Hospital Costs > In New York > University Hospital S U N Y Health Science Center, procedure costs

University Hospital S U N Y Health Science Center, procedure costs

750 East Adams Street, Syracuse, NY 13210,

Procedure Costs @ University Hospital S U N Y Health Science Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Acute Myocardial Infarction, Discharged Alive W Cc2665 / 22$34.264,80886 / 50$10.234,201227 / 57$7.924,461225 / 50
Acute Myocardial Infarction, Discharged Alive W Mcc19106 / 44$50.275,801149 / 70$16.600,801653 / 67$14.693,301640 / 68
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc2698 / 32$23.802,50590 / 39$7.460,62718 / 35$5.968,65717 / 36
Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc128 / 1$60.555,7017 / 1$16.955,8019 / 1$14.677,5019 / 1
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim1155 / 14$57.032,80328 / 13$16.573,90485 / 8$14.496,10481 / 11
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1475 / 17$29.928,00298 / 15$10.075,50634 / 15$7.715,29633 / 18
Biopsies Of Musculoskeletal System & Connective Tissue W Cc1121 / 6$69.234,6072 / 4$21.730,60110 / 5$19.461,00110 / 6
Bone Diseases & Arthropathies W/O Mcc1331 / 14$39.663,80274 / 22$10.714,20279 / 23$9.011,54279 / 23
Cardiac Arrhythmia & Conduction Disorders W Cc24137 / 46$20.155,901066 / 53$8.000,751889 / 73$6.204,381884 / 71
Cardiac Arrhythmia & Conduction Disorders W Mcc22101 / 38$38.949,801292 / 71$12.570,801757 / 71$10.651,201754 / 70
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc21129 / 51$17.252,001221 / 66$5.976,101814 / 74$4.679,901808 / 78
Cellulitis W Mcc2038 / 17$40.304,10601 / 28$15.614,50915 / 44$13.609,20913 / 46
Cellulitis W/O Mcc87102 / 27$22.113,901667 / 81$8.393,292341 / 93$6.725,342333 / 92
Cervical Spinal Fusion W Cc1736 / 6$79.184,30218 / 10$24.387,90317 / 8$22.385,40316 / 11
Cervical Spinal Fusion W/O Cc/Mcc3569 / 8$51.918,50359 / 16$18.467,50730 / 13$15.832,10727 / 16
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc7625 / 2$19.847,5064 / 8$10.124,80299 / 10$9.278,36299 / 14
Chest Pain21130 / 53$18.489,50805 / 59$6.436,521515 / 53$5.351,711506 / 57
Chronic Obstructive Pulmonary Disease W Cc32147 / 46$15.063,20520 / 38$8.559,062058 / 80$6.912,312051 / 77
Chronic Obstructive Pulmonary Disease W Mcc58144 / 38$25.905,701191 / 52$10.785,402247 / 82$9.056,592239 / 82
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2397 / 32$17.155,701029 / 56$7.190,701920 / 78$6.058,351909 / 82
Circulatory Disorders Except Ami, W Card Cath W/O Mcc21167 / 39$37.993,50875 / 37$11.889,301536 / 41$9.759,431533 / 44
Complications Of Treatment W Cc1537 / 10$35.510,70266 / 14$11.691,50344 / 18$10.312,60344 / 21
Cranial & Peripheral Nerve Disorders W/O Mcc1553 / 19$17.443,70152 / 12$8.436,73614 / 23$7.049,93614 / 27
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant2517 / 2$191.473,00123 / 7$59.357,20168 / 5$54.553,00168 / 8
Craniotomy & Endovascular Intracranial Procedures W Cc1144 / 8$91.930,50128 / 5$28.719,50199 / 3$26.366,90199 / 6
Craniotomy & Endovascular Intracranial Procedures W Mcc1880 / 13$150.398,00349 / 17$47.664,20484 / 18$43.895,10484 / 21
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc1163 / 9$62.081,10114 / 8$17.716,40189 / 4$16.589,60188 / 6
