Hospital Costs > In Ohio > Hillcrest Hospital, procedure costs

Hillcrest Hospital, procedure costs

6780 Mayfield Road, Mayfield Height, OH 44124,

Procedure Costs @ Hillcrest Hospital
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 Mcc210354 / 18$42.839,30918 / 50$12.385,90503 / 23$10.322,50500 / 40
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc209307 / 22$42.778,201465 / 76$10.477,10457 / 28$9.445,75457 / 33
Kidney & Urinary Tract Infections W/O Mcc18657 / 1$16.552,501148 / 68$4.302,48283 / 10$3.416,63283 / 17
Renal Failure W Cc17851 / 2$19.445,30922 / 50$5.434,21194 / 12$4.359,75193 / 9
Heart Failure & Shock W Mcc171113 / 7$30.352,401105 / 62$8.409,51316 / 18$7.435,27316 / 22
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc165110 / 4$16.094,00878 / 56$4.232,21268 / 9$3.198,07268 / 14
G.I. Hemorrhage W Cc13979 / 4$22.288,20966 / 58$5.651,78227 / 9$4.605,46227 / 16
Heart Failure & Shock W Cc127151 / 12$17.812,10907 / 47$5.499,09233 / 10$4.598,82233 / 14
Cellulitis W/O Mcc12366 / 3$14.162,50746 / 51$4.728,46261 / 8$3.643,34259 / 16
Renal Failure W Mcc11977 / 6$33.460,80976 / 57$8.811,86433 / 24$7.969,60433 / 37
Simple Pneumonia & Pleurisy W Cc11588 / 4$20.010,301135 / 66$5.504,38220 / 12$4.360,21220 / 15
Respiratory Infections & Inflammations W Mcc10732 / 4$39.369,30760 / 49$11.039,70374 / 20$10.199,80373 / 30
Chronic Obstructive Pulmonary Disease W Cc10178 / 5$21.404,801153 / 74$5.245,31223 / 9$4.223,53223 / 13
Chronic Obstructive Pulmonary Disease W Mcc96106 / 16$29.627,101449 / 83$6.551,82250 / 15$5.501,30249 / 14
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc92115 / 4$20.196,40800 / 44$5.978,32366 / 11$5.057,53365 / 19
Simple Pneumonia & Pleurisy W Mcc88117 / 12$34.891,701345 / 77$8.773,45374 / 46$7.149,99374 / 31
Cardiac Arrhythmia & Conduction Disorders W Cc8180 / 7$15.113,00536 / 40$4.426,32186 / 9$3.452,20186 / 14
Hip & Femur Procedures Except Major Joint W Cc8063 / 2$41.713,60712 / 46$10.924,70237 / 18$9.586,24236 / 17
Other Kidney & Urinary Tract Diagnoses W Mcc8023 / 2$31.560,20432 / 31$8.689,6182 / 11$7.476,5582 / 9
Spinal Fusion Except Cervical W/O Mcc79115 / 13$60.137,10220 / 10$23.778,40144 / 20$19.428,70143 / 12
Respiratory Infections & Inflammations W Cc7913 / 1$24.624,80458 / 31$7.488,24168 / 8$6.687,41167 / 13
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc7773 / 6$12.623,60668 / 37$3.118,40137 / 7$2.016,57137 / 12
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs76106 / 14$25.357,60817 / 44$5.899,53266 / 11$4.926,33266 / 22
Medical Back Problems W/O Mcc7447 / 3$18.799,70439 / 30$4.761,46130 / 9$3.613,18130 / 9
Syncope & Collapse7198 / 10$18.162,50695 / 45$4.111,0896 / 8$2.980,3096 / 11
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc6997 / 10$15.862,001071 / 56$4.035,75222 / 9$3.040,68222 / 14
Kidney & Urinary Tract Infections W Mcc6183 / 8$23.329,90810 / 53$6.190,72176 / 14$5.214,02176 / 18
Other Kidney & Urinary Tract Diagnoses W Cc5946 / 3$18.935,70214 / 9$5.519,3960 / 3$4.629,0760 / 6
