Exhibit #2 Hospital Base Rates and Cost To Charge Ratios (CCRs) For Hospital Discharge Dates of Service on and after 1/1/2018 Individual Hospital Base Provider Number Name Cost to Charge (CCR) Rate MEDICAL CENTER OF 60100 $ 6,218.96 0.1430 AURORA, THE CENTURA HEALTH-AVISTA 60103 $ 6,160.05 0.2810 ADVENTIST HOSPITAL ST ANTHONY HEALTH $ 7,007.82 0.2670 CAMPUS SKY MEDICAL CENTER $ 6,121.69 0.1380 CENTURA HEALTH-LITTLETON 60113 $ 6,117.59 0.1860 ADVENTIST HOSPITAL PARKER ADVENTIST HOSPITAL $ 6,147.55 0.2090 GOOD SAMARITAN MEDICAL 60116 $ 6,074.86 0.2130 CENTER ANIMAS SURGICAL HOSPITAL, 60117 $ 6,321.96 0.3990 LLC ST ANTHONY SUMMIT 60118 $ 6,106.23 0.3560 MEDICAL CENTER MEDICAL CENTER OF THE $ 6,371.97 0.2930 ROCKIES ORTHOCOLORADO HOSPITAL 60124 $ 6,105.72 0.2160 AT ST ANTHONY MED CAMPUS CASTLE ROCK ADVENTIST 60125 $ 6,105.72 0.2970 HOSPITAL BANNER FORT COLLINS 60126 $ 6,377.89 0.5700 MEDICAL CENTER 69999 ANY OTHER HOSPITAL $ 6,105.72 0.2970
Exhibit #2 Hospital Base Rates and Cost To Charge Ratios (CCRs) For Hospital Discharge Dates of Service on and after 1/1/2018 Provider Number Name Individual Hospital Base Rate Cost to Charge (CCR) 60100 MEDICAL CENTER OF AURORA, THE $ 6,218.96 0.1430 60103 CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL $ 6,160.05 0.2810 ST ANTHONY HEALTH CAMPUS $ 7,007.82 0.2670 SKY MEDICAL CENTER $ 6,121.69 0.1380 60113 CENTURA HEALTH-LITTLETON ADVENTIST HOSPITAL $ 6,117.59 0.1860 PARKER ADVENTIST HOSPITAL $ 6,147.55 0.2090 60116 GOOD SAMARITAN MEDICAL CENTER $ 6,074.86 0.2130 60117 ANIMAS SURGICAL HOSPITAL, LLC $ 6,321.96 0.3990 60118 ST ANTHONY SUMMIT MEDICAL CENTER $ 6,106.23 0.3560 MEDICAL CENTER OF THE ROCKIES $ 6,371.97 0.2930 60124 ORTHOCOLORADO HOSPITAL AT ST ANTHONY MED CAMPUS $ 6,105.72 0.2160 60125 CASTLE ROCK ADVENTIST HOSPITAL $ 6,105.72 0.2970 60126 BANNER FORT COLLINS MEDICAL CENTER $ 6,377.89 0.5700 69999 ANY OTHER HOSPITAL $ 6,105.72 0.2970