Hospital Costs > In California > Torrance Memorial 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 | 272 | 246 / 48 | $106.174,00 | 2689 / 209 | $14.332,80 | 2193 / 70 | $13.141,10 | 2155 / 66 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 257 | 308 / 34 | $80.900,70 | 2225 / 95 | $16.151,30 | 2191 / 58 | $14.633,80 | 2147 / 83 |
| Heart Failure & Shock W Mcc | 112 | 172 / 26 | $70.371,60 | 2352 / 134 | $10.523,80 | 1834 / 19 | $9.800,38 | 1829 / 24 |
| G.I. Hemorrhage W Cc | 99 | 119 / 9 | $54.051,10 | 2235 / 131 | $7.573,28 | 1696 / 26 | $6.355,35 | 1692 / 27 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 91 | 184 / 27 | $55.055,20 | 2680 / 195 | $6.202,41 | 1995 / 54 | $4.778,44 | 1981 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 90 | 117 / 31 | $57.503,20 | 2375 / 183 | $8.176,13 | 1906 / 46 | $7.042,32 | 1898 / 54 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 76 | 106 / 12 | $61.516,70 | 1890 / 111 | $7.610,93 | 1378 / 14 | $6.524,34 | 1375 / 18 |
| Simple Pneumonia & Pleurisy W Mcc | 72 | 133 / 22 | $92.020,90 | 2426 / 159 | $11.398,30 | 2085 / 58 | $10.558,70 | 2082 / 69 |
| Heart Failure & Shock W Cc | 70 | 208 / 36 | $55.668,60 | 2623 / 165 | $7.619,67 | 2075 / 42 | $6.678,07 | 2070 / 44 |
| Simple Pneumonia & Pleurisy W Cc | 65 | 138 / 28 | $47.069,00 | 2502 / 118 | $7.133,08 | 2031 / 20 | $6.221,66 | 2023 / 28 |
| Renal Failure W Cc | 63 | 158 / 28 | $57.627,30 | 2339 / 158 | $7.249,41 | 1785 / 29 | $6.376,27 | 1775 / 30 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 59 | 107 / 24 | $48.533,00 | 2482 / 173 | $6.289,17 | 1726 / 85 | $4.366,19 | 1721 / 23 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 56 | 140 / 20 | $142.074,00 | 1412 / 92 | $14.776,00 | 1048 / 11 | $12.838,40 | 1041 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 56 | 112 / 18 | $94.974,10 | 1479 / 98 | $14.477,20 | 1269 / 70 | $12.714,80 | 1263 / 56 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 52 | 50 / 3 | $44.992,50 | 1427 / 64 | $5.801,60 | 1054 / 17 | $4.460,02 | 1050 / 17 |
| Cellulitis W/O Mcc | 50 | 139 / 36 | $38.637,90 | 2381 / 134 | $6.801,72 | 1755 / 50 | $5.055,58 | 1747 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 50 | 73 / 8 | $86.598,20 | 1868 / 130 | $10.080,10 | 1609 / 59 | $9.257,58 | 1606 / 66 |
| Pulmonary Edema & Respiratory Failure | 50 | 153 / 29 | $77.830,70 | 2120 / 119 | $9.913,00 | 1673 / 42 | $8.365,46 | 1668 / 22 |
| Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 63 | $34.765,40 | 2369 / 106 | $6.034,57 | 1569 / 34 | $4.410,72 | 1558 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 46 | 115 / 20 | $45.786,80 | 2011 / 117 | $5.979,80 | 1372 / 19 | $4.761,20 | 1367 / 16 |
| Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 24 | $98.358,10 | 715 / 9 | $27.778,90 | 1019 / 7 | $26.676,70 | 1014 / 17 |
| Renal Failure W Mcc | 44 | 151 / 43 | $95.004,30 | 2094 / 156 | $11.932,10 | 1615 / 41 | $10.726,70 | 1613 / 33 |
| Red Blood Cell Disorders W/O Mcc | 43 | 100 / 13 | $46.687,20 | 1867 / 113 | $6.065,86 | 1417 / 12 | $5.251,72 | 1408 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 42 | 108 / 9 | $32.533,60 | 1821 / 82 | $4.411,33 | 1397 / 19 | $3.281,81 | 1391 / 23 |
| Respiratory Infections & Inflammations W Mcc | 41 | 95 / 33 | $120.436,00 | 1734 / 120 | $14.114,50 | 1382 / 26 | $13.437,90 | 1367 / 32 |
| Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 50 | $61.974,10 | 2373 / 125 | $8.388,47 | 1832 / 16 | $7.513,27 | 1824 / 23 |
| G.I. Obstruction W Cc | 37 | 55 / 15 | $45.171,50 | 1538 / 69 | $6.652,46 | 1276 / 17 | $5.772,03 | 1271 / 25 |