Degenerative Nervous System Disorders W/O Mcc3048 / 20$33.284,80570 / 42$9.701,17671 / 36$7.461,80671 / 32
Diabetes W Cc3161 / 18$24.201,20953 / 51$8.308,581403 / 52$6.841,971398 / 55
Diabetes W Mcc2829 / 6$33.202,10343 / 14$12.315,20606 / 15$10.786,90605 / 16
Diabetes W/O Cc/Mcc2018 / 8$17.674,90155 / 21$6.231,25245 / 16$5.014,90245 / 16
Digestive Malignancy W Cc1334 / 15$52.689,70314 / 17$15.303,90379 / 21$13.501,00377 / 24
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1456 / 11$19.820,90183 / 7$9.123,21388 / 8$6.825,36388 / 5
Disorders Of Pancreas Except Malignancy W Cc2437 / 8$22.774,00399 / 15$9.041,71847 / 26$7.514,08844 / 29
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1820 / 3$21.059,40272 / 7$6.953,28424 / 9$5.722,50423 / 13
Disorders Of The Biliary Tract W Cc1737 / 15$27.347,90168 / 9$9.866,59389 / 18$8.292,24389 / 16
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1863 / 16$528.586,00285 / 19$191.618,00400 / 24$165.676,00399 / 21
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1779 / 27$33.193,20746 / 38$12.092,101300 / 47$10.355,901295 / 50
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc126149 / 25$23.571,301768 / 93$7.995,602391 / 96$5.894,022376 / 88
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc1826 / 6$94.086,70290 / 12$26.556,70359 / 12$22.376,70357 / 11
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc2043 / 12$149.669,00474 / 26$53.958,10682 / 36$42.428,80682 / 28
Extracranial Procedures W/O Cc/Mcc1979 / 19$33.986,20526 / 31$9.788,11884 / 26$8.690,95881 / 30
Fractures Of Hip & Pelvis W/O Mcc2041 / 15$25.899,50671 / 39$7.354,20827 / 44$5.517,60826 / 40
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc2834 / 17$24.479,40498 / 40$7.831,00693 / 46$5.881,21691 / 46
G.I. Hemorrhage W Cc65153 / 37$26.902,101359 / 65$9.982,462208 / 84$8.452,182204 / 87
G.I. Hemorrhage W Mcc3685 / 21$41.910,60768 / 35$16.022,201311 / 50$12.956,801301 / 43
G.I. Hemorrhage W/O Cc/Mcc1157 / 28$13.984,20276 / 13$7.039,55906 / 37$5.909,82902 / 42
G.I. Obstruction W Cc2963 / 17$19.055,50588 / 31$8.375,381532 / 61$6.899,721527 / 62
G.I. Obstruction W/O Cc/Mcc2150 / 18$15.277,20546 / 35$6.558,861222 / 55$5.174,861219 / 62
Headaches W/O Mcc1726 / 5$22.499,70126 / 5$7.013,00212 / 4$5.915,12212 / 5
Heart Failure & Shock W Cc97181 / 34$22.389,101435 / 61$9.339,862374 / 91$7.664,782368 / 86
Heart Failure & Shock W Mcc84200 / 36$40.146,401666 / 79$14.386,202354 / 85$12.401,302344 / 83
Heart Failure & Shock W/O Cc/Mcc2585 / 38$24.354,001524 / 85$7.266,121830 / 81$5.797,121817 / 78
Hernia Procedures Except Inguinal & Femoral W Cc1420 / 5$35.618,9030 / 1$14.057,10112 / 3$12.385,20112 / 4
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc1715 / 5$34.521,5070 / 5$10.852,60112 / 4$8.949,12112 / 5
Hip & Femur Procedures Except Major Joint W Cc5885 / 16$49.962,601043 / 53$17.975,101614 / 71$13.414,401595 / 52
Hip & Femur Procedures Except Major Joint W Mcc2735 / 6$67.978,60392 / 17$25.285,40814 / 25$22.825,10811 / 23
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1739 / 13$37.716,50357 / 16$14.470,60764 / 25$11.544,50761 / 21
Hypertension W/O Mcc1253 / 24$27.748,50607 / 46$6.745,67677 / 25$5.123,83675 / 27