Red Blood Cell Disorders W/O Mcc5984 / 4$17.127,10634 / 41$4.499,34205 / 7$3.629,51205 / 17
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc56140 / 23$55.336,60352 / 27$11.759,70308 / 4$10.157,80308 / 16
G.I. Hemorrhage W Mcc5566 / 7$42.044,50774 / 47$9.855,07149 / 16$8.688,31149 / 13
Circulatory Disorders Except Ami, W Card Cath W/O Mcc54134 / 17$34.924,00756 / 41$6.085,19259 / 4$5.073,87259 / 13
Acute Myocardial Infarction, Discharged Alive W Mcc5273 / 14$40.449,50820 / 49$11.195,40101 / 54$7.923,71101 / 7
Pulmonary Edema & Respiratory Failure51152 / 34$30.712,301079 / 58$6.739,31183 / 5$5.877,20183 / 10
Other Digestive System Diagnoses W Cc5047 / 4$18.369,00308 / 19$5.437,14120 / 5$4.466,16119 / 10
Intracranial Hemorrhage Or Cerebral Infarction W Mcc50118 / 14$37.702,50619 / 35$10.138,20400 / 22$9.081,84399 / 31
Heart Failure & Shock W/O Cc/Mcc5060 / 3$12.679,40557 / 34$3.742,40108 / 8$2.791,26107 / 9
G.I. Obstruction W Cc4844 / 5$18.760,90565 / 41$5.006,06140 / 7$3.916,00139 / 13
Other Circulatory System Diagnoses W Mcc4868 / 9$38.706,40446 / 32$10.084,60121 / 7$9.241,33121 / 16
Cardiac Arrhythmia & Conduction Disorders W Mcc4776 / 16$26.494,80757 / 45$7.181,9431 / 20$5.328,2331 / 2
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc4674 / 15$17.710,501082 / 72$3.932,65114 / 6$2.848,65114 / 10
Transient Ischemia4481 / 15$18.267,30530 / 28$3.964,7082 / 7$2.743,7582 / 6
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc4419 / 2$14.966,20191 / 14$4.194,0749 / 3$3.049,9849 / 3
Respiratory System Diagnosis W Ventilator Support <96 Hours4388 / 19$47.538,40553 / 39$14.166,2064 / 40$10.902,4064 / 5
Pulmonary Embolism W/O Mcc4133 / 2$25.248,80652 / 35$5.527,73152 / 8$4.499,00152 / 11
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc4161 / 8$23.115,20793 / 43$4.364,54151 / 9$3.110,95149 / 9
Infectious & Parasitic Diseases W O.R. Procedure W Mcc4084 / 13$96.763,90456 / 30$30.910,80555 / 27$29.965,80550 / 40
Major Small & Large Bowel Procedures W Cc4068 / 8$56.967,10567 / 32$14.560,50159 / 16$12.275,00158 / 19
Major Gastrointestinal Disorders & Peritoneal Infections W Cc4033 / 3$22.819,70387 / 24$6.711,2569 / 11$5.458,5069 / 6
Other Vascular Procedures W Mcc3958 / 7$80.400,60383 / 23$22.565,0014 / 28$15.589,5014 / 2
Traumatic Stupor & Coma, Coma <1 Hr W Cc3828 / 4$29.554,80242 / 9$6.069,6332 / 2$5.066,8732 / 2
Esophagitis, Gastroent & Misc Digest Disorders W Mcc3759 / 6$22.574,70319 / 23$6.683,73201 / 6$5.997,92200 / 20
Coronary Bypass W Cardiac Cath W Mcc3719 / 2$144.682,0097 / 5$35.352,4034 / 1$34.247,4034 / 2
Cellulitis W Mcc3523 / 1$25.437,40257 / 23$8.204,77157 / 10$7.260,89157 / 19
Red Blood Cell Disorders W Mcc3536 / 3$24.961,10310 / 23$7.017,37109 / 6$6.189,11109 / 10
Fractures Of Hip & Pelvis W/O Mcc3427 / 1$15.019,60288 / 16$3.979,9780 / 3$2.870,5081 / 7
Simple Pneumonia & Pleurisy W/O Cc/Mcc3360 / 9$14.448,90666 / 39$3.928,61112 / 6$2.743,42111 / 7
Peripheral Vascular Disorders W Cc3351 / 5$23.412,10560 / 36$5.645,36129 / 9$4.474,06129 / 10
Bronchitis & Asthma W Cc/Mcc3244 / 2$18.525,50326 / 21$4.900,28124 / 4$3.872,16123 / 7
