Hospital Costs > In Washington > Virginia Mason Medical Center, 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 | 412 | 176 / 5 | $42.698,10 | 908 / 9 | $19.225,00 | 1927 / 44 | $13.347,60 | 1885 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 226 | 290 / 19 | $37.256,90 | 1169 / 13 | $17.033,10 | 2138 / 44 | $12.953,90 | 2101 / 40 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 106 | 101 / 6 | $24.943,80 | 1251 / 15 | $11.084,10 | 1799 / 41 | $6.796,85 | 1791 / 28 |
| Heart Failure & Shock W Cc | 102 | 176 / 5 | $20.793,00 | 1269 / 11 | $9.083,99 | 1844 / 42 | $6.222,00 | 1839 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 99 | 176 / 3 | $18.781,40 | 1247 / 9 | $7.489,68 | 1676 / 40 | $4.310,54 | 1663 / 18 |
| Kidney Transplant | 85 | 30 / 2 | $198.433,00 | 89 / 2 | $46.312,00 | 62 / 3 | $21.315,80 | 62 / 2 |
| Renal Failure W Cc | 70 | 151 / 10 | $18.592,00 | 835 / 7 | $8.603,53 | 1600 / 38 | $5.928,41 | 1591 / 18 |
| G.I. Hemorrhage W Cc | 65 | 153 / 14 | $30.563,00 | 1591 / 27 | $10.155,40 | 2112 / 40 | $7.810,72 | 2108 / 40 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 54 | 112 / 5 | $17.232,50 | 1233 / 12 | $7.430,15 | 1899 / 38 | $4.657,85 | 1893 / 30 |
| Heart Failure & Shock W Mcc | 50 | 234 / 28 | $36.500,40 | 1479 / 19 | $15.950,70 | 2152 / 42 | $11.010,30 | 2142 / 40 |
| Stomach, Esophageal & Duodenal Proc W Cc | 48 | 9 / 1 | $58.240,30 | 70 / 1 | $23.570,00 | 122 / 3 | $17.266,00 | 122 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 13 | $17.611,30 | 863 / 9 | $9.256,90 | 1139 / 40 | $5.186,35 | 1135 / 8 |
| Major Small & Large Bowel Procedures W Cc | 48 | 60 / 4 | $52.685,90 | 483 / 7 | $23.485,60 | 991 / 30 | $15.789,90 | 980 / 14 |
| Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 10 | $16.573,60 | 1154 / 8 | $7.063,66 | 1736 / 38 | $4.597,21 | 1725 / 18 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 46 | 5 / 1 | $28.794,40 | 34 / 3 | $12.600,70 | 135 / 4 | $9.396,17 | 135 / 3 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 42 | 46 / 3 | $80.993,10 | 143 / 1 | $32.035,10 | 467 / 10 | $26.110,40 | 466 / 11 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 40 | 78 / 5 | $106.598,00 | 101 / 1 | $42.216,80 | 397 / 8 | $37.510,40 | 397 / 10 |
| Disorders Of The Biliary Tract W Cc | 40 | 14 / 1 | $30.255,80 | 216 / 5 | $8.968,45 | 307 / 7 | $7.039,95 | 307 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 38 | 86 / 11 | $116.229,00 | 700 / 18 | $54.795,40 | 1414 / 35 | $45.957,20 | 1404 / 35 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 37 | 159 / 17 | $49.934,70 | 225 / 1 | $18.195,60 | 1136 / 26 | $13.426,30 | 1129 / 25 |
| Cellulitis W/O Mcc | 36 | 153 / 18 | $15.013,20 | 860 / 3 | $7.212,75 | 1830 / 32 | $5.204,75 | 1822 / 23 |
| Other Digestive System Diagnoses W Cc | 35 | 62 / 3 | $19.263,40 | 364 / 7 | $9.847,00 | 717 / 30 | $5.608,91 | 713 / 9 |
| G.I. Obstruction W Cc | 35 | 57 / 7 | $23.221,40 | 879 / 16 | $8.869,17 | 1335 / 34 | $5.987,23 | 1330 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 19 | $22.302,90 | 624 / 7 | $9.649,56 | 1276 / 41 | $6.286,06 | 1273 / 18 |
| Disorders Of The Biliary Tract W Mcc | 33 | 7 / 1 | $33.219,00 | 65 / 4 | $14.543,00 | 124 / 5 | $10.625,20 | 124 / 3 |
| Red Blood Cell Disorders W/O Mcc | 33 | 110 / 4 | $16.429,10 | 576 / 4 | $7.275,45 | 1106 / 24 | $4.657,76 | 1099 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 33 | 93 / 9 | $29.869,30 | 955 / 18 | $12.875,60 | 1533 / 34 | $9.657,82 | 1530 / 33 |
