| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $870 | $609 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $607 | $607 | — | — | 0 insurers |
| SAUK PRAIRIE HOSPITAL | WI | $1,119 | $612 | — | — | 0 insurers |
| ADVENTHEALTH WATERMAN | FL | $1,095 | $602 | $51.19 | $985 | 0 insurers |
| ADVENTHEALTH FISH MEMORIAL | FL | $1,095 | $602 | $51.19 | $985 | 0 insurers |
| AdventHealth Palm Coast | FL | $1,095 | $602 | $13.31 | $985 | 0 insurers |
| ADVENTHEALTH DELAND | FL | $1,095 | $602 | $13.31 | $985 | 0 insurers |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE | TN | $2,417 | $602 | — | — | 0 insurers |
| HAYWOOD REGIONAL MEDICAL CENTER | NC | $1,543 | $617 | — | — | 0 insurers |
| FAYETTE MEDICAL CENTER | AL | $600 | $600 | $600 | $600 | 0 insurers |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | MI | $705 | $599 | — | — | 0 insurers |
| HIGHLAND HILLS MEDICAL CENTER | MS | $1,259 | $630 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $2,209 | $632 | $663 | $1,590 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $2,209 | $632 | $45.93 | $5,435 | 0 insurers |
| BAPTIST MEDICAL CENTER - NASSAU | FL | $3,358 | $638 | — | — | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $1,639 | $639 | — | — | 0 insurers |
| NORTH ALABAMA MEDICAL CENTER | AL | $1,651 | $578 | — | — | 0 insurers |
| NORTH ALABAMA SHOALS HOSPITAL | AL | $1,651 | $578 | — | — | 0 insurers |
| GRANVILLE HEALTH SYSTEMS | NC | $801 | $641 | — | — | 0 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | $814 | $570 | — | — | 0 insurers |
| SAINT PETER'S UNIVERSITY HOSPITAL | NJ | $1,960 | $568 | — | — | 0 insurers |
| COLQUITT REGIONAL MEDICAL CENTER | GA | $650 | $650 | — | — | 0 insurers |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY | OK | $650 | $650 | — | — | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $962 | $568 | — | — | 0 insurers |
| STEWART MEMORIAL COMMUNITY HOSPITAL | IA | $813 | $650 | — | — | 0 insurers |
| STEWART MEMORIAL COMMUNITY HOSPITAL | IA | $813 | $650 | — | — | 0 insurers |
| MEMORIAL HOSPITAL | IL | $707 | $566 | — | — | 0 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | $656 | $656 | — | — | 0 insurers |
| BUCHANAN COUNTY HEALTH CENTER | IA | $777 | $660 | — | — | 0 insurers |
| BUCHANAN COUNTY HEALTH CENTER | IA | $777 | $660 | — | — | 0 insurers |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | KY | $919 | $551 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $1,905 | $667 | $343 | $953 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $1,905 | $667 | $343 | $953 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $1,905 | $667 | $343 | $953 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $1,905 | $667 | $343 | $953 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $1,905 | $667 | $343 | $953 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $1,905 | $667 | $343 | $953 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $1,905 | $667 | $343 | $953 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $1,905 | $667 | $343 | $953 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $1,905 | $667 | $343 | $953 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $1,905 | $667 | $343 | $953 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $1,905 | $667 | $343 | $953 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $1,905 | $667 | $343 | $953 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $1,905 | $667 | $343 | $953 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $1,905 | $667 | $343 | $953 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $1,905 | $667 | $343 | $953 | 0 insurers |
| CENTRAL VALLEY MEDICAL CENTER - CAH | UT | $794 | $548 | — | — | 0 insurers |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | TX | $1,918 | $671 | $196 | $1,726 | 0 insurers |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | TX | $1,918 | $671 | $1,009 | $1,726 | 0 insurers |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. | TX | $729 | $547 | — | — | 0 insurers |
| ADVENTHEALTH CENTRAL TEXAS | TX | $1,090 | $545 | $487 | $981 | 0 insurers |
| ADVENTHEALTH ROLLINS BROOK | TX | $1,090 | $545 | $487 | $981 | 0 insurers |
| NORTHWEST TEXAS HOSPITAL | TX | $1,690 | $676 | — | — | 0 insurers |
| MEMORIAL HOSPITAL | TX | $1,084 | $542 | $51.19 | $4,043 | 0 insurers |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | TX | $1,084 | $542 | $51.19 | $4,043 | 0 insurers |
| MEMORIAL HOSPITAL | TX | $1,084 | $542 | $51.19 | $4,043 | 0 insurers |
