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Accounting Policies (Tables) | 12 Months Ended
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Dec. 31, 2020
Accounting Policies [Abstract] |
Schedule of Revenues from Third Party Payers, Uninsured and Other Payers | Our revenues by primary third-party payer classification and other (including uninsured patients) for the years ended December 31, are summarized in the following table (dollars in millions):
|  | Years Ended December 31, |
|  | 2020 |  |  | Ratio |  |  | 2019 |  |  | Ratio |  |  | 2018 |  |  | Ratio |
Medicare |  | $ | 10,420 |  |  |  | 20.2 | % |  | $ | 10,798 |  |  |  | 21.0 | % |  | $ | 9,831 |  |  |  | 21.1 | %
Managed Medicare |  |  | 6,997 |  |  |  | 13.6 |  |  |  | 6,452 |  |  |  | 12.6 |  |  |  | 5,497 |  |  |  | 11.8 |
Medicaid |  |  | 1,965 |  |  |  | 3.8 |  |  |  | 1,572 |  |  |  | 3.1 |  |  |  | 1,358 |  |  |  | 2.9 |
Managed Medicaid |  |  | 2,621 |  |  |  | 5.1 |  |  |  | 2,450 |  |  |  | 4.8 |  |  |  | 2,403 |  |  |  | 5.1 |
Managed care and other insurers |  |  | 26,535 |  |  |  | 51.5 |  |  |  | 26,544 |  |  |  | 51.6 |  |  |  | 24,467 |  |  |  | 52.4 |
International (managed care and other insurers) |  |  | 1,120 |  |  |  | 2.2 |  |  |  | 1,162 |  |  |  | 2.3 |  |  |  | 1,156 |  |  |  | 2.5 |
Other |  |  | 1,875 |  |  |  | 3.6 |  |  |  | 2,358 |  |  |  | 4.6 |  |  |  | 1,965 |  |  |  | 4.2 |
Revenues |  | $ | 51,533 |  |  |  | 100.0 | % |  | $ | 51,336 |  |  |  | 100.0 | % |  | $ | 46,677 |  |  |  | 100.0 | %
Schedule of Estimated Cost of Uncompensated Care | A summary of the estimated cost of total uncompensated care for the years ended December 31, follows (dollars in millions):
|  | 2020 |  |  | 2019 |  |  | 2018 |
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization) |  | $ | 44,271 |  |  | $ | 44,118 |  |  | $ | 40,035 |
Cost-to-charges ratio (patient care costs as percentage of gross patient charges) |  |  | 12.0 | % |  |  | 12.0 | % |  |  | 12.4 | %
Total uncompensated care |  | $ | 29,029 |  |  | $ | 31,105 |  |  | $ | 26,757 |
Multiply by the cost-to-charges ratio |  |  | 12.0 | % |  |  | 12.0 | % |  |  | 12.4 | %
Estimated cost of total uncompensated care |  | $ | 3,483 |  |  | $ | 3,733 |  |  | $ | 3,318 |

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