Infectious & Parasitic Diseases W O.R. Procedure W Mcc4975 / 22$175.870,001154 / 76$61.708,201533 / 77$54.560,301523 / 77
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs61121 / 22$46.740,201669 / 82$11.363,701946 / 78$9.493,791942 / 80
Intracranial Hemorrhage Or Cerebral Infarction W Mcc10267 / 7$65.146,901205 / 64$18.319,301498 / 56$15.912,201491 / 59
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc7329 / 4$32.788,301180 / 54$8.177,261442 / 55$6.121,661438 / 57
Kidney & Ureter Procedures For Neoplasm W Cc1925 / 5$57.758,3087 / 5$18.472,90145 / 3$16.581,90145 / 5
Kidney & Ureter Procedures For Non-Neoplasm W Cc1728 / 6$48.832,1080 / 3$15.940,20137 / 1$13.568,40137 / 5
Kidney & Urinary Tract Infections W Mcc26118 / 37$30.817,301214 / 41$10.851,401630 / 55$8.290,961626 / 48
Kidney & Urinary Tract Infections W/O Mcc85148 / 34$26.493,102057 / 95$8.829,602539 / 103$6.954,952528 / 100
Kidney Transplant4161 / 6$191.138,0081 / 7$30.537,50104 / 1$25.097,50104 / 3
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc2629 / 6$57.723,60334 / 11$17.922,40565 / 9$15.645,20561 / 16
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc2324 / 6$36.782,10191 / 9$13.365,10419 / 15$10.304,40419 / 14
Lymphoma & Non-Acute Leukemia W Cc1224 / 6$75.036,30109 / 5$17.388,50111 / 3$14.645,20111 / 5
Major Cardiovasc Procedures W Mcc1949 / 16$146.947,00331 / 12$49.845,50580 / 16$47.128,90579 / 19
Major Cardiovasc Procedures W/O Mcc2675 / 21$73.134,50299 / 19$27.319,20838 / 22$25.604,50837 / 24
Major Chest Procedures W/O Cc/Mcc1346 / 11$74.960,00207 / 15$17.197,10239 / 11$15.220,30239 / 15
Major Gastrointestinal Disorders & Peritoneal Infections W Cc2152 / 15$34.789,30751 / 26$12.215,601057 / 42$10.594,201055 / 43
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1142 / 14$42.430,10345 / 18$13.181,30445 / 22$11.479,30445 / 24
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc4056 / 5$41.210,40190 / 12$18.115,20712 / 16$16.186,50708 / 19
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc113451 / 52$47.428,101161 / 69$18.266,002269 / 80$15.092,102225 / 80
Major Joint/Limb Reattachment Procedure Of Upper Extremities1752 / 6$72.824,10298 / 7$25.300,80437 / 5$20.933,60437 / 5
Major Male Pelvic Procedures W/O Cc/Mcc1855 / 7$32.537,20109 / 8$11.430,40314 / 5$9.301,00314 / 9
Major Small & Large Bowel Procedures W Cc2979 / 20$79.102,20992 / 52$24.791,701425 / 60$21.498,501411 / 60
Major Small & Large Bowel Procedures W Mcc2758 / 16$172.879,00933 / 41$57.975,001258 / 55$53.356,801255 / 58
Major Small & Large Bowel Procedures W/O Cc/Mcc2341 / 9$51.220,70474 / 21$15.272,00692 / 23$13.152,20692 / 26
Malignancy Of Hepatobiliary System Or Pancreas W Cc1120 / 8$40.979,90130 / 5$12.097,10143 / 10$8.615,82143 / 8
Malignancy Of Hepatobiliary System Or Pancreas W Mcc1736 / 9$63.602,80233 / 15$21.291,40298 / 22$15.618,10299 / 16
Medical Back Problems W/O Mcc5962 / 14$31.595,001072 / 61$8.958,511351 / 59$7.126,221346 / 60
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc6957 / 13$27.070,20817 / 34$10.611,001445 / 47$9.023,421442 / 43
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc10066 / 15$22.990,101774 / 91$7.754,032293 / 96$6.046,372285 / 93
