| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $1,880 | $940 | — | — | 5 insurers |
| WEST BOCA MEDICAL CENTER | FL | $1,880 | $940 | — | — | 5 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $1,880 | $940 | — | — | 5 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $1,880 | $940 | — | — | 5 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $1,880 | $940 | — | — | 5 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $1,880 | $940 | — | — | 5 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $1,880 | $940 | — | — | 5 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $1,880 | $940 | — | — | 5 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $1,880 | $940 | — | — | 5 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $1,880 | $940 | — | — | 5 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $1,880 | $940 | — | — | 5 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $1,880 | $940 | — | — | 5 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $3,574 | $958 | $1,930 | $3,002 | 2 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $3,574 | $958 | $175 | $3,002 | 5 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $1,820 | $910 | — | — | 5 insurers |
| AdventHealth Palm Coast | FL | $1,650 | $907 | $45.95 | $1,485 | 5 insurers |
| BRISTOL HOSPITAL | CT | $6,048 | $907 | — | — | 5 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $6,048 | $907 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $6,048 | $907 | — | — | 5 insurers |
| JOHNSTON HEALTH | NC | $6,048 | $907 | — | — | 5 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $6,048 | $907 | — | — | 5 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $6,048 | $907 | — | — | 5 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $6,048 | $907 | — | — | 5 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $6,048 | $907 | — | — | 5 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $6,048 | $907 | — | — | 5 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $6,048 | $907 | — | — | 5 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $6,048 | $907 | — | — | 5 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $6,048 | $907 | — | — | 5 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $6,048 | $907 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $6,048 | $907 | — | — | 5 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $6,048 | $907 | — | — | 5 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $6,048 | $907 | — | — | 5 insurers |
| LONESOME PINE HOSPITAL | VA | $6,048 | $907 | — | — | 5 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $2,144 | $907 | $1,394 | $1,394 | 1 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $2,144 | $907 | $0.65 | $6,047 | 5 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $2,445 | $978 | — | — | 5 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $2,445 | $978 | — | — | 5 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $2,445 | $978 | — | — | 5 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $2,445 | $978 | — | — | 5 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $2,445 | $978 | — | — | 5 insurers |
| HENDERSON HOSPITAL | NV | $2,445 | $978 | — | — | 5 insurers |
| WEST HENDERSON HOSPITAL | NV | $2,445 | $978 | — | — | 5 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $2,241 | $896 | — | — | 2 insurers |
| HIGHLAND HILLS MEDICAL CENTER | MS | $1,973 | $987 | — | — | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $2,209 | $884 | — | — | 5 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $3,574 | $879 | $1,930 | $2,752 | 2 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $3,574 | $879 | $175 | $2,752 | 5 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $2,511 | $1,004 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $2,171 | $868 | — | — | 5 insurers |
| SAINT ANTHONY HOSPITAL | IL | $2,171 | $868 | — | — | 5 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $1,200 | $1,020 | — | — | 5 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $1,825 | $858 | — | — | 4 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $2,012 | $1,026 | — | — | 4 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $2,012 | $1,026 | — | — | 5 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $1,995 | $848 | — | — | 5 insurers |
| ADVENTHEALTH DELAND | FL | $1,532 | $842 | $45.95 | $1,379 | 5 insurers |
| HELEN KELLER HOSPITAL | AL | $840 | $840 | — | — | 4 insurers |
| HUNTSVILLE HOSPITAL | AL | $840 | $840 | — | — | 4 insurers |
| ATHENS LIMESTONE HOSPITAL | AL | $840 | $840 | — | — | 4 insurers |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS | AL | $840 | $840 | — | — | 4 insurers |
| Adventhealth Zephyrhills | FL | $1,734 | $1,041 | $148 | $1,230 | 5 insurers |
