | $9.205,16 | 350 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 8 | $75.862,90 | 704 / 21 | $11.706,30 | 515 / 14 | $9.657,28 | 513 / 14 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 18 | 48 / 5 | $43.428,10 | 378 / 9 | $8.765,89 | 260 / 6 | $6.611,00 | 260 / 4 |
| Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 4 | $36.254,40 | 835 / 17 | $6.721,39 | 635 / 12 | $5.201,56 | 631 / 9 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 18 | 37 / 3 | $86.557,60 | 539 / 13 | $17.569,30 | 190 / 13 | $10.459,50 | 190 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 12 | $31.063,10 | 1738 / 19 | $5.404,28 | 1373 / 14 | $4.200,72 | 1362 / 14 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 17 | $27.971,50 | 1556 / 25 | $5.535,50 | 1506 / 15 | $4.459,94 | 1498 / 18 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 13 | $180.539,00 | 969 / 18 | $32.528,50 | 438 / 8 | $28.979,50 | 436 / 10 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 17 | 52 / 2 | $85.416,10 | 443 / 5 | $12.489,80 | 402 / 3 | $11.424,40 | 400 / 5 |
| Complications Of Treatment W Mcc | 16 | 35 / 4 | $70.443,60 | 238 / 9 | $12.690,40 | 170 / 5 | $12.086,40 | 170 / 8 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 7 | $46.962,80 | 846 / 20 | $6.807,56 | 695 / 11 | $6.127,56 | 692 / 16 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 16 | 24 / 4 | $109.202,00 | 377 / 11 | $16.969,10 | 214 / 6 | $14.644,20 | 213 / 5 |
| Pleural Effusion W Mcc | 16 | 14 / 3 | $51.315,10 | 134 / 6 | $10.468,10 | 119 / 4 | $9.788,06 | 119 / 4 |
| Syncope & Collapse | 16 | 153 / 19 | $30.219,80 | 1441 / 21 | $5.670,38 | 1395 / 20 | $4.838,38 | 1388 / 25 |
| Transient Ischemia | 16 | 109 / 17 | $33.363,20 | 1289 / 23 | $5.826,19 | 1093 / 21 | $4.230,94 | 1088 / 18 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 16 | 72 / 9 | $234.763,00 | 564 / 13 | $31.923,80 | 399 / 12 | $23.691,20 | 398 / 7 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 16 | 102 / 9 | $255.641,00 | 478 / 15 | $33.396,60 | 265 / 4 | $32.494,60 | 265 / 7 |
| Seizures W/O Mcc | 15 | 93 / 12 | $32.591,90 | 1014 / 15 | $5.808,07 | 926 / 10 | $5.163,80 | 923 / 12 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 15 | 21 / 4 | $66.182,30 | 197 / 6 | $19.522,80 | 23 / 7 | $11.675,30 | 23 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 15 | 30 / 1 | $129.316,00 | 219 / 3 | $20.540,10 | 165 / 1 | $19.578,00 | 164 / 2 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 20 | $113.121,00 | 1310 / 26 | $16.380,70 | 901 / 12 | $15.250,00 | 893 / 19 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 14 | 102 / 10 | $298.548,00 | 385 / 13 | $47.384,40 | 137 / 5 | $46.525,00 | 137 / 6 |
| Endocrine Disorders W Cc | 14 | 24 / 1 | $41.025,70 | 240 / 6 | $7.289,14 | 164 / 2 | $6.429,71 | 164 / 3 |
| Permanent Cardiac Pacemaker Implant W Mcc | 14 | 38 / 4 | $136.202,00 | 476 / 8 | $23.074,30 | 269 / 6 | $22.130,30 | 269 / 6 |
| Other Vascular Procedures W Mcc | 14 | 83 / 9 | $100.149,00 | 603 / 12 | $30.804,60 | 287 / 15 | $18.594,10 | 286 / 6 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 9 | $76.684,10 | 557 / 12 | $15.046,00 | 365 / 12 | $12.431,10 | 364 / 11 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 14 | 40 / 4 | $26.879,20 | 239 / 6 | $7.290,21 | 261 / 8 | $6.428,50 | 261 / 10 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 10 | $101.528,00 | 774 / 16 | $15.090,20 | 625 / 11 | $13.878,80 | 622 / 14 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 8 | $64.416,70 | 749 / 14 | $11.132,50 | 632 / 10 | $10.021,60 | 630 / 11 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 13 | $68.179,20 | 866 / 17 | $7.669,64 | 702 / 12 | $6.545,07 | 699 / 15 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 9 | $22.456,60 | 593 / 9 | $5.382,86 | 633 / 11 | $4.345,14 | 633 / 11 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 13 | 85 / 10 | $220.917,00 | 452 / 11 | $32.199,70 | 344 / 6 | $31.453,80 | 344 / 7 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 5 | $32.451,50 | 451 / 6 | $7.662,69 | 317 / 5 | $5.614,92 | 316 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 7 | $40.540,70 | 309 / 6 | $12.617,10 | 362 / 7 | $11.873,70 | 361 / 10 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 12 | $52.226,20 | 1175 / 19 | $10.147,50 | 1155 / 15 | $9.401,77 | 1150 / 17 |
| Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 3 | $280.063,00 | 350 / 6 | $44.314,10 | 221 / 2 | $43.386,10 | 221 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 13 | $33.477,80 | 1791 / 20 | $5.360,31 | 1529 / 14 | $4.528,31 | 1516 / 15 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 10 | $187.347,00 | 478 / 15 | $35.616,20 | 164 / 12 | $29.737,30 | 164 / 4 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 7 | $74.065,50 | 657 / 9 | $12.169,30 | 299 / 5 | $10.086,40 | 299 / 3 |
| G.I. Obstruction W Mcc | 12 | 30 / 5 | $73.115,00 | 467 / 9 | $12.401,10 | 120 / 6 | $8.636,83 | 120 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 12 | 83 / 11 | $115.214,00 | 510 / 13 | $13.835,90 | 405 / 8 | $13.131,90 | 401 / 11 |
| Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 3 | $55.069,70 | 231 / 3 | $11.284,80 | 122 / 2 | $10.578,10 | 122 / 2 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 9 | $118.280,00 | 412 / 10 | $20.694,50 | 163 / 1 | $20.091,80 | 163 / 4 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 11 | $38.192,80 | 1186 / 18 | $5.379,18 | 890 / 12 | $4.503,55 | 887 / 12 |
| Major Chest Procedures W Mcc | 11 | 38 / 5 | $195.442,00 | 268 / 11 | $33.501,90 | 189 / 7 | $32.635,00 | 188 / 7 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 17 | $109.073,00 | 663 / 15 | $22.685,30 | 615 / 14 | $21.585,60 | 615 / 14 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 9 | $33.893,50 | 651 / 13 | $5.860,73 | 581 / 10 | $4.979,27 | 579 / 11 |
| Other Vascular Procedures W Cc | 11 | 91 / 12 | $122.521,00 | 983 / 23 | $16.767,60 | 656 / 9 | $16.002,50 | 653 / 14 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 6 | $71.149,20 | 451 / 7 | $10.412,30 | 359 / 3 | $9.417,36 | 359 / 6 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 6 | $109.176,00 | 337 / 9 | $18.208,50 | 222 / 2 | $17.437,60 | 221 / 5 | Total 110 procedures | 3.383 | 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.