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Basis of Presentation and Significant Accounting Policies (Tables) | 3 Months Ended
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Mar. 31, 2021
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 quarters ended March 31, 2021 and 2020 are summarized in the following table (dollars in millions):
|  | 2021 |  |  | Ratio |  |  | 2020 |  |  | Ratio |
Medicare |  | $ | 2,559 |  |  |  | 18.3 | % |  | $ | 2,743 |  |  |  | 21.3 | %
Managed Medicare |  |  | 2,053 |  |  |  | 14.7 |  |  |  | 1,826 |  |  |  | 14.2 |
Medicaid |  |  | 527 |  |  |  | 3.8 |  |  |  | 414 |  |  |  | 3.2 |
Managed Medicaid |  |  | 725 |  |  |  | 5.2 |  |  |  | 666 |  |  |  | 5.2 |
Managed care and insurers |  |  | 6,885 |  |  |  | 49.1 |  |  |  | 6,645 |  |  |  | 51.6 |
International (managed care and insurers) |  |  | 333 |  |  |  | 2.4 |  |  |  | 292 |  |  |  | 2.3 |
Other |  |  | 895 |  |  |  | 6.5 |  |  |  | 275 |  |  |  | 2.2 |
Revenues |  | $ | 13,977 |  |  |  | 100.0 | % |  | $ | 12,861 |  |  |  | 100.0 | %
Schedule of Estimated Cost of Uncompensated Care | A summary of the estimated cost of total uncompensated care for the quarters ended March 31, 2021 and 2020 follows (dollars in millions):
|  | 2021 |  |  | 2020 |
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization) |  | $ | 11,643 |  |  | $ | 11,342 |
Cost-to-charges ratio (patient care costs as percentage of gross patient charges) |  |  | 11.4 | % |  |  | 11.9 | %
Total uncompensated care |  | $ | 6,821 |  |  | $ | 7,873 |
Multiply by the cost-to-charges ratio |  |  | 11.4 | % |  |  | 11.9 | %
Estimated cost of total uncompensated care |  | $ | 778 |  |  | $ | 937 |

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