Hospital Costs > In California > Community Hospital Of The Monterey Peninsula, 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 | 361 | 216 / 18 | $87.347,60 | 2325 / 118 | $18.473,60 | 2297 / 142 | $15.339,30 | 2253 / 106 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 161 | 355 / 97 | $107.269,00 | 2698 / 210 | $19.366,40 | 2719 / 224 | $18.370,10 | 2674 / 230 |
Simple Pneumonia & Pleurisy W Cc | 111 | 92 / 5 | $68.586,70 | 2760 / 193 | $9.956,13 | 2489 / 160 | $7.659,38 | 2480 / 126 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 104 | 103 / 21 | $56.050,50 | 2354 / 174 | $8.983,47 | 2039 / 110 | $7.425,39 | 2031 / 72 |
Heart Failure & Shock W Cc | 90 | 188 / 21 | $53.223,30 | 2592 / 157 | $8.331,71 | 2290 / 89 | $7.286,87 | 2284 / 89 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 85 | 190 / 31 | $62.736,30 | 2707 / 213 | $6.937,22 | 2276 / 113 | $5.444,55 | 2261 / 95 |
Spinal Fusion Except Cervical W/O Mcc | 80 | 114 / 12 | $126.374,00 | 976 / 23 | $33.991,00 | 1189 / 54 | $30.333,00 | 1184 / 50 |
G.I. Hemorrhage W Cc | 79 | 139 / 20 | $69.181,70 | 2377 / 180 | $8.309,37 | 2025 / 65 | $7.359,49 | 2021 / 80 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 78 | 104 / 11 | $66.352,30 | 1957 / 126 | $11.820,50 | 1730 / 157 | $7.824,14 | 1726 / 80 |
Chronic Obstructive Pulmonary Disease W Mcc | 72 | 130 / 20 | $85.463,40 | 2527 / 177 | $11.388,60 | 2416 / 149 | $10.401,50 | 2408 / 158 |
Cellulitis W/O Mcc | 68 | 121 / 23 | $45.238,50 | 2503 / 165 | $6.704,04 | 2085 / 38 | $5.762,87 | 2077 / 60 |
Kidney & Urinary Tract Infections W/O Mcc | 62 | 171 / 49 | $40.794,90 | 2511 / 151 | $6.073,40 | 1989 / 39 | $4.983,34 | 1978 / 31 |
Heart Failure & Shock W Mcc | 61 | 223 / 67 | $79.268,10 | 2446 / 156 | $12.278,60 | 2209 / 85 | $11.340,90 | 2199 / 90 |
Hip & Femur Procedures Except Major Joint W Cc | 57 | 86 / 14 | $80.126,30 | 1710 / 53 | $15.319,20 | 1732 / 57 | $14.263,20 | 1713 / 68 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 56 | 105 / 12 | $50.165,40 | 2065 / 135 | $6.677,98 | 1622 / 59 | $5.252,29 | 1617 / 37 |
Transient Ischemia | 52 | 73 / 9 | $42.238,10 | 1479 / 86 | $5.820,08 | 1152 / 32 | $4.375,23 | 1146 / 25 |
Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 22 | $65.508,70 | 2396 / 165 | $8.202,78 | 1967 / 88 | $6.578,16 | 1960 / 51 |
Respiratory Infections & Inflammations W Cc | 47 | 41 / 8 | $86.923,60 | 1428 / 99 | $14.040,50 | 1439 / 102 | $13.237,60 | 1434 / 108 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 33 | $40.645,40 | 2389 / 142 | $5.454,36 | 1889 / 28 | $4.634,62 | 1883 / 39 |
Respiratory Infections & Inflammations W Mcc | 46 | 90 / 29 | $119.116,00 | 1726 / 116 | $19.707,50 | 1763 / 137 | $18.886,30 | 1747 / 143 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 45 | 123 / 27 | $81.277,40 | 1375 / 75 | $18.736,00 | 1329 / 123 | $13.276,10 | 1323 / 71 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 42 | 74 / 8 | $257.875,00 | 331 / 4 | $72.893,80 | 326 / 20 | $57.192,90 | 326 / 9 |
Simple Pneumonia & Pleurisy W Mcc | 42 | 163 / 49 | $85.877,90 | 2387 / 145 | $12.516,20 | 2236 / 110 | $11.655,20 | 2230 / 116 |
Major Small & Large Bowel Procedures W Cc | 42 | 66 / 14 | $150.555,00 | 1443 / 78 | $29.851,00 | 1501 / 114 | $24.974,30 | 1487 / 112 |
G.I. Obstruction W Cc | 39 | 53 / 13 | $76.399,60 | 1716 / 131 | $13.147,40 | 1703 / 137 | $9.418,38 | 1698 / 131 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 38 | 112 / 12 | $31.762,40 | 1805 / 77 | $4.386,92 | 1434 / 18 | $3.372,18 | 1428 / 26 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 38 | 51 / 12 | $63.591,20 | 688 / 37 | $10.401,80 | 599 / 45 | $7.277,45 | 598 / 30 |