| G.I. Obstruction W/O Cc/Mcc | 37 | 34 / 5 | $34.076,90 | 1174 / 55 | $4.763,03 | 926 / 17 | $3.748,54 | 923 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 36 | 90 / 23 | $65.358,60 | 1641 / 125 | $9.522,67 | 996 / 67 | $7.064,64 | 993 / 12 |
| G.I. Hemorrhage W Mcc | 36 | 85 / 20 | $94.163,80 | 1527 / 105 | $12.505,40 | 1161 / 15 | $11.970,20 | 1153 / 25 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 17 | $121.386,00 | 1765 / 126 | $14.850,10 | 1605 / 88 | $14.004,30 | 1592 / 99 |
| Syncope & Collapse | 36 | 133 / 31 | $53.472,40 | 1858 / 124 | $5.539,14 | 1159 / 16 | $4.317,14 | 1152 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 36 | 64 / 7 | $200.431,00 | 957 / 64 | $23.855,60 | 730 / 11 | $22.433,80 | 725 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 34 | 110 / 32 | $55.801,70 | 1757 / 111 | $8.003,97 | 1350 / 22 | $7.152,21 | 1346 / 23 |
| Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 32 | $85.019,60 | 1764 / 64 | $13.778,60 | 1391 / 17 | $12.349,50 | 1373 / 17 |
| Other Circulatory System Diagnoses W Mcc | 33 | 83 / 18 | $83.888,90 | 1173 / 56 | $13.631,20 | 947 / 12 | $13.106,20 | 940 / 18 |
| Chest Pain | 33 | 118 / 40 | $46.656,40 | 1663 / 128 | $5.184,30 | 847 / 41 | $3.325,70 | 842 / 10 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 21 | $199.567,00 | 1833 / 130 | $20.696,80 | 1632 / 79 | $19.446,60 | 1618 / 75 |
| Major Small & Large Bowel Procedures W Cc | 32 | 76 / 23 | $105.725,00 | 1262 / 33 | $18.074,40 | 1064 / 9 | $16.260,70 | 1051 / 16 |
| Medical Back Problems W/O Mcc | 30 | 91 / 28 | $45.184,00 | 1347 / 76 | $6.332,07 | 845 / 19 | $4.852,07 | 842 / 11 |
| Respiratory Infections & Inflammations W Cc | 29 | 59 / 20 | $68.054,40 | 1322 / 69 | $9.541,59 | 1026 / 14 | $8.793,45 | 1021 / 18 |
| Transient Ischemia | 29 | 96 / 27 | $51.429,50 | 1587 / 110 | $5.524,10 | 932 / 22 | $3.915,55 | 927 / 11 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 39 | $343.726,00 | 1545 / 132 | $45.254,90 | 1379 / 77 | $44.494,00 | 1369 / 84 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 35 | $68.644,90 | 1486 / 76 | $8.408,35 | 1071 / 13 | $6.578,19 | 1068 / 11 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 26 | 63 / 19 | $46.217,30 | 552 / 14 | $8.032,69 | 545 / 9 | $6.868,38 | 544 / 19 |
| Extracranial Procedures W/O Cc/Mcc | 26 | 72 / 16 | $44.753,90 | 710 / 12 | $7.732,88 | 712 / 11 | $6.710,12 | 709 / 11 |
| Major Cardiovasc Procedures W/O Mcc | 25 | 76 / 17 | $121.125,00 | 742 / 20 | $23.689,40 | 692 / 7 | $22.532,30 | 691 / 8 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 23 | 33 / 11 | $64.162,70 | 746 / 21 | $12.294,50 | 637 / 15 | $10.061,70 | 635 / 7 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 22 | $38.722,20 | 1781 / 69 | $5.546,48 | 1310 / 22 | $4.058,04 | 1302 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 22 | 69 / 14 | $69.347,40 | 1367 / 81 | $7.801,18 | 1015 / 17 | $6.753,91 | 1013 / 17 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 20 | $59.712,40 | 1356 / 102 | $8.230,41 | 858 / 55 | $5.967,82 | 854 / 13 |
| G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 9 | $32.138,20 | 837 / 28 | $5.565,95 | 572 / 12 | $3.957,43 | 568 / 9 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 24 | $36.029,50 | 1835 / 68 | $5.068,38 | 1348 / 11 | $4.146,48 | 1337 / 15 |