| MEMORIAL HOSPITAL | TX | $1,084 | $542 | $51.19 | $4,043 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $3,063 | $536 | $2,604 | $3,063 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $3,063 | $536 | $250 | $2,960 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $3,063 | $536 | $1,158 | $3,063 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $3,063 | $536 | $674 | $2,757 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $3,063 | $536 | $1,061 | $3,063 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $3,063 | $536 | $390 | $2,960 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $3,063 | $536 | $2,091 | $3,063 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $3,063 | $536 | $1,111 | $3,749 | 0 insurers |
| ALTRU HOSPITAL | ND | $869 | $530 | — | — | 0 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $1,152 | $691 | — | — | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $1,441 | $692 | $865 | $1,412 | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $1,441 | $692 | $620 | $1,412 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $525 | $525 | — | — | 0 insurers |
| HELEN KELLER HOSPITAL | AL | $524 | $524 | — | — | 0 insurers |
| HUNTSVILLE HOSPITAL | AL | $524 | $524 | — | — | 0 insurers |
| ATHENS LIMESTONE HOSPITAL | AL | $524 | $524 | — | — | 0 insurers |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS | AL | $524 | $524 | — | — | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $1,441 | $706 | $821 | $1,412 | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $1,441 | $706 | $504 | $1,412 | 0 insurers |
| COOPER UNIVERSITY HOSPITAL | NJ | $711 | $711 | — | — | 0 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $2,676 | $712 | — | — | 0 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $713 | $713 | — | — | 0 insurers |
| WEST CALCASIEU CAMERON HOSPITAL | LA | $670 | $503 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $962 | $500 | — | — | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $761 | $495 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $962 | $491 | — | — | 0 insurers |
| CARILION STONEWALL JACKSON HOSPITAL | VA | $818 | $491 | $0.04 | $785 | 0 insurers |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER | KS | $970 | $728 | — | — | 0 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $817 | $490 | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $2,464 | $739 | — | — | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $1,002 | $743 | $852 | $972 | 0 insurers |
| TOPS SURGICAL SPECIALTY HOSPITAL | TX | $1,354 | $474 | $1 | $5,394 | 0 insurers |
| CODY REGIONAL HEALTH | WY | $551 | $468 | — | — | 0 insurers |
| SOUTH TEXAS HEALTH SYSTEM | TX | $1,170 | $468 | — | — | 0 insurers |
| ST ANTHONY HOSPITAL | OR | $1,101 | $750 | $595 | $1,046 | 0 insurers |
| ST ANTHONY HOSPITAL | OR | $1,101 | $750 | $358 | $1,046 | 0 insurers |
| ST ANTHONY HOSPITAL | WA | $1,101 | $750 | $595 | $1,046 | 0 insurers |
| ST ANTHONY HOSPITAL | WA | $1,101 | $750 | $358 | $1,046 | 0 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $1,072 | $750 | — | — | 0 insurers |
| THE QUEENS MEDICAL CENTER | HI | $1,072 | $750 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $579 | $463 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $2,209 | $453 | $663 | $1,590 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $2,209 | $453 | $45.93 | $5,435 | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $1,120 | $448 | — | — | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $1,932 | $773 | — | — | 0 insurers |
| WILKES REGIONAL MEDICAL CENTER | NC | $1,546 | $773 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $635 | $444 | — | — | 0 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $1,553 | $777 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $1,553 | $777 | — | — | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | $1,421 | $440 | — | — | 0 insurers |
| HEYWOOD HOSPITAL - | MA | $440 | $440 | $134 | $4,142 | 0 insurers |
| HAZARD ARH REGIONAL MEDICAL CENTER | KY | $718 | $431 | — | — | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $1,976 | $790 | — | — | 0 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $1,064 | $426 | — | — | 0 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | $425 | $425 | $114 | $4,142 | 0 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $933 | $793 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $531 | $425 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $531 | $425 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $531 | $425 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $531 | $425 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $531 | $425 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $531 | $425 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $531 | $425 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $531 | $425 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $531 | $425 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $531 | $425 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $531 | $425 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $531 | $425 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $531 | $425 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $1,590 | $795 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $1,590 | $795 | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $1,590 | $795 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $1,590 | $795 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $1,590 | $795 | — | — | 0 insurers |
