Hospital Costs > Chronic Obstructive Pulmonary Disease W Cc > Chronic Obstructive Pulmonary Disease W Cc - costs for treatment in California
Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
---|---|---|---|---|---|
St Rose Hospital | Hayward | 30 | $56,589.50 | $10,649.20 | $9,803.37 |
St Joseph Hospital Eureka | Eureka | 20 | $38,134.70 | $7,803.50 | $6,779.50 |
Mills-Peninsula Medical Center | Burlingame | 30 | $46,956.50 | $7,572.53 | $6,769.33 |
Queen Of The Valley Medical Center | Napa | 35 | $49,282.60 | $8,144.86 | $7,350.34 |
Sutter Amador Hospital | Jackson | 17 | $37,932.40 | $7,958.94 | $7,106.24 |
Mercy General Hospital | Sacramento | 22 | $48,583.10 | $8,766.91 | $7,793.82 |
Pacific Alliance Medical Center | Los Angeles | 16 | $31,120.80 | $11,419.10 | $10,587.10 |
Riverside Community Hospital | Riverside | 28 | $55,444.40 | $9,438.36 | $8,459.75 |
Paradise Valley Hospital | National City | 35 | $23,124.90 | $8,558.49 | $7,669.11 |
University Of California San Diego Medical Center | San Diego | 27 | $21,614.90 | $11,090.70 | $9,338.41 |
Grossmont Hospital | La Mesa | 121 | $39,231.40 | $7,736.31 | $6,739.09 |
Mad River Community Hospital | Arcata | 17 | $29,142.20 | $7,372.06 | $6,594.65 |
Oroville Hospital | Oroville | 30 | $33,562.60 | $7,253.20 | $6,491.60 |
Bakersfield Memorial Hospital | Bakersfield | 42 | $47,355.50 | $9,970.31 | $8,137.00 |
Santa Clara Valley Medical Center | San Jose | 15 | $45,313.30 | $16,570.30 | $15,250.20 |
Enloe Medical Center | Chico | 80 | $43,050.60 | $6,919.45 | $6,101.45 |
St Elizabeth Community Hospital | Red Bluff | 24 | $35,570.00 | $8,456.08 | $6,846.00 |
Alta Bates Summit Medical Center | Oakland | 31 | $46,801.50 | $9,513.42 | $8,032.13 |
El Centro Regional Medical Center | El Centro | 13 | $37,982.40 | $7,788.69 | $6,764.69 |
California Pacific Medical Ctr-Pacific Campus Hosp | San Francisco | 30 | $51,492.80 | $11,812.00 | $8,509.67 |
San Gorgonio Memorial Hospital | Banning | 13 | $25,535.90 | $7,393.62 | $6,269.46 |
California Pacific Medical Ctr - St. Luke's Campus | San Francisco | 15 | $41,113.80 | $10,047.10 | $9,107.27 |
Antelope Valley Hospital | Lancaster | 55 | $35,153.70 | $10,042.50 | $7,839.71 |
Kaweah Delta Medical Center | Visalia | 41 | $28,866.20 | $8,377.37 | $6,939.32 |
Glendale Mem Hospital & Hlth Center | Glendale | 50 | $52,490.20 | $8,328.04 | $7,346.28 |
Community Regional Medical Center | Fresno | 63 | $39,979.30 | $10,613.50 | $9,559.48 |
Hollywood Presbyterian Medical Center | Los Angeles | 65 | $35,886.70 | $11,233.20 | $10,492.10 |
St Joseph Hospital Orange | Orange | 19 | $50,117.20 | $8,705.42 | $7,044.05 |
Scripps Mercy Hospital | San Diego | 51 | $47,357.70 | $9,378.33 | $7,783.59 |
Providence Little Co Of Mary Med Ctr San Pedro | San Pedro | 13 | $44,861.90 | $7,374.23 | $6,349.62 |
Doctors Medical Center - San Pablo | San Pablo | 40 | $39,734.70 | $8,974.50 | $7,943.50 |
