| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $1,267 | $443 | $287 | $797 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $1,267 | $443 | $287 | $797 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $1,267 | $443 | $287 | $797 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $1,267 | $443 | $287 | $797 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $1,267 | $443 | $287 | $797 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $1,267 | $443 | $287 | $797 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $1,267 | $443 | $287 | $797 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $1,267 | $443 | $287 | $797 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $1,267 | $443 | $287 | $797 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $1,267 | $443 | $287 | $797 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $1,267 | $443 | $287 | $797 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $1,267 | $443 | $287 | $797 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $1,267 | $443 | $287 | $797 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $1,267 | $443 | $287 | $797 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $1,267 | $443 | $287 | $797 | 0 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $558 | $446 | — | — | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $713 | $441 | — | — | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $713 | $441 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $854 | $436 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $543 | $434 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $543 | $434 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $543 | $434 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $543 | $434 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $543 | $434 | — | — | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $464 | $260 | $821 | 0 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $464 | $80 | $704 | 0 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $464 | $260 | $728 | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | $419 | $419 | — | — | 0 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $474 | $153 | $500 | 0 insurers |
| DELTA MEMORIAL HOSPITAL | AR | $600 | $480 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | $1,440 | $404 | $135 | $67,392 | 0 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $560 | $392 | — | — | 0 insurers |
| BALDWIN HEALTH | AL | $960 | $499 | — | — | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $960 | $499 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $960 | $499 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $960 | $499 | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $960 | $499 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $960 | $499 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $715 | $501 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $715 | $501 | — | — | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $1,026 | $513 | $636 | $821 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $1,026 | $513 | $216 | $4,406 | 0 insurers |
| GREENE COUNTY HOSPITAL | AL | $669 | $375 | — | — | 0 insurers |
| GREENE COUNTY MEDICAL CENTER | IA | $669 | $375 | — | — | 0 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $517 | $517 | — | — | 0 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $494 | $371 | — | — | 0 insurers |
| PENOBSCOT VALLEY HOSPITAL | ME | $457 | $366 | — | — | 0 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | $900 | $360 | $271 | $846 | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $663 | $531 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $714 | $357 | — | — | 0 insurers |
| SOUTHWESTERN VERMONT MEDICAL CENTER | VT | $506 | $354 | — | — | 0 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | — | $349 | — | — | 0 insurers |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | MI | $410 | $349 | — | — | 0 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $568 | $341 | — | — | 0 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $653 | $555 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $922 | $323 | $243 | $656 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $922 | $323 | $243 | $656 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $922 | $323 | $243 | $656 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $922 | $323 | $243 | $656 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $922 | $323 | $243 | $656 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $922 | $323 | $243 | $656 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $922 | $323 | $243 | $656 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $922 | $323 | $243 | $656 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $922 | $323 | $243 | $656 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $922 | $323 | $243 | $656 | 0 insurers |
| USC ARCADIA HOSPITAL | CA | $866 | $303 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $738 | $590 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $738 | $590 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $738 | $590 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $738 | $590 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $738 | $590 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $738 | $590 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $738 | $590 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $738 | $590 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $738 | $590 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $738 | $590 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $738 | $590 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $738 | $590 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $738 | $590 | — | — | 0 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $285 | — | — | 0 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $285 | — | — | 0 insurers |
| ALTRU HOSPITAL | ND | $467 | $285 | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $802 | $281 | — | — | 0 insurers |
| LALLIE KEMP MEDICAL CENTER | LA | $443 | $266 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $522 | $261 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $522 | $261 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $522 | $261 | — | — | 0 insurers |
| SIOUX FALLS SPECIALTY HOSPITAL | SD | $855 | $641 | $125 | $2,290 | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $616 | $246 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $616 | $246 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $305 | $244 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $508 | $239 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $933 | $653 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $468 | $234 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $468 | $234 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | GA | $1,368 | $684 | — | — | 0 insurers |
| TOPS SURGICAL SPECIALTY HOSPITAL | TX | $584 | $204 | $1 | $5,394 | 0 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $983 | $688 | — | — | 0 insurers |