| Permanent Cardiac Pacemaker Implant W Mcc | 20 | 32 / 5 | $193.820,00 | 570 / 32 | $26.881,30 | 451 / 9 | $26.097,40 | 451 / 11 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 20 | 36 / 10 | $80.906,80 | 736 / 29 | $11.953,80 | 449 / 8 | $9.326,40 | 448 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 24 | $76.916,20 | 1401 / 113 | $8.708,70 | 908 / 9 | $7.799,90 | 903 / 13 |
| Hip & Femur Procedures Except Major Joint W Mcc | 20 | 42 / 8 | $133.242,00 | 835 / 38 | $20.360,70 | 614 / 4 | $19.456,70 | 611 / 8 |
| Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 21 | $243.264,00 | 1149 / 49 | $36.905,90 | 839 / 15 | $34.309,60 | 837 / 7 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 19 | $47.808,50 | 1297 / 71 | $7.387,32 | 657 / 66 | $3.957,11 | 655 / 6 |
| Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 19 | $86.273,40 | 710 / 21 | $17.303,10 | 442 / 21 | $12.373,30 | 441 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 18 | 43 / 7 | $68.415,60 | 934 / 54 | $7.179,28 | 724 / 8 | $6.311,72 | 721 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 55 | $52.654,90 | 2289 / 133 | $6.785,00 | 1654 / 15 | $5.775,22 | 1647 / 12 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 18 | 75 / 15 | $107.088,00 | 795 / 28 | $14.857,60 | 629 / 4 | $14.048,70 | 623 / 7 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 18 | 46 / 12 | $70.699,20 | 640 / 13 | $11.353,60 | 520 / 3 | $10.112,40 | 520 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 30 | $63.154,90 | 913 / 29 | $10.373,40 | 649 / 5 | $9.790,72 | 647 / 8 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 18 | $134.842,00 | 904 / 60 | $18.492,20 | 678 / 9 | $17.571,80 | 677 / 12 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 13 | $38.237,80 | 1023 / 20 | $6.904,06 | 708 / 8 | $5.577,00 | 705 / 6 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 17 | $50.223,10 | 1148 / 61 | $7.101,69 | 806 / 8 | $6.208,12 | 803 / 10 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 15 | $81.660,60 | 1073 / 82 | $9.592,88 | 775 / 12 | $8.832,88 | 771 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 18 | $130.841,00 | 786 / 25 | $24.686,30 | 775 / 23 | $23.638,80 | 772 / 29 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 7 | $57.985,60 | 387 / 5 | $10.957,50 | 330 / 4 | $9.080,67 | 330 / 4 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 15 | 31 / 8 | $57.856,00 | 232 / 19 | $7.365,20 | 154 / 4 | $6.236,67 | 154 / 10 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 15 | 101 / 22 | $296.437,00 | 382 / 13 | $47.287,50 | 143 / 1 | $46.884,30 | 143 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 17 | $39.392,10 | 853 / 42 | $5.466,43 | 682 / 13 | $4.513,29 | 681 / 16 |
| Major Chest Procedures W Cc | 14 | 60 / 16 | $134.029,00 | 457 / 19 | $18.744,80 | 281 / 6 | $15.693,70 | 279 / 4 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 41 | $482.064,00 | 1087 / 137 | $61.504,10 | 999 / 120 | $52.742,90 | 998 / 107 |
| G.I. Obstruction W Mcc | 14 | 28 / 8 | $76.724,80 | 476 / 26 | $11.348,70 | 326 / 7 | $10.484,70 | 326 / 9 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 12 | $94.132,40 | 639 / 28 | $16.285,40 | 424 / 13 | $12.951,10 | 423 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 19 | $52.735,60 | 1021 / 53 | $6.537,29 | 706 / 7 | $5.497,29 | 702 / 9 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 14 | 59 / 16 | $106.786,00 | 358 / 24 | $9.404,07 | 273 / 2 | $8.279,50 | 273 / 11 |
| Diabetes W Cc | 14 | 78 / 21 | $41.747,80 | 1437 / 62 | $6.246,93 | 1092 / 10 | $5.380,64 | 1088 / 11 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 18 | $98.953,90 | 740 / 50 | $10.538,60 | 713 / 41 | $9.699,23 | 713 / 46 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 13 | 38 / 15 | $78.470,30 | 258 / 6 | $13.215,60 | 156 / 2 | $12.201,50 | 156 / 5 |