| ADVENTHEALTH TAMPA | FL | $1,734 | $1,041 | $177 | $7,536 | 5 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $1,985 | $834 | — | — | 3 insurers |
| SOUTH CENTRAL HEALTH | ND | $1,985 | $834 | — | — | 3 insurers |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | $2,346 | $821 | — | — | 5 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $2,308 | $808 | $1,039 | $2,308 | 5 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $2,308 | $808 | $0.02 | $2,700 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $2,308 | $808 | $992 | $2,308 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $2,308 | $808 | $100 | $2,749 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $2,308 | $808 | $992 | $2,308 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $2,308 | $808 | $100 | $2,749 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $2,308 | $808 | $992 | $2,308 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $2,308 | $808 | $100 | $2,749 | 5 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $1,598 | $799 | — | — | 2 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $1,598 | $799 | — | — | 2 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $1,598 | $799 | — | — | 2 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $1,988 | $797 | — | — | 5 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $1,328 | $797 | $653 | $1,062 | 5 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $1,986 | $796 | — | — | 5 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $1,986 | $796 | — | — | 5 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $1,986 | $796 | — | — | 5 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $1,986 | $796 | — | — | 5 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,588 | $794 | — | — | 2 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $2,736 | $1,094 | — | — | 5 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $2,736 | $1,094 | — | — | 5 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $2,736 | $1,094 | — | — | 5 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $3,133 | $1,097 | — | — | 5 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $1,550 | $775 | — | — | 5 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $1,533 | $767 | — | — | 5 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $2,240 | $1,120 | — | — | 5 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $2,894 | $1,129 | — | — | 1 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,052 | $736 | — | — | 5 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $1,470 | $735 | — | — | 5 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,981 | $727 | $1,387 | $1,565 | 3 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,981 | $727 | $130 | $5,592 | 5 insurers |
| BAXTER HEALTH | AR | $1,204 | $722 | — | — | 1 insurers |
| MARSHALL MEDICAL CENTERS | AL | $697 | $697 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | CA | $697 | $697 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | TN | $697 | $697 | — | — | 5 insurers |
| THOMAS HOSPITAL | AL | $1,380 | $690 | — | — | 5 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $2,620 | $681 | $314 | $4,020 | 5 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $2,994 | $1,201 | — | — | 5 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $1,603 | $1,202 | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $1,350 | $675 | — | — | 5 insurers |
| CARILION MEDICAL CENTER | VA | $1,916 | $671 | — | — | 5 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $1,916 | $671 | — | — | 5 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $1,441 | $1,225 | — | — | 0 insurers |
| ADVENTHEALTH WATERMAN | FL | $1,179 | $649 | $177 | $1,061 | 5 insurers |
| DOMINICAN HOSPITAL | CA | $2,739 | $1,233 | $2,191 | $2,328 | 3 insurers |
| DOMINICAN HOSPITAL | CA | $2,739 | $1,233 | $130 | $9,244 | 5 insurers |
| BOCA RATON REGIONAL HOSPITAL | FL | $1,899 | $1,234 | — | — | 5 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $1,455 | $1,237 | — | — | 3 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $1,455 | $1,237 | — | — | 2 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $2,144 | $635 | $1,737 | $1,737 | 3 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $2,144 | $635 | $0.65 | $6,047 | 5 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $2,285 | $1,257 | — | — | 5 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $2,285 | $1,257 | — | — | 5 insurers |
| LUBBOCK HEART HOSPITAL LP | TX | $620 | $620 | — | — | 5 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $1,592 | $619 | $175 | $1,305 | 5 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $1,592 | $619 | $130 | $7,087 | 5 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $788 | $613 | $410 | $772 | 5 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $788 | $613 | $189 | $772 | 5 insurers |
| MERCY MEDICAL CENTER | OH | $788 | $613 | $410 | $772 | 5 insurers |