Nervous System Neoplasms W Mcc1830 / 10$65.353,90260 / 15$19.235,20304 / 21$16.646,40304 / 21
Nervous System Neoplasms W/O Mcc1218 / 2$53.751,2086 / 1$13.952,2099 / 2$10.809,2099 / 2
Nonspecific Cerebrovascular Disorders W Cc1343 / 7$26.207,20245 / 6$9.243,62355 / 5$6.744,92355 / 6
Nonspecific Cerebrovascular Disorders W Mcc1239 / 6$120.233,00405 / 10$33.638,90413 / 11$29.208,80413 / 11
O.R. Procedures For Obesity W/O Cc/Mcc3938 / 3$29.115,6074 / 14$13.497,50337 / 15$11.253,80336 / 18
Organic Disturbances & Mental Retardation1544 / 22$38.567,50436 / 30$12.854,70525 / 34$10.579,80525 / 35
Other Circulatory System Diagnoses W Mcc1898 / 30$57.516,70894 / 46$19.036,201246 / 50$16.965,301238 / 51
Other Digestive System Diagnoses W Cc3958 / 12$25.093,60683 / 30$9.663,031276 / 44$8.207,361272 / 47
Other Digestive System Diagnoses W Mcc1448 / 21$92.426,20705 / 44$31.154,40757 / 48$27.920,50756 / 49
Other Disorders Of Nervous System W Cc1442 / 17$29.265,40362 / 12$8.624,79528 / 17$7.222,14527 / 17
Other Disorders Of Nervous System W/O Cc/Mcc1421 / 12$22.005,9070 / 6$7.217,86108 / 8$5.125,29108 / 6
Other Kidney & Urinary Tract Diagnoses W Cc2281 / 20$24.322,80370 / 16$9.391,18710 / 23$7.982,95710 / 25
Other Kidney & Urinary Tract Diagnoses W Mcc1685 / 32$55.239,90840 / 44$20.114,001076 / 52$17.542,401072 / 56
Other Kidney & Urinary Tract Procedures W Mcc1523 / 8$111.346,00161 / 11$38.041,50212 / 17$31.574,00211 / 15
Other O.R. Procedures For Injuries W Cc1619 / 3$71.949,10124 / 5$21.408,60155 / 3$18.071,80155 / 5
Other Resp System O.R. Procedures W Cc1334 / 7$57.138,40196 / 6$19.301,50308 / 12$17.251,90308 / 13
Other Resp System O.R. Procedures W Mcc1944 / 8$98.897,80336 / 9$35.348,00534 / 16$32.210,40533 / 17
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc1413 / 5$32.363,5017 / 3$9.671,7142 / 1$8.269,8642 / 3
Other Vascular Procedures W Cc2280 / 29$76.276,20611 / 33$23.098,901005 / 30$20.998,401000 / 29
Other Vascular Procedures W Mcc1879 / 24$77.084,10346 / 23$31.120,60747 / 30$24.609,20744 / 18
Other Vascular Procedures W/O Cc/Mcc1739 / 13$46.184,80248 / 18$14.472,10464 / 14$12.873,10463 / 16
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc1822 / 9$44.219,40220 / 17$12.006,30264 / 20$9.978,44264 / 22
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc12184 / 41$33.708,1038 / 5$16.638,801296 / 23$15.344,901289 / 29
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1356 / 14$36.218,8035 / 2$16.166,80457 / 16$12.705,80455 / 13
Peripheral Vascular Disorders W Cc2559 / 23$23.458,90564 / 25$9.168,561071 / 42$7.818,161068 / 42
Pneumothorax W Cc1114 / 4$41.649,0076 / 3$10.971,5083 / 3$8.790,4583 / 2
Poisoning & Toxic Effects Of Drugs W Mcc2349 / 4$53.989,70761 / 25$17.805,30953 / 27$15.493,80950 / 28
Poisoning & Toxic Effects Of Drugs W/O Mcc1744 / 18$32.573,80781 / 49$7.664,35814 / 33$5.935,53813 / 33
Postoperative & Post-Traumatic Infections W/O Mcc2133 / 6$33.240,40317 / 17$12.040,40435 / 32$10.464,40435 / 33
Psychoses191125 / 4$41.227,30550 / 8$12.467,80562 / 10$9.566,38562 / 10
Pulmonary Edema & Respiratory Failure12380 / 3$44.941,601644 / 86$13.674,002112 / 84$11.563,302106 / 86
Pulmonary Embolism W/O Mcc1856 / 16$29.592,70823 / 32$9.580,221180 / 40$8.115,061177 / 40
