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Table 4.4: Aggregate Hospital Payment-to-cost Ratios for Private Payers, Medicare and Medicaid, 1993 – 2013 Year1994 Medicare(1) 89.9% 96.9% Medicaid(2) 89.6% 93.7% Private Payer 130.1% 124.4% 1996199820002002 99.4% 102.4% 103.7% 101.9% 100.0% 99.1% 98.4% 97.9% 95.3% 94.0% 94.9% 96.0% 96.6% 95.7% 94.5% 95.8% 96.1% 92.3% 124.0% 121.6% 117.5% 115.8% 115.1% 115.7% 116.5% 119.0% 122.3% 20052007200920112013 91.9% 92.3% 91.3% 90.6% 90.9% 90.1% 92.4% 91.4% 85.9% 87.9% 89.9% 87.1% 85.8% 87.9% 88.7% 89.0% 92.8% 94.7% 88.9% 89.8% 128.9% 129.4% 130.3% 132.2% 128.3% 134.1% 133.5% 134.5% 148.9% 143.6% Source: Avalere Health analysis of American.

Chart 4.1: Percentage of Hospitals with Negative Total and Operating Margins, 1995 – 2013 Negative Operating Margin Negative Total Margin Source: Avalere Health analysis.

Chart 1.1: Total National Health Expenditures 1980 – 2005(1)

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