Renal Failure W Cc | 35 | 186 / 53 | $56.748,50 | 2331 / 157 | $8.256,46 | 2096 / 86 | $7.461,03 | 2086 / 101 |
G.I. Hemorrhage W Mcc | 34 | 87 / 22 | $146.192,00 | 1661 / 153 | $24.293,60 | 1634 / 155 | $19.604,70 | 1624 / 152 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 33 | 69 / 15 | $49.177,00 | 1482 / 80 | $6.536,18 | 1178 / 46 | $4.768,73 | 1174 / 29 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 39 | $102.566,00 | 1187 / 48 | $24.236,50 | 1098 / 112 | $13.167,30 | 1091 / 23 |
Cervical Spinal Fusion W/O Cc/Mcc | 31 | 73 / 9 | $72.084,20 | 598 / 6 | $19.835,70 | 751 / 34 | $16.186,90 | 748 / 30 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 24 | $79.060,00 | 1838 / 120 | $12.671,00 | 1824 / 122 | $11.710,50 | 1821 / 129 |
Major Small & Large Bowel Procedures W Mcc | 29 | 56 / 11 | $334.635,00 | 1251 / 75 | $70.445,20 | 1295 / 91 | $69.614,50 | 1292 / 94 |
Syncope & Collapse | 28 | 141 / 39 | $36.118,90 | 1613 / 70 | $6.300,04 | 1297 / 54 | $4.588,36 | 1290 / 22 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 27 | 91 / 16 | $219.146,00 | 442 / 12 | $47.252,10 | 436 / 17 | $39.887,30 | 436 / 11 |
Other Digestive System Diagnoses W Cc | 26 | 71 / 16 | $78.211,20 | 1416 / 127 | $10.438,40 | 1300 / 115 | $8.514,35 | 1296 / 99 |
Major Chest Procedures W Mcc | 25 | 24 / 3 | $267.696,00 | 308 / 14 | $66.204,20 | 328 / 25 | $55.007,50 | 327 / 24 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 20 | $42.987,10 | 1843 / 84 | $7.707,60 | 1538 / 107 | $4.522,76 | 1530 / 30 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 23 | 33 / 11 | $64.314,40 | 748 / 22 | $12.802,10 | 775 / 26 | $11.694,70 | 772 / 33 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 23 | 101 / 16 | $39.472,70 | 784 / 29 | $6.876,65 | 612 / 23 | $5.060,26 | 611 / 17 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 43 | $273.556,00 | 1469 / 96 | $59.483,20 | 1560 / 133 | $58.488,30 | 1550 / 139 |
Peritoneal Adhesiolysis W Cc | 22 | 17 / 3 | $109.478,00 | 260 / 10 | $24.758,40 | 252 / 15 | $19.099,00 | 252 / 13 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 39 | $67.640,90 | 1476 / 74 | $12.068,00 | 1150 / 109 | $6.862,27 | 1147 / 20 |
Renal Failure W Mcc | 21 | 174 / 65 | $86.236,30 | 2038 / 133 | $21.667,00 | 1806 / 185 | $11.859,70 | 1802 / 84 |
Permanent Cardiac Pacemaker Implant W Cc | 21 | 56 / 14 | $93.996,30 | 734 / 28 | $21.233,30 | 823 / 37 | $20.134,70 | 819 / 39 |
Medical Back Problems W/O Mcc | 21 | 100 / 36 | $54.942,40 | 1446 / 101 | $8.358,76 | 1240 / 85 | $6.221,33 | 1236 / 67 |
Respiratory Neoplasms W Cc | 20 | 27 / 4 | $112.181,00 | 508 / 32 | $14.277,80 | 494 / 26 | $13.355,50 | 493 / 28 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 14 | $62.818,60 | 1028 / 55 | $11.018,60 | 1004 / 56 | $9.625,00 | 1002 / 55 |
Respiratory Neoplasms W Mcc | 19 | 33 / 7 | $157.906,00 | 639 / 40 | $21.324,80 | 637 / 37 | $20.945,70 | 634 / 40 |
Peripheral Vascular Disorders W Cc | 18 | 66 / 15 | $64.672,80 | 1227 / 83 | $8.983,78 | 1131 / 56 | $8.445,11 | 1128 / 68 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 18 | 51 / 15 | $107.637,00 | 440 / 17 | $25.127,90 | 453 / 29 | $21.135,80 | 452 / 22 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 18 | 29 / 5 | $58.947,40 | 393 / 6 | $11.876,30 | 434 / 9 | $10.802,60 | 434 / 17 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 12 | $87.519,80 | 764 / 38 | $13.391,90 | 774 / 31 | $12.186,60 | 770 / 36 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 23 | $36.652,80 | 1202 / 63 | $7.223,33 | 674 / 89 | $3.199,94 | 672 / 10 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 38 | $51.619,90 | 1921 / 128 | $6.346,00 | 1448 / 25 | $5.338,00 | 1439 / 22 |