| AURORA MEDICAL CTR MANITOWOC COUNTY | WI | $1,590 | $795 | — | — | 0 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $1,590 | $795 | — | — | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $1,590 | $795 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $1,590 | $795 | — | — | 0 insurers |
| AURORA LAKELAND MEDICAL CENTER | WI | $1,590 | $795 | — | — | 0 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $1,590 | $795 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $1,590 | $795 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $1,590 | $795 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $1,590 | $795 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $1,590 | $795 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $1,590 | $795 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $1,590 | $795 | — | — | 0 insurers |
| HOLY FAMILY MEMORIAL | WI | — | $796 | $0.37 | $1,448 | 0 insurers |
| TRINITY ROCK ISLAND | IL | $1,000 | $800 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $1,000 | $800 | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $1,600 | $800 | — | — | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $1,600 | $800 | — | — | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $1,600 | $800 | — | — | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $1,600 | $800 | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $1,600 | $800 | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $1,600 | $800 | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $1,600 | $800 | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $1,600 | $800 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $592 | $414 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $592 | $414 | — | — | 0 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $512 | $410 | — | — | 0 insurers |
| CARLE RICHLAND MEMORIAL HOSPITAL | IL | $809 | $809 | — | — | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,043 | $811 | $542 | $1,022 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,043 | $811 | $206 | $1,022 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,043 | $811 | $542 | $1,022 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,043 | $811 | $206 | $1,022 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $2,077 | $814 | $152 | $5,432 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,096 | $402 | $767 | $866 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,096 | $402 | $152 | $5,592 | 0 insurers |
| WETZEL COUNTY HOSPITAL | WV | $803 | $402 | — | — | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $1,227 | $393 | — | — | 0 insurers |
| BELL HOSPITAL | MI | $654 | $393 | — | — | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $1,376 | $826 | $503 | $1,197 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $1,376 | $826 | $503 | $1,197 | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $1,376 | $826 | $503 | $1,197 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $1,376 | $826 | $503 | $1,197 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $1,376 | $826 | $503 | $1,197 | 0 insurers |
| ALTON MEMORIAL HOSPITAL | IL | $1,376 | $826 | $503 | $1,197 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $1,376 | $826 | $503 | $1,197 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $1,376 | $826 | $503 | $1,197 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $1,376 | $826 | $503 | $1,197 | 0 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $1,376 | $826 | $503 | $1,197 | 0 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $1,376 | $826 | $503 | $1,197 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $1,376 | $826 | $503 | $1,197 | 0 insurers |
| PROGRESS WEST HOSPITAL | MO | $1,376 | $826 | $503 | $1,197 | 0 insurers |
| TWIN COUNTY REGIONAL HOSPITAL | VA | $974 | $390 | — | — | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | $2,076 | $831 | — | — | 0 insurers |
| HARRISON MEMORIAL HOSPITAL | KY | $553 | $387 | — | — | 0 insurers |
| COX MEDICAL CENTERS | MO | $1,531 | $386 | — | — | 0 insurers |
