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Memorial Hospital Jacksonville, procedure costs

3625 University Blvd S, Jacksonville, FL 32216,

Procedure Costs @ Memorial Hospital Jacksonville
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 Mcc291227 / 23$102.389,002655 / 138$11.523,501026 / 91$10.216,601015 / 93
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc22860 / 20$43.357,502549 / 137$5.041,541202 / 96$3.891,571191 / 99
Heart Failure & Shock W Mcc162122 / 19$73.177,102390 / 135$9.149,22991 / 92$8.287,61990 / 92
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc156408 / 60$99.916,802478 / 123$13.371,80719 / 86$10.648,00709 / 74
Heart Failure & Shock W Cc139139 / 28$46.107,702482 / 130$6.576,94911 / 106$5.224,09910 / 86
Renal Failure W Mcc13759 / 4$62.576,901790 / 104$9.086,44684 / 69$8.345,63684 / 85
Renal Failure W Cc13786 / 15$48.421,702229 / 130$6.259,91804 / 95$5.004,71797 / 86
Cellulitis W/O Mcc12961 / 13$42.847,202472 / 145$5.428,341141 / 85$4.383,671135 / 98
Chest Pain12536 / 13$37.446,101544 / 122$4.163,49785 / 79$3.244,79780 / 86
Kidney & Urinary Tract Infections W/O Mcc122111 / 37$42.399,602542 / 144$5.101,131184 / 100$4.077,151176 / 95
Syncope & Collapse11158 / 21$46.522,701800 / 131$4.943,18701 / 88$3.749,30698 / 83
Simple Pneumonia & Pleurisy W Mcc10897 / 16$65.133,402176 / 103$8.610,61966 / 74$7.842,66966 / 88
Chronic Obstructive Pulmonary Disease W Mcc10795 / 24$51.574,602217 / 108$7.188,301007 / 87$6.251,671002 / 90
Circulatory Disorders Except Ami, W Card Cath W/O Mcc10682 / 15$75.093,101535 / 111$6.959,75692 / 75$5.723,53690 / 84
Infectious & Parasitic Diseases W O.R. Procedure W Mcc8936 / 2$184.140,001193 / 62$26.327,4092 / 6$25.414,7092 / 10
Kidney & Urinary Tract Infections W Mcc8460 / 17$58.454,801794 / 118$6.960,45733 / 78$6.001,35732 / 81
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc8383 / 20$35.367,702268 / 118$4.655,511424 / 89$3.989,671419 / 106
Chronic Obstructive Pulmonary Disease W Cc8297 / 37$45.435,802178 / 120$6.011,07999 / 91$4.955,43996 / 95
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc8145 / 5$42.840,501362 / 71$6.798,63461 / 51$5.968,00458 / 50
Pulmonary Edema & Respiratory Failure79124 / 15$55.712,301860 / 95$7.541,71689 / 67$6.576,92689 / 72
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc79117 / 27$120.579,001320 / 88$13.140,40278 / 60$10.077,60278 / 40
G.I. Hemorrhage W Cc75143 / 40$58.750,802292 / 141$6.551,19787 / 94$5.170,21785 / 79
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs74108 / 20$63.422,101919 / 110$6.762,22802 / 73$5.553,49800 / 76
Simple Pneumonia & Pleurisy W Cc73130 / 40$53.632,502622 / 130$6.147,401128 / 84$5.175,141124 / 94
Respiratory System Diagnosis W Ventilator Support <96 Hours7061 / 10$97.197,701482 / 82$14.031,10363 / 62$12.051,40359 / 43
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc7050 / 19$33.702,301813 / 105$4.824,101054 / 88$3.787,231045 / 94
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc6585 / 36$30.620,001772 / 112$4.094,37879 / 92$2.731,12875 / 90
Red Blood Cell Disorders W/O Mcc6380 / 25$42.729,701806 / 130$5.226,25980 / 77$4.496,86974 / 89
