| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $3,155 | $1,325 | $1,893 | $2,682 | 3 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $3,155 | $1,325 | $316 | $3,259 | 5 insurers |
| CHI HEALTH BERGAN MERCY | NE | $3,155 | $1,325 | $1,893 | $2,682 | 3 insurers |
| CHI HEALTH BERGAN MERCY | NE | $3,155 | $1,325 | $316 | $3,259 | 5 insurers |
| CHI HEALTH IMMANUEL | NE | $3,155 | $1,325 | $1,893 | $2,682 | 3 insurers |
| CHI HEALTH IMMANUEL | NE | $3,155 | $1,325 | $316 | $3,259 | 5 insurers |
| CHI HEALTH MIDLANDS | NE | $3,155 | $1,325 | $1,893 | $2,682 | 3 insurers |
| CHI HEALTH MIDLANDS | NE | $3,155 | $1,325 | $316 | $3,259 | 5 insurers |
| CHI HEALTH LAKESIDE | NE | $3,155 | $1,325 | $1,893 | $2,682 | 3 insurers |
| CHI HEALTH LAKESIDE | NE | $3,155 | $1,325 | $316 | $3,259 | 5 insurers |
| MARIA PARHAM MEDICAL CENTER | NC | $3,354 | $1,342 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $1,700 | $1,360 | — | — | 2 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $1,700 | $1,360 | — | — | 2 insurers |
| ST LUKES HOSPITAL | IA | $1,700 | $1,360 | — | — | 2 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $1,700 | $1,360 | — | — | 2 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $1,700 | $1,360 | — | — | 2 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $2,720 | $1,360 | — | — | 5 insurers |
| Baylor St Lukes Medical Center | TX | $3,670 | $1,285 | $896 | $3,120 | 5 insurers |
| CHI ST LUKES LAKESIDE HOSPITAL | TX | $3,670 | $1,285 | $807 | $3,120 | 5 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $2,994 | $1,272 | — | — | 5 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $3,446 | $1,378 | — | — | 5 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $3,446 | $1,378 | — | — | 5 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $2,760 | $1,380 | — | — | 5 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $2,767 | $1,384 | — | — | 5 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $1,472 | $1,251 | — | — | 3 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $1,472 | $1,251 | — | — | 2 insurers |
| MOSAIC MEDICAL CENTER - MARYVILLE | MO | $1,472 | $1,251 | — | — | 3 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $2,000 | $1,400 | $0 | $1,800 | 4 insurers |
| FINLEY HOSPITAL | IA | $1,772 | $1,418 | — | — | 2 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $1,772 | $1,418 | — | — | 5 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | $1,229 | $1,229 | — | — | 5 insurers |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC | ID | $1,750 | $1,225 | $0 | $1,575 | 3 insurers |
| HSHS ST ELIZABETH'S HOSPITAL | IL | $1,699 | $1,223 | — | — | 5 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $4,087 | $1,430 | $2,960 | $3,474 | 2 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $2,338 | $1,433 | — | — | 2 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $2,424 | $1,212 | — | — | 2 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $2,994 | $1,201 | — | — | 5 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $2,793 | $1,195 | $1,760 | $2,737 | 4 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $2,793 | $1,195 | $130 | $7,160 | 5 insurers |
| WELLSPAN YORK HOSPITAL | PA | $1,822 | $1,458 | — | — | 5 insurers |
| WELLSPAN GOOD SAMARITAN HOSPITAL | PA | $1,822 | $1,458 | — | — | 5 insurers |
| WELLSPAN CHAMBERSBURG HOSPITAL | PA | $1,822 | $1,458 | — | — | 5 insurers |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL | PA | $1,822 | $1,458 | — | — | 5 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $3,062 | $1,191 | $337 | $2,511 | 5 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $3,062 | $1,191 | $130 | $7,087 | 5 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $4,936 | $1,481 | — | — | 5 insurers |
| JACKSON HEALTH SYSTEM | FL | $21,230 | $1,484 | $1,484 | $1,484 | 1 insurers |
| ALAMEDA HOSPITAL | CA | $2,322 | $1,161 | $1,161 | $1,742 | 5 insurers |
| HIGHLAND HOSPITAL | CA | $2,322 | $1,161 | $1,161 | $1,742 | 5 insurers |
| SHARE MEDICAL CENTER | OK | $2,298 | $1,494 | — | — | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $3,541 | $1,498 | $2,302 | $2,302 | 1 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $3,541 | $1,498 | $0.65 | $6,047 | 5 insurers |
| TRINITY ROCK ISLAND | IL | $1,874 | $1,499 | — | — | 1 insurers |
| TRINITY - BETTENDORF | IA | $1,874 | $1,499 | — | — | 2 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $6,040 | $1,148 | — | — | 5 insurers |
| COOPER UNIVERSITY HOSPITAL | NJ | $1,518 | $1,518 | — | — | 5 insurers |
| SOUTHWESTERN VERMONT MEDICAL CENTER | VT | $2,173 | $1,521 | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $2,884 | $1,125 | $606 | $2,163 | 3 insurers |
| USC ARCADIA HOSPITAL | CA | $3,202 | $1,121 | — | — | 5 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | $3,840 | $1,536 | — | — | 5 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $2,782 | $1,113 | — | — | 5 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $2,782 | $1,113 | — | — | 5 insurers |