| MERCY MEDICAL CENTER | OH | $788 | $613 | $189 | $772 | 5 insurers |
| ADVENTHEALTH FISH MEMORIAL | FL | $1,115 | $613 | $177 | $1,003 | 5 insurers |
| HARRISON MEMORIAL HOSPITAL | KY | $871 | $610 | — | — | 5 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $991 | $605 | $486 | $922 | 5 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $991 | $605 | $208 | $3,908 | 5 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $1,499 | $600 | — | — | 1 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $1,499 | $600 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $1,499 | $600 | — | — | 0 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $1,852 | $1,297 | — | — | 5 insurers |
| THE GENERAL | LA | $1,852 | $1,297 | — | — | 5 insurers |
| LONGMONT UNITED HOSPITAL | CO | $1,447 | $579 | — | — | 5 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $1,447 | $579 | — | — | 5 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $1,447 | $579 | — | — | 5 insurers |
| MERCY MEDICAL CENTER | OR | $1,076 | $574 | $807 | $1,022 | 5 insurers |
| MERCY MEDICAL CENTER | OR | $1,076 | $574 | $699 | $1,033 | 5 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $1,915 | $563 | $1,379 | $1,570 | 2 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $1,915 | $563 | $130 | $6,009 | 5 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $1,403 | $561 | — | — | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $1,100 | $550 | — | — | 5 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $1,408 | $1,337 | — | — | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $1,374 | $536 | — | — | 1 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,248 | $534 | $786 | $1,223 | 4 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,248 | $534 | $130 | $7,160 | 5 insurers |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR | NY | $534 | $534 | — | — | 5 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $1,332 | $533 | — | — | 4 insurers |
| ADVENTHEALTH CENTRAL TEXAS | TX | $1,064 | $532 | $475 | $957 | 5 insurers |
| ADVENTHEALTH ROLLINS BROOK | TX | $1,064 | $532 | $475 | $957 | 5 insurers |
| UNITED MEDICAL CENTER | DC | $2,701 | $1,351 | — | — | 5 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $2,701 | $1,351 | — | — | 5 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $527 | $527 | — | — | 5 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,031 | $523 | $928 | $1,010 | 3 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,031 | $523 | $259 | $5,310 | 5 insurers |
| SIDNEY HEALTH CENTER | MT | $2,194 | $1,359 | — | — | 5 insurers |
| GATEWAY REGIONAL MEDICAL CENTER | IL | — | $504 | — | — | 0 insurers |
| WELLSPAN YORK HOSPITAL | PA | $622 | $498 | — | — | 5 insurers |
| WELLSPAN GOOD SAMARITAN HOSPITAL | PA | $622 | $498 | — | — | 5 insurers |
| WELLSPAN CHAMBERSBURG HOSPITAL | PA | $622 | $498 | — | — | 5 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $1,227 | $491 | — | — | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $1,224 | $490 | — | — | 5 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $1,220 | $488 | — | — | 5 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $2,000 | $1,400 | $0 | $1,800 | 4 insurers |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC | ID | $2,000 | $1,400 | $0 | $1,800 | 3 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $866 | $476 | — | — | 5 insurers |
| CARSON TAHOE REGIONAL MEDICAL CENTER | NV | $671 | $470 | $53.68 | $564 | 5 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,770 | $1,416 | — | — | 2 insurers |
| ALLEN HOSPITAL | IA | $1,770 | $1,416 | — | — | 3 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,770 | $1,416 | — | — | 3 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,174 | $460 | $317 | $1,151 | 5 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,174 | $460 | $130 | $5,432 | 5 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $1,592 | $459 | $1,194 | $1,321 | 4 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $1,592 | $459 | $130 | $5,532 | 5 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $900 | $450 | — | — | 5 insurers |
| TRI-CITY MEDICAL CENTER | CA | $748 | $449 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $748 | $449 | — | — | 5 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $1,652 | $440 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $3,608 | $1,443 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $3,608 | $1,443 | — | — | 5 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $1,592 | $436 | $175 | $1,465 | 5 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $1,592 | $436 | $130 | $5,742 | 5 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $1,592 | $436 | $175 | $1,321 | 5 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $1,592 | $436 | $130 | $7,484 | 5 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $1,085 | $434 | — | — | 5 insurers |