Chest Pain31120 / 19$12.889,60303 / 17$3.551,6176 / 6$2.289,3576 / 5
Degenerative Nervous System Disorders W/O Mcc3147 / 6$16.334,70119 / 9$5.288,2673 / 3$4.396,4873 / 7
G.I. Obstruction W/O Cc/Mcc3041 / 5$12.643,60336 / 23$3.462,7063 / 6$2.214,1763 / 7
Major Small & Large Bowel Procedures W Mcc2857 / 11$106.464,00447 / 27$28.871,10327 / 20$27.794,90325 / 31
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc2816 / 1$20.357,70112 / 5$4.199,2513 / 2$3.057,6113 / 2
Peripheral Vascular Disorders W/O Cc/Mcc2817 / 2$14.604,60122 / 8$3.761,7539 / 1$2.858,7939 / 5
Other Digestive System Diagnoses W Mcc2834 / 3$32.187,60196 / 8$9.293,7564 / 1$8.529,3264 / 4
Acute Myocardial Infarction, Discharged Alive W Cc2863 / 13$28.406,40672 / 39$5.778,39152 / 6$4.838,39152 / 11
Seizures W/O Mcc2781 / 16$21.096,00605 / 34$4.296,3074 / 6$3.226,9374 / 4
Major Chest Procedures W Mcc2722 / 3$85.691,9058 / 6$25.068,7020 / 1$23.996,8020 / 4
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc26100 / 24$21.900,80518 / 32$6.119,5487 / 6$5.251,3887 / 5
Disorders Of The Biliary Tract W Cc2628 / 3$25.353,80139 / 5$5.899,9258 / 3$5.156,1258 / 6
G.I. Hemorrhage W/O Cc/Mcc2642 / 3$13.295,70239 / 13$3.874,7368 / 6$2.846,5068 / 7
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc2564 / 8$29.718,20294 / 13$6.723,6085 / 8$4.704,1685 / 7
Dysequilibrium2540 / 3$14.851,20122 / 6$3.484,4429 / 5$2.281,0429 / 3
Other Vascular Procedures W Cc2577 / 18$60.488,30372 / 16$18.759,20102 / 33$12.754,20102 / 2
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc2429 / 2$22.527,6096 / 1$6.794,0029 / 2$5.551,4229 / 1
Other Digestive System Diagnoses W/O Cc/Mcc2419 / 1$13.888,5064 / 4$3.853,1715 / 3$2.553,6715 / 2
Pulmonary Embolism W Mcc2419 / 2$44.469,80373 / 15$8.375,7526 / 5$6.934,0026 / 4
Permanent Cardiac Pacemaker Implant W Mcc2428 / 5$66.606,20122 / 8$20.935,6095 / 6$19.438,1095 / 8
Respiratory Neoplasms W Mcc2329 / 2$28.301,8095 / 5$9.571,78101 / 2$8.814,78101 / 8
Seizures W Mcc2343 / 10$28.830,50149 / 11$8.380,4336 / 5$7.198,6536 / 4
Cranial & Peripheral Nerve Disorders W/O Mcc2246 / 6$24.257,10334 / 25$5.316,2345 / 8$3.845,3245 / 4
Peripheral Vascular Disorders W Mcc2227 / 3$32.498,40247 / 11$7.900,3639 / 4$6.435,8639 / 5
Permanent Cardiac Pacemaker Implant W Cc2255 / 10$53.012,70249 / 14$14.914,50165 / 6$13.812,50165 / 9
Medical Back Problems W Mcc2118 / 3$31.733,7081 / 6$8.573,4327 / 2$7.753,7627 / 3
Bone Diseases & Arthropathies W/O Mcc2123 / 3$16.573,00119 / 8$4.071,6715 / 2$3.013,5215 / 2
Extracranial Procedures W Mcc194 / 1$45.140,703 / 1$17.035,906 / 1$16.124,706 / 1
Organic Disturbances & Mental Retardation1940 / 3$20.470,30188 / 8$5.605,6843 / 2$4.613,0043 / 2
Major Cardiovasc Procedures W Mcc1949 / 11$106.851,00145 / 12$29.760,9060 / 3$26.897,2060 / 6
Complications Of Treatment W Cc1933 / 4$20.263,8098 / 5$5.520,213 / 1$4.062,263 / 1
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1944 / 9$105.425,00258 / 15$29.525,20268 / 11$28.362,30268 / 15
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc1921 / 2$27.148,40113 / 7$6.104,0511 / 3$4.912,2611 / 3