| SINAI-GRACE HOSPITAL | MI | $1,479 | $1,109 | — | — | 0 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $2,205 | $1,544 | — | — | 5 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $4,411 | $1,544 | $1,985 | $4,411 | 5 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $4,411 | $1,544 | $0.02 | $4,411 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $4,411 | $1,544 | $1,897 | $4,411 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $4,411 | $1,544 | $100 | $4,411 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $4,411 | $1,544 | $1,897 | $4,411 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $4,411 | $1,544 | $100 | $4,411 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $4,411 | $1,544 | $1,897 | $4,411 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $4,411 | $1,544 | $100 | $4,411 | 5 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $1,300 | $1,105 | — | — | 5 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $2,200 | $1,100 | — | — | 5 insurers |
| Adventhealth Zephyrhills | FL | $2,595 | $1,557 | $182 | $1,841 | 5 insurers |
| ADVENTHEALTH SEBRING | FL | $2,595 | $1,557 | $182 | $2,336 | 5 insurers |
| ADVENTHEALTH TAMPA | FL | $2,595 | $1,557 | $159 | $7,536 | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $4,809 | $1,092 | $1,443 | $3,462 | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $4,809 | $1,092 | $170 | $32,295 | 5 insurers |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | TX | $4,487 | $1,570 | $196 | $4,038 | 5 insurers |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | TX | $4,487 | $1,570 | $2,360 | $4,038 | 5 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $1,077 | $1,077 | — | — | 4 insurers |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS | NY | $1,076 | $1,076 | — | — | 5 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $2,682 | $1,073 | — | — | 4 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $3,541 | $1,048 | $2,868 | $2,868 | 3 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $3,541 | $1,048 | $0.65 | $6,047 | 5 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $1,495 | $1,047 | — | — | 5 insurers |
| HIGHLAND HILLS MEDICAL CENTER | MS | $3,213 | $1,606 | — | — | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $2,608 | $1,043 | — | — | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $2,608 | $1,043 | — | — | 1 insurers |
| MULTICARE GOOD SAMARITAN HOSPITAL | WA | $2,608 | $1,043 | — | — | 2 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $2,608 | $1,043 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $2,608 | $1,043 | — | — | 0 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $1,726 | $1,035 | — | — | 2 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $2,062 | $1,031 | $1,278 | $1,650 | 3 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $2,062 | $1,031 | $316 | $4,406 | 5 insurers |
| BECKLEY ARH HOSPITAL | WV | $1,677 | $1,006 | — | — | 5 insurers |
| SIDNEY HEALTH CENTER | MT | $2,658 | $1,646 | — | — | 5 insurers |
| SIDNEY HEALTH CENTER | MT | $2,658 | $1,646 | — | — | 5 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $2,000 | $1,000 | — | — | 5 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $2,000 | $1,000 | — | — | 5 insurers |
| WEST BOCA MEDICAL CENTER | FL | $2,000 | $1,000 | — | — | 5 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $2,000 | $1,000 | — | — | 5 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $2,000 | $1,000 | — | — | 5 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $2,000 | $1,000 | — | — | 5 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $2,000 | $1,000 | — | — | 5 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $2,000 | $1,000 | — | — | 5 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $2,000 | $1,000 | — | — | 5 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $2,000 | $1,000 | — | — | 5 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $2,000 | $1,000 | — | — | 5 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $2,000 | $1,000 | — | — | 5 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $2,000 | $1,000 | — | — | 5 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $2,000 | $1,000 | — | — | 5 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $2,000 | $1,000 | — | — | 5 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $2,000 | $1,000 | — | — | 5 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $2,000 | $1,000 | — | — | 5 insurers |
| AURORA MEDICAL CENTER | WI | $2,000 | $1,000 | — | — | 5 insurers |
| CLARKE COUNTY HOSPITAL | IA | $1,657 | $1,657 | — | — | 3 insurers |