| KANSAS MEDICAL CENTER LLC | KS | $724 | $434 | — | — | 5 insurers |
| ADVENTHEALTH SHAWNEE MISSION | KS | $868 | $434 | $177 | $2,105 | 5 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $4,136 | $1,448 | $765 | $2,068 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $4,136 | $1,448 | $765 | $2,068 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $4,136 | $1,448 | $765 | $2,068 | 3 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $4,136 | $1,448 | $765 | $2,068 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $4,136 | $1,448 | $765 | $2,068 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $4,136 | $1,448 | $765 | $2,068 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $4,136 | $1,448 | $765 | $2,068 | 3 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $4,136 | $1,448 | $765 | $2,068 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $4,136 | $1,448 | $765 | $2,068 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $4,136 | $1,448 | $765 | $2,068 | 3 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $1,024 | $430 | $614 | $870 | 3 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $1,024 | $430 | $154 | $3,259 | 5 insurers |
| CHI HEALTH BERGAN MERCY | NE | $1,024 | $430 | $614 | $870 | 3 insurers |
| CHI HEALTH BERGAN MERCY | NE | $1,024 | $430 | $174 | $3,259 | 5 insurers |
| CHI HEALTH IMMANUEL | NE | $1,024 | $430 | $614 | $870 | 3 insurers |
| CHI HEALTH IMMANUEL | NE | $1,024 | $430 | $143 | $3,259 | 5 insurers |
| CHI HEALTH MIDLANDS | NE | $1,024 | $430 | $614 | $870 | 3 insurers |
| CHI HEALTH MIDLANDS | NE | $1,024 | $430 | $184 | $3,259 | 5 insurers |
| CHI HEALTH LAKESIDE | NE | $1,024 | $430 | $614 | $870 | 3 insurers |
| CHI HEALTH LAKESIDE | NE | $1,024 | $430 | $164 | $3,259 | 5 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $931 | $428 | $661 | $698 | 2 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $931 | $428 | $223 | $4,317 | 5 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $931 | $428 | $661 | $698 | 2 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $931 | $428 | $223 | $4,317 | 5 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $704 | $422 | $317 | $6,771 | 5 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $704 | $422 | $317 | $6,771 | 5 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $704 | $422 | $317 | $6,771 | 5 insurers |
| ADVENTHEALTH OCALA | FL | $698 | $419 | — | — | 5 insurers |
| PEACEHEALTH ST JOHN MEDICAL CENTER | WA | $2,251 | $1,463 | — | — | 5 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $2,930 | $1,465 | — | — | 5 insurers |
| TRINITY MUSCATINE | IA | $1,836 | $1,469 | — | — | 2 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $1,836 | $1,469 | — | — | 2 insurers |
| ST LUKES HOSPITAL | IA | $1,836 | $1,469 | — | — | 2 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $1,836 | $1,469 | — | — | 2 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $1,836 | $1,469 | — | — | 2 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $2,285 | $1,485 | — | — | 5 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $557 | $390 | — | — | 5 insurers |
| THE QUEENS MEDICAL CENTER | HI | $557 | $390 | — | — | 5 insurers |
| ALAMEDA HOSPITAL | CA | $777 | $389 | $311 | $583 | 4 insurers |
| HIGHLAND HOSPITAL | CA | $777 | $389 | $311 | $583 | 4 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $2,992 | $1,496 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $2,992 | $1,496 | — | — | 0 insurers |
| HOLY FAMILY MEMORIAL | WI | — | $381 | $97.67 | $693 | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $1,500 | $1,500 | — | — | 4 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $3,875 | $1,511 | $814 | $2,906 | 3 insurers |
| POUDRE VALLEY HOSPITAL | CO | $526 | $368 | — | — | 5 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $526 | $368 | — | — | 5 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $526 | $368 | — | — | 5 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $510 | $357 | — | — | 5 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $510 | $357 | — | — | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $7,448 | $1,527 | $2,234 | $5,363 | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $7,448 | $1,527 | $165 | $5,435 | 5 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $684 | $342 | $424 | $547 | 3 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $684 | $342 | $157 | $4,406 | 5 insurers |