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim1848 / 9$38.903,60151 / 7$10.559,00133 / 2$9.653,89133 / 8
Digestive Malignancy W Cc1829 / 4$22.716,9058 / 2$7.056,9456 / 2$6.344,3956 / 4
Other Circulatory System Diagnoses W Cc1848 / 10$19.528,70177 / 18$5.045,5057 / 2$4.503,0057 / 5
Nervous System Neoplasms W Mcc1830 / 4$40.381,30167 / 6$7.324,1737 / 1$6.639,5037 / 3
G.I. Obstruction W Mcc1824 / 5$32.879,20168 / 8$9.184,5631 / 5$7.791,3331 / 4
Extracranial Procedures W Cc1828 / 4$47.896,30219 / 3$9.181,3931 / 1$7.466,8331 / 1
Infectious & Parasitic Diseases W O.R. Procedure W Cc1818 / 1$48.086,20103 / 4$13.831,0085 / 1$12.905,5085 / 3
Septicemia Or Severe Sepsis W Mv 96+ Hours1874 / 17$95.353,90155 / 15$32.805,80184 / 11$31.510,80184 / 18
Other Resp System O.R. Procedures W Mcc1845 / 8$66.395,80131 / 7$19.401,3056 / 4$18.196,3056 / 8
Cervical Spinal Fusion W/O Cc/Mcc1886 / 16$38.799,10177 / 4$12.534,10235 / 4$11.276,10235 / 12
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1740 / 8$39.920,90144 / 5$12.539,1067 / 5$10.410,0067 / 3
Signs & Symptoms W/O Mcc1774 / 18$14.219,30286 / 20$3.952,5354 / 5$2.831,9454 / 4
Respiratory Neoplasms W Cc1730 / 5$21.612,5078 / 4$6.325,9427 / 2$5.392,4126 / 3
Respiratory System Diagnosis W Ventilator Support 96+ Hours1754 / 17$98.454,20245 / 20$34.076,4063 / 24$25.793,2063 / 8
Renal Failure W/O Cc/Mcc1640 / 9$16.356,10433 / 26$3.532,0052 / 5$2.490,3152 / 7
Pleural Effusion W Mcc1614 / 2$42.714,8097 / 5$9.189,8833 / 1$8.153,5633 / 2
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1649 / 9$81.990,80501 / 21$18.781,60326 / 10$17.804,80324 / 16
Cervical Spinal Fusion W Cc1637 / 8$57.620,60118 / 6$17.049,50108 / 4$15.528,90107 / 8
Major Male Pelvic Procedures W Cc/Mcc1614 / 2$47.922,4027 / 1$10.479,605 / 1$8.368,385 / 1
Endocrine Disorders W Cc1523 / 5$28.795,30164 / 7$5.781,0722 / 2$4.851,4022 / 2
Hypertension W/O Mcc1550 / 10$15.793,20250 / 14$3.494,4793 / 4$2.623,9393 / 6
Other Circulatory System O.R. Procedures1540 / 6$47.944,2091 / 6$15.172,7062 / 2$14.284,5062 / 2
Tendonitis, Myositis & Bursitis W/O Mcc1527 / 3$20.594,10148 / 10$4.554,9326 / 3$3.493,2726 / 3
Diabetes W Cc1577 / 25$18.815,70610 / 42$4.562,07208 / 5$3.839,53208 / 20
Urinary Stones W/O Esw Lithotripsy W/O Mcc1432 / 6$14.679,6072 / 7$3.881,9358 / 2$2.954,4358 / 5
Other Kidney & Urinary Tract Procedures W Mcc1424 / 3$80.567,40108 / 3$18.326,6040 / 2$17.227,7040 / 2
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc1440 / 9$19.523,10154 / 7$4.104,7920 / 1$3.016,9320 / 1
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1486 / 25$79.542,70270 / 23$18.579,0046 / 6$15.559,5046 / 4
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc1449 / 5$63.670,8076 / 5$20.645,7045 / 4$16.972,0045 / 6
Hip & Femur Procedures Except Major Joint W Mcc1448 / 14$57.969,50279 / 18$17.078,70190 / 13$15.829,20189 / 15
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1442 / 12$31.539,50158 / 11$9.753,8628 / 1$9.064,8628 / 2