| VALLEY MEDICAL CENTER | WA | $2,369 | $1,658 | $945 | $1,895 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $1,659 | $1,659 | — | — | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $4,809 | $986 | $1,443 | $3,462 | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $4,809 | $986 | $170 | $32,295 | 5 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $4,758 | $1,665 | $880 | $2,379 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $4,758 | $1,665 | $880 | $2,379 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $4,758 | $1,665 | $880 | $2,379 | 3 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $4,758 | $1,665 | $880 | $2,379 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $4,758 | $1,665 | $880 | $2,379 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $4,758 | $1,665 | $880 | $2,379 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $4,758 | $1,665 | $880 | $2,379 | 3 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $4,758 | $1,665 | $880 | $2,379 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $4,758 | $1,665 | $880 | $2,379 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $4,758 | $1,665 | $880 | $2,379 | 3 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $2,827 | $1,668 | $1,555 | $2,657 | 5 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $2,827 | $1,668 | $316 | $6,796 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $2,827 | $1,668 | $1,555 | $2,657 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $2,827 | $1,668 | $316 | $6,796 | 5 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $2,441 | $976 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER BEACHES | FL | $5,128 | $974 | — | — | 5 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $1,940 | $970 | — | — | 5 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $2,764 | $1,686 | $1,354 | $2,571 | 5 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $2,764 | $1,686 | $316 | $3,908 | 5 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $4,219 | $1,688 | — | — | 5 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $2,599 | $954 | $1,819 | $2,053 | 3 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $2,599 | $954 | $130 | $5,592 | 5 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $2,058 | $947 | $1,461 | $1,544 | 2 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $2,058 | $947 | $316 | $4,317 | 5 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $2,058 | $947 | $1,461 | $1,544 | 2 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $2,058 | $947 | $316 | $4,317 | 5 insurers |
| HARPER UNIVERSITY HOSPITAL | MI | $2,282 | $1,712 | $93 | $6,674 | 5 insurers |
| HAYWOOD REGIONAL MEDICAL CENTER | NC | $4,290 | $1,716 | — | — | 2 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,333 | $933 | — | — | 5 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $1,690 | $930 | — | — | 4 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $1,690 | $930 | — | — | 4 insurers |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | KY | $2,875 | $1,725 | — | — | 5 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $4,936 | $1,728 | — | — | 5 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $4,936 | $1,728 | — | — | 5 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $4,936 | $1,728 | — | — | 5 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $2,297 | $919 | — | — | 5 insurers |
| COX MEDICAL CENTERS | MO | $3,643 | $918 | — | — | 5 insurers |
| COX MEDICAL CENTER BRANSON | MO | $3,643 | $918 | — | — | 5 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $3,469 | $1,735 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $3,469 | $1,735 | — | — | 0 insurers |
| ST MARYS HOSPITAL MEDICAL CTR | WI | $1,999 | $900 | — | — | 0 insurers |
| EAST VALLEY ER & HOSPITAL | AZ | $1,999 | $900 | — | — | 0 insurers |
| ALEXANDRIA EMERGENCY HOSPITAL | LA | $1,999 | $900 | — | — | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $3,350 | $898 | $1,809 | $2,814 | 2 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $3,350 | $898 | $177 | $2,814 | 5 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $2,237 | $895 | — | — | 5 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $2,237 | $895 | — | — | 5 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $2,237 | $895 | — | — | 5 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $2,237 | $895 | — | — | 5 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $2,237 | $895 | — | — | 5 insurers |
| HENDERSON HOSPITAL | NV | $2,237 | $895 | — | — | 5 insurers |
| WEST HENDERSON HOSPITAL | NV | $2,237 | $895 | — | — | 5 insurers |
| CHI ST ALEXIUS HEALTH | ND | $3,455 | $1,762 | $2,557 | $3,110 | 3 insurers |
| CHI ST ALEXIUS HEALTH | ND | $3,455 | $1,762 | $2,280 | $3,110 | 4 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $3,062 | $882 | $2,297 | $2,541 | 4 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $3,062 | $882 | $130 | $5,532 | 5 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,097 | $878 | — | — | 4 insurers |
| ALLEN HOSPITAL | IA | $1,097 | $878 | — | — | 3 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,097 | $878 | — | — | 3 insurers |
| ANTELOPE VALLEY HOSPITAL | CA | $876 | $876 | — | — | 5 insurers |