St Johns Regional Medical Center | Oxnard | 24 | $52,365.50 | $9,323.21 | $6,643.38 |
St Josephs Medical Center Of Stockton | Stockton | 42 | $46,762.40 | $9,135.98 | $8,287.98 |
Community Hospital Of Huntington Park | Huntington Park | 22 | $42,932.10 | $8,227.36 | $7,407.00 |
Saint Agnes Medical Center | Fresno | 86 | $31,480.80 | $7,542.58 | $6,514.41 |
San Antonio Community Hospital | Upland | 22 | $29,811.60 | $6,872.41 | $5,937.14 |
Sharp Memorial Hospital | San Diego | 49 | $50,550.30 | $9,275.92 | $7,445.84 |
Sutter Solano Medical Center | Vallejo | 19 | $50,327.60 | $9,656.32 | $8,827.68 |
Parkview Community Hospital Medical Center | Riverside | 20 | $39,355.90 | $9,622.80 | $8,682.35 |
White Memorial Medical Center | Los Angeles | 28 | $53,982.50 | $12,136.40 | $10,794.40 |
Saint Francis Medical Center Lynwood | Lynwood | 21 | $40,959.60 | $13,942.50 | $12,974.30 |
Marian Regional Medical Center | Santa Maria | 38 | $41,630.70 | $8,043.00 | $7,155.42 |
Sutter General Hospital | Sacramento | 75 | $44,890.40 | $10,385.50 | $9,277.96 |
Lompoc Valley Medical Center | Lompoc | 18 | $16,270.20 | $7,754.33 | $6,404.89 |
Temple Community Hospital | Los Angeles | 41 | $40,495.40 | $8,461.24 | $7,431.78 |
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa Monica | 36 | $38,308.60 | $8,367.03 | $7,183.17 |
Palomar Health Downtown Campus | Escondido | 25 | $49,587.00 | $7,535.36 | $6,559.28 |
Northridge Hospital Medical Center | Northridge | 30 | $56,408.80 | $8,627.93 | $7,599.83 |
Doctors Hospital Of Manteca | Manteca | 24 | $82,710.90 | $7,232.58 | $6,379.25 |
Adventist Medical Center Hanford | Hanford | 52 | $25,879.50 | $7,583.94 | $6,778.71 |
Dameron Hospital | Stockton | 24 | $65,334.10 | $8,847.62 | $7,821.79 |
Usc Verdugo Hills Hospital | Glendale | 12 | $26,322.60 | $6,246.67 | $5,345.33 |
Regional Medical Center Of San Jose | San Jose | 45 | $83,059.70 | $9,922.80 | $8,986.27 |
Valley Presbyterian Hospital | Van Nuys | 27 | $31,144.00 | $11,121.10 | $10,255.60 |
Tri-City Medical Center | Oceanside | 40 | $28,940.60 | $7,404.77 | $6,464.48 |
St Bernardine Medical Center | San Bernardino | 25 | $53,656.40 | $9,476.84 | $8,511.72 |
San Gabriel Valley Medical Center | San Gabriel | 18 | $61,302.40 | $9,005.67 | $8,209.33 |
Rideout Memorial Hospital | Marysville | 47 | $33,673.70 | $8,042.40 | $7,193.38 |
Southern California Hospital At Hollywood | Hollywood | 101 | $41,845.30 | $9,830.25 | $9,065.65 |
Petaluma Valley Hospital | Petaluma | 16 | $58,077.60 | $8,111.44 | $7,209.44 |
Community Hospital Of The Monterey Peninsula | Monterey | 51 | $65,508.70 | $8,202.78 | $6,578.16 |
California Hospital Medical Center La | Los Angeles | 11 | $22,558.50 | $15,891.90 | $15,285.90 |
Sierra Nevada Memorial Hospital | Grass Valley | 43 | $41,769.20 | $7,451.98 | $6,613.28 |
Saint Francis Memorial Hospital | San Francisco | 18 | $72,007.10 | $9,838.94 | $8,956.72 |
