Hospital Costs > In Alabama > Flowers Hospital, 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 | 281 | 286 / 10 | $60.888,80 | 1723 / 34 | $10.905,10 | 88 / 8 | $9.279,55 | 88 / 8 |
Heart Failure & Shock W Cc | 106 | 172 / 11 | $34.906,40 | 2172 / 60 | $5.454,31 | 92 / 20 | $4.325,86 | 92 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 101 | 174 / 16 | $33.856,50 | 2317 / 64 | $4.712,04 | 88 / 42 | $2.919,44 | 88 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 95 | 421 / 23 | $81.563,30 | 2454 / 53 | $10.095,80 | 111 / 28 | $8.674,95 | 111 / 17 |
G.I. Hemorrhage W Cc | 91 | 127 / 8 | $38.247,70 | 1903 / 44 | $5.396,08 | 133 / 10 | $4.438,89 | 133 / 14 |
Simple Pneumonia & Pleurisy W Cc | 80 | 123 / 14 | $34.760,20 | 2173 / 64 | $5.402,27 | 45 / 11 | $3.971,27 | 45 / 7 |
Heart Failure & Shock W Mcc | 77 | 207 / 16 | $57.756,20 | 2160 / 46 | $8.386,65 | 76 / 28 | $6.867,45 | 76 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 75 | 68 / 5 | $52.164,80 | 1125 / 23 | $9.966,93 | 55 / 7 | $8.970,28 | 55 / 10 |
Chronic Obstructive Pulmonary Disease W Mcc | 68 | 134 / 16 | $53.944,20 | 2264 / 57 | $6.558,13 | 463 / 23 | $5.752,60 | 462 / 37 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 65 | 131 / 13 | $114.212,00 | 1288 / 20 | $10.592,60 | 96 / 4 | $9.385,97 | 96 / 11 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 61 | 89 / 8 | $19.104,00 | 1340 / 30 | $3.421,10 | 177 / 16 | $2.089,16 | 176 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 59 | 174 / 21 | $29.399,00 | 2190 / 62 | $4.342,49 | 243 / 13 | $3.360,25 | 243 / 14 |
Renal Failure W Cc | 57 | 164 / 16 | $33.666,20 | 1850 / 44 | $5.907,40 | 88 / 33 | $4.152,86 | 88 / 9 |
Extracranial Procedures W/O Cc/Mcc | 55 | 43 / 5 | $42.916,60 | 681 / 17 | $5.708,42 | 46 / 5 | $4.443,96 | 46 / 8 |
Cellulitis W/O Mcc | 53 | 136 / 15 | $33.820,80 | 2264 / 59 | $4.810,19 | 72 / 15 | $3.345,77 | 72 / 12 |
Chronic Obstructive Pulmonary Disease W Cc | 53 | 126 / 19 | $39.495,90 | 2059 / 56 | $5.017,98 | 224 / 6 | $4.224,02 | 224 / 22 |
Pulmonary Edema & Respiratory Failure | 52 | 151 / 11 | $46.310,60 | 1674 / 40 | $6.617,62 | 41 / 11 | $5.443,02 | 41 / 9 |
Red Blood Cell Disorders W/O Mcc | 49 | 94 / 9 | $32.812,10 | 1601 / 46 | $4.383,12 | 210 / 7 | $3.642,55 | 210 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 49 | 133 / 15 | $37.343,80 | 1436 / 34 | $5.647,55 | 112 / 8 | $4.611,80 | 112 / 11 |
Spinal Fusion Except Cervical W/O Mcc | 47 | 147 / 15 | $113.554,00 | 873 / 20 | $19.947,30 | 58 / 7 | $18.298,70 | 58 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 18 | $33.539,20 | 2225 / 62 | $4.504,70 | 66 / 42 | $2.755,78 | 66 / 6 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 45 | 6 / 1 | $33.286,50 | 147 / 5 | $5.342,47 | 11 / 1 | $4.012,49 | 11 / 4 |
G.I. Obstruction W Cc | 45 | 47 / 5 | $40.661,40 | 1467 / 28 | $5.289,89 | 49 / 18 | $3.620,40 | 49 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 14 | $50.532,20 | 2272 / 46 | $6.438,18 | 72 / 30 | $4.540,73 | 72 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 13 | $28.723,70 | 1577 / 36 | $4.327,23 | 162 / 6 | $3.421,77 | 162 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 43 | 80 / 9 | $43.325,00 | 1401 / 28 | $6.641,84 | 49 / 8 | $5.399,07 | 49 / 3 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 42 | 78 / 15 | $35.210,30 | 1852 / 60 | $3.959,29 | 133 / 6 | $2.895,67 | 133 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 40 | 62 / 10 | $30.583,50 | 1124 / 25 | $4.501,70 | 71 / 14 | $2.899,38 | 70 / 4 |