| Other Vascular Procedures W Cc | 33 | 69 / 5 | $56.854,00 | 307 / 2 | $20.355,00 | 857 / 13 | $18.062,10 | 852 / 12 |
| Medical Back Problems W/O Mcc | 32 | 89 / 5 | $14.115,20 | 180 / 1 | $7.094,84 | 896 / 19 | $4.979,66 | 893 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 15 | $14.848,50 | 500 / 3 | $7.242,74 | 1369 / 39 | $4.759,00 | 1364 / 14 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 29 | 62 / 7 | $23.038,10 | 96 / 1 | $10.667,40 | 85 / 11 | $6.512,41 | 85 / 2 |
| Pancreas, Liver & Shunt Procedures W Cc | 29 | 26 / 1 | $75.411,00 | 54 / 2 | $26.463,40 | 66 / 1 | $19.852,10 | 66 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 29 | 72 / 7 | $84.499,30 | 430 / 8 | $41.824,50 | 599 / 21 | $21.291,80 | 599 / 3 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 28 | 46 / 4 | $49.881,30 | 59 / 1 | $24.912,00 | 43 / 5 | $12.194,80 | 43 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 28 | $25.249,50 | 721 / 9 | $12.754,20 | 1876 / 40 | $9.630,11 | 1876 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 9 | $25.636,90 | 458 / 7 | $16.328,70 | 846 / 32 | $7.583,96 | 841 / 13 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 27 | 46 / 4 | $30.341,60 | 85 / 2 | $12.466,30 | 209 / 7 | $7.198,00 | 209 / 2 |
| Complications Of Treatment W Cc | 27 | 25 / 1 | $26.229,50 | 175 / 4 | $10.877,00 | 173 / 9 | $6.159,74 | 173 / 2 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 26 | 37 / 2 | $71.161,10 | 101 / 3 | $32.840,20 | 181 / 7 | $22.241,30 | 180 / 7 |
| Complications Of Treatment W Mcc | 25 | 26 / 1 | $36.277,80 | 84 / 2 | $14.949,00 | 174 / 7 | $12.118,90 | 174 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 25 | 36 / 2 | $26.046,80 | 511 / 9 | $8.249,48 | 735 / 14 | $6.388,84 | 732 / 14 |
| Revision Of Hip Or Knee Replacement W Cc | 25 | 61 / 6 | $81.126,20 | 302 / 4 | $27.832,60 | 584 / 13 | $25.802,20 | 582 / 15 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 16 | $42.549,40 | 785 / 17 | $15.840,20 | 1353 / 34 | $13.263,70 | 1343 / 31 |
| Signs & Symptoms W/O Mcc | 25 | 66 / 4 | $18.534,20 | 574 / 3 | $6.972,72 | 791 / 16 | $4.271,20 | 788 / 7 |
| Other Digestive System Diagnoses W Mcc | 25 | 37 / 2 | $37.409,50 | 280 / 9 | $14.641,40 | 556 / 12 | $12.528,60 | 555 / 14 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 25 | 28 / 2 | $46.304,00 | 146 / 2 | $15.190,80 | 217 / 3 | $12.357,70 | 218 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 9 | $16.287,20 | 994 / 8 | $6.001,52 | 1318 / 27 | $4.110,88 | 1308 / 20 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 24 | 49 / 4 | $20.321,20 | 296 / 3 | $12.051,10 | 352 / 22 | $6.284,08 | 351 / 1 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 24 | 45 / 5 | $64.707,90 | 237 / 4 | $25.130,80 | 333 / 11 | $16.340,20 | 333 / 4 |
| Pulmonary Embolism W/O Mcc | 24 | 50 / 7 | $14.685,50 | 141 / 1 | $8.756,92 | 804 / 23 | $5.831,25 | 801 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 14 | $15.189,10 | 264 / 3 | $7.725,13 | 637 / 30 | $3.783,04 | 633 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 19 | $22.104,40 | 465 / 6 | $10.587,40 | 1216 / 36 | $7.641,39 | 1213 / 20 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 5 | $22.047,80 | 348 / 4 | $11.942,00 | 630 / 22 | $7.633,87 | 627 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 22 | $47.140,70 | 892 / 24 | $20.282,90 | 1260 / 36 | $12.641,40 | 1254 / 34 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 21 | $20.002,60 | 712 / 7 | $10.417,70 | 1750 / 38 | $7.325,41 | 1742 / 20 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 22 | 55 / 5 | $33.471,20 | 120 / 1 | $13.257,10 | 292 / 4 | $10.091,50 | 292 / 4 |