| SOUTH TEXAS HEALTH SYSTEM | TX | $2,181 | $872 | — | — | 5 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $3,560 | $1,780 | — | — | 5 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $3,560 | $1,780 | — | — | 5 insurers |
| HURON VALLEY-SINAI HOSPITAL | MI | $2,376 | $1,782 | $93 | $6,674 | 5 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $3,565 | $1,783 | — | — | 5 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $3,565 | $1,783 | — | — | 5 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $3,565 | $1,783 | — | — | 5 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $5,093 | $1,783 | $3,310 | $3,820 | 5 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $5,093 | $1,783 | $100 | $3,871 | 5 insurers |
| MARION GENERAL HOSPITAL | MS | $2,996 | $1,798 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $2,996 | $1,798 | — | — | 0 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $3,000 | $1,800 | — | — | 5 insurers |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN | NY | $1,811 | $1,811 | — | — | 5 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $3,062 | $839 | $337 | $2,817 | 5 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $3,062 | $839 | $130 | $5,742 | 5 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $3,062 | $839 | $337 | $2,541 | 5 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $3,062 | $839 | $130 | $7,484 | 5 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $1,782 | $838 | — | — | 5 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,649 | $836 | $1,484 | $1,616 | 3 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,649 | $836 | $259 | $5,310 | 5 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $2,181 | $833 | $1,309 | $1,723 | 3 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $2,181 | $833 | $177 | $1,723 | 5 insurers |
| BRISTOL HOSPITAL | CT | $12,121 | $1,818 | — | — | 5 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $12,121 | $1,818 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $12,121 | $1,818 | — | — | 5 insurers |
| JOHNSTON HEALTH | NC | $12,121 | $1,818 | — | — | 5 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $12,121 | $1,818 | — | — | 5 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $12,121 | $1,818 | — | — | 5 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $12,121 | $1,818 | — | — | 5 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $12,121 | $1,818 | — | — | 5 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $12,121 | $1,818 | — | — | 5 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $12,121 | $1,818 | — | — | 5 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $12,121 | $1,818 | — | — | 5 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $12,121 | $1,818 | — | — | 5 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $12,121 | $1,818 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $12,121 | $1,818 | — | — | 5 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $12,121 | $1,818 | — | — | 5 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $12,121 | $1,818 | — | — | 5 insurers |
| LONESOME PINE HOSPITAL | VA | $12,121 | $1,818 | — | — | 5 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $3,350 | $824 | $1,809 | $2,580 | 2 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $3,350 | $824 | $177 | $2,580 | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $2,007 | $803 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $2,007 | $803 | — | — | 5 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $1,997 | $801 | — | — | 5 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $1,997 | $801 | — | — | 5 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $1,997 | $801 | — | — | 5 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $1,997 | $801 | — | — | 5 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $1,997 | $801 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $1,999 | $800 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $1,999 | $800 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL-JORDAN VALLEY | UT | $1,999 | $800 | — | — | 5 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $1,589 | $795 | — | — | 2 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $1,589 | $795 | — | — | 2 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $1,589 | $795 | — | — | 2 insurers |
| MARSHALL MEDICAL CENTERS | AL | $791 | $791 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | CA | $791 | $791 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | TN | $791 | $791 | — | — | 5 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $1,304 | $782 | $642 | $4,587 | 5 insurers |
| LUBBOCK HEART HOSPITAL LP | TX | $781 | $781 | — | — | 5 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $1,550 | $775 | — | — | 5 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $4,692 | $1,877 | — | — | 5 insurers |
| SAINT ANTHONY HOSPITAL | IL | $4,692 | $1,877 | — | — | 5 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $2,685 | $1,880 | — | — | 5 insurers |