| THREE RIVERS HOSPITAL | WA | $1,542 | $1,542 | — | — | 4 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $447 | $335 | — | — | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $566 | $334 | $311 | $532 | 5 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $566 | $334 | $130 | $6,796 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $566 | $334 | $311 | $532 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $566 | $334 | $130 | $6,796 | 5 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | $2,386 | $1,551 | — | — | 5 insurers |
| USC ARCADIA HOSPITAL | CA | $4,431 | $1,551 | — | — | 5 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $854 | $326 | $512 | $675 | 3 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $854 | $326 | $162 | $924 | 5 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $526 | $316 | — | — | 5 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $2,610 | $1,566 | — | — | 5 insurers |
| BAPTIST HEALTH - FORT SMITH | AR | $1,226 | $307 | — | — | 2 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $937 | $300 | $105 | $1,941 | 5 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $499 | $299 | — | — | 5 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $499 | $299 | — | — | 5 insurers |
| ALTRU HOSPITAL | ND | $487 | $297 | — | — | 0 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $899 | $297 | $89.9 | $4,989 | 5 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $937 | $290 | $105 | $1,941 | 5 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $937 | $290 | $105 | $1,941 | 5 insurers |
| ROANE MEDICAL CENTER | TN | $937 | $290 | $105 | $1,941 | 5 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $937 | $290 | $105 | $1,941 | 5 insurers |
| LECONTE MEDICAL CENTER | TN | $937 | $290 | $105 | $1,941 | 5 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $937 | $290 | $105 | $1,941 | 5 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $2,672 | $1,603 | — | — | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $549 | $275 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $653 | $261 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $653 | $261 | — | — | 5 insurers |
| SOUTHWESTERN VERMONT MEDICAL CENTER | VT | $2,313 | $1,619 | — | — | 5 insurers |
| ELLIS HOSPITAL | NY | $517 | $259 | — | — | 4 insurers |
| ELLIS HOSPITAL | NY | $517 | $259 | — | — | 2 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $2,330 | $1,631 | — | — | 5 insurers |
| University of Arkansas Medical Sciences | AR | $413 | $248 | — | — | 5 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $352 | $246 | — | — | 5 insurers |
| BEEBE MEDICAL CENTER | DE | $279 | $237 | — | — | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $467 | $227 | $322 | $369 | 4 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $467 | $227 | $117 | $6,374 | 5 insurers |
| TEXOMA MEDICAL CENTER | TX | $2,215 | $1,661 | — | — | 5 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $1,673 | $218 | — | — | 3 insurers |
| VALLEY MEDICAL CENTER | WA | $2,389 | $1,672 | $953 | $1,911 | 0 insurers |
| AIKEN REGIONAL MEDICAL CENTER | SC | $4,191 | $1,676 | — | — | 2 insurers |
| SWEETWATER HOSPITAL ASSOCIATION | TN | $4,191 | $1,676 | — | — | 2 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $566 | $198 | $481 | $2,960 | 2 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $754 | $193 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $754 | $193 | $598 | $6,955 | 5 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $754 | $192 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $754 | $192 | $598 | $2,699 | 5 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $382 | $191 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $382 | $191 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $382 | $191 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $7,448 | $1,691 | $2,234 | $5,363 | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $7,448 | $1,691 | $165 | $5,435 | 5 insurers |
| UNM HOSPITAL | NM | $332 | $183 | — | — | 5 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $517 | $181 | $258 | $692 | 3 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $517 | $181 | $31 | $12,750 | 5 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $632 | $176 | $506 | $550 | 2 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $632 | $176 | $130 | $4,316 | 5 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $5,685 | $1,706 | — | — | 5 insurers |
| Baylor St Lukes Medical Center | TX | $474 | $166 | $213 | $2,700 | 5 insurers |
| CHI ST LUKES LAKESIDE HOSPITAL | TX | $474 | $166 | $261 | $2,468 | 5 insurers |
| MERCY HOSPITAL | CA | $401 | $160 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $401 | $160 | — | — | 5 insurers |
| SAINT PETER'S UNIVERSITY HOSPITAL | NJ | $1,040 | $156 | — | — | 5 insurers |
| PETERSON REGIONAL MEDICAL CENTER | TX | $2,500 | $1,750 | — | — | 5 insurers |