Transient Ischemia6362 / 25$47.925,001551 / 115$4.680,89586 / 69$3.460,59583 / 69
Cardiac Arrhythmia & Conduction Disorders W Cc61100 / 39$39.597,801898 / 116$5.424,49636 / 95$3.952,77633 / 74
Other Circulatory System Diagnoses W Mcc6056 / 10$74.998,701103 / 69$11.191,00357 / 53$10.191,50356 / 57
Medical Back Problems W/O Mcc5863 / 24$48.459,801389 / 125$5.404,47604 / 70$4.406,76602 / 78
Septicemia Or Severe Sepsis W Mv 96+ Hours5141 / 5$210.610,00783 / 43$29.730,5025 / 8$27.397,3025 / 6
Acute Myocardial Infarction, Discharged Alive W Mcc5075 / 19$100.176,001703 / 117$10.428,90548 / 73$9.119,94547 / 63
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents4951 / 7$155.447,00852 / 57$18.373,10133 / 25$16.632,60133 / 23
G.I. Hemorrhage W Mcc4972 / 17$79.869,601437 / 97$10.278,20366 / 57$9.325,86366 / 51
Esophagitis, Gastroent & Misc Digest Disorders W Mcc4848 / 14$61.330,701286 / 92$7.555,31473 / 58$6.572,56470 / 64
Intracranial Hemorrhage Or Cerebral Infarction W Mcc47121 / 27$94.862,701477 / 94$10.816,30468 / 64$9.267,32467 / 59
Circulatory Disorders Except Ami, W Card Cath W Mcc4647 / 6$95.422,20736 / 58$12.271,00249 / 31$11.293,60244 / 44
Peripheral Vascular Disorders W Cc4638 / 12$44.156,901078 / 88$5.974,76396 / 60$5.096,83394 / 64
Diabetes W Cc4547 / 13$37.926,601360 / 81$5.415,33444 / 71$4.211,02444 / 56
Hypertension W/O Mcc4520 / 8$36.732,00714 / 75$4.229,78350 / 47$3.270,33348 / 61
Other Vascular Procedures W Mcc4453 / 13$159.622,00902 / 78$19.300,90183 / 41$17.747,40183 / 33
Heart Failure & Shock W/O Cc/Mcc4466 / 26$34.570,301809 / 106$4.723,14629 / 85$3.415,27627 / 68
Cardiac Arrhythmia & Conduction Disorders W Mcc4479 / 24$60.864,101694 / 98$9.286,39558 / 105$6.451,93555 / 67
Major Cardiovasc Procedures W/O Mcc4259 / 15$183.393,00952 / 69$19.945,10278 / 31$18.400,50278 / 39
Poisoning & Toxic Effects Of Drugs W Mcc4230 / 4$62.647,90814 / 53$8.722,79378 / 36$8.031,19377 / 48
Cranial & Peripheral Nerve Disorders W/O Mcc4226 / 7$45.571,90648 / 53$5.633,24252 / 30$4.859,40252 / 39
Other Digestive System Diagnoses W Cc4156 / 17$58.609,901353 / 109$6.420,98715 / 77$5.596,56711 / 86
Respiratory Infections & Inflammations W Mcc36100 / 29$89.332,201582 / 81$10.924,10262 / 30$9.932,86262 / 21
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc36171 / 60$61.980,902432 / 126$7.888,031049 / 122$5.705,251046 / 88
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc3560 / 16$109.481,00493 / 45$12.541,50186 / 28$10.760,50184 / 39
Red Blood Cell Disorders W Mcc3536 / 12$62.428,00973 / 78$7.648,69329 / 39$6.885,69327 / 46
Major Small & Large Bowel Procedures W Mcc3550 / 13$228.756,001119 / 62$27.607,8061 / 23$24.266,8061 / 7
Seizures W/O Mcc3474 / 24$44.405,901181 / 95$4.971,32546 / 58$4.151,56543 / 68
Other Vascular Procedures W Cc3468 / 19$122.345,00981 / 58$14.562,40278 / 26$13.791,20277 / 41
Hip & Femur Procedures Except Major Joint W Cc32111 / 43$84.212,601757 / 83$11.022,80476 / 54$10.034,60475 / 65
Other Digestive System Diagnoses W Mcc3032 / 5$73.446,00649 / 49$10.259,10150 / 33$9.131,63150 / 33
Signs & Symptoms W/O Mcc3061 / 21$42.423,201254 / 112$4.603,57623 / 65$3.896,20622 / 77
Respiratory System Diagnosis W Ventilator Support 96+ Hours2942 / 11$202.068,00750 / 52$27.416,60101 / 10$26.501,20101 / 13