| THE QUEENS MEDICAL CENTER | HI | $983 | $688 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,378 | $689 | — | — | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | $1,380 | $690 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | $1,380 | $690 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $329 | $181 | — | — | 0 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $1,022 | $715 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $324 | $162 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $324 | $162 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $324 | $162 | — | — | 0 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $350 | $147 | — | — | 0 insurers |
| SOUTH CENTRAL HEALTH | ND | $350 | $147 | — | — | 0 insurers |
| PERSON MEMORIAL HOSPITAL | NC | $1,864 | $746 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $748 | $748 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $710 | $135 | — | — | 0 insurers |
| NORTH CENTRAL SURGICAL CENTER LLP | TX | $223 | $134 | $109 | $8,427 | 0 insurers |
| BRISTOL HOSPITAL | CT | $805 | $121 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $805 | $121 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $805 | $121 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $805 | $121 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $805 | $121 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $805 | $121 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $805 | $121 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $805 | $121 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $805 | $121 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $805 | $121 | — | — | 0 insurers |
| HANCOCK COUNTY HEALTH SYSTEM | IA | $515 | $118 | — | — | 0 insurers |
| JACKSON HOSPITAL | FL | $494 | $115 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $1,206 | $784 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $1,206 | $784 | — | — | 0 insurers |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM | AL | $411 | $103 | — | — | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $807 | — | — | 0 insurers |
| O U MEDICAL CENTER | OK | $600 | $60 | $60 | $617 | 0 insurers |
| UPHS MARQUETTE DLP HOSPITAL | MI | $1,400 | $840 | — | — | 0 insurers |
| THREE RIVERS HOSPITAL | WA | $866 | $866 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $866 | $866 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $1,590 | $890 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $1,590 | $890 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $1,590 | $890 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $1,590 | $890 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $1,590 | $890 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $1,590 | $890 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $1,590 | $890 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $1,590 | $890 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $1,590 | $890 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $1,590 | $890 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $1,590 | $890 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $1,590 | $890 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $1,590 | $890 | — | — | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $2,494 | $998 | — | — | 0 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $1,054 | $1,054 | — | — | 0 insurers |
| HOSPITAL FOR SPECIAL SURGERY | NY | $1,152 | $1,152 | $91.11 | $706 | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA | PA | $1,400 | $1,400 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN - PORTLAND | OR | $1,459 | $1,459 | — | — | 0 insurers |
| ANTELOPE VALLEY HOSPITAL | CA | $1,485 | $1,485 | — | — | 0 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | $2,386 | $1,551 | — | — | 0 insurers |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON | MA | $1,598 | $1,598 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $16,019 | $1,602 | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | $2,540 | $1,651 | $2,807 | $9,828 | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF | CA | $1,723 | $1,723 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | IL | $1,723 | $1,723 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | MO | $1,723 | $1,723 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | OH | $1,723 | $1,723 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | SC | $1,723 | $1,723 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | TX | $1,723 | $1,723 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | WA | $1,723 | $1,723 | — | — | 0 insurers |
| MAURY REGIONAL HOSPITAL | TN | $4,734 | $1,941 | — | — | 0 insurers |
| O U MEDICAL CENTER | OK | $19,647 | $1,965 | $227 | $16,110 | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $3,767 | $2,260 | — | — | 0 insurers |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $9,384 | $9,384 | — | — | 0 insurers |
| OPTIM MEDICAL CENTER - TATTNALL | GA | $10,000 | $10,000 | $1,300 | $5,066 | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| RIVERVIEW REGIONAL MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| RUSSELL MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | — | — | — | — | 0 insurers |
| VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS | AL | — | — | $251 | $326 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $230 | $230 | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $2,539 | $6,642 | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| ST JOSEPH'S HOSPITAL | AZ | — | — | — | — | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | — | — | $167 | $300 | 0 insurers |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | — | — | $89.41 | $2,676 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | — | — | $167 | $1,117 | 0 insurers |
| HONORHEALTH TEMPE MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| BANNER DESERT MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH DEER VALLEY MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | — | — | $167 | $1,117 | 0 insurers |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | — | — | $167 | $2,202 | 0 insurers |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| BENSON HOSPITAL | AZ | — | — | — | — | 0 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | — | — | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | — | — | $181 | $6,955 | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | — | — | $181 | $1,540 | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| CHI ST VINCENT MORRILTON | AR | — | — | $181 | $1,313 | 0 insurers |
| BRADLEY COUNTY MEDICAL CENTER | AR | — | — | — | — | 0 insurers |
| MERCY GENERAL HOSPITAL | CA | — | — | $321 | $23,269 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | — | — | $284 | $5,592 | 0 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | — | — | $337 | $1,527 | 0 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | — | — | $302 | $5,174 | 0 insurers |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER | CA | — | — | $848 | $4,400 | 0 insurers |