| THE GENERAL | LA | $2,685 | $1,880 | — | — | 5 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | $768 | $768 | — | — | 3 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | $768 | $768 | — | — | 3 insurers |
| MERCY MEDICAL CENTER | OR | $1,417 | $756 | $1,063 | $1,346 | 5 insurers |
| MERCY MEDICAL CENTER | OR | $1,417 | $756 | $921 | $1,360 | 5 insurers |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | AR | $3,003 | $751 | — | — | 2 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $2,002 | $1,901 | — | — | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $952 | $741 | $495 | $933 | 5 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $952 | $741 | $222 | $933 | 5 insurers |
| MERCY MEDICAL CENTER | OH | $952 | $741 | $495 | $933 | 5 insurers |
| MERCY MEDICAL CENTER | OH | $952 | $741 | $222 | $933 | 5 insurers |
| RANDOLPH HOSPITAL | NC | $3,666 | $733 | — | — | 1 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $1,331 | $732 | — | — | 5 insurers |
| PARKLAND HEALTH CENTER | MO | $1,196 | $718 | $642 | $4,587 | 5 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $1,196 | $718 | $642 | $4,587 | 5 insurers |
| AIKEN REGIONAL MEDICAL CENTER | SC | $4,840 | $1,936 | — | — | 2 insurers |
| SWEETWATER HOSPITAL ASSOCIATION | TN | $4,840 | $1,936 | — | — | 2 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $2,162 | $713 | $216 | $4,989 | 5 insurers |
| HOLY FAMILY HOSPITAL | MA | $1,294 | $712 | — | — | 5 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $2,010 | $704 | — | — | 5 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $1,170 | $702 | $527 | $6,771 | 5 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $1,170 | $702 | $527 | $6,771 | 5 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $1,170 | $702 | $527 | $6,771 | 5 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $1,170 | $702 | $527 | $6,771 | 5 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $1,170 | $702 | $527 | $6,771 | 5 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $1,170 | $702 | $527 | $6,771 | 5 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $1,170 | $702 | $527 | $6,771 | 5 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $1,170 | $702 | $527 | $6,771 | 5 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $1,170 | $702 | $527 | $6,771 | 5 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $1,170 | $702 | $527 | $6,771 | 5 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $6,985 | $699 | — | — | 5 insurers |
| HELEN KELLER HOSPITAL | AL | $698 | $698 | — | — | 4 insurers |
| HUNTSVILLE HOSPITAL | AL | $698 | $698 | — | — | 4 insurers |
| ATHENS LIMESTONE HOSPITAL | AL | $698 | $698 | — | — | 4 insurers |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS | AL | $698 | $698 | — | — | 4 insurers |
| ADVENTHEALTH WATERMAN | FL | $1,260 | $693 | $182 | $1,134 | 5 insurers |
| BECKLEY ARH HOSPITAL | WV | $1,151 | $691 | — | — | 2 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $1,379 | $690 | — | — | 5 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $1,149 | $689 | — | — | 5 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $1,149 | $689 | — | — | 5 insurers |
| BAXTER HEALTH | AR | $1,146 | $688 | — | — | 1 insurers |
| TOPS SURGICAL SPECIALTY HOSPITAL | TX | $5,647 | $1,976 | $1 | $5,394 | 5 insurers |
| ADVENTHEALTH FISH MEMORIAL | FL | $1,189 | $654 | $182 | $1,070 | 5 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $3,678 | $644 | $3,126 | $3,678 | 2 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $3,678 | $644 | $300 | $3,126 | 5 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $3,678 | $644 | $1,390 | $3,678 | 5 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $3,678 | $644 | $809 | $3,310 | 5 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $3,678 | $644 | $1,274 | $3,678 | 5 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $3,678 | $644 | $469 | $3,310 | 5 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $3,678 | $644 | $2,510 | $3,678 | 4 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $3,678 | $644 | $1,334 | $4,502 | 5 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $4,935 | $642 | — | — | 3 insurers |
| ADVENTHEALTH DELAND | FL | $1,154 | $635 | $47.4 | $1,039 | 5 insurers |
| CARILION MEDICAL CENTER | VA | $1,803 | $631 | — | — | 5 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $1,803 | $631 | — | — | 5 insurers |
| HARRISON MEMORIAL HOSPITAL | KY | $897 | $628 | — | — | 5 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $1,561 | $624 | — | — | 5 insurers |
| UNM HOSPITAL | NM | $1,132 | $622 | — | — | 5 insurers |
| AUBURN COMMUNITY HOSPITAL | NY | $754 | $617 | — | — | 3 insurers |
| LALLIE KEMP MEDICAL CENTER | LA | $1,012 | $607 | — | — | 1 insurers |
| NORTHSIDE HOSPITAL FORSYTH | GA | — | $604 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $1,187 | $594 | — | — | 5 insurers |
| UNIONTOWN HOSPITAL | PA | $1,145 | $573 | — | — | 5 insurers |
| UH REGIONAL HOSPITALS | OH | $2,777 | $2,083 | — | — | 0 insurers |
