Exhibit #2 Base Rates and Cost-To-Charge Ratios Source: Medicare FY 2019 IPPS Impact File - Correction Notice (September 2018) Effective 1/1/2020
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Exhibit #2 Base Rates and Cost-to-Charge Ratios Source: Medicare FY 2019 IPPS Impact File - Correction Notice (September 2018) Effective 1/1/2020 Provider Total Individual Hospital Name Number CCR Base Rate 060001 North Colorado Medical Center 0.268 $6,930.02 060003 Longmont United Hospital 0.323 $6,416.24 060004 Platte Valley Medical Center 0.420 $6,296.29 060006 Montrose Memorial Hospital 0.404 $6,250.18 060008 San Luis Valley Health 0.386 $6,250.18 060009 Lutheran Medical Center 0.235 $6,370.99 060010 Poudre Valley Hospital 0.302 $6,499.23 060011 Denver Health Medical Center 0.324 $8,185.33 060012 Centura Health-St Mary Corwin Medical Center 0.229 $6,818.43 060013 Mercy Regional Medical Center 0.287 $8,029.28 060014 Presbyterian St Lukes Medical Center 0.154 $6,905.48 060015 Centura Health-St Anthony Hospital 0.205 $6,365.32 060020 Parkview Medical Center Inc 0.164 $6,901.98 060022 University Colo Health Memorial Hospital Central 0.221 $6,426.00 060023 St Mary’s Medical Center 0.308 $6,994.17 060024 University Of Colorado Hospital Authority 0.169 $7,902.58 060027 Foothills Hospital 0.218 $6,312.83 060028 Saint Joseph Hospital 0.196 $7,001.47 060030 Mckee Medical Center 0.366 $6,362.47 060031 Centura Health-Penrose St Francis Health Services 0.212 $6,387.05 060032 Rose Medical Center 0.136 $6,735.37 060034 Swedish Medical Center 0.120 $6,539.19 060044 Colorado Plains Medical Center 0.264 $6,621.20 060049 Uchealth Yampa Valley Medical Center 0.539 $9,490.44 060054 Community Hospital 0.322 $6,242.53 060064 Centura Health-Porter Adventist Hospital 0.230 $6,270.79 060065 North Suburban Medical Center 0.115 $6,598.58 060071 Delta County Memorial Hospital 0.427 $6,172.51 060075 Valley View Hospital Association 0.414 $8,299.42 060076 Sterling Regional Medcenter 0.495 $7,873.81 060096 Vail Health Hospital 0.516 $12,152.53 060100 Medical Center Of Aurora, The 0.146 $6,465.80 060103 Centura Health-Avista Adventist Hospital 0.300 $6,296.29 060104 St Anthony North Health Campus 0.272 $7,176.45 Page 1 Effective January 1, 2020 060112 Sky Ridge Medical Center 0.115 $6,141.55 060113 Centura Health-Littleton Adventist Hospital 0.198 $6,188.35 060114 Parker Adventist Hospital 0.231 $6,246.11 060116 Good Samaritan Medical Center 0.210 $6,203.26 060117 Animas Surgical Hospital, Llc 0.356 $6,081.46 060118 St Anthony Summit Medical Center 0.338 $6,296.29 060119 Medical Center Of The Rockies 0.257 $6,160.49 060124 Orthocolorado Hospital At St Anthony Med Campus 0.184 $6,126.33 060125 Castle Rock Adventist Hospital 0.274 $6,189.27 060126 Banner Fort Collins Medical Center 0.535 $6,250.18 060127 Scl Health Community Hospital- Northglenn 0.223 $6,369.26 069999 Any New Hospital 0.274 $6,189.27 Page 2 Effective January 1, 2020 .