Dysequilibrium2738 / 16$40.183,50507 / 63$4.269,44159 / 40$3.022,96159 / 42
Major Small & Large Bowel Procedures W Cc2682 / 32$151.642,001445 / 84$15.695,80149 / 58$12.200,60149 / 20
Coronary Bypass W Cardiac Cath W Mcc2531 / 5$435.907,00418 / 27$53.132,3050 / 26$35.454,9050 / 11
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc2540 / 14$128.404,00778 / 43$18.018,40244 / 20$17.146,50242 / 33
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.2539 / 8$305.136,00331 / 19$47.396,404 / 2$39.654,404 / 1
Other Circulatory System Diagnoses W Cc2541 / 11$42.542,40559 / 43$6.068,12197 / 29$5.111,08196 / 30
Major Cardiovasc Procedures W Mcc2543 / 10$225.212,00555 / 49$32.099,80107 / 28$28.179,80107 / 20
Organic Disturbances & Mental Retardation2534 / 13$56.546,70526 / 55$6.271,68182 / 35$5.588,40182 / 41
Psychoses24251 / 23$50.607,50585 / 49$6.284,1240 / 21$4.740,7940 / 10
O.R. Procedures For Obesity W/O Cc/Mcc2453 / 10$74.218,30365 / 18$10.436,4051 / 17$7.359,4251 / 5
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc2439 / 15$184.325,00598 / 49$26.486,9064 / 22$24.299,7064 / 13
Simple Pneumonia & Pleurisy W/O Cc/Mcc2469 / 34$42.318,101835 / 116$4.662,421077 / 74$3.755,791071 / 91
Nonspecific Cerebrovascular Disorders W Mcc2427 / 4$79.770,00367 / 21$9.748,7193 / 12$8.850,9293 / 13
Laparoscopic Cholecystectomy W/O C.D.E. W Cc2333 / 19$99.703,80804 / 62$10.095,20231 / 46$8.421,87231 / 41
Nonspecific Cerebrovascular Disorders W Cc2333 / 6$51.035,00418 / 29$5.926,91134 / 17$5.110,91134 / 21
Poisoning & Toxic Effects Of Drugs W/O Mcc2338 / 13$35.814,70821 / 70$4.267,26387 / 40$3.556,09386 / 48
Degenerative Nervous System Disorders W/O Mcc2355 / 23$48.029,00759 / 74$6.278,87163 / 45$4.851,00163 / 41
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc2294 / 16$386.436,00437 / 31$43.297,1019 / 6$39.561,6019 / 2
G.I. Obstruction W Cc2270 / 37$60.250,701676 / 127$5.673,45778 / 71$4.791,14776 / 85
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc2240 / 20$41.860,50744 / 86$5.232,23271 / 58$3.806,23271 / 51
Cellulitis W Mcc2137 / 13$67.285,80856 / 62$8.349,67224 / 23$7.539,05223 / 33
Acute Myocardial Infarction, Discharged Alive W Cc2170 / 30$73.895,001381 / 99$6.610,00528 / 52$5.513,14527 / 63
Other Disorders Of Nervous System W Mcc2119 / 5$73.672,30274 / 19$9.551,8678 / 12$8.611,3378 / 11
Other Vascular Procedures W/O Cc/Mcc2135 / 10$95.817,90511 / 36$10.113,00198 / 20$9.131,95197 / 27
Coronary Bypass W/O Cardiac Cath W Mcc2138 / 6$373.279,00231 / 18$33.491,1079 / 6$32.674,1079 / 9
Peripheral Vascular Disorders W/O Cc/Mcc2124 / 12$36.711,40365 / 62$4.651,48133 / 44$3.408,90133 / 40
Other Circulatory System O.R. Procedures2134 / 10$120.351,00374 / 24$14.733,0040 / 4$13.818,6040 / 6
Infectious & Parasitic Diseases W O.R. Procedure W Cc2016 / 4$107.424,00310 / 15$13.053,7026 / 6$11.833,0026 / 4
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc2082 / 37$51.057,101509 / 101$5.303,65665 / 66$3.813,55661 / 69
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1838 / 20$72.834,40806 / 54$9.728,78368 / 38$8.720,56366 / 47
Fever1828 / 14$43.378,60304 / 38$5.617,0687 / 21$4.396,3987 / 24
