Hospital Costs > In Texas > Memorial Hermann Memorial City 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 | 469 | 96 / 9 | $35.946,30 | 1097 / 46 | $12.002,50 | 907 / 114 | $10.066,30 | 904 / 81 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 323 | 249 / 20 | $51.860,90 | 1375 / 71 | $15.800,00 | 403 / 184 | $10.169,10 | 401 / 52 |
| Heart Failure & Shock W Mcc | 140 | 144 / 22 | $26.030,30 | 822 / 23 | $9.229,51 | 865 / 78 | $8.122,34 | 865 / 67 |
| Simple Pneumonia & Pleurisy W Mcc | 111 | 94 / 15 | $26.041,10 | 773 / 19 | $9.379,77 | 749 / 99 | $7.607,17 | 749 / 60 |
| Heart Failure & Shock W Cc | 110 | 168 / 25 | $18.828,90 | 1027 / 29 | $6.352,69 | 1184 / 87 | $5.437,82 | 1181 / 97 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 107 | 100 / 12 | $20.752,40 | 855 / 32 | $6.994,24 | 729 / 95 | $5.414,05 | 727 / 54 |
| Chronic Obstructive Pulmonary Disease W Mcc | 92 | 110 / 17 | $21.141,70 | 823 / 27 | $7.407,89 | 1068 / 70 | $6.304,93 | 1063 / 86 |
| G.I. Hemorrhage W Cc | 91 | 127 / 18 | $25.705,20 | 1264 / 43 | $7.557,14 | 290 / 130 | $4.691,38 | 290 / 26 |
| Kidney & Urinary Tract Infections W Mcc | 90 | 54 / 9 | $21.596,70 | 678 / 19 | $7.322,54 | 662 / 79 | $5.891,02 | 661 / 51 |
| Respiratory Infections & Inflammations W Mcc | 85 | 52 / 6 | $31.268,30 | 427 / 7 | $11.782,20 | 364 / 50 | $10.182,80 | 364 / 26 |
| Kidney & Urinary Tract Infections W/O Mcc | 85 | 148 / 34 | $16.280,20 | 1117 / 47 | $5.111,69 | 999 / 92 | $3.960,22 | 991 / 84 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 79 | 103 / 22 | $30.398,40 | 1181 / 44 | $6.790,54 | 713 / 51 | $5.448,67 | 712 / 55 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 75 | 93 / 14 | $35.235,70 | 533 / 8 | $10.636,30 | 484 / 37 | $9.313,45 | 483 / 33 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 73 | 202 / 47 | $19.915,70 | 1377 / 51 | $5.019,03 | 900 / 81 | $3.696,59 | 895 / 65 |
| Cellulitis W/O Mcc | 73 | 116 / 23 | $16.516,20 | 1054 / 36 | $6.195,75 | 959 / 139 | $4.244,69 | 953 / 75 |
| Simple Pneumonia & Pleurisy W Cc | 72 | 131 / 38 | $17.979,50 | 910 / 27 | $6.717,94 | 729 / 122 | $4.837,56 | 726 / 54 |
| Hip & Femur Procedures Except Major Joint W Cc | 69 | 74 / 19 | $47.799,80 | 963 / 33 | $11.888,50 | 801 / 63 | $10.618,30 | 792 / 66 |
| Renal Failure W Mcc | 68 | 127 / 36 | $25.030,10 | 462 / 11 | $9.183,28 | 371 / 45 | $7.863,84 | 371 / 34 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 66 | 100 / 26 | $18.570,70 | 1390 / 53 | $5.047,11 | 458 / 119 | $3.283,30 | 458 / 39 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 63 | 63 / 19 | $24.954,00 | 701 / 28 | $7.227,24 | 800 / 54 | $6.579,37 | 797 / 73 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 61 | 62 / 10 | $27.185,40 | 797 / 19 | $8.330,88 | 639 / 74 | $6.577,85 | 636 / 56 |
| Renal Failure W Cc | 52 | 169 / 55 | $18.966,40 | 878 / 21 | $6.393,29 | 1038 / 91 | $5.225,56 | 1030 / 86 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 52 | 25 / 5 | $45.084,90 | 221 / 13 | $13.134,30 | 49 / 35 | $7.351,73 | 49 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 50 | 146 / 29 | $44.421,10 | 123 / 2 | $14.782,10 | 292 / 83 | $10.115,60 | 292 / 37 |
| Red Blood Cell Disorders W/O Mcc | 49 | 94 / 21 | $19.689,00 | 876 / 33 | $5.396,65 | 823 / 66 | $4.322,61 | 818 / 71 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 47 | 78 / 18 | $38.967,90 | 767 / 21 | $10.330,20 | 690 / 43 | $9.407,00 | 689 / 53 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 47 | 77 / 21 | $83.680,30 | 284 / 6 | $30.047,70 | 234 / 26 | $27.256,10 | 234 / 22 |
| Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 34 | $19.803,10 | 980 / 23 | $6.332,38 | 878 / 96 | $4.854,33 | 875 / 61 |
| Major Small & Large Bowel Procedures W Cc | 42 | 66 / 15 | $60.671,70 | 654 / 24 | $16.449,80 | 464 / 51 | $13.478,60 | 460 / 44 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 42 | 108 / 24 | $15.834,10 | 1087 / 38 | $3.779,21 | 935 / 45 | $2.772,74 | 930 / 70 |
| G.I. Hemorrhage W Mcc | 40 | 81 / 19 | $38.641,00 | 644 / 14 | $12.548,70 | 619 / 86 | $9.987,10 | 620 / 52 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 44 | $25.608,60 | 770 / 12 | $7.851,42 | 661 / 58 | $6.534,80 | 661 / 39 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 38 | $18.185,10 | 878 / 19 | $5.200,06 | 707 / 60 | $4.018,37 | 704 / 55 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 35 | 30 / 8 | $68.435,30 | 354 / 9 | $19.486,80 | 416 / 24 | $18.453,60 | 414 / 30 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 34 | 67 / 10 | $28.357,70 | 343 / 9 | $9.349,41 | 223 / 14 | $8.073,18 | 223 / 10 |
| G.I. Obstruction W Cc | 34 | 58 / 18 | $21.366,10 | 749 / 16 | $5.698,94 | 649 / 36 | $4.637,29 | 648 / 45 |
| Major Small & Large Bowel Procedures W Mcc | 33 | 52 / 12 | $101.651,00 | 398 / 10 | $31.188,20 | 567 / 36 | $30.273,80 | 565 / 52 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 21 | $14.525,50 | 676 / 18 | $5.061,00 | 565 / 89 | $3.290,09 | 563 / 45 |
| G.I. Obstruction W/O Cc/Mcc | 32 | 39 / 7 | $16.932,20 | 656 / 23 | $4.496,34 | 361 / 45 | $2.784,62 | 361 / 28 |
| Medical Back Problems W/O Mcc | 30 | 91 / 21 | $22.493,80 | 701 / 18 | $5.537,43 | 367 / 33 | $4.059,07 | 367 / 25 |
| Bronchitis & Asthma W Cc/Mcc | 30 | 46 / 13 | $20.191,10 | 388 / 9 | $5.896,20 | 249 / 31 | $4.219,90 | 246 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 26 | $26.201,90 | 956 / 34 | $4.992,80 | 707 / 31 | $3.863,20 | 703 / 49 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 29 | 63 / 17 | $87.796,10 | 120 / 3 | $33.246,70 | 90 / 18 | $29.691,30 | 90 / 9 |
| Extracranial Procedures W/O Cc/Mcc | 28 | 70 / 21 | $34.088,00 | 528 / 37 | $7.507,75 | 377 / 53 | $5.427,46 | 377 / 36 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 27 | 35 / 6 | $18.685,70 | 342 / 3 | $4.834,59 | 269 / 10 | $3.803,48 | 269 / 14 |
| Seizures W/O Mcc | 27 | 81 / 20 | $20.493,30 | 575 / 12 | $5.730,41 | 374 / 48 | $3.872,33 | 372 / 29 |
| G.I. Hemorrhage W/O Cc/Mcc | 26 | 42 / 7 | $15.938,80 | 378 / 9 | $4.601,58 | 316 / 21 | $3.388,04 | 313 / 25 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 26 | 77 / 14 | $20.846,50 | 274 / 7 | $5.988,27 | 167 / 6 | $5.071,77 | 167 / 9 |
| Syncope & Collapse | 26 | 143 / 40 | $25.003,70 | 1220 / 47 | $4.766,00 | 637 / 41 | $3.683,54 | 634 / 45 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 25 | 31 / 9 | $37.477,20 | 350 / 14 | $10.157,10 | 270 / 37 | $8.382,24 | 269 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 30 | $31.994,60 | 711 / 28 | $8.429,84 | 576 / 53 | $6.818,92 | 571 / 39 |
| Cellulitis W Mcc | 24 | 34 / 11 | $26.290,80 | 287 / 8 | $11.147,20 | 174 / 54 | $7.332,17 | 173 / 14 |
| Fractures Of Hip & Pelvis W/O Mcc | 24 | 37 / 7 | $15.239,90 | 297 / 5 | $4.571,79 | 362 / 14 | $3.617,12 | 363 / 21 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 42 | $36.894,70 | 250 / 3 | $13.420,00 | 533 / 35 | $12.524,60 | 526 / 54 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 32 | $16.848,40 | 1045 / 35 | $5.414,67 | 480 / 121 | $3.294,04 | 478 / 36 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 21 | $26.693,00 | 552 / 17 | $8.339,92 | 611 / 38 | $7.585,25 | 608 / 50 |