| UH ST JOHN MEDICAL CENTER | OH | $2,777 | $2,083 | — | — | 0 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | $2,777 | $2,083 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | $2,777 | $2,083 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | $2,777 | $2,083 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $2,777 | $2,083 | — | — | 0 insurers |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR | NY | $2,089 | $2,089 | — | — | 5 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $557 | $557 | — | — | 5 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,419 | $556 | $383 | $1,391 | 5 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,419 | $556 | $130 | $5,432 | 5 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $3,222 | $2,094 | — | — | 5 insurers |
| HIGHPOINT HEALTH-TROUSDALE WITH ASCENSION SAINT | TN | $9,016 | $2,101 | — | — | 3 insurers |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH | TN | $9,016 | $2,101 | — | — | 3 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $8,100 | $2,106 | $857 | $8,100 | 5 insurers |
| THOMAS HOSPITAL | AL | $1,071 | $536 | — | — | 5 insurers |
| ADVENTHEALTH OCALA | FL | $886 | $531 | — | — | 5 insurers |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. | TX | $1,061 | $531 | — | — | 1 insurers |
| PEACEHEALTH ST JOHN MEDICAL CENTER | WA | $3,282 | $2,133 | — | — | 5 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $3,282 | $2,133 | — | — | 5 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $1,309 | $510 | — | — | 1 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | $2,142 | $2,142 | — | — | 4 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | $2,142 | $2,142 | — | — | 3 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | $2,142 | $2,142 | — | — | 4 insurers |
| TRINITY - BETTENDORF | IA | $2,679 | $2,143 | — | — | 4 insurers |
| ALLEN HOSPITAL | IA | $2,679 | $2,143 | — | — | 4 insurers |
| FINLEY HOSPITAL | IA | $2,679 | $2,143 | — | — | 5 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $2,679 | $2,143 | — | — | 4 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $1,043 | $506 | $720 | $824 | 4 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $1,043 | $506 | $130 | $6,374 | 5 insurers |
| TRI-CITY MEDICAL CENTER | CA | $831 | $499 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $831 | $499 | — | — | 5 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $620 | $496 | $434 | $776 | 5 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $620 | $496 | $434 | $776 | 5 insurers |
| UNITED MEDICAL CENTER | DC | $982 | $491 | — | — | 5 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $982 | $491 | — | — | 5 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $1,227 | $491 | — | — | 0 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $738 | $487 | — | — | 5 insurers |
| MEMORIAL MEDICAL CENTER | NM | $800 | $480 | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | $590 | $472 | $162 | $162 | 1 insurers |
| KANSAS MEDICAL CENTER LLC | KS | $747 | $448 | — | — | 5 insurers |
| MONUMENT HEALTH RAPID CITY HOSPITAL | SD | $448 | $448 | $273 | $430 | 5 insurers |
| ST JOHN'S RIVERSIDE HOSPITAL | NY | $520 | $442 | — | — | 5 insurers |
| SAINT PETER'S UNIVERSITY HOSPITAL | NJ | $1,520 | $441 | — | — | 5 insurers |
| ADVENTHEALTH SHAWNEE MISSION | KS | $868 | $434 | $182 | $2,105 | 5 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $761 | $419 | — | — | 5 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $2,194 | $417 | — | — | 5 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $590 | $413 | — | — | 5 insurers |
| THE QUEENS MEDICAL CENTER | HI | $590 | $413 | — | — | 5 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $2,996 | $2,247 | — | — | 0 insurers |
| METHODIST HOSPITAL UNION COUNTY | KY | $612 | $398 | — | — | 5 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $1,126 | $394 | $563 | $1,509 | 3 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $1,126 | $394 | $67.56 | $12,750 | 5 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $3,018 | $2,264 | — | — | 0 insurers |
| POUDRE VALLEY HOSPITAL | CO | $552 | $386 | — | — | 5 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $510 | $357 | — | — | 5 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $510 | $357 | — | — | 5 insurers |
| BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK | AR | $1,419 | $355 | — | — | 2 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $878 | $342 | — | — | 1 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $552 | $331 | — | — | 5 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $1,703 | $324 | — | — | 5 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $422 | $317 | — | — | 5 insurers |
| SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT | OK | $422 | $317 | — | — | 5 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $1,201 | $308 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $1,201 | $308 | $598 | $6,955 | 5 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $1,201 | $305 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $1,201 | $305 | $598 | $2,699 | 5 insurers |