O'Connor Hospital | San Jose | 23 | $62,654.80 | $9,764.87 | $8,700.83 |
Ventura County Medical Center | Ventura | 11 | $37,374.00 | $13,022.30 | $11,556.10 |
St Jude Medical Center | Fullerton | 21 | $41,240.90 | $6,663.33 | $5,686.57 |
Presbyterian Intercommunity Hospital | Whittier | 41 | $76,122.40 | $8,498.12 | $6,481.02 |
Santa Rosa Memorial Hospital | Santa Rosa | 39 | $48,088.70 | $8,362.54 | $7,464.08 |
Emanuel Medical Center Turlock | Turlock | 36 | $60,758.50 | $7,940.78 | $7,235.89 |
John Muir Medical Center - Walnut Creek Campus | Walnut Creek | 41 | $68,597.80 | $7,563.56 | $6,624.63 |
St Mary Medical Center Long Beach | Long Beach | 24 | $50,597.60 | $11,610.10 | $10,420.80 |
Washington Hospital | Fremont | 60 | $78,038.50 | $9,042.33 | $8,076.47 |
Palmdale Regional Medical Center | Palmdale | 43 | $56,646.40 | $7,546.42 | $6,612.81 |
Glendora Community Hospital | Glendora | 14 | $30,135.50 | $8,020.86 | $7,067.71 |
Alameda Hospital | Alameda | 15 | $41,672.70 | $8,348.33 | $7,300.87 |
Sharp Chula Vista Medical Center | Chula Vista | 40 | $59,287.40 | $9,391.15 | $7,263.33 |
Hoag Memorial Hospital Presbyterian | Newport Beach | 34 | $27,012.60 | $6,543.56 | $5,586.41 |
Ahmc Anaheim Regional Medical Center | Anaheim | 32 | $54,864.50 | $7,786.00 | $6,994.00 |
San Francisco General Hospital | San Francisco | 15 | $56,649.70 | $16,724.60 | $15,376.10 |
Garden Grove Hospital & Medical Center | Garden Grove | 14 | $38,280.00 | $9,875.93 | $8,755.93 |
Pomona Valley Hospital Medical Center | Pomona | 24 | $84,274.20 | $12,628.10 | $11,886.20 |
Providence Saint Joseph Medical Ctr | Burbank | 48 | $72,838.20 | $7,536.31 | $6,803.60 |
Simi Valley Hospital & Health Care Services | Simi Valley | 39 | $55,955.20 | $7,080.38 | $6,382.13 |
Methodist Hospital Of Southern Ca | Arcadia | 45 | $43,752.10 | $7,363.49 | $6,343.38 |
Glendale Adventist Medical Center | Glendale | 46 | $72,692.20 | $9,648.89 | $8,284.98 |
Dominican Hospital | Santa Cruz | 35 | $76,462.60 | $8,831.63 | $7,866.14 |
Desert Regional Medical Center | Palm Springs | 45 | $80,661.90 | $9,026.40 | $7,643.62 |
Arrowhead Regional Medical Center | Colton | 12 | $33,486.70 | $15,936.20 | $14,255.30 |
Marshall Medical Center | Placerville | 17 | $59,644.30 | $10,282.50 | $6,346.88 |
Good Samaritan Hospital Bakersfield | Bakersfield | 20 | $14,376.20 | $9,212.00 | $8,311.20 |
Sierra View Medical Center | Porterville | 24 | $35,202.40 | $8,275.21 | $7,172.54 |
Ronald Reagan U C L A Medical Center | Los Angeles | 12 | $27,972.50 | $13,644.60 | $11,404.80 |
Redlands Community Hospital | Redlands | 20 | $36,938.60 | $7,953.65 | $7,108.85 |
Contra Costa Regional Medical Center | Martinez | 14 | $35,104.20 | $18,474.50 | $14,417.10 |
Providence Holy Cross Medical Center | Mission Hills | 27 | $73,953.40 | $8,325.78 | $6,767.63 |
Mercy Medical Center Redding | Redding | 29 | $35,824.00 | $8,418.00 | $7,155.83 |