| ST JOHNS REGIONAL MEDICAL CENTER | CA | — | — | $290 | $13,463 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | — | — | $284 | $6,009 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | — | — | $266 | $3,808 | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | — | — | — | — | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | — | — | $280 | $7,160 | 0 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $337 | $1,032 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | — | — | $284 | $4,316 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $1,116 | $7,512 | 0 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 0 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | — | — | $284 | $6,191 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | — | — | $266 | $7,111 | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | — | — | $134 | $6,374 | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | — | — | $284 | $10,920 | 0 insurers |
| UCSF HEALTH SAINT FRANCIS HOSPITAL | CA | — | — | $364 | $20,938 | 0 insurers |
| ST MARY MEDICAL CENTER | CA | — | — | $167 | $2,202 | 0 insurers |
| SEQUOIA HOSPITAL | CA | — | — | $284 | $10,404 | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | — | — | $269 | $5,432 | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | — | — | $301 | $4,386 | 0 insurers |
| DOMINICAN HOSPITAL | CA | — | — | $284 | $9,244 | 0 insurers |
| SIERRA VIEW MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $336 | $1,032 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | — | — | $337 | $5,310 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $411 | $14,407 | 0 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 0 insurers |
| NORTHBAY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $337 | $1,032 | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | — | — | $166 | $7,087 | 0 insurers |
| STANFORD HEALTH CARE | CA | — | — | $409 | $4,436 | 0 insurers |
| MERCY MEDICAL CENTER | CA | — | — | $105 | $8,966 | 0 insurers |
| UCSF HEALTH ST. MARY'S HOSPITAL | CA | — | — | $302 | $20,938 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $337 | $810 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $61 | $2,212 | 0 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | — | — | $166 | $7,484 | 0 insurers |
| UCI HEALTH - LOS ALAMITOS | CA | — | — | $360 | $8,064 | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $360 | $8,064 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $360 | $8,064 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $360 | $8,064 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | — | — | $166 | $6,019 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $112 | $10,525 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $80 | $4,134 | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $78 | $2,516 | 0 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 0 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 0 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 0 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 0 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | — | — | $483 | $1,527 | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | — | — | $284 | $284 | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $409 | $2,596 | 0 insurers |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO | CA | — | — | — | — | 0 insurers |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | CA | — | — | — | — | 0 insurers |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB | CA | — | — | $63 | $2,195 | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | — | — | — | — | 0 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $639 | $4,833 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 0 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $157 | $3,700 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | — | — | $216 | $6,796 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | — | — | $337 | $1,527 | 0 insurers |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| AdventHealth Porter | CO | — | — | $197 | $2,441 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $197 | $2,441 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $197 | $2,441 | 0 insurers |
| AdventHealth Parker | CO | — | — | $197 | $2,441 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $197 | $2,441 | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 0 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $107 | $5,841 | 0 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | — | — | — | — | 0 insurers |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT | CT | — | — | — | — | 0 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $264 | $1,459 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $264 | $1,414 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $287 | $5,570 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $292 | $774 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $1,311 | $12,418 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $287 | $5,570 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $287 | $5,570 | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $2,350 | $15,153 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $277 | $5,570 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $1,999 | $12,500 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $1,423 | $6,802 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $287 | $5,570 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $292 | $774 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $1,309 | $8,253 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $1,146 | $12,500 | 0 insurers |
| BARTOW REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MORTON PLANT HOSPITAL | FL | — | — | — | — | 0 insurers |
| TAMPA GENERAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA AVENTURA HOSPITAL | FL | — | — | $1,844 | $9,160 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $1,999 | $12,500 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $1,380 | $12,418 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $1,575 | $6,802 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $1,423 | $6,802 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $1,380 | $14,306 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $1,309 | $7,480 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $1,423 | $6,802 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $1,394 | $7,480 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $1,844 | $15,319 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $1,411 | $12,418 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $1,844 | $9,160 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $1,434 | $12,418 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $287 | $5,570 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $1,999 | $12,500 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $1,380 | $14,306 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $1,332 | $12,418 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $1,394 | $10,061 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $1,579 | $8,253 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $1,309 | $7,480 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $1,782 | $12,500 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $1,411 | $12,418 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $1,950 | $5,559 