| ALTRU HOSPITAL | ND | $495 | $302 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $6,744 | $2,360 | $1,214 | $3,372 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $6,744 | $2,360 | $1,214 | $3,372 | 3 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $6,744 | $2,360 | $1,214 | $3,372 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $6,744 | $2,360 | $1,214 | $3,372 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $6,744 | $2,360 | $1,214 | $3,372 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $6,744 | $2,360 | $1,214 | $3,372 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $6,744 | $2,360 | $1,214 | $3,372 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $6,744 | $2,360 | $1,214 | $3,372 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $6,744 | $2,360 | $1,214 | $3,372 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $6,744 | $2,360 | $1,214 | $3,372 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $6,744 | $2,360 | $1,214 | $3,372 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $6,744 | $2,360 | $1,214 | $3,372 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $6,744 | $2,360 | $1,214 | $3,372 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $6,744 | $2,360 | $1,214 | $3,372 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $6,744 | $2,360 | $1,214 | $3,372 | 3 insurers |
| WARM SPRINGS MEDICAL CENTER | GA | $559 | $280 | — | — | 5 insurers |
| WARM SPRINGS MEDICAL CENTER | GA | $559 | $280 | — | — | 5 insurers |
| ADVENTHEALTH CENTRAL TEXAS | TX | $546 | $273 | $244 | $491 | 5 insurers |
| ADVENTHEALTH ROLLINS BROOK | TX | $546 | $273 | $244 | $491 | 5 insurers |
| CITIZENS MEDICAL CENTER | TX | $525 | $263 | — | — | 2 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $373 | $261 | — | — | 5 insurers |
| ELLIS HOSPITAL | NY | $518 | $259 | — | — | 4 insurers |
| ELLIS HOSPITAL | NY | $518 | $259 | — | — | 2 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $918 | $256 | $734 | $799 | 2 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $918 | $256 | $130 | $4,316 | 5 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $603 | $253 | — | — | 3 insurers |
| SOUTH CENTRAL HEALTH | ND | $603 | $253 | — | — | 3 insurers |
| RINGGOLD COUNTY HOSPITAL | IA | $267 | $240 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $3,448 | $2,414 | — | — | 4 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $3,018 | $2,414 | — | — | 2 insurers |
| DOMINICAN HOSPITAL | CA | $522 | $235 | $418 | $444 | 3 insurers |
| DOMINICAN HOSPITAL | CA | $522 | $235 | $130 | $9,244 | 5 insurers |
| University of Arkansas Medical Sciences | AR | $390 | $234 | — | — | 5 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | $3,027 | $2,422 | — | — | 5 insurers |
| WHEELING HOSPITAL, INC | WV | $396 | $198 | — | — | 5 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $598 | $191 | $105 | $1,941 | 5 insurers |
| BARNESVILLE HOSPITAL ASSOCIATION, INC | OH | $380 | $190 | — | — | 1 insurers |
| BERKELEY MEDICAL CENTER | WV | $380 | $190 | — | — | 1 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $378 | $189 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $378 | $189 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $378 | $189 | — | — | 0 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $4,108 | $2,465 | — | — | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $598 | $185 | $105 | $1,941 | 5 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $598 | $185 | $105 | $1,941 | 5 insurers |
| ROANE MEDICAL CENTER | TN | $598 | $185 | $105 | $1,941 | 5 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $598 | $185 | $105 | $1,941 | 5 insurers |
| LECONTE MEDICAL CENTER | TN | $598 | $185 | $105 | $1,941 | 5 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $598 | $185 | $105 | $1,941 | 5 insurers |
| JACKSON GENERAL HOSPITAL | WV | $368 | $184 | — | — | 0 insurers |
| BRAXTON COUNTY MEMORIAL HOSPITAL, INC | WV | $367 | $184 | — | — | 0 insurers |
| POTOMAC VALLEY HOSPITAL | WV | $367 | $184 | — | — | 0 insurers |
| MERCY HOSPITAL | CA | $450 | $180 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $450 | $180 | — | — | 5 insurers |
| PARKWEST MEDICAL CENTER | TN | $598 | $179 | $105 | $1,941 | 5 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $661 | $176 | — | — | 5 insurers |
| WEIRTON MEDICAL CENTER, INC | WV | $333 | $167 | — | — | 5 insurers |
| AdventHealth Palm Coast | FL | $287 | $158 | $47.4 | $504 | 5 insurers |
| IBERIA MEDICAL CENTER | LA | $181 | $109 | — | — | 5 insurers |
| SAINT JOSEPH HOSPITAL | KY | $201 | $94.69 | $183 | $183 | 1 insurers |
| SAINT JOSEPH HOSPITAL | KY | $201 | $94.69 | $47.22 | $1,538 | 5 insurers |
| CAREWELL HEALTH MEDICAL CENTER | NJ | $100 | $85 | — | — | 2 insurers |
| SAINT JOSEPH EAST | KY | $182 | $73.11 | $166 | $166 | 1 insurers |