Diabetes W Cc | 18 | 74 / 17 | $44.914,40 | 1487 / 77 | $7.554,11 | 898 / 62 | $4.889,50 | 894 / 6 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 12 | $51.360,30 | 980 / 59 | $15.993,70 | 332 / 69 | $3.438,82 | 329 / 3 |
Pulmonary Embolism W/O Mcc | 17 | 57 / 13 | $58.347,70 | 1210 / 53 | $7.852,82 | 1077 / 19 | $6.998,24 | 1074 / 35 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 17 | 36 / 9 | $96.900,90 | 313 / 14 | $16.218,00 | 292 / 10 | $15.295,50 | 293 / 13 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 36 | $189.149,00 | 1828 / 126 | $44.177,10 | 1833 / 148 | $27.168,30 | 1819 / 135 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W/O Cc/Mcc | 16 | 5 / 1 | $159.741,00 | 15 / 1 | $41.888,00 | 15 / 1 | $37.051,10 | 15 / 1 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 25 | $87.339,00 | 698 / 21 | $17.688,60 | 725 / 23 | $16.486,60 | 721 / 29 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 16 | 50 / 19 | $92.931,40 | 511 / 21 | $15.876,20 | 490 / 18 | $14.662,20 | 486 / 23 |
Other Circulatory System O.R. Procedures | 16 | 39 / 11 | $116.031,00 | 362 / 17 | $22.652,60 | 347 / 14 | $21.516,60 | 347 / 14 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 32 | $74.007,60 | 978 / 43 | $12.293,10 | 839 / 26 | $11.256,10 | 836 / 26 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 28 | $71.605,70 | 1373 / 102 | $9.447,94 | 1085 / 29 | $8.537,94 | 1080 / 36 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 30 | $52.619,70 | 2063 / 116 | $6.247,50 | 1781 / 44 | $5.269,50 | 1770 / 55 |
Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 17 | $57.313,90 | 1041 / 57 | $7.019,06 | 813 / 14 | $6.035,06 | 809 / 18 |
Pulmonary Edema & Respiratory Failure | 16 | 187 / 59 | $79.322,00 | 2125 / 122 | $10.079,00 | 1928 / 52 | $9.548,94 | 1922 / 77 |
Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 9 | $137.458,00 | 479 / 20 | $30.499,80 | 524 / 26 | $29.535,50 | 524 / 30 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 15 | 16 / 3 | $105.791,00 | 138 / 10 | $15.701,80 | 130 / 7 | $14.658,60 | 130 / 9 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 11 | $81.644,10 | 585 / 18 | $17.140,80 | 617 / 25 | $16.020,80 | 616 / 26 |
Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 18 | $148.358,00 | 612 / 20 | $26.709,10 | 585 / 11 | $25.819,50 | 583 / 15 |
Digestive Malignancy W Cc | 15 | 32 / 8 | $91.586,30 | 386 / 23 | $11.328,30 | 334 / 10 | $10.440,90 | 332 / 16 |
Coronary Bypass W/O Cardiac Cath W Mcc | 15 | 44 / 4 | $326.944,00 | 230 / 9 | $74.652,80 | 238 / 10 | $63.834,10 | 237 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 44 | $79.486,50 | 1696 / 145 | $11.878,10 | 1629 / 131 | $10.990,70 | 1626 / 133 |
Major Cardiovasc Procedures W Mcc | 15 | 53 / 15 | $279.132,00 | 602 / 28 | $61.526,10 | 634 / 42 | $60.476,30 | 633 / 46 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 30 | $46.062,50 | 1958 / 106 | $8.090,87 | 1707 / 112 | $5.097,53 | 1694 / 57 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 12 | $77.095,30 | 470 / 10 | $15.841,00 | 533 / 18 | $14.868,20 | 529 / 24 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 15 | 25 / 6 | $103.500,00 | 297 / 20 | $12.428,70 | 284 / 15 | $11.628,70 | 284 / 17 |
