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 Ratio (CCR) Rate NORTH COLORADO MEDICAL 60001 $ 6,548.71 0.2600 CENTER LONGMONT UNITED $ 6,133.07 0.3000 HOSPITAL PLATTE VALLEY MEDICAL 60004 $ 6,148.08 0.3910 CENTER MONTROSE MEMORIAL 60006 $ 6,363.53 0.4000 HOSPITAL 60008 SAN LUIS VALLEY HEALTH $ 6,363.53 0.3730 60009 LUTHERAN MEDICAL CENTER $ 6,196.77 0.2450 60010 POUDRE VALLEY HOSPITAL $ 6,420.87 0.3040 DENVER HEALTH MEDICAL $ 7,684.70 0.2890 CENTER CENTURA HEALTH-ST MARY 60012 $ 6,463.00 0.2490 CORWIN MEDICAL CENTER MERCY REGIONAL MEDICAL 60013 $ 7,944.76 0.3400 CENTER PRESBYTERIAN ST 60014 $ 6,529.83 0.1870 MEDICAL CENTER CENTURA HEALTH-ST 60015 $ 6,224.13 0.2010 ANTHONY HOSPITAL CENTURA HEALTH-ST 60016 $ 6,883.81 0.4000 THOMAS MORE HOSPITAL PARKVIEW MEDICAL CENTER 60020 $ 6,448.19 0.1810 INC UNIVERSITY COLO HEALTH 60022 $ 6,427.05 0.2560 MEMORIAL HOSPITAL CENTRAL ST MARYS MEDICAL CENTER $ 6,920.54 0.3100 UNIVERSITY OF COLORADO 60024 $ 7,737.29 0.1800 HOSPITAL AUTHORITY
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 Ratio (CCR) 60001 NORTH COLORADO MEDICAL CENTER $ 6,548.71 0.2600 LONGMONT UNITED HOSPITAL $ 6,133.07 0.3000 60004 PLATTE VALLEY MEDICAL CENTER $ 6,148.08 0.3910 60006 MONTROSE MEMORIAL HOSPITAL $ 6,363.53 0.4000 60008 SAN LUIS VALLEY HEALTH $ 6,363.53 0.3730 60009 LUTHERAN MEDICAL CENTER $ 6,196.77 0.2450 60010 POUDRE VALLEY HOSPITAL $ 6,420.87 0.3040 DENVER HEALTH MEDICAL CENTER $ 7,684.70 0.2890 60012 CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER $ 6,463.00 0.2490 60013 MERCY REGIONAL MEDICAL CENTER $ 7,944.76 0.3400 60014 PRESBYTERIAN ST MEDICAL CENTER $ 6,529.83 0.1870 60015 CENTURA HEALTH-ST ANTHONY HOSPITAL $ 6,224.13 0.2010 60016 CENTURA HEALTH-ST THOMAS MORE HOSPITAL $ 6,883.81 0.4000 60020 PARKVIEW MEDICAL CENTER INC $ 6,448.19 0.1810 60022 UNIVERSITY COLO HEALTH MEMORIAL HOSPITAL CENTRAL $ 6,427.05 0.2560 ST MARYS MEDICAL CENTER $ 6,920.54 0.3100 60024 UNIVERSITY OF COLORADO HOSPITAL AUTHORITY $ 7,737.29 0.1800
Rule_18_2018_Exhibit_2_2018.docx