| IBERIA MEDICAL CENTER | LA | $181 | $109 | — | — | 5 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $970 | $97 | — | — | 5 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $509 | $89.08 | $433 | $509 | 2 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $509 | $89.08 | $41.54 | $2,960 | 5 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $509 | $89.08 | $192 | $509 | 5 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $509 | $89.08 | $112 | $1,508 | 5 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $509 | $89.08 | $176 | $509 | 5 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $509 | $89.08 | $64.85 | $2,960 | 5 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $509 | $89.08 | $347 | $509 | 4 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $509 | $89.08 | $185 | $2,960 | 5 insurers |
| CAREWELL HEALTH MEDICAL CENTER | NJ | $100 | $85 | — | — | 2 insurers |
| SAINT JOSEPH HOSPITAL | KY | $150 | $70.67 | $137 | $137 | 1 insurers |
| SAINT JOSEPH HOSPITAL | KY | $150 | $70.67 | $35.24 | $1,538 | 5 insurers |
| ST MARY'S MEDICAL CENTER | FL | $68.81 | $68.81 | — | — | 5 insurers |
| ST MARY'S MEDICAL CENTER | FL | $68.81 | $68.81 | — | — | 5 insurers |
| ST MARYS MEDICAL CENTER | WV | $68.81 | $68.81 | — | — | 5 insurers |
| ST MARYS MEDICAL CENTER | WV | $68.81 | $68.81 | — | — | 5 insurers |
| CLARKE COUNTY HOSPITAL | IA | $1,815 | $1,815 | — | — | 0 insurers |
| SAINT JOSEPH EAST | KY | $150 | $60.26 | $137 | $137 | 1 insurers |
| SAINT JOSEPH EAST | KY | $150 | $60.26 | $36.66 | $1,538 | 5 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $150 | $60.26 | $137 | $137 | 1 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $150 | $60.26 | $36.66 | $1,538 | 5 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | $2,322 | $1,858 | — | — | 5 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $3,104 | $1,862 | — | — | 2 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $3,760 | $1,880 | — | — | 5 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $3,760 | $1,880 | — | — | 5 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $3,760 | $1,880 | — | — | 5 insurers |
| AURORA MEDICAL CENTER | WI | $3,760 | $1,880 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $3,012 | $1,958 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $3,012 | $1,958 | — | — | 5 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | $1,974 | $1,974 | — | — | 4 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | $1,974 | $1,974 | — | — | 3 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | $1,974 | $1,974 | — | — | 4 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $5,685 | $1,990 | — | — | 5 insurers |
| LONGS PEAK HOSPITAL | CO | $5,685 | $1,990 | — | — | 5 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $5,685 | $1,990 | — | — | 5 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $5,685 | $1,990 | — | — | 5 insurers |
| CHI ST ALEXIUS HEALTH | ND | $3,926 | $2,002 | $2,905 | $3,533 | 3 insurers |
| CHI ST ALEXIUS HEALTH | ND | $3,926 | $2,002 | $2,591 | $3,533 | 4 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $4,008 | $2,004 | — | — | 5 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $4,008 | $2,004 | — | — | 5 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $4,008 | $2,004 | — | — | 5 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $2,184 | $2,184 | — | — | 2 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $2,757 | $2,206 | — | — | 4 insurers |
| FINLEY HOSPITAL | IA | $2,757 | $2,206 | — | — | 5 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $2,757 | $2,206 | — | — | 5 insurers |
| SINAI-GRACE HOSPITAL | MI | $2,996 | $2,247 | — | — | 0 insurers |
| BALDWIN HEALTH | AL | $4,330 | $2,252 | — | — | 3 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $4,330 | $2,252 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $4,330 | $2,252 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $4,330 | $2,252 | — | — | 3 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $4,330 | $2,252 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $4,330 | $2,252 | — | — | 3 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $3,206 | $2,565 | — | — | 3 insurers |
| ST LUKE'S WARREN HOSPITAL | NJ | $3,103 | $2,575 | — | — | 3 insurers |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS | PA | $3,103 | $2,575 | — | — | 3 insurers |
| ST LUKES HOSPITAL BETHLEHEM | PA | $3,103 | $2,575 | — | — | 3 insurers |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS | PA | $3,103 | $2,575 | — | — | 3 insurers |
| ST LUKE'S HOSPITAL - EASTON CAMPUS | PA | $3,103 | $2,575 | — | — | 3 insurers |
| ST LUKE'S MINERS MEMORIAL HOSPITAL | PA | $3,103 | $2,575 | — | — | 3 insurers |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS | PA | $3,103 | $2,575 | — | — | 3 insurers |
| ST LUKE'S HOSPITAL - MONROE CAMPUS | PA | $3,103 | $2,575 | — | — | 3 insurers |
| GEISINGER ST. LUKE'S HOSPITAL | PA | $3,103 | $2,575 | — | — | 3 insurers |