Lymphoma & Non-Acute Leukemia W Cc | 15 | 21 / 2 | $63.414,70 | 97 / 3 | $13.436,10 | 91 / 2 | $12.384,40 | 91 / 2 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 19 | $142.613,00 | 823 / 29 | $26.445,90 | 825 / 29 | $25.415,10 | 822 / 38 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 11 | $164.347,00 | 442 / 36 | $31.765,30 | 463 / 47 | $30.412,10 | 462 / 47 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 38 | $129.628,00 | 1786 / 135 | $22.362,10 | 1802 / 146 | $21.411,40 | 1789 / 151 |
Coronary Bypass W Cardiac Cath W Mcc | 14 | 42 / 10 | $393.439,00 | 409 / 22 | $83.069,00 | 437 / 33 | $81.866,70 | 437 / 33 |
Nervous System Neoplasms W Mcc | 13 | 35 / 10 | $113.233,00 | 303 / 17 | $16.378,60 | 303 / 16 | $15.448,20 | 303 / 19 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 5 | $203.197,00 | 562 / 15 | $43.519,40 | 588 / 21 | $42.406,70 | 587 / 25 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 13 | 56 / 11 | $447.345,00 | 259 / 9 | $98.878,40 | 284 / 13 | $98.043,90 | 284 / 15 |
Pulmonary Embolism W Mcc | 13 | 30 / 7 | $102.813,00 | 566 / 24 | $24.262,80 | 551 / 30 | $13.707,80 | 550 / 26 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 18 | $56.680,80 | 793 / 54 | $5.927,08 | 568 / 11 | $4.912,92 | 566 / 16 |
Peripheral Vascular Disorders W Mcc | 13 | 36 / 9 | $77.524,00 | 545 / 25 | $11.778,90 | 487 / 23 | $10.942,00 | 487 / 26 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 13 | $72.348,80 | 527 / 32 | $9.933,00 | 511 / 13 | $8.726,85 | 510 / 24 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 37 | $100.133,00 | 1275 / 84 | $17.808,80 | 1247 / 81 | $16.971,80 | 1239 / 87 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 54 | $65.910,20 | 1862 / 139 | $10.160,00 | 1770 / 106 | $9.360,00 | 1766 / 118 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 12 | 36 / 11 | $51.869,20 | 160 / 8 | $14.053,30 | 141 / 10 | $9.632,25 | 141 / 5 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 43 | $363.677,00 | 1049 / 116 | $72.524,20 | 1093 / 135 | $71.620,20 | 1092 / 139 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 18 | $49.910,20 | 775 / 34 | $7.706,33 | 616 / 11 | $6.797,00 | 616 / 13 |
Seizures W/O Mcc | 12 | 96 / 30 | $50.313,00 | 1230 / 63 | $5.897,17 | 899 / 8 | $5.091,83 | 896 / 16 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 19 | $70.803,10 | 506 / 25 | $9.147,64 | 395 / 12 | $8.056,73 | 394 / 13 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 14 | $72.035,80 | 941 / 57 | $8.524,09 | 833 / 32 | $7.319,82 | 830 / 33 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 11 | 80 / 23 | $67.175,00 | 362 / 21 | $9.825,00 | 321 / 8 | $9.717,27 | 321 / 18 |
Major Chest Procedures W Cc | 11 | 63 / 19 | $199.967,00 | 496 / 30 | $31.054,40 | 502 / 29 | $30.059,50 | 500 / 35 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 7 | $110.523,00 | 196 / 9 | $16.184,10 | 198 / 9 | $15.096,20 | 198 / 10 |
Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 29 | $74.845,40 | 882 / 39 | $8.858,00 | 847 / 28 | $8.087,09 | 844 / 40 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 22 | $468.961,00 | 976 / 84 | $98.408,50 | 991 / 91 | $97.474,70 | 990 / 92 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 11 | 39 / 6 | $199.966,00 | 202 / 5 | $44.044,30 | 194 / 2 | $42.837,00 | 194 / 2 |
Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 17 | $254.217,00 | 559 / 16 | $46.565,60 | 607 / 28 | $45.463,30 | 607 / 31 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 22 | $133.114,00 | 860 / 43 | $25.378,50 | 904 / 55 | $24.383,50 | 896 / 58 |
Endocrine Disorders W Cc | 11 | 27 / 10 | $58.305,50 | 287 / 11 | $9.041,36 | 244 / 9 | $8.273,36 | 244 / 10 | Total 110 procedures | 3.504 | 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.