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Recent Accounting Standards (Details) (USD $)
In Millions
3 Months Ended 6 Months Ended
Jun. 30, 2011
Jun. 30, 2010
Jun. 30, 2011
Jun. 30, 2010
Recent Accounting Standards        
Charity care and uninsured discounts based on established rates $ 239 $ 190 $ 462 $ 366
Estimated costs of providing charity services $ 43 $ 38 $ 82 $ 73