| ST LUKE'S HOSPITAL - CARBON CAMPUS | PA | $3,103 | $2,575 | — | — | 3 insurers |
| TRINITY ROCK ISLAND | IL | $3,249 | $2,599 | — | — | 1 insurers |
| TRINITY - BETTENDORF | IA | $3,249 | $2,599 | — | — | 2 insurers |
| SANFORD USD MEDICAL CENTER | SD | $3,254 | $2,603 | — | — | 3 insurers |
| COX MEDICAL CENTERS | MO | $10,353 | $2,609 | — | — | 5 insurers |
| COX MEDICAL CENTER BRANSON | MO | $10,353 | $2,609 | — | — | 5 insurers |
| BRIDGEPORT HOSPITAL | CT | $5,162 | $2,633 | — | — | 5 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $3,764 | $2,635 | — | — | 4 insurers |
| FORT DUNCAN MEDICAL CENTER | TX | $6,598 | $2,639 | — | — | 5 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $5,162 | $2,684 | — | — | 5 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $3,399 | $2,719 | — | — | 5 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $3,677 | $2,758 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $3,677 | $2,758 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $3,523 | $2,818 | — | — | 3 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $2,826 | $2,826 | — | — | 5 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $3,591 | $2,873 | — | — | 2 insurers |
| DEACONESS HOSPITAL INC | IN | $3,649 | $2,919 | $160 | $160 | 1 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $3,036 | $3,036 | — | — | 1 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $5,162 | $3,046 | — | — | 5 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $3,831 | $3,065 | $784 | $3,831 | 5 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $3,831 | $3,065 | $784 | $3,831 | 5 insurers |
| HOMESTEAD HOSPITAL | FL | $4,944 | $3,214 | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $9,679 | $3,388 | $1,742 | $4,840 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $9,679 | $3,388 | $1,742 | $4,840 | 3 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $9,679 | $3,388 | $1,742 | $4,840 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $9,679 | $3,388 | $1,742 | $4,840 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $9,679 | $3,388 | $1,742 | $4,840 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $9,679 | $3,388 | $1,742 | $4,840 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $9,679 | $3,388 | $1,742 | $4,840 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $9,679 | $3,388 | $1,742 | $4,840 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $9,679 | $3,388 | $1,742 | $4,840 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $9,679 | $3,388 | $1,742 | $4,840 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $9,679 | $3,388 | $1,742 | $4,840 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $9,679 | $3,388 | $1,742 | $4,840 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $9,679 | $3,388 | $1,742 | $4,840 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $9,679 | $3,388 | $1,742 | $4,840 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $9,679 | $3,388 | $1,742 | $4,840 | 3 insurers |
| MEMORIAL HOSPITAL | IL | $7,666 | $3,450 | — | — | 5 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $3,473 | $3,473 | — | — | 5 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | $4,144 | $3,522 | — | — | 3 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | $4,144 | $3,522 | — | — | 3 insurers |
| CHILDREN'S HOSPITAL OF MICHIGAN | MI | $4,795 | $3,596 | — | — | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $5,878 | $3,603 | — | — | 2 insurers |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL | NJ | $3,812 | $3,812 | — | — | 3 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | $5,087 | $4,070 | — | — | 0 insurers |
| BEEBE MEDICAL CENTER | DE | $4,800 | $4,080 | — | — | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $6,574 | $4,273 | — | — | 5 insurers |
| TRINITY ROCK ISLAND | IL | $5,514 | $4,411 | — | — | 4 insurers |
| TRINITY MUSCATINE | IA | $5,514 | $4,411 | — | — | 3 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $5,514 | $4,411 | — | — | 3 insurers |
| ST LUKES HOSPITAL | IA | $5,514 | $4,411 | — | — | 3 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $5,514 | $4,411 | — | — | 3 insurers |
| TRINITY - BETTENDORF | IA | $5,514 | $4,411 | — | — | 4 insurers |
| ALLEN HOSPITAL | IA | $5,514 | $4,411 | — | — | 4 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $5,514 | $4,411 | — | — | 3 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $5,514 | $4,411 | — | — | 4 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $5,514 | $4,411 | — | — | 5 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | $6,858 | $4,458 | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | $6,858 | $4,458 | — | — | 0 insurers |
| GROSSMONT HOSPITAL | CA | $6,019 | $4,514 | — | — | 5 insurers |
| SHARP MEMORIAL HOSPITAL | CA | $6,019 | $4,514 | — | — | 5 insurers |