| Diabetes W Cc | 23 | 69 / 28 | $23.050,00 | 890 / 36 | $5.278,87 | 710 / 31 | $4.544,26 | 708 / 52 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 23 | 46 / 11 | $56.813,20 | 167 / 3 | $18.257,90 | 164 / 15 | $14.406,80 | 164 / 15 |
| Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 26 | $65.882,20 | 197 / 3 | $24.637,10 | 129 / 59 | $17.225,90 | 129 / 8 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 23 | 41 / 12 | $132.656,00 | 37 / 4 | $51.025,30 | 30 / 6 | $46.514,10 | 30 / 4 |
| Other Circulatory System Diagnoses W Mcc | 23 | 93 / 34 | $32.616,70 | 279 / 6 | $11.590,10 | 317 / 35 | $10.064,00 | 316 / 22 |
| Other Vascular Procedures W Cc | 23 | 79 / 31 | $45.667,90 | 145 / 5 | $15.867,30 | 113 / 39 | $12.817,00 | 113 / 12 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 22 | 34 / 14 | $44.697,30 | 357 / 12 | $11.083,60 | 317 / 43 | $8.713,36 | 317 / 31 |
| Transient Ischemia | 22 | 103 / 41 | $24.794,60 | 946 / 30 | $4.605,86 | 635 / 34 | $3.507,68 | 631 / 43 |
| Permanent Cardiac Pacemaker Implant W Cc | 20 | 57 / 19 | $41.159,60 | 94 / 1 | $15.813,40 | 350 / 20 | $14.842,20 | 349 / 35 |
| Spinal Fusion Except Cervical W/O Mcc | 20 | 174 / 53 | $103.147,00 | 764 / 47 | $34.309,10 | 814 / 110 | $24.221,50 | 810 / 98 |
| Seizures W Mcc | 20 | 46 / 14 | $33.061,60 | 225 / 4 | $8.954,05 | 182 / 9 | $8.286,85 | 182 / 19 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 20 | 69 / 20 | $46.744,00 | 559 / 37 | $13.723,80 | 137 / 58 | $4.934,85 | 137 / 16 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 25 | $24.745,10 | 663 / 21 | $8.497,26 | 123 / 78 | $4.472,47 | 122 / 6 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 19 | 45 / 14 | $43.867,80 | 371 / 21 | $10.557,80 | 200 / 23 | $8.079,42 | 200 / 21 |
| Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 22 | $62.059,90 | 326 / 6 | $19.433,30 | 246 / 41 | $16.201,30 | 244 / 18 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 38 | $11.525,60 | 395 / 9 | $5.012,11 | 712 / 79 | $3.500,83 | 710 / 52 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 19 | $21.971,20 | 493 / 9 | $8.788,44 | 37 / 66 | $4.014,28 | 37 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 30 | $59.065,10 | 453 / 31 | $17.869,90 | 211 / 62 | $11.146,80 | 211 / 28 |
| Revision Of Hip Or Knee Replacement W Cc | 17 | 69 / 18 | $63.669,40 | 169 / 5 | $21.264,90 | 208 / 17 | $18.130,80 | 208 / 21 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 21 | $23.428,10 | 183 / 3 | $8.360,65 | 301 / 13 | $7.667,00 | 300 / 21 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 20 | $60.670,90 | 484 / 22 | $13.422,60 | 431 / 21 | $12.370,60 | 428 / 36 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 16 | 38 / 12 | $21.602,90 | 186 / 7 | $4.805,69 | 137 / 6 | $3.899,69 | 137 / 9 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 19 | $89.044,00 | 146 / 4 | $27.943,30 | 203 / 13 | $27.263,20 | 203 / 20 |
| Chest Pain | 16 | 135 / 50 | $18.911,70 | 838 / 23 | $4.747,25 | 486 / 79 | $2.909,00 | 483 / 28 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 15 | $25.335,50 | 397 / 13 | $5.971,53 | 210 / 8 | $5.009,40 | 210 / 12 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 15 | 83 / 17 | $80.704,50 | 99 / 3 | $26.520,70 | 12 / 12 | $20.157,60 | 12 / 1 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 24 | $26.037,30 | 345 / 15 | $7.774,93 | 453 / 26 | $7.333,33 | 451 / 41 |