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $1,309 | $7,480 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $1,950 | $5,559 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $1,782 | $12,500 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $1,519 | $12,418 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $1,395 | $12,418 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $1,390 | $12,418 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $1,380 | $12,418 | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $1,798 | $9,160 | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $287 | $5,570 | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $287 | $5,570 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $1,146 | $12,500 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $1,113 | $12,500 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $1,214 | $12,500 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $1,798 | $9,160 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $292 | $774 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $1,535 | $4,168 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $1,116 | $7,512 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $275 | $10,045 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $245 | $10,045 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $275 | $10,045 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $260 | $1,727 | 0 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC | GA | — | — | — | — | 0 insurers |
| BURKE MEDICAL CENTER | GA | — | — | — | — | 0 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $1,116 | $7,512 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $1,116 | $16,800 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $195 | $2,117 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $291 | $3,185 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $265 | $275 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | — | — | $0.65 | $2,204 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $275 | $10,045 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $2,550 | $2,800 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $168 | $3,423 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $602 | $602 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $240 | $326 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | — | — | $105 | $4,300 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $300 | $3,338 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $300 | $1,757 | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 0 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | — | — | — | — | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $300 | $315 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $260 | $1,468 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $260 | $1,116 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $300 | $3,170 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $260 | $1,116 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $300 | $3,399 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $260 | $1,116 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $260 | $1,116 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $300 | $1,586 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $260 | $1,116 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $260 | $1,116 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $260 | $1,116 | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $300 | $3,170 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $300 | $1,651 | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | — | — | $167 | $1,498 | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | — | — | — | — | 0 insurers |
| EDWARD HOSPITAL | IL | — | — | $300 | $576 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $260 | $1,116 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $300 | $4,566 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $300 | $3,338 | 0 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | — | — | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $300 | $3,170 | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $260 | $1,116 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $260 | $1,116 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $3,121 | $4,704 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $260 | $1,116 | 0 insurers |
| METHODIST HOSPITALS INC | IN | — | — | $244 | $2,764 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $267 | $278 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $240 | $326 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $71 | $5,272 | 0 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 0 insurers |
| RIVERVIEW HEALTH | IN | — | — | — | — | 0 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | $152 | $274 | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $277 | $3,140 | 0 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE NORTHWEST INDIANA | IN | — | — | $300 | $3,170 | 0 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 0 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $260 | $470 | 0 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | — | — | $252 | $3,259 | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | — | — | $270 | $6,054 | 0 insurers |
| TRINITY - BETTENDORF | IA | — | — | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | — | — | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | — | — | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | — | — | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 0 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $503 | $789 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | — | — | $105 | $2,960 | 0 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $162 | $2,624 | 0 insurers |
| HUTCHINSON REGIONAL MEDICAL CENTER INC | KS | — | — | — | — | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | — | — | — | — | 0 insurers |
| LABETTE HEALTH | KS | — | — | — | — | 0 insurers |
| ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. | KS | — | — | — | — | 0 insurers |
| WESLEY MEDICAL CENTER | KS | — | — | $260 | $470 | 0 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | — | — | — | — | 0 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $162 | $2,624 | 0 insurers |
| WAMEGO HEALTH CENTER | KS | — | — | — | — | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | — | — | $301 | $4,386 | 0 insurers |
| COMMUNITY MEMORIAL HEALTHCARE, INC. | KS | — | — | $171 | $1,100 | 0 insurers |
| HANOVER HOSPITAL | KS | — | — | $1,203 | $2,651 | 0 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | $141 | $185 | 0 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $277 | $3,140 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | — | — | $261 | $1,538 | 0 insurers |
| SAINT JOSEPH LONDON | KY | — | — | $241 | $481 | 0 insurers |
| UOFL HEALTH - SHELBYVILLE HOSPITAL | KY | — | — | — | — | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | — | — | $254 | $509 | 0 insurers |
| ST ELIZABETH EDGEWOOD | KY | — | — | $277 | $3,140 | 0 insurers |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH FLORENCE | KY | — | — | $277 | $3,140 | 0 insurers |