| COX MEDICAL CENTER BRANSON | MO | $1,531 | $386 | — | — | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $1,227 | $380 | — | — | 0 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $1,227 | $380 | — | — | 0 insurers |
| ROANE MEDICAL CENTER | TN | $1,227 | $380 | — | — | 0 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $1,227 | $380 | — | — | 0 insurers |
| LECONTE MEDICAL CENTER | TN | $1,227 | $380 | — | — | 0 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $1,227 | $380 | — | — | 0 insurers |
| IBERIA MEDICAL CENTER | LA | $626 | $376 | — | — | 0 insurers |
| ST JOHN'S RIVERSIDE HOSPITAL | NY | $441 | $375 | — | — | 0 insurers |
| PARKWEST MEDICAL CENTER | TN | $1,227 | $368 | — | — | 0 insurers |
| O U MEDICAL CENTER | OK | $3,631 | $363 | $762 | $3,399 | 0 insurers |
| LIBERTY REGIONAL MEDICAL CENTER | GA | $1,143 | $857 | — | — | 0 insurers |
| MUNSON HEALTHCARE GRAYLING HOSPITAL | MI | $1,011 | $859 | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $2,464 | $862 | — | — | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $2,464 | $862 | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $2,464 | $862 | — | — | 0 insurers |
| MAGNOLIA REGIONAL MEDICAL HOSPITAL | AR | $590 | $354 | — | — | 0 insurers |
| WALLOWA MEMORIAL HOSPITAL | OR | $391 | $352 | $97.02 | $379 | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $567 | $351 | — | — | 0 insurers |
| HOLY FAMILY HOSPITAL | MA | $1,583 | $871 | — | — | 0 insurers |
| WESTERLY HOSPITAL | RI | $962 | $346 | — | — | 0 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $675 | $338 | — | — | 0 insurers |
| WEIRTON MEDICAL CENTER, INC | WV | $675 | $338 | — | — | 0 insurers |
| RANDOLPH HOSPITAL | NC | $1,686 | $337 | — | — | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $613 | $334 | $472 | $601 | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $613 | $334 | $152 | $5,838 | 0 insurers |
| ST GABRIELS HOSPITAL | MN | $664 | $332 | $54.58 | $631 | 0 insurers |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | MI | $1,043 | $887 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $828 | $331 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $828 | $331 | — | — | 0 insurers |
| MIZELL MEMORIAL HOSPITAL | AL | $358 | $322 | — | — | 0 insurers |
| MISSOURI DELTA MEDICAL CENTER | MO | $1,285 | $321 | — | — | 0 insurers |
| MERCY HOSPITAL | CA | $2,242 | $897 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $2,242 | $897 | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $2,291 | $898 | $619 | $2,245 | 0 insurers |
| ST LUKES HOSPITAL | MN | $560 | $314 | — | — | 0 insurers |
| UNITY HOSPITAL | NY | $390 | $312 | — | — | 0 insurers |
| UNITY MEDICAL CENTER | TN | $390 | $312 | — | — | 0 insurers |
| CITIZENS MEDICAL CENTER | TX | $616 | $308 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $350 | $298 | — | — | 0 insurers |
| WELLSPAN YORK HOSPITAL | PA | $361 | $289 | — | — | 0 insurers |
| WELLSPAN GOOD SAMARITAN HOSPITAL | PA | $361 | $289 | — | — | 0 insurers |
| STEPHENS COUNTY HOSPITAL | GA | $477 | $286 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $818 | $286 | — | — | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $1,922 | $932 | $1,326 | $1,518 | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $1,922 | $932 | $136 | $6,374 | 0 insurers |
| VALLEY VIEW HOSPITAL ASSOCIATION | CO | $316 | $284 | — | — | 0 insurers |
| VALLEY VIEW HOSPITAL ASSOCIATION | CO | $316 | $284 | — | — | 0 insurers |
| CHEROKEE REGIONAL MEDICAL CENTER | IA | $316 | $284 | — | — | 0 insurers |
| CHEROKEE REGIONAL MEDICAL CENTER | IA | $316 | $284 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $722 | $282 | $152 | $542 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $1,030 | $276 | $556 | $865 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $1,030 | $276 | $51.14 | $1,795 | 0 insurers |
| BALDWIN HEALTH | AL | $530 | $276 | — | — | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $530 | $276 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $530 | $276 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $530 | $276 | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $530 | $276 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $530 | $276 | — | — | 0 insurers |
| GREENE COUNTY HOSPITAL | AL | $489 | $274 | — | — | 0 insurers |
| GREENE COUNTY HOSPITAL | AL | $489 | $274 | — | — | 0 insurers |
| GREENE COUNTY MEDICAL CENTER | IA | $489 | $274 | — | — | 0 insurers |
| GREENE COUNTY MEDICAL CENTER | IA | $489 | $274 | — | — | 0 insurers |
| ADVENTHEALTH SEBRING | FL | $447 | $268 | $51.19 | $510 | 0 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $2,720 | $952 | $2,312 | $2,960 | 0 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $802 | $265 | $80.2 | $4,989 | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $2,394 | $958 | — | — | 0 insurers |