| Other Vascular Procedures W Mcc | 15 | 82 / 35 | $65.778,70 | 215 / 9 | $21.377,10 | 480 / 54 | $20.528,10 | 478 / 63 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 27 | $16.595,50 | 250 / 5 | $7.165,20 | 339 / 53 | $4.976,60 | 337 / 24 |
| Peripheral Vascular Disorders W Mcc | 15 | 34 / 12 | $29.100,40 | 182 / 6 | $8.378,87 | 185 / 13 | $7.570,33 | 185 / 22 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 31 | $60.256,30 | 80 / 1 | $25.207,50 | 24 / 71 | $15.027,10 | 24 / 2 |
| Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 13 | $52.848,40 | 44 / 1 | $21.241,70 | 155 / 8 | $20.113,10 | 155 / 11 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 13 | $37.495,20 | 272 / 17 | $11.028,60 | 24 / 55 | $5.064,50 | 24 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 31 | $25.053,00 | 523 / 8 | $6.526,14 | 602 / 24 | $5.662,14 | 601 / 42 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 18 | $55.532,70 | 305 / 14 | $16.069,40 | 183 / 31 | $10.416,60 | 183 / 10 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 14 | 40 / 11 | $28.061,70 | 259 / 10 | $6.906,14 | 151 / 15 | $5.633,50 | 151 / 9 |
| Major Cardiovasc Procedures W Mcc | 14 | 54 / 19 | $90.007,60 | 81 / 2 | $33.816,90 | 95 / 18 | $27.790,40 | 95 / 12 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc | 13 | 13 / 2 | $58.551,80 | 8 / 1 | $18.438,90 | 4 / 2 | $14.636,40 | 4 / 1 |
| Complications Of Treatment W Mcc | 13 | 38 / 10 | $37.240,90 | 91 / 3 | $10.868,10 | 33 / 4 | $9.033,00 | 33 / 4 |
| Peritoneal Adhesiolysis W Cc | 13 | 26 / 9 | $53.316,30 | 109 / 2 | $14.699,70 | 20 / 5 | $11.052,30 | 20 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 13 | 103 / 19 | $152.039,00 | 85 / 3 | $55.986,80 | 111 / 16 | $45.732,80 | 111 / 12 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 13 | 35 / 7 | $42.975,20 | 117 / 10 | $15.436,90 | 17 / 18 | $6.772,92 | 17 / 2 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 12 | 39 / 13 | $28.384,10 | 30 / 1 | $11.214,20 | 36 / 2 | $10.211,60 | 36 / 3 |
| Diabetes W Mcc | 12 | 45 / 24 | $37.712,10 | 425 / 23 | $9.892,42 | 441 / 33 | $8.966,33 | 441 / 40 |
| Degenerative Nervous System Disorders W Mcc | 12 | 26 / 7 | $29.107,60 | 58 / 2 | $9.773,25 | 33 / 3 | $8.773,25 | 33 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 19 | $22.894,50 | 403 / 9 | $5.867,58 | 493 / 16 | $5.262,25 | 491 / 32 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 12 | 47 / 14 | $123.572,00 | 65 / 2 | $39.510,20 | 69 / 11 | $32.192,50 | 69 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 24 | $17.491,40 | 198 / 2 | $7.621,82 | 126 / 30 | $5.665,64 | 126 / 8 |
| Nervous System Neoplasms W Mcc | 11 | 37 / 9 | $25.456,60 | 48 / 2 | $8.508,36 | 39 / 1 | $6.662,64 | 39 / 2 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 19 | $45.516,50 | 398 / 23 | $11.194,60 | 403 / 32 | $10.865,80 | 402 / 41 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 11 | $43.324,80 | 72 / 5 | $15.503,30 | 46 / 16 | $10.076,30 | 45 / 6 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 18 | $21.066,10 | 331 / 5 | $5.159,73 | 172 / 21 | $3.512,36 | 171 / 6 |
| Cranial & Peripheral Nerve Disorders W Mcc | 11 | 25 / 8 | $34.230,80 | 72 / 2 | $9.644,64 | 53 / 5 | $7.894,82 | 53 / 5 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 18 | $20.904,10 | 241 / 3 | $5.647,91 | 350 / 9 | $5.211,55 | 350 / 21 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 15 | $43.380,20 | 254 / 6 | $14.374,80 | 53 / 26 | $6.815,82 | 53 / 3 | Total 111 procedures | 4.463 | 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.