Renal Failure W Mcc | 39 | 156 / 21 | $71.890,20 | 1916 / 37 | $9.384,95 | 825 / 35 | $8.585,31 | 825 / 38 |
Transient Ischemia | 36 | 89 / 13 | $26.521,40 | 1029 / 23 | $3.883,39 | 70 / 4 | $2.711,86 | 70 / 7 |
Syncope & Collapse | 36 | 133 / 17 | $27.636,80 | 1342 / 38 | $4.000,64 | 94 / 6 | $2.979,22 | 94 / 8 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 25 | $48.449,10 | 1862 / 41 | $7.708,11 | 226 / 8 | $6.881,57 | 226 / 18 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 34 | 59 / 10 | $30.859,10 | 1637 / 48 | $4.476,85 | 100 / 32 | $2.722,53 | 100 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 34 | 134 / 12 | $65.314,50 | 1208 / 27 | $9.449,15 | 122 / 14 | $8.178,76 | 121 / 11 |
Other Digestive System Diagnoses W Cc | 31 | 66 / 8 | $42.299,40 | 1164 / 23 | $5.568,55 | 58 / 14 | $4.242,19 | 58 / 6 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 22 | $43.995,80 | 1047 / 22 | $6.232,00 | 29 / 12 | $4.430,20 | 29 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 30 | 17 / 2 | $45.748,10 | 272 / 9 | $7.912,70 | 44 / 2 | $6.648,90 | 44 / 6 |
Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 13 | $36.396,60 | 1397 / 33 | $5.954,07 | 52 / 7 | $4.843,67 | 52 / 6 |
Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 15 | $22.468,50 | 1421 / 44 | $3.762,13 | 91 / 7 | $2.756,27 | 90 / 5 |
Acute Myocardial Infarction, Discharged Alive W Cc | 30 | 61 / 6 | $41.497,50 | 1066 / 19 | $5.662,07 | 77 / 5 | $4.615,67 | 77 / 5 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 9 | $49.424,80 | 1129 / 18 | $9.269,25 | 180 / 7 | $8.233,82 | 180 / 8 |
Bronchitis & Asthma W Cc/Mcc | 28 | 48 / 5 | $38.769,20 | 869 / 24 | $5.019,39 | 63 / 10 | $3.695,68 | 63 / 8 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 27 | 37 / 6 | $96.780,70 | 718 / 20 | $9.174,93 | 75 / 9 | $7.368,96 | 75 / 8 |
G.I. Obstruction W/O Cc/Mcc | 26 | 45 / 5 | $26.294,10 | 1035 / 20 | $3.970,81 | 97 / 12 | $2.323,81 | 97 / 6 |
G.I. Hemorrhage W Mcc | 26 | 95 / 15 | $52.756,70 | 1061 / 22 | $9.355,19 | 95 / 10 | $8.449,35 | 95 / 10 |
O.R. Procedures For Obesity W/O Cc/Mcc | 26 | 51 / 4 | $84.041,60 | 384 / 9 | $7.938,38 | 11 / 2 | $6.537,92 | 11 / 2 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 14 | $69.710,90 | 1140 / 26 | $11.752,60 | 80 / 8 | $11.011,70 | 80 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 15 | $50.783,40 | 1499 / 30 | $9.072,68 | 82 / 32 | $5.238,24 | 82 / 10 |
Medical Back Problems W/O Mcc | 24 | 97 / 14 | $29.555,20 | 1001 / 19 | $4.752,04 | 34 / 9 | $3.332,50 | 34 / 7 |
Permanent Cardiac Pacemaker Implant W Cc | 24 | 53 / 5 | $68.785,20 | 468 / 11 | $13.524,40 | 10 / 4 | $11.999,70 | 10 / 4 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 24 | 33 / 5 | $48.048,80 | 262 / 6 | $11.087,20 | 13 / 4 | $9.720,75 | 13 / 2 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 17 | $81.501,20 | 1519 / 29 | $11.771,90 | 55 / 24 | $9.120,96 | 55 / 3 |
Seizures W/O Mcc | 23 | 85 / 12 | $33.512,00 | 1036 / 22 | $4.424,04 | 10 / 7 | $2.772,70 | 10 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 22 | 34 / 5 | $41.509,70 | 441 / 14 | $8.486,59 | 12 / 5 | $6.949,36 | 12 / 6 |