Alhambra Hospital Medical Center | Alhambra | 17 | $66,483.90 | $8,507.29 | $7,441.88 |
Valleycare Medical Center | Pleasanton | 11 | $63,951.60 | $9,565.09 | $6,827.91 |
Seton Medical Center | Daly City | 17 | $85,053.20 | $8,984.65 | $8,111.24 |
Providence Saint John's Health Center | Santa Monica | 17 | $38,502.90 | $6,251.59 | $5,048.76 |
Sutter Santa Rosa Regional Hospital | Santa Rosa | 20 | $26,832.90 | $10,458.50 | $9,287.20 |
Riverside County Regional Medical Center | Moreno Valley | 19 | $28,423.20 | $15,566.70 | $14,500.30 |
Mercy Hospital Bakersfield | Bakersfield | 19 | $35,380.60 | $7,688.47 | $6,667.84 |
Hazel Hawkins Memorial Hospital | Hollister | 11 | $33,807.70 | $9,772.36 | $8,890.91 |
St Mary Medical Center Apple Valley | Apple Valley | 53 | $40,598.60 | $7,789.36 | $6,900.60 |
Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley | 24 | $46,431.00 | $11,382.50 | $10,232.60 |
El Camino Hospital | Mountain View | 23 | $57,679.70 | $7,802.57 | $6,860.65 |
Sutter Roseville Medical Center | Roseville | 66 | $41,016.00 | $7,668.20 | $6,747.74 |
Sutter Tracy Community Hospital | Tracy | 15 | $39,109.10 | $8,424.73 | $6,295.67 |
Highland Hospital Oakland | Oakland | 29 | $48,027.90 | $18,688.30 | $17,205.20 |
Scripps Memorial Hospital La Jolla | La Jolla | 21 | $37,077.40 | $6,002.14 | $5,074.48 |
Salinas Valley Memorial Hospital | Salinas | 29 | $50,585.20 | $9,218.34 | $8,343.28 |
Sonora Regional Medical Center | Sonora | 40 | $46,351.60 | $8,281.95 | $7,466.75 |
Lodi Memorial Hospital | Lodi | 41 | $110,612.00 | $7,602.49 | $6,841.49 |
Pioneers Memorial Healthcare District | Brawley | 11 | $39,386.70 | $8,299.00 | $7,309.91 |
Beverly Hospital | Montebello | 26 | $22,881.50 | $8,202.04 | $7,230.19 |
Torrance Memorial Medical Center | Torrance | 18 | $52,654.90 | $6,785.00 | $5,775.22 |
Barton Memorial Hospital | South Lake Taho | 12 | $35,358.80 | $13,112.00 | $6,905.17 |
Providence Little Company Of Mary Med Ctr Torrance | Torrance | 32 | $52,356.20 | $8,128.16 | $5,994.81 |
Marin General Hospital | Greenbrae | 22 | $68,100.50 | $8,122.36 | $7,409.64 |
Northbay Medical Center | Fairfield | 35 | $94,194.80 | $9,002.20 | $8,003.80 |
Pacifica Hospital Of The Valley | Sun Valley | 15 | $21,473.30 | $10,582.10 | $9,696.80 |
Good Samaritan Hospital San Jose | San Jose | 32 | $86,245.60 | $9,257.25 | $8,036.59 |
Citrus Valley Medical Center-Ic Campus | Covina | 71 | $29,072.30 | $9,540.48 | $8,493.52 |
Hemet Valley Medical Center | Hemet | 56 | $38,008.10 | $7,223.48 | $6,343.20 |
Pih Hospital - Downey | Downey | 30 | $59,572.70 | $8,178.40 | $7,236.37 |
Community Memorial Hospital San Buenaventura | Ventura | 34 | $41,665.50 | $6,942.56 | $6,081.38 |
Santa Barbara Cottage Hospital | Santa Barbara | 30 | $43,291.90 | $8,181.77 | $7,182.00 |
Chinese Hospital | San Francisco | 11 | $22,510.00 | $9,138.55 | $8,146.55 |