| TOUCHETTE REGIONAL HOSPITAL INC | IL | $416 | $258 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,885 | $961 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,885 | $961 | — | — | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $653 | $254 | $71.83 | $535 | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $653 | $254 | $48.73 | $7,087 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $1,030 | $253 | $556 | $793 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $1,030 | $253 | $51.14 | $1,795 | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $402 | $249 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $413 | $248 | — | — | 0 insurers |
| POINTE COUPEE GENERAL HOSPITAL | LA | $274 | $246 | — | — | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | $604 | $242 | $48.74 | $513 | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $301 | $241 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $301 | $241 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $301 | $241 | — | — | 0 insurers |
| WHIDBEYHEALTH MEDICAL CENTER | WA | $978 | $978 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $555 | $236 | — | — | 0 insurers |
| LALLIE KEMP MEDICAL CENTER | LA | $379 | $228 | — | — | 0 insurers |
| POMERENE HOSPITAL | OH | $281 | $225 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $555 | $223 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $555 | $223 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $555 | $223 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $555 | $223 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $555 | $223 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $555 | $223 | — | — | 0 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $312 | $218 | — | — | 0 insurers |
| THE GENERAL | LA | $312 | $218 | — | — | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $271 | $217 | $161 | $271 | 0 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $271 | $217 | $161 | $271 | 0 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $553 | $216 | — | — | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $2,390 | $1,004 | $1,434 | $2,032 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $2,390 | $1,004 | $93.35 | $3,259 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $2,390 | $1,004 | $1,434 | $2,032 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $2,390 | $1,004 | $93.35 | $3,259 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $2,390 | $1,004 | $1,434 | $2,032 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $2,390 | $1,004 | $93.35 | $3,259 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $2,390 | $1,004 | $1,434 | $2,032 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $2,390 | $1,004 | $93.35 | $3,259 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $2,390 | $1,004 | $1,434 | $2,032 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $2,390 | $1,004 | $93.35 | $3,259 | 0 insurers |
| ADAMS COUNTY REGIONAL MEDICAL CENTER | OH | $266 | $213 | $74.48 | $661 | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $354 | $212 | — | — | 0 insurers |
| ROME MEMORIAL HOSPITAL, INC | NY | $521 | $210 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | $209 | $209 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | $209 | $209 | — | — | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $2,884 | $1,009 | $1,298 | $2,884 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $2,884 | $1,009 | $100 | $2,884 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $2,884 | $1,009 | $1,240 | $2,884 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $2,884 | $1,009 | $100 | $2,884 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $2,884 | $1,009 | $1,240 | $2,884 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $2,884 | $1,009 | $100 | $2,884 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $2,884 | $1,009 | $1,240 | $2,884 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $2,884 | $1,009 | $100 | $2,884 | 0 insurers |
| WELLINGTON REGIONAL MEDICAL CENTER | FL | $277 | $208 | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | $258 | $206 | $47.25 | $47.25 | 0 insurers |
| WAYNE HOSPITAL | OH | $273 | $205 | — | — | 0 insurers |
| SPRING VIEW HOSPITAL | KY | $491 | $197 | — | — | 0 insurers |
| GENEVA GENERAL HOSPITAL | NY | $486 | $195 | — | — | 0 insurers |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES | NY | $486 | $195 | — | — | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $3,940 | $1,024 | $361 | $4,020 | 0 insurers |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS | NY | $190 | $190 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $475 | $190 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $475 | $190 | — | — | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $653 | $188 | $490 | $542 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $653 | $188 | $48.73 | $5,532 | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $311 | $187 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $311 | $187 | — | — | 0 insurers |
