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Basis of Presentation and Significant Accounting Policies (Tables) | 6 Months Ended
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Jun. 30, 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 and six months ended June 30, 2021 and 2020 are summarized in the following table (dollars in millions):
|  | Quarter |
|  | 2021 |  |  | Ratio |  |  | 2020 |  |  | Ratio |
Medicare |  | $ | 2,612 |  |  |  | 18.1 | % |  | $ | 2,272 |  |  |  | 20.5 | %
Managed Medicare |  |  | 2,104 |  |  |  | 14.6 |  |  |  | 1,488 |  |  |  | 13.4 |
Medicaid |  |  | 503 |  |  |  | 3.5 |  |  |  | 564 |  |  |  | 5.1 |
Managed Medicaid |  |  | 831 |  |  |  | 5.8 |  |  |  | 531 |  |  |  | 4.8 |
Managed care and insurers |  |  | 7,417 |  |  |  | 51.3 |  |  |  | 5,631 |  |  |  | 50.9 |
International (managed care and insurers) |  |  | 338 |  |  |  | 2.3 |  |  |  | 239 |  |  |  | 2.2 |
Other |  |  | 630 |  |  |  | 4.4 |  |  |  | 343 |  |  |  | 3.1 |
Revenues |  | $ | 14,435 |  |  |  | 100.0 | % |  | $ | 11,068 |  |  |  | 100.0 | %
|  | Six Months |
|  | 2021 |  |  | Ratio |  |  | 2020 |  |  | Ratio |
Medicare |  | $ | 5,171 |  |  |  | 18.2 | % |  | $ | 5,015 |  |  |  | 21.0 | %
Managed Medicare |  |  | 4,157 |  |  |  | 14.6 |  |  |  | 3,314 |  |  |  | 13.8 |
Medicaid |  |  | 1,030 |  |  |  | 3.6 |  |  |  | 978 |  |  |  | 4.1 |
Managed Medicaid |  |  | 1,556 |  |  |  | 5.5 |  |  |  | 1,197 |  |  |  | 5.0 |
Managed care and insurers |  |  | 14,302 |  |  |  | 50.4 |  |  |  | 12,276 |  |  |  | 51.4 |
International (managed care and insurers) |  |  | 671 |  |  |  | 2.4 |  |  |  | 531 |  |  |  | 2.2 |
Other |  |  | 1,525 |  |  |  | 5.3 |  |  |  | 618 |  |  |  | 2.5 |
Revenues |  | $ | 28,412 |  |  |  | 100.0 | % |  | $ | 23,929 |  |  |  | 100.0 | %
Schedule of Estimated Cost of Uncompensated Care | A summary of the estimated cost of total uncompensated care for the quarters and six months ended June 30, 2021 and 2020 follows (dollars in millions):
|  | Quarter |  |  | Six Months |
|  | 2021 |  |  | 2020 |  |  | 2021 |  |  | 2020 |
Patient care costs (salaries and benefits, supplies, other operating expenses and depreciation and amortization) |  | $ | 11,950 |  |  | $ | 9,916 |  |  | $ | 23,593 |  |  | $ | 21,258 |
Cost-to-charges ratio (patient care costs as percentage of gross patient charges) |  |  | 11.1 | % |  |  | 12.6 | % |  |  | 11.2 | % |  |  | 12.2 | %
Total uncompensated care |  | $ | 7,696 |  |  | $ | 6,729 |  |  | $ | 14,517 |  |  | $ | 14,602 |
Multiply by the cost-to-charges ratio |  |  | 11.1 | % |  |  | 12.6 | % |  |  | 11.2 | % |  |  | 12.2 | %
Estimated cost of total uncompensated care |  | $ | 848 |  |  | $ | 844 |  |  | $ | 1,626 |  |  | $ | 1,781 |

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