| Other Disorders Of Nervous System W Cc | 13 | 43 / 14 | $53.570,20 | 575 / 35 | $6.699,00 | 369 / 6 | $5.679,92 | 369 / 6 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 20 | $300.269,00 | 920 / 58 | $38.529,80 | 614 / 20 | $35.017,80 | 613 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 26 | $50.315,50 | 751 / 33 | $7.277,23 | 522 / 4 | $6.440,31 | 522 / 8 |
| Peritoneal Adhesiolysis W Cc | 13 | 26 / 9 | $99.152,10 | 249 / 8 | $15.925,00 | 134 / 3 | $13.873,00 | 134 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 13 | $60.302,30 | 482 / 20 | $10.320,40 | 172 / 18 | $6.041,38 | 172 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 13 | 82 / 17 | $104.490,00 | 476 / 16 | $14.063,00 | 298 / 4 | $11.897,20 | 295 / 3 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 13 | 41 / 6 | $211.457,00 | 268 / 12 | $25.921,80 | 192 / 6 | $23.405,50 | 192 / 7 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 28 | $70.084,70 | 590 / 11 | $16.605,50 | 236 / 15 | $11.300,50 | 234 / 1 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 13 | $78.250,50 | 535 / 15 | $12.160,20 | 409 / 2 | $11.320,80 | 407 / 2 |
| Seizures W/O Mcc | 12 | 96 / 30 | $43.490,30 | 1173 / 53 | $8.907,42 | 424 / 81 | $3.936,92 | 422 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 34 | $46.988,50 | 2028 / 101 | $5.488,50 | 1397 / 12 | $4.239,75 | 1386 / 12 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 18 | $322.646,00 | 623 / 39 | $40.338,60 | 482 / 10 | $39.344,20 | 481 / 14 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 14 | $116.270,00 | 649 / 39 | $12.913,50 | 394 / 7 | $12.178,90 | 393 / 7 |
| Stomach, Esophageal & Duodenal Proc W Mcc | 12 | 29 / 6 | $379.145,00 | 225 / 4 | $56.836,80 | 205 / 3 | $50.581,10 | 205 / 3 |
| Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 14 | $90.860,80 | 381 / 30 | $11.844,00 | 228 / 8 | $10.558,30 | 228 / 5 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 24 | $74.766,10 | 879 / 43 | $9.713,27 | 449 / 5 | $8.336,36 | 448 / 2 |
| Other Vascular Procedures W Cc | 11 | 91 / 33 | $105.051,00 | 879 / 24 | $17.647,10 | 768 / 6 | $16.986,70 | 763 / 9 |
| Dysequilibrium | 11 | 54 / 16 | $58.689,30 | 559 / 35 | $5.899,36 | 287 / 20 | $3.538,09 | 287 / 4 |
| Other Resp System O.R. Procedures W Mcc | 11 | 52 / 7 | $393.901,00 | 595 / 29 | $46.528,50 | 576 / 24 | $38.780,60 | 575 / 20 |
| Diabetes W Mcc | 11 | 46 / 16 | $92.197,10 | 718 / 36 | $10.007,20 | 449 / 6 | $9.015,18 | 449 / 7 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 11 | 37 / 12 | $74.852,80 | 211 / 12 | $12.988,20 | 101 / 9 | $8.576,18 | 101 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 16 | $86.520,10 | 538 / 17 | $14.152,60 | 457 / 4 | $12.948,30 | 453 / 8 |
| Appendectomy W/O Complicated Principal Diag W/O Cc/Mcc | 11 | 7 / 2 | $51.446,70 | 11 / 2 | $7.284,64 | 9 / 1 | $5.474,00 | 9 / 1 |
| Pulmonary Embolism W Mcc | 11 | 32 / 9 | $92.587,90 | 557 / 20 | $10.919,90 | 439 / 4 | $10.149,00 | 439 / 11 |
| Disorders Of The Biliary Tract W Mcc | 11 | 28 / 10 | $79.383,70 | 218 / 8 | $11.537,40 | 88 / 2 | $9.943,55 | 88 / 1 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 8 | $34.648,90 | 311 / 7 | $5.186,64 | 212 / 1 | $3.982,27 | 212 / 2 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 19 | $278.648,00 | 714 / 39 | $38.483,70 | 607 / 22 | $37.765,30 | 607 / 25 | Total 110 procedures | 3.602 | 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.