| SAINT JOSEPH EAST | KY | $182 | $73.11 | $44.49 | $1,538 | 5 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $182 | $73.11 | $166 | $166 | 1 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $182 | $73.11 | $44.49 | $1,538 | 5 insurers |
| BALDWIN HEALTH | AL | $4,980 | $2,590 | — | — | 3 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $4,980 | $2,590 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $4,980 | $2,590 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $4,980 | $2,590 | — | — | 3 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $4,980 | $2,590 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $4,980 | $2,590 | — | — | 3 insurers |
| FORT DUNCAN MEDICAL CENTER | TX | $6,591 | $2,636 | — | — | 5 insurers |
| BRIDGEPORT HOSPITAL | CT | $5,253 | $2,679 | — | — | 5 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $4,125 | $2,681 | — | — | 5 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $6,712 | $2,685 | — | — | 2 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $9,236 | $2,715 | $6,650 | $7,574 | 2 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $9,236 | $2,715 | $130 | $9,236 | 5 insurers |
| JACKSON COUNTY REGIONAL HEALTH CENTER | IA | $2,731 | $2,731 | — | — | 5 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $5,253 | $2,732 | — | — | 5 insurers |
| LONGMONT UNITED HOSPITAL | CO | $7,038 | $2,815 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $7,038 | $2,815 | — | — | 5 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $7,038 | $2,815 | — | — | 5 insurers |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $2,932 | $2,932 | — | — | 2 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $3,719 | $2,975 | — | — | 3 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $3,744 | $2,995 | — | — | 3 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $4,639 | $3,015 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $4,639 | $3,015 | — | — | 5 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $3,059 | $3,059 | — | — | 1 insurers |
| WELLINGTON REGIONAL MEDICAL CENTER | FL | $4,121 | $3,091 | — | — | 5 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $5,253 | $3,100 | — | — | 5 insurers |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE | TX | $5,185 | $3,111 | $1,481 | $5,511 | 5 insurers |
| PETERSON REGIONAL MEDICAL CENTER | TX | $4,500 | $3,150 | — | — | 5 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $3,206 | $3,206 | — | — | 5 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $4,076 | $3,261 | — | — | 5 insurers |
| MEMORIAL HOSPITAL | IL | $7,278 | $3,275 | — | — | 5 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | $3,945 | $3,353 | — | — | 3 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | $3,945 | $3,353 | — | — | 3 insurers |
| SANFORD USD MEDICAL CENTER | SD | $4,263 | $3,410 | — | — | 3 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $3,421 | $3,421 | — | — | 5 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $4,866 | $3,611 | $4,136 | $4,720 | 5 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $4,866 | $3,611 | $177 | $4,720 | 5 insurers |
| GROSSMONT HOSPITAL | CA | $5,063 | $3,797 | — | — | 5 insurers |
| SHARP MEMORIAL HOSPITAL | CA | $5,063 | $3,797 | — | — | 5 insurers |
| SHARP CHULA VISTA MEDICAL CENTER | CA | $5,063 | $3,797 | — | — | 5 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $8,071 | $4,116 | — | — | 4 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $8,071 | $4,116 | — | — | 5 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $10,300 | $4,120 | — | — | 5 insurers |
| TRINITY ROCK ISLAND | IL | $5,358 | $4,286 | — | — | 4 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $5,358 | $4,286 | — | — | 5 insurers |
| TRINITY MUSCATINE | IA | $5,358 | $4,286 | — | — | 3 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $5,358 | $4,286 | — | — | 3 insurers |
| ST LUKES HOSPITAL | IA | $5,358 | $4,286 | — | — | 3 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $5,358 | $4,286 | — | — | 3 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $5,358 | $4,286 | — | — | 3 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $5,358 | $4,286 | — | — | 5 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $5,358 | $4,286 | — | — | 5 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $10,922 | $4,369 | — | — | 0 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $8,863 | $4,431 | — | — | 5 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $8,863 | $4,431 | — | — | 4 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $5,245 | $4,459 | — | — | 0 insurers |
| MISSION COMMUNITY HOSPITAL | CA | $7,025 | $4,566 | — | — | 5 insurers |
| MISSION COMMUNITY HOSPITAL | CA | $7,025 | $4,566 | — | — | 5 insurers |
| BEEBE MEDICAL CENTER | DE | $5,492 | $4,668 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $8,480 | $4,749 | — | — | 3 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $8,480 | $4,749 | — | — | 3 insurers |