West Anaheim Medical Center | Anaheim | 26 | $26,514.80 | $7,273.46 | $6,068.35 |
Huntington Memorial Hospital | Pasadena | 81 | $55,342.40 | $7,844.51 | $6,969.84 |
Stanford Hospital | Stanford | 24 | $84,967.80 | $12,890.40 | $9,919.88 |
Mercy Medical Center Merced | Merced | 50 | $40,860.10 | $8,709.28 | $7,627.02 |
Ucsf Medical Center | San Francisco | 28 | $58,202.80 | $13,507.90 | $11,358.70 |
San Joaquin Community Hospital | Bakersfield | 42 | $35,669.50 | $7,716.83 | $6,888.83 |
Doctors Medical Center | Modesto | 39 | $128,777.00 | $10,819.20 | $9,744.36 |
Memorial Hospital Of Gardena | Gardena | 36 | $41,394.40 | $9,272.17 | $8,534.39 |
Good Samaritan Hospital Los Angeles | Los Angeles | 23 | $61,868.40 | $9,143.87 | $8,296.91 |
West Hills Hospital & Medical Center | West Hills | 20 | $92,331.50 | $7,429.90 | $5,955.85 |
Long Beach Memorial Medical Center | Long Beach | 61 | $42,657.20 | $8,668.88 | $7,252.16 |
Eden Medical Center | Castro Valley | 32 | $42,488.60 | $8,451.16 | $7,545.16 |
Clovis Community Medical Center | Clovis | 20 | $33,362.60 | $7,846.30 | $6,820.70 |
John Muir Medical Center - Concord Campus | Concord | 39 | $73,965.40 | $8,214.41 | $7,274.21 |
Sutter Auburn Faith Hospital | Auburn | 14 | $30,548.30 | $7,482.36 | $6,529.21 |
Saint Vincent Medical Center | Los Angeles | 24 | $53,347.50 | $10,933.60 | $6,303.75 |
Scripps Memorial Hospital - Encinitas | Encinitas | 16 | $38,787.40 | $6,968.88 | $4,986.88 |
Mercy San Juan Medical Center | Carmichael | 44 | $45,879.00 | $8,831.75 | $8,004.98 |
Victor Valley Global Medical Center | Victorville | 15 | $35,798.90 | $10,563.30 | $9,371.00 |
Sutter Delta Medical Center | Antioch | 46 | $54,354.50 | $8,994.67 | $8,132.76 |
Huntington Beach Hospital | Huntington Beac | 23 | $32,104.80 | $6,983.70 | $6,249.78 |
John F Kennedy Memorial Hospital | Indio | 12 | $57,114.30 | $9,398.83 | $8,697.50 |
Sutter Davis Hospital | Davis | 11 | $42,536.50 | $8,516.27 | $7,473.00 |
Los Robles Hospital & Medical Center | Thousand Oaks | 50 | $70,505.40 | $6,413.44 | $5,445.12 |
Los Alamitos Medical Center | Los Alamitos | 27 | $82,003.60 | $6,701.96 | $5,853.37 |
Memorial Medical Center | Modesto | 74 | $52,013.30 | $7,662.50 | $6,735.36 |
Mission Hospital Regional Med Center | Mission Viejo | 33 | $44,613.10 | $6,972.21 | $5,822.91 |
Madera Community Hospital | Madera | 37 | $33,098.30 | $9,364.68 | $8,416.78 |
Fountain Valley Regional Hospital & Medical Center | Fountain Valley | 41 | $56,493.00 | $9,652.61 | $8,661.37 |
Eisenhower Medical Center | Rancho Mirage | 43 | $70,290.20 | $6,402.19 | $5,335.67 |
Gardens Regional Hospital And Medical Center | Hawaiian Garden | 42 | $24,152.30 | $7,618.43 | $6,753.67 |
La Palma Intercommunity Hospital | La Palma | 21 | $23,053.30 | $7,640.43 | $6,656.05 |
Lakewood Regional Medical Center | Lakewood | 23 | $55,718.20 | $8,416.78 | $6,777.87 |