Pulmonary Embolism W/O Mcc | 22 | 52 / 7 | $36.256,50 | 987 / 25 | $5.330,95 | 118 / 3 | $4.394,23 | 118 / 9 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 22 | 31 / 3 | $29.946,00 | 572 / 11 | $4.172,82 | 62 / 3 | $3.134,27 | 62 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 22 | 48 / 4 | $40.110,00 | 471 / 8 | $5.758,23 | 9 / 3 | $3.724,45 | 9 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 11 | $63.654,50 | 1309 / 27 | $7.910,45 | 382 / 23 | $6.400,36 | 380 / 22 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 22 | 49 / 6 | $190.602,00 | 715 / 19 | $27.900,50 | 34 / 9 | $24.699,30 | 34 / 5 |
G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 8 | $28.658,40 | 786 / 23 | $4.160,00 | 38 / 12 | $2.709,86 | 38 / 3 |
Coronary Bypass W Cardiac Cath W/O Mcc | 21 | 55 / 11 | $178.558,00 | 450 / 16 | $23.264,40 | 4 / 3 | $19.509,70 | 4 / 2 |
Bronchitis & Asthma W/O Cc/Mcc | 21 | 24 / 4 | $29.652,90 | 300 / 18 | $3.596,19 | 44 / 2 | $2.564,57 | 44 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 20 | 36 / 6 | $77.013,20 | 711 / 17 | $8.630,50 | 46 / 6 | $7.481,70 | 46 / 9 |
Chest Pain | 20 | 131 / 24 | $26.379,20 | 1271 / 30 | $3.400,50 | 135 / 5 | $2.430,90 | 135 / 8 |
Major Cardiovasc Procedures W/O Mcc | 20 | 81 / 15 | $148.524,00 | 867 / 21 | $17.912,20 | 93 / 10 | $16.886,70 | 93 / 14 |
Female Reproductive System Reconstructive Procedures | 20 | 6 / 1 | $24.869,20 | 17 / 1 | $5.371,80 | 2 / 1 | $4.028,75 | 2 / 1 |
Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 12 | $197.497,00 | 1033 / 22 | $26.512,80 | 139 / 4 | $25.628,60 | 139 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 7 | $97.986,40 | 635 / 16 | $16.245,90 | 44 / 3 | $15.102,30 | 44 / 4 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 18 | 14 / 4 | $86.253,20 | 133 / 9 | $12.885,30 | 19 / 6 | $12.194,70 | 19 / 6 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 18 | $123.078,00 | 1356 / 29 | $13.400,90 | 236 / 10 | $12.599,10 | 234 / 20 |
Nonspecific Cerebrovascular Disorders W Cc | 18 | 38 / 5 | $44.142,70 | 391 / 13 | $5.279,56 | 39 / 2 | $4.476,00 | 39 / 3 |
Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 15 | $63.339,70 | 505 / 14 | $11.041,90 | 18 / 2 | $9.248,94 | 18 / 1 |
Other Vascular Procedures W Cc | 17 | 85 / 15 | $100.994,00 | 851 / 19 | $13.571,70 | 83 / 9 | $12.625,90 | 83 / 12 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 17 | 38 / 6 | $50.375,20 | 264 / 11 | $9.961,53 | 14 / 3 | $8.824,59 | 14 / 5 |
Peripheral Vascular Disorders W Cc | 17 | 67 / 13 | $29.010,20 | 776 / 22 | $5.168,65 | 77 / 6 | $4.321,59 | 77 / 12 |
Vagina, Cervix & Vulva Procedures W/O Cc/Mcc | 17 | 7 / 1 | $21.454,30 | 7 / 1 | $4.765,06 | 1 / 1 | $3.390,71 | 1 / 1 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 13 | $47.911,60 | 1117 / 23 | $7.381,35 | 24 / 10 | $5.952,94 | 24 / 2 |
Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 7 | $44.344,60 | 831 / 17 | $5.914,29 | 45 / 11 | $3.849,88 | 45 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 16 | $150.694,00 | 829 / 17 | $17.119,60 | 71 / 6 | $16.057,60 | 71 / 10 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 18 | $130.615,00 | 848 / 18 | $26.053,80 | 76 / 3 | $25.221,30 | 76 / 3 |
Other Vascular Procedures W Mcc | 16 | 81 / 13 | $117.818,00 | 713 / 19 | $17.082,80 | 35 / 3 | $16.180,80 | 35 / 4 |
Diabetes W Cc | 16 | 76 / 17 | $26.680,60 | 1068 / 27 | $4.497,56 | 37 / 4 | $3.367,50 | 37 / 3 |
Major Male Pelvic Procedures W/O Cc/Mcc | 15 | 58 / 7 | $47.488,10 | 232 / 7 | $6.841,60 | 56 / 3 | $5.627,73 | 56 / 3 |