Other Disorders Of Nervous System W Cc1838 / 15$50.937,00556 / 43$5.694,67239 / 25$5.018,61239 / 33
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc1829 / 8$35.457,10324 / 29$4.692,56154 / 20$4.103,83154 / 26
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc18106 / 19$43.872,60804 / 58$4.550,78328 / 32$3.873,17328 / 41
Tendonitis, Myositis & Bursitis W/O Mcc1824 / 8$37.047,60278 / 26$5.250,56171 / 20$4.708,39171 / 27
Respiratory Signs & Symptoms1828 / 11$36.565,80275 / 29$4.747,2876 / 21$3.476,5076 / 21
Renal Failure W/O Cc/Mcc1838 / 24$40.378,10821 / 73$4.197,06402 / 40$3.324,11401 / 49
Permanent Cardiac Pacemaker Implant W Cc1859 / 27$84.152,60658 / 40$15.243,30221 / 38$14.170,40220 / 44
Endocrine Disorders W Cc1721 / 5$49.558,00266 / 24$6.324,5381 / 17$5.537,2981 / 18
Carotid Artery Stent Procedure W/O Cc/Mcc1715 / 3$59.331,2070 / 4$10.226,0038 / 5$9.232,9438 / 5
Diabetes W/O Cc/Mcc1622 / 7$30.842,60263 / 28$3.958,00110 / 12$3.125,19110 / 16
Bronchitis & Asthma W Cc/Mcc1660 / 30$45.153,20965 / 86$5.577,19447 / 48$4.665,25443 / 64
G.I. Obstruction W Mcc1626 / 9$61.197,80416 / 30$9.251,7577 / 21$8.258,8877 / 17
Hip & Femur Procedures Except Major Joint W Mcc1646 / 19$103.832,00714 / 41$16.764,9031 / 22$14.264,1031 / 3
G.I. Obstruction W/O Cc/Mcc1655 / 31$35.817,401190 / 74$4.483,56402 / 66$2.834,00401 / 57
Extracranial Procedures W/O Cc/Mcc1682 / 35$65.637,20857 / 49$7.418,00168 / 49$4.896,06168 / 25
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1665 / 14$582.549,00311 / 25$71.249,3011 / 1$70.607,4011 / 1
Cranial & Peripheral Nerve Disorders W Mcc1620 / 5$56.674,20125 / 7$434.396,009 / 10$6.460,199 / 1
Degenerative Nervous System Disorders W Mcc1523 / 7$61.737,80171 / 15$9.693,6031 / 6$8.635,0731 / 5
Hiv W Major Related Condition W Mcc1522 / 8$105.250,0067 / 12$15.190,105 / 2$14.214,805 / 2
O.R. Procedures For Obesity W Cc1519 / 2$75.370,3098 / 4$13.334,406 / 6$8.919,736 / 1
Bone Diseases & Arthropathies W/O Mcc1529 / 6$32.969,70251 / 21$4.763,6779 / 15$3.807,2779 / 15
Permanent Cardiac Pacemaker Implant W Mcc1537 / 14$170.697,00541 / 42$20.870,20160 / 23$20.216,10160 / 30
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1542 / 24$99.170,10653 / 58$12.484,30215 / 32$11.440,70214 / 39
Respiratory Neoplasms W Cc1433 / 14$76.495,30491 / 49$7.495,5053 / 29$5.768,6452 / 15
Pulmonary Embolism W/O Mcc1460 / 29$52.292,401183 / 71$6.864,50494 / 57$5.177,79492 / 53
Kidney & Urinary Tract Signs & Symptoms W/O Mcc1415 / 6$31.739,50129 / 17$4.589,0713 / 11$3.101,2913 / 7
Headaches W/O Mcc1429 / 9$42.526,40209 / 19$4.727,5742 / 10$3.059,7942 / 9
Complications Of Treatment W Mcc1437 / 11$44.014,70139 / 9$10.216,6046 / 4$9.355,0746 / 7
G.I. Hemorrhage W/O Cc/Mcc1454 / 32$44.701,90956 / 98$5.259,43376 / 77$3.517,14373 / 57
Seizures W Mcc1452 / 21$59.429,60565 / 41$9.649,4366 / 37$7.439,6466 / 13
Other Respiratory System Diagnoses W/O Mcc1432 / 11$37.488,40269 / 23$5.097,3677 / 19$4.146,3677 / 19
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc1436 / 14$206.131,00212 / 27$34.046,9023 / 20$28.172,5023 / 5
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc1440 / 14$177.950,00253 / 22$17.542,6044 / 8$16.668,2044 / 9