Red Blood Cell Disorders W Mcc1556 / 25$26.658,20359 / 21$11.348,30926 / 31$10.123,90922 / 35
Red Blood Cell Disorders W/O Mcc4895 / 30$25.441,601280 / 68$8.270,811746 / 70$6.599,771737 / 70
Renal Failure W Cc41180 / 47$33.506,401844 / 87$11.572,902309 / 95$9.099,582299 / 92
Renal Failure W Mcc47148 / 28$44.885,801442 / 65$15.839,602001 / 66$13.907,901997 / 72
Respiratory Infections & Inflammations W Cc2563 / 21$31.821,40745 / 38$13.384,701313 / 58$10.744,201308 / 55
Respiratory Infections & Inflammations W Mcc26110 / 29$50.952,701095 / 42$17.710,801497 / 55$14.219,101481 / 46
Respiratory Neoplasms W Cc2423 / 5$40.703,80327 / 19$12.044,80444 / 20$10.183,10443 / 20
Respiratory Neoplasms W Mcc1636 / 12$70.604,10502 / 21$18.583,90567 / 20$14.110,80564 / 14
Respiratory System Diagnosis W Ventilator Support <96 Hours3596 / 19$71.727,001172 / 72$21.879,301644 / 60$19.633,801630 / 59
Respiratory System Diagnosis W Ventilator Support 96+ Hours1457 / 25$180.918,00679 / 54$56.499,60926 / 46$48.722,70925 / 45
Revision Of Hip Or Knee Replacement W Cc1967 / 10$72.367,30239 / 12$28.245,10526 / 14$23.799,30524 / 11
Revision Of Hip Or Knee Replacement W/O Cc/Mcc1356 / 11$54.536,60145 / 9$23.743,90364 / 7$17.276,20363 / 7
Seizures W Mcc2046 / 11$64.900,90610 / 33$18.306,60711 / 30$15.293,20711 / 27
Seizures W/O Mcc7731 / 8$35.492,401071 / 89$9.267,231220 / 68$7.420,551218 / 69
Septicemia Or Severe Sepsis W Mv 96+ Hours3557 / 21$165.606,00609 / 61$55.483,00986 / 50$51.843,50985 / 52
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc419123 / 14$51.165,801830 / 92$18.500,002565 / 101$15.765,502520 / 99
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc12780 / 14$28.599,701533 / 68$10.342,802271 / 88$8.445,212262 / 85
Signs & Symptoms W/O Mcc3655 / 18$23.975,50853 / 51$7.559,641135 / 49$5.699,331132 / 45
Simple Pneumonia & Pleurisy W Cc53150 / 42$22.047,301354 / 66$9.391,852405 / 97$7.252,132396 / 87
Simple Pneumonia & Pleurisy W Mcc67138 / 24$35.542,001388 / 67$13.427,402235 / 82$11.645,502229 / 79
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc1921 / 3$177.263,0046 / 2$58.737,7060 / 1$53.001,4060 / 1
Spinal Fusion Except Cervical W/O Mcc44150 / 14$80.307,50527 / 32$32.369,601123 / 34$28.710,001118 / 39
Stomach, Esophageal & Duodenal Proc W Cc1337 / 8$96.097,60171 / 10$30.668,80214 / 11$28.249,80214 / 12
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc1137 / 10$65.736,90195 / 15$18.692,80231 / 16$16.468,70230 / 16
Syncope & Collapse50119 / 47$21.521,30989 / 63$7.475,481679 / 68$5.995,081671 / 71
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.2143 / 15$451.449,00481 / 40$151.945,00561 / 43$136.237,00560 / 44
Transient Ischemia2897 / 32$30.746,101200 / 78$7.714,791538 / 68$6.191,321530 / 70
Transurethral Procedures W Cc1328 / 11$41.099,90228 / 16$13.122,80366 / 18$11.191,20366 / 21
Traumatic Stupor & Coma, Coma <1 Hr W Cc2541 / 6$41.666,60361 / 17$10.874,80447 / 14$8.948,56446 / 16
Traumatic Stupor & Coma, Coma <1 Hr W Mcc3120 / 4$89.074,20283 / 12$24.848,50341 / 13$22.359,60341 / 15
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc3717 / 3$30.244,90289 / 18$7.761,86342 / 14$6.096,46342 / 15
Total 151 procedures5.123discharges

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.