| UNIONTOWN HOSPITAL | PA | $370 | $185 | — | — | 0 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $1,879 | $1,033 | — | — | 0 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $180 | $180 | — | — | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $653 | $179 | $71.83 | $601 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $653 | $179 | $71.83 | $5,742 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $653 | $179 | $71.83 | $542 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $653 | $179 | $48.73 | $7,484 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $468 | $179 | $281 | $370 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $468 | $179 | $51.14 | $2,408 | 0 insurers |
| CALDWELL MEDICAL CENTER | KY | $237 | $178 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $505 | $177 | $93.43 | $253 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $505 | $177 | $93.43 | $253 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $505 | $177 | $93.43 | $253 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $505 | $177 | $93.43 | $253 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $505 | $177 | $93.43 | $253 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $505 | $177 | $93.43 | $253 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $505 | $177 | $93.43 | $253 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $505 | $177 | $93.43 | $253 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $505 | $177 | $93.43 | $253 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $505 | $177 | $93.43 | $253 | 0 insurers |
| LINCOLN HEALTH HOSPITAL | CO | $364 | $173 | — | — | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $2,991 | $1,047 | $1,944 | $2,243 | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $2,991 | $1,047 | $100 | $2,749 | 0 insurers |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN | MS | $567 | $170 | — | — | 0 insurers |
| STEPHENS MEMORIAL HOSPITAL | TX | $168 | $168 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $335 | $168 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $335 | $168 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $335 | $168 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $356 | $167 | — | — | 0 insurers |
| NORTHSIDE HOSPITAL FORSYTH | GA | — | $163 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $323 | $162 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $323 | $162 | — | — | 0 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $152 | $152 | — | — | 0 insurers |
| CARSON TAHOE REGIONAL MEDICAL CENTER | NV | $216 | $151 | $17.28 | $181 | 0 insurers |
| BROADLAWNS MEDICAL CENTER | IA | $143 | $143 | — | — | 0 insurers |
| JACKSON COUNTY REGIONAL HEALTH CENTER | IA | $143 | $143 | — | — | 0 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $204 | $143 | $0 | $184 | 0 insurers |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC | ID | $204 | $143 | $0 | $184 | 0 insurers |
| SOUTH COUNTY HOSPITAL INC | RI | $238 | $143 | — | — | 0 insurers |
| USC ARCADIA HOSPITAL | CA | $402 | $141 | — | — | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $401 | $140 | $201 | $201 | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $401 | $140 | $60.21 | $3,635 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $611 | $139 | $183 | $440 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $611 | $139 | $45.93 | $5,435 | 0 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $198 | $139 | — | — | 0 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $330 | $139 | — | — | 0 insurers |
| SOUTH CENTRAL HEALTH | ND | $330 | $139 | — | — | 0 insurers |
| HSHS ST CLARE MEMORIAL HOSPITAL | WI | $209 | $138 | — | — | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $286 | $135 | $260 | $260 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $286 | $135 | $67.19 | $260 | 0 insurers |
| PERSON MEMORIAL HOSPITAL | NC | $334 | $134 | — | — | 0 insurers |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL | IL | $1,087 | $1,087 | — | — | 0 insurers |
| HAWARDEN REGIONAL HEALTHCARE | IA | $1,282 | $1,090 | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $358 | $125 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $2,052 | $1,094 | $1,539 | $1,949 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $2,052 | $1,094 | $1,334 | $1,970 | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $2,190 | $1,095 | — | — | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | GA | $175 | $123 | — | — | 0 insurers |