Fractures Of Hip & Pelvis W/O Mcc1447 / 31$43.957,80884 / 82$4.626,14312 / 53$3.499,93313 / 54
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1424 / 14$39.106,50420 / 37$5.251,43108 / 38$2.959,36108 / 24
Spinal Fusion Except Cervical W/O Mcc14180 / 55$269.831,001347 / 89$28.620,90656 / 76$22.811,70652 / 70
Respiratory Neoplasms W Mcc1438 / 15$88.238,00568 / 39$10.120,50177 / 22$9.335,36177 / 29
Other Kidney & Urinary Tract Procedures W Mcc1325 / 9$154.092,00200 / 14$20.887,3080 / 10$18.994,0080 / 9
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc1383 / 28$133.247,00800 / 50$13.290,60182 / 33$10.965,80180 / 21
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc1334 / 15$74.626,90463 / 34$9.051,85255 / 25$8.308,31255 / 34
Disorders Of Pancreas Except Malignancy W Cc1348 / 24$51.656,80874 / 54$5.834,69499 / 30$5.273,62497 / 52
Transurethral Prostatectomy W/O Cc/Mcc1316 / 4$59.880,8083 / 10$5.405,5414 / 7$3.292,8514 / 4
Medical Back Problems W Mcc1326 / 12$73.827,20284 / 23$9.897,46113 / 16$9.057,69113 / 19
Peripheral Vascular Disorders W Mcc1237 / 18$71.862,30528 / 50$8.291,75101 / 27$7.020,58101 / 25
Other Digestive System Diagnoses W/O Cc/Mcc1231 / 18$37.414,80326 / 42$4.479,75180 / 32$3.744,50180 / 44
Peritoneal Adhesiolysis W Cc1227 / 9$126.056,00275 / 19$13.050,9057 / 6$11.838,9057 / 9
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1261 / 36$64.959,501040 / 91$9.065,2520 / 83$5.058,5820 / 3
Revision Of Hip Or Knee Replacement W/O Cc/Mcc1257 / 17$115.653,00458 / 31$15.884,80224 / 12$15.073,60223 / 24
Other Resp System O.R. Procedures W Mcc1251 / 20$132.716,00455 / 35$18.901,203 / 6$14.522,403 / 1
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents1233 / 11$161.591,00250 / 18$17.696,8079 / 12$16.681,8079 / 16
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc1232 / 17$42.810,80280 / 44$5.267,00156 / 34$4.459,17156 / 38
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc1218 / 7$110.832,00187 / 14$11.257,1055 / 4$10.346,8054 / 9
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc125 / 2$74.137,107 / 2$9.934,673 / 1$9.228,253 / 1
Diabetes W Mcc1245 / 16$61.746,40649 / 45$8.077,08191 / 15$7.519,92191 / 24
Other Resp System O.R. Procedures W Cc1235 / 15$100.572,00302 / 28$11.455,5097 / 11$10.537,9097 / 15
Bronchitis & Asthma W/O Cc/Mcc1233 / 20$32.003,20321 / 42$4.788,42117 / 35$3.068,08117 / 24
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1145 / 20$78.575,10574 / 39$11.208,60193 / 27$10.481,50193 / 27
Signs & Symptoms W Mcc1130 / 10$58.372,50255 / 28$6.826,1855 / 10$6.158,0055 / 14
Complications Of Treatment W Cc1141 / 16$46.769,10316 / 28$6.173,8291 / 22$5.355,4591 / 23
Other Digestive System O.R. Procedures W Mcc1118 / 7$140.902,0086 / 8$21.630,0014 / 3$20.088,0014 / 3
Pulmonary Embolism W Mcc1132 / 16$96.529,10561 / 31$9.016,18225 / 16$8.463,64225 / 20
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc1129 / 16$127.896,00417 / 32$14.342,50123 / 8$13.460,00123 / 17
Traumatic Stupor & Coma, Coma <1 Hr W Mcc1140 / 14$75.527,50252 / 22$12.526,40134 / 15$11.811,60134 / 21
Total 154 procedures6.097discharges

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.