| Syncope & Collapse | 22 | 147 / 14 | $14.726,00 | 369 / 3 | $6.186,27 | 1337 / 25 | $4.677,59 | 1330 / 19 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 16 | $22.508,30 | 171 / 2 | $9.955,00 | 643 / 28 | $5.651,71 | 641 / 2 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 21 | 43 / 3 | $32.987,20 | 180 / 4 | $13.213,40 | 592 / 11 | $11.023,50 | 592 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 23 | $47.297,40 | 946 / 14 | $17.350,10 | 1744 / 38 | $14.329,10 | 1725 / 37 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 21 | 82 / 4 | $23.752,10 | 355 / 8 | $8.827,95 | 531 / 10 | $6.500,71 | 531 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 17 | $11.357,30 | 508 / 4 | $4.934,20 | 1012 / 28 | $2.839,45 | 1007 / 8 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 20 | 104 / 9 | $17.151,20 | 419 / 4 | $6.131,45 | 407 / 14 | $4.128,50 | 407 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 10 | $82.979,60 | 314 / 5 | $28.414,20 | 747 / 16 | $22.679,40 | 742 / 12 |
| Major Chest Procedures W Cc | 19 | 55 / 6 | $56.897,60 | 171 / 4 | $26.974,70 | 274 / 11 | $15.622,30 | 272 / 4 |
| Red Blood Cell Disorders W Mcc | 19 | 52 / 3 | $27.813,20 | 394 / 1 | $15.918,50 | 425 / 8 | $7.214,95 | 423 / 1 |
| Pancreas, Liver & Shunt Procedures W Mcc | 19 | 24 / 1 | $122.536,00 | 31 / 2 | $53.530,20 | 81 / 2 | $49.253,00 | 81 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 20 | $37.197,30 | 710 / 10 | $15.583,70 | 1429 / 35 | $12.303,10 | 1417 / 33 |
| Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 10 | $126.707,00 | 622 / 12 | $54.672,80 | 1083 / 25 | $40.283,70 | 1081 / 21 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 17 | 79 / 10 | $51.756,10 | 362 / 8 | $17.121,70 | 682 / 15 | $15.432,30 | 678 / 20 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 17 | 72 / 12 | $15.810,20 | 43 / 1 | $12.095,70 | 119 / 20 | $4.888,47 | 119 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 15 | $23.678,20 | 454 / 9 | $8.983,53 | 939 / 26 | $6.510,12 | 937 / 16 |
| Chest Pain | 17 | 134 / 15 | $13.611,60 | 358 / 4 | $5.050,76 | 1003 / 15 | $3.559,71 | 997 / 12 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 35 | $37.825,80 | 1422 / 28 | $15.207,20 | 2108 / 40 | $11.544,60 | 2102 / 39 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 21 | $22.129,20 | 712 / 13 | $9.569,06 | 1415 / 34 | $7.366,18 | 1411 / 24 |
| Major Chest Procedures W/O Cc/Mcc | 17 | 42 / 4 | $37.169,60 | 58 / 1 | $15.448,80 | 153 / 1 | $11.538,10 | 153 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 8 | $11.986,40 | 415 / 4 | $6.114,00 | 1294 / 15 | $4.033,29 | 1287 / 9 |
| Other Vascular Procedures W Mcc | 16 | 81 / 9 | $84.531,90 | 429 / 6 | $31.378,00 | 868 / 14 | $27.637,80 | 865 / 14 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 16 | 28 / 2 | $38.810,40 | 26 / 2 | $18.443,40 | 98 / 2 | $13.202,20 | 98 / 3 |
| Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 10 | $25.004,40 | 284 / 5 | $10.929,30 | 415 / 18 | $5.514,88 | 414 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 20 | $43.285,30 | 694 / 22 | $16.016,00 | 941 / 26 | $12.781,20 | 937 / 25 |
| Disorders Of Pancreas Except Malignancy W Mcc | 15 | 31 / 3 | $56.095,20 | 237 / 4 | $21.983,70 | 314 / 6 | $15.765,30 | 314 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 15 | 21 / 3 | $41.385,90 | 65 / 1 | $21.460,90 | 232 / 9 | $16.057,90 | 232 / 7 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 16 | $48.899,00 | 718 / 12 | $19.896,70 | 885 / 20 | $12.587,10 | 879 / 8 |
| Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 27 | $74.371,30 | 442 / 2 | $36.606,50 | 891 / 25 | $24.945,60 | 886 / 9 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 15 | 25 / 1 | $30.210,70 | 21 / 1 | $14.028,50 | 68 / 3 | $8.785,93 | 68 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 24 | $17.466,10 | 750 / 6 | $7.923,13 | 1636 / 31 | $5.735,87 | 1629 / 17 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 15 | 80 / 7 | $57.476,90 | 155 / 1 | $16.655,60 | 420 / 5 | $13.380,30 | 416 / 7 |
| Renal Failure W Mcc | 14 | 181 / 32 | $29.512,10 | 732 / 10 | $14.242,50 | 1728 / 39 | $11.358,90 | 1726 / 38 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 13 | $63.818,20 | 397 / 8 | $23.239,40 | 878 / 21 | $21.507,40 | 874 / 21 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 14 | $48.825,20 | 325 / 6 | $30.454,90 | 421 / 23 | $12.243,50 | 420 / 4 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 26 | $44.136,00 | 911 / 22 | $16.726,20 | 1313 / 36 | $13.000,80 | 1298 / 28 |
| Digestive Malignancy W Cc | 13 | 34 / 3 | $22.917,20 | 59 / 1 | $12.389,50 | 209 / 6 | $7.911,85 | 207 / 2 |
| Seizures W/O Mcc | 13 | 95 / 13 | $21.761,80 | 639 / 7 | $6.810,23 | 824 / 16 | $4.818,69 | 821 / 12 |
| Major Male Pelvic Procedures W Cc/Mcc | 12 | 18 / 2 | $34.295,20 | 11 / 1 | $14.146,00 | 37 / 1 | $12.424,30 | 37 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 7 | $41.058,80 | 314 / 6 | $18.572,60 | 596 / 12 | $15.808,20 | 595 / 11 |
| Other O.R. Procedures For Injuries W Mcc | 12 | 25 / 3 | $76.262,80 | 46 / 1 | $34.571,80 | 132 / 2 | $30.972,20 | 132 / 2 |
| Carotid Artery Stent Procedure W/O Cc/Mcc | 12 | 20 / 3 | $40.299,70 | 40 / 1 | $13.173,50 | 82 / 2 | $12.048,20 | 82 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 11 | $12.990,80 | 367 / 5 | $5.891,25 | 521 / 19 | $2.993,00 | 520 / 5 |
| Malignancy Of Hepatobiliary System Or Pancreas W Cc | 12 | 19 / 1 | $30.139,60 | 71 / 2 | $10.347,80 | 121 / 2 | $7.879,75 | 121 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 8 | $14.561,20 | 269 / 2 | $6.008,17 | 528 / 16 | $4.005,17 | 528 / 7 |
| Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 12 | 17 / 1 | $9.791,00 | 17 / 1 | $5.456,50 | 76 / 1 | $4.140,17 | 76 / 1 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 7 | $27.585,80 | 366 / 6 | $14.228,00 | 431 / 11 | $6.237,36 | 430 / 8 |
| Other O.R. Procedures For Injuries W Cc | 11 | 24 / 3 | $44.311,40 | 53 / 2 | $22.724,40 | 64 / 4 | $12.108,00 | 64 / 1 |
| Other Digestive System O.R. Procedures W Cc | 11 | 16 / 1 | $69.340,80 | 64 / 1 | $20.132,40 | 66 / 1 | $16.553,50 | 66 / 2 |
| Extracranial Procedures W Cc | 11 | 35 / 6 | $38.932,70 | 153 / 2 | $15.797,30 | 228 / 6 | $9.531,18 | 228 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 10 | $104.710,00 | 146 / 1 | $56.583,10 | 215 / 12 | $25.206,40 | 215 / 1 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 9 | $79.755,80 | 95 / 1 | $39.583,90 | 283 / 8 | $29.198,50 | 283 / 5 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 5 | $29.824,90 | 201 / 4 | $10.344,10 | 304 / 5 | $8.116,09 | 304 / 4 |
| Nervous System Neoplasms W Mcc | 11 | 37 / 4 | $16.754,00 | 12 / 1 | $10.392,40 | 62 / 4 | $7.025,55 | 62 / 1 |
| Postoperative & Post-Traumatic Infections W Mcc | 11 | 32 / 4 | $32.123,50 | 41 / 1 | $16.303,10 | 150 / 2 | $14.305,10 | 150 / 2 | Total 111 procedures | 3.535 | 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.