Malignancy Of Hepatobiliary System Or Pancreas W Cc1417 / 3$31.632,6082 / 3$6.559,2115 / 1$5.465,0715 / 2
Disorders Of Pancreas Except Malignancy W Cc1447 / 15$26.081,40513 / 26$5.266,795 / 3$3.361,575 / 1
Transurethral Procedures W Cc1427 / 6$25.608,1068 / 3$7.129,2153 / 3$6.176,6453 / 2
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1450 / 14$152.793,0061 / 6$51.511,2069 / 4$50.327,9069 / 7
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc13103 / 11$149.781,0074 / 1$42.554,8038 / 1$41.415,9038 / 1
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1343 / 12$44.626,50355 / 16$9.500,4665 / 3$7.605,7765 / 4
Digestive Malignancy W Mcc1324 / 2$38.457,1026 / 2$11.853,8013 / 1$10.835,2013 / 2
Bronchitis & Asthma W/O Cc/Mcc1332 / 2$15.113,70133 / 7$3.788,6210 / 3$2.254,3110 / 1
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1325 / 7$14.664,10124 / 10$3.650,2349 / 2$2.657,8549 / 4
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc1333 / 6$26.638,0097 / 3$5.534,9228 / 1$4.294,2328 / 1
Diabetes W/O Cc/Mcc1325 / 4$13.027,1088 / 6$3.208,5436 / 1$2.677,1536 / 1
Malignancy Of Hepatobiliary System Or Pancreas W Mcc1340 / 8$39.141,3096 / 1$9.741,3123 / 1$8.681,2323 / 2
Traumatic Stupor & Coma, Coma <1 Hr W Mcc1338 / 11$48.720,90142 / 9$11.105,2041 / 1$10.241,4041 / 1
Revision Of Hip Or Knee Replacement W Cc1274 / 15$56.380,20119 / 5$18.611,20164 / 3$17.618,90164 / 11
Major Chest Trauma W Cc1224 / 2$20.682,8027 / 1$5.539,0011 / 1$4.356,5011 / 2
Fever1234 / 3$22.687,50145 / 4$4.789,3374 / 1$4.279,6774 / 1
Lymphoma & Non-Acute Leukemia W Cc1224 / 4$42.371,0048 / 2$9.528,0817 / 1$8.693,2517 / 1
Major Cardiovasc Procedures W/O Mcc1289 / 25$57.433,30109 / 5$21.131,3031 / 16$15.974,8031 / 3
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1243 / 14$43.238,00186 / 10$12.703,305 / 9$8.225,255 / 1
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1241 / 14$24.605,50437 / 20$4.413,3389 / 8$3.287,6789 / 8
Coronary Bypass W/O Cardiac Cath W Mcc1247 / 5$115.876,0057 / 1$29.972,5027 / 1$28.994,3027 / 1
Nonspecific Cerebrovascular Disorders W Mcc1239 / 12$30.499,60121 / 7$8.837,505 / 3$7.225,835 / 1
Other Disorders Of Nervous System W Mcc1129 / 9$27.367,1056 / 2$8.812,7357 / 2$8.256,0057 / 5
Diabetes W Mcc1146 / 13$24.698,00167 / 12$7.763,6482 / 4$6.878,0982 / 7
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1158 / 15$50.808,70166 / 11$11.160,5036 / 6$8.402,3636 / 4
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc11113 / 19$16.225,50389 / 15$3.827,3638 / 4$2.882,0038 / 2
Pleural Effusion W Cc1117 / 3$23.661,2030 / 1$5.746,7311 / 1$5.320,9111 / 1
Kidney & Ureter Procedures For Neoplasm W Cc1133 / 6$54.473,5078 / 2$11.315,5021 / 1$10.217,7021 / 2
Kidney & Ureter Procedures For Non-Neoplasm W Cc1134 / 9$38.966,1037 / 1$10.475,5018 / 2$9.477,7318 / 2
Disorders Of The Biliary Tract W Mcc1128 / 6$39.476,2099 / 3$9.013,919 / 1$7.885,369 / 1
Postoperative & Post-Traumatic Infections W/O Mcc1143 / 11$15.976,1060 / 3$5.209,2715 / 1$4.348,0015 / 2
Total 154 procedures6.148discharges

DATA

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.