San Dimas Community Hospital | San Dimas | 11 | $32,271.70 | $6,471.00 | $6,034.64 |
Methodist Hospital Of Sacramento | Sacramento | 27 | $44,981.60 | $9,948.96 | $9,094.93 |
Foothill Presbyterian Hospital | Glendora | 20 | $29,418.20 | $7,313.85 | $6,408.25 |
University Of California Davis Medical Center | Sacramento | 59 | $65,469.90 | $13,892.90 | $11,912.50 |
Saddleback Memorial Medical Center | Laguna Hills | 28 | $36,762.50 | $5,879.68 | $5,109.04 |
Delano Regional Medical Center | Delano | 11 | $22,199.80 | $10,648.60 | $9,659.55 |
St Johns Pleasant Valley Hospital | Camarillo | 20 | $75,197.20 | $7,641.15 | $7,098.75 |
Henry Mayo Newhall Hospital | Valencia | 43 | $45,153.20 | $7,132.49 | $6,324.49 |
Cedars-Sinai Medical Center | Los Angeles | 87 | $87,520.60 | $9,796.26 | $7,650.62 |
Twin Cities Community Hospital | Templeton | 12 | $73,258.10 | $6,946.08 | $6,140.75 |
Los Angeles Community Hospital | Los Angeles | 44 | $18,747.50 | $9,756.59 | $8,962.41 |
Orange Coast Memorial Medical Center | Fountain Valley | 23 | $48,052.10 | $7,614.78 | $6,721.57 |
Menifee Valley Medical Center | Sun City | 18 | $40,702.80 | $6,693.61 | $5,895.39 |
San Ramon Regional Medical Ctr | San Ramon | 17 | $80,656.60 | $7,908.53 | $6,982.41 |
Southwest Healthcare System | Murrieta | 27 | $35,609.20 | $7,604.56 | $6,753.59 |
Mission Community Hospital | Panorama City | 28 | $19,750.20 | $8,886.43 | $7,981.29 |
Desert Valley Hospital | Victorville | 26 | $24,535.80 | $7,019.46 | $6,080.50 |
Bakersfield Heart Hospital | Bakersfield | 35 | $44,723.40 | $6,646.51 | $5,781.60 |
Community Hospital Of Long Beach | Long Beach | 15 | $41,839.10 | $6,656.00 | $5,872.00 |
Whittier Hospital Medical Center | Whittier | 13 | $58,447.00 | $9,131.46 | $8,024.08 |
Monterey Park Hospital | Monterey Park | 16 | $105,400.00 | $11,046.60 | $9,992.62 |
Garfield Medical Center | Monterey Park | 22 | $102,922.00 | $9,844.00 | $8,659.36 |
Centinela Hospital Medical Center | Inglewood | 63 | $40,439.50 | $7,954.24 | $7,224.70 |
Olympia Medical Center | Los Angeles | 72 | $62,304.80 | $7,100.64 | $6,463.31 |
Sherman Oaks Hospital | Sherman Oaks | 11 | $20,710.30 | $6,940.36 | $6,420.36 |
Alvarado Hospital Medical Center | San Diego | 21 | $28,646.40 | $7,068.43 | $6,207.48 |
Providence Tarzana Medical Center | Tarzana | 43 | $63,953.60 | $7,205.77 | $6,502.05 |
Silver Lake Medical Center | Los Angeles | 78 | $24,345.00 | $11,645.30 | $10,715.10 |
Shasta Regional Medical Center | Redding | 29 | $27,783.20 | $7,481.21 | $6,565.34 |
Loma Linda University Medical Center-Murrieta | Murrieta | 23 | $37,652.40 | $7,329.35 | $5,288.83 |
Coast Plaza Hospital | Norwalk | 14 | $42,722.00 | $7,884.36 | $6,967.07 |
San Leandro Hospital | San Leandro | 21 | $32,033.10 | $7,594.43 | $6,731.95 |
Temecula Valley Hospital | Temecula | 11 | $44,809.10 | $6,584.55 | $4,792.55 | Total 196 hospitals | 6.210 |
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.