GW Hospital again missed the cut for U.S. News & World Report’s annual rankings of the best D.C.-area hospitals.

For at least the second consecutive year, GW Hospital wasn’t included on the list, which recognizes the top 10 hospitals in the D.C. region. The hospital also was not recognized nationally in any medical specialty but was rated “high performing” in nephrology, a branch of medicine dealing with kidney diseases.

A “high performing” rating denotes “hospitals that are not nationally ranked but scored high enough in a specialty to put them in the top 10 percent of the analyzed centers,” according to the U.S. News website.

GW Hospital was rated “average” in almost every adult procedure and condition except hip replacement, where it was rated “below average.” The hospital’s patient experience averaged two stars out of five — the same score it received last year.

The annual rankings are based on data from nearly 5,000 medical centers concerning 16 adult and 10 pediatric specialties and nine common procedures and conditions, according to U.S. News & World Report’s website.

MedStar Georgetown University Hospital once again topped the list of best D.C.-area hospitals and is ranked No. 26 nationally in diabetes and endocrinology. The hospital also received six “high performing” ratings in other specialties.

Inova Fairfax Hospital in Falls Church ranked No. 2 in the D.C. area, and Inova Fair Oaks Hospital in Fairfax and Mary Washington Hospital in Fredericksburg tied for the No. 3 spot. All three are located in Virginia.

Nearby Johns Hopkins Hospital in Baltimore held its No. 3 spot on U.S. News’ “Honor Roll,” which recognizes the best overall hospitals in the nation.