Signs & Symptoms W/O Mcc | 15 | 76 / 15 | $23.505,20 | 831 / 23 | $3.867,80 | 13 / 6 | $2.603,07 | 13 / 1 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 13 | $54.887,40 | 909 / 21 | $7.280,87 | 167 / 11 | $6.393,40 | 167 / 14 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 15 | 73 / 12 | $145.282,00 | 458 / 14 | $18.633,50 | 36 / 2 | $17.502,80 | 36 / 7 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 10 | $39.236,10 | 814 / 19 | $6.239,80 | 86 / 5 | $5.512,33 | 86 / 8 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 10 | $49.967,10 | 341 / 9 | $10.896,80 | 10 / 4 | $9.057,20 | 10 / 3 |
Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 8 | $94.550,50 | 416 / 11 | $16.378,10 | 1 / 2 | $13.588,90 | 1 / 1 |
Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 9 | $83.125,60 | 486 / 13 | $8.879,47 | 25 / 2 | $7.757,27 | 25 / 4 |
Shoulder,Elbow Or Forearm Proc,Exc Major Joint Proc W/O Cc/Mcc | 13 | 4 / 1 | $33.575,90 | 5 / 1 | $6.507,85 | 1 / 1 | $5.301,69 | 1 / 1 |
Nonspecific Cerebrovascular Disorders W Mcc | 13 | 38 / 6 | $76.043,20 | 362 / 9 | $8.776,31 | 27 / 2 | $7.845,85 | 27 / 3 |
G.I. Obstruction W Mcc | 13 | 29 / 5 | $54.963,40 | 375 / 7 | $8.440,54 | 22 / 1 | $7.601,15 | 22 / 2 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 12 | $235.442,00 | 852 / 17 | $33.852,20 | 285 / 15 | $32.926,50 | 284 / 15 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 17 | $64.546,70 | 983 / 19 | $13.164,40 | 25 / 19 | $8.448,50 | 25 / 3 |
Seizures W Mcc | 12 | 54 / 11 | $49.453,80 | 481 / 11 | $8.818,67 | 126 / 8 | $7.912,00 | 126 / 9 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 12 | $43.159,20 | 636 / 14 | $4.784,33 | 36 / 2 | $3.784,33 | 36 / 4 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 10 | $157.286,00 | 499 / 9 | $25.184,80 | 27 / 3 | $22.650,80 | 27 / 3 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 4 | $79.065,20 | 443 / 7 | $11.207,20 | 176 / 7 | $10.804,60 | 176 / 7 |
Peritoneal Adhesiolysis W Cc | 11 | 28 / 4 | $96.233,20 | 245 / 4 | $12.081,80 | 21 / 1 | $11.092,70 | 21 / 3 |
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 11 | 16 / 1 | $34.566,90 | 20 / 1 | $6.150,45 | 1 / 1 | $3.719,64 | 1 / 1 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 18 | $37.223,50 | 834 / 25 | $3.818,27 | 119 / 8 | $2.945,55 | 119 / 9 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 11 | $44.252,50 | 527 / 10 | $5.677,36 | 25 / 3 | $4.318,82 | 25 / 4 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 7 | $31.703,30 | 384 / 11 | $3.632,36 | 25 / 3 | $2.422,18 | 25 / 4 |
Other Resp System O.R. Procedures W Cc | 11 | 36 / 6 | $72.608,00 | 260 / 7 | $10.275,60 | 21 / 2 | $9.391,27 | 21 / 1 |
Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 7 | $254.646,00 | 328 / 9 | $34.507,80 | 13 / 3 | $31.514,80 | 13 / 3 |
Respiratory Neoplasms W Cc | 11 | 36 / 7 | $36.043,60 | 269 / 6 | $6.238,27 | 15 / 1 | $5.252,09 | 15 / 1 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 10 | $66.055,40 | 441 / 11 | $7.028,45 | 5 / 6 | $5.040,36 | 5 / 2 |
Transurethral Procedures W Cc | 11 | 30 / 5 | $66.224,90 | 335 / 9 | $8.398,45 | 221 / 9 | $7.517,00 | 221 / 9 |
Atherosclerosis W/O Mcc | 11 | 47 / 6 | $21.290,30 | 343 / 6 | $3.737,73 | / 3 | $2.232,27 | / |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 7 | $100.880,00 | 354 / 7 | $12.827,80 | 31 / 2 | $12.056,90 | 31 / 4 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 10 | $17.045,40 | 385 / 10 | $3.947,36 | 102 / 7 | $2.958,27 | 103 / 8 | Total 112 procedures | 3.573 | 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.