| REDINGTON FAIRVIEW GENERAL HOSPITAL | ME | $163 | $122 | — | — | 0 insurers |
| Adventhealth Zephyrhills | FL | $1,831 | $1,098 | $51.19 | $1,410 | 0 insurers |
| ADVENTHEALTH TAMPA | FL | $1,831 | $1,098 | $51.19 | $2,923 | 0 insurers |
| ST JOSEPHS AREA HEALTH SERVICES | MN | $187 | $116 | $54.58 | $178 | 0 insurers |
| SAINT JOSEPH EAST | KY | $286 | $115 | $260 | $260 | 0 insurers |
| SAINT JOSEPH EAST | KY | $286 | $115 | $69.9 | $260 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $286 | $115 | $260 | $260 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $286 | $115 | $69.9 | $260 | 0 insurers |
| TMC- BONHAM HOSPITAL | TX | $380 | $114 | — | — | 0 insurers |
| MARIA PARHAM MEDICAL CENTER | NC | $2,760 | $1,104 | — | — | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | PA | $135 | $108 | $0 | $108 | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $249 | $106 | $182 | $227 | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $249 | $106 | $43.93 | $227 | 0 insurers |
| OCH REGIONAL MEDICAL CENTER | MS | $165 | $106 | — | — | 0 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $159 | $105 | — | — | 0 insurers |
| METHODIST HOSPITAL UNION COUNTY | KY | $160 | $104 | — | — | 0 insurers |
| CARILION MEDICAL CENTER | VA | $264 | $92.4 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $264 | $92.4 | — | — | 0 insurers |
| AUBURN COMMUNITY HOSPITAL | NY | $506 | $91.78 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $698 | $90.74 | — | — | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $2,819 | $1,128 | — | — | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $2,819 | $1,128 | — | — | 0 insurers |
| SAINT JOSEPH LONDON | KY | $244 | $87.07 | $222 | $222 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $244 | $87.07 | $34.85 | $222 | 0 insurers |
| CAREWELL HEALTH MEDICAL CENTER | NJ | $100 | $85 | — | — | 0 insurers |
| OSWEGO HOSPITAL | NY | $113 | $84.4 | — | — | 0 insurers |
| BAXTER HEALTH | AR | $133 | $79.8 | — | — | 0 insurers |
| ST CROIX REGIONAL MEDICAL CENTER | WI | $142 | $78.18 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $155 | $77.5 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $155 | $77.5 | — | — | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $104 | $77.17 | $51.14 | $101 | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,631 | $1,141 | — | — | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $122 | $74.42 | $59.78 | $113 | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $122 | $74.42 | $25.62 | $3,908 | 0 insurers |
| TEXOMA MEDICAL CENTER | TX | $1,525 | $1,144 | — | — | 0 insurers |
| TWIN CITY MEDICAL CENTER | OH | $102 | $71.4 | $39.78 | $772 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $139 | $70.89 | $103 | $125 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $139 | $70.89 | $91.74 | $125 | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $118 | $70.8 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $118 | $70.8 | — | — | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $239 | $70.27 | $50.19 | $6,009 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $116 | $68.44 | $63.8 | $109 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $116 | $68.44 | $26.68 | $6,796 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $116 | $68.44 | $63.8 | $109 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $116 | $68.44 | $26.68 | $6,796 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $118 | $59 | $73.16 | $94.4 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $118 | $59 | $27.14 | $4,406 | 0 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $579 | $57.9 | — | — | 0 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $579 | $57.9 | — | — | 0 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $103 | $56.65 | — | — | 0 insurers |
| Baylor St Lukes Medical Center | TX | $3,323 | $1,163 | $896 | $2,825 | 0 insurers |
| CHI ST LUKES LAKESIDE HOSPITAL | TX | $3,323 | $1,163 | $807 | $2,825 | 0 insurers |
| BRISTOL HOSPITAL | CT | $366 | $54.9 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $366 | $54.9 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $366 | $54.9 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $366 | $54.9 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $366 | $54.9 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $366 | $54.9 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $366 | $54.9 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $366 | $54.9 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $366 | $54.9 | — | — | 0 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $366 | $54.9 | — | — | 0 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $366 | $54.9 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $366 | $54.9 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $366 | $54.9 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $366 | $54.9 | — | — | 0 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $366 | $54.9 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $366 | $54.9 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $366 | $54.9 | — | — | 0 insurers |
