Sometimes it seems the Ratings, Rankings, and Awards are legion in healthcare. The current system of Top 50, HealthGrades, Best Hospitals seem a bit like the Grammys: there's a category for everyone, and everyone goes home a winner. But the recent proliferation of metrics and awards are not only confusing, they are now impacting reimbursement. The new metrics being implemented by payers and the Affordable Healthcare Act threaten to impose a set of unproven or dubious benchmarks on hospitals. Which raises the question: is the laboratory safe from these metrics? and why don't we see more ranking of laboratories, methods, and instruments?