| SHARP CHULA VISTA MEDICAL CENTER | CA | $6,019 | $4,514 | — | — | 5 insurers |
| HARPER UNIVERSITY HOSPITAL | MI | $6,036 | $4,527 | $93 | $1,755 | 5 insurers |
| HURON VALLEY-SINAI HOSPITAL | MI | $6,036 | $4,527 | $93 | $3,048 | 5 insurers |
| WELLINGTON REGIONAL MEDICAL CENTER | FL | $6,360 | $4,770 | — | — | 5 insurers |
| GOSHEN HOSPITAL | IN | $8,606 | $6,024 | — | — | 0 insurers |
| GOSHEN HOSPITAL | IN | $8,606 | $6,024 | — | — | 0 insurers |
| DETROIT RECEIVING HOSPITAL | MI | $8,037 | $6,028 | — | — | 0 insurers |
| DOYLESTOWN HOSPITAL | PA | $6,678 | $6,678 | — | — | 5 insurers |
| RED BAY HOSPITAL | AL | $12,170 | $6,815 | — | — | 3 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $12,170 | $6,815 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $12,170 | $6,815 | — | — | 3 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $12,170 | $6,815 | — | — | 3 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $12,170 | $6,815 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $12,170 | $6,815 | — | — | 3 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $12,170 | $6,815 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $12,170 | $6,815 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $12,170 | $6,815 | — | — | 3 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $12,170 | $6,815 | — | — | 3 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $12,170 | $6,815 | — | — | 3 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $12,170 | $6,815 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $12,170 | $6,815 | — | — | 3 insurers |
| STILLWATER MEDICAL CENTER | OK | $8,875 | $7,100 | $4,438 | $7,988 | 5 insurers |
| STILLWATER MEDICAL - PERRY | OK | $8,875 | $7,100 | $4,438 | $7,988 | 5 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | $8,875 | $7,100 | $4,438 | $7,988 | 5 insurers |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF | CA | $7,502 | $7,502 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | IL | $7,502 | $7,502 | — | — | 0 insurers |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON | MA | $7,502 | $7,502 | — | — | 1 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | MO | $7,502 | $7,502 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | OH | $7,502 | $7,502 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN - PORTLAND | OR | $7,502 | $7,502 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA | PA | $7,502 | $7,502 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | SC | $7,502 | $7,502 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | TX | $7,502 | $7,502 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | WA | $7,502 | $7,502 | — | — | 0 insurers |
| COOPER UNIVERSITY HOSPITAL | NJ | $10,706 | $10,706 | — | — | 5 insurers |
| FLOYD CHEROKEE MEDICAL CENTER | AL | — | — | — | — | 1 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 2 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 5 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 2 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 5 insurers |
| RUSSELL MEDICAL CENTER | AL | — | — | — | — | 1 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $3,634 | — | — | — | 5 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | — | — | — | — | 1 insurers |
| EAMC - LANIER | AL | — | — | — | — | 2 insurers |
| EAMC - LANIER | AL | — | — | — | — | 5 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 2 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 5 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $2,539 | $6,642 | 3 insurers |
| TUCSON MEDICAL CENTER | AZ | — | — | — | — | 2 insurers |
| ST JOSEPH'S HOSPITAL | AZ | — | — | — | — | 5 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | — | — | $175 | $184 | 5 insurers |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | — | — | $184 | $8,178 | 5 insurers |
| HONORHEALTH TEMPE MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH DEER VALLEY MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | — | — | $175 | $2,202 | 5 insurers |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| BENSON HOSPITAL | AZ | — | — | — | — | 1 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 2 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 5 insurers |
| CHI ST VINCENT MORRILTON | AR | — | — | $598 | $2,699 | 5 insurers |
| BRADLEY COUNTY MEDICAL CENTER | AR | — | — | — | — | 4 insurers |
| MERCY GENERAL HOSPITAL | CA | — | — | $205 | $23,269 | 5 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 3 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 2 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | — | — | $233 | $700 | 3 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | — | — | $187 | $6,572 | 5 insurers |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER | CA | — | — | $848 | $848 | 1 insurers |