| CHESAPEAKE GENERAL HOSPITAL | VA | $85.45 | $51.27 | — | — | 0 insurers |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL | NJ | $1,186 | $1,186 | — | — | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $1,262 | $1,198 | — | — | 0 insurers |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER | MN | $1,500 | $1,200 | — | — | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $1,441 | $1,210 | $1,301 | $1,412 | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $1,441 | $1,210 | $879 | $1,951 | 0 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $3,039 | $1,216 | — | — | 0 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $3,039 | $1,216 | — | — | 0 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $3,039 | $1,216 | — | — | 0 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $3,039 | $1,216 | — | — | 0 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $3,039 | $1,216 | — | — | 0 insurers |
| HENDERSON HOSPITAL | NV | $3,039 | $1,216 | — | — | 0 insurers |
| WEST HENDERSON HOSPITAL | NV | $3,039 | $1,216 | — | — | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $1,441 | $1,225 | $1,301 | $1,412 | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $1,441 | $1,225 | $309 | $1,632 | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $2,138 | $1,240 | $1,283 | $2,010 | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $2,138 | $1,240 | $941 | $2,010 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $2,963 | $1,268 | $1,867 | $2,904 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $2,963 | $1,268 | $152 | $7,160 | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | $1,279 | $1,279 | — | — | 0 insurers |
| BEEBE MEDICAL CENTER | DE | $1,525 | $1,296 | — | — | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $3,255 | $1,302 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $2,418 | $1,330 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $2,418 | $1,330 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $2,400 | $1,344 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $2,400 | $1,344 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $2,400 | $1,344 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $2,400 | $1,344 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $2,400 | $1,344 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $2,400 | $1,344 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $2,400 | $1,344 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $2,400 | $1,344 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $2,400 | $1,344 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $2,400 | $1,344 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $2,400 | $1,344 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $2,400 | $1,344 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $2,400 | $1,344 | — | — | 0 insurers |
| ESKENAZI HEALTH | IN | $1,345 | $1,345 | — | — | 0 insurers |
| ESKENAZI HEALTH | IN | $1,345 | $1,345 | — | — | 0 insurers |
| ESKENAZI HEALTH | IN | $1,345 | $1,345 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $1,682 | $1,346 | — | — | 0 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $2,076 | $1,349 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $1,817 | $1,363 | — | — | 0 insurers |
| ADVENTHEALTH SHAWNEE MISSION | KS | $2,733 | $1,367 | $24.27 | $2,460 | 0 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | $2,128 | $1,383 | — | — | 0 insurers |
| DELTA COUNTY MEMORIAL HOSPITAL | CO | $2,350 | $1,410 | — | — | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $5,083 | $1,418 | $4,066 | $4,422 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $5,083 | $1,418 | $152 | $5,083 | 0 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | $1,426 | $1,426 | — | — | 0 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | $1,426 | $1,426 | — | — | 0 insurers |
| LINCOLNHEALTH | ME | $1,426 | $1,426 | — | — | 0 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | $1,426 | $1,426 | — | — | 0 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | $1,426 | $1,426 | — | — | 0 insurers |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | $1,426 | $1,426 | — | — | 0 insurers |
| MEMORIAL HOSPITAL, THE | NH | $1,426 | $1,426 | — | — | 0 insurers |