| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $1,400 | $700 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $1,400 | $700 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $1,400 | $700 | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $1,400 | $700 | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $1,400 | $700 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $1,400 | $700 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $1,400 | $700 | — | — | 0 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $1,400 | $700 | — | — | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $1,400 | $700 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $1,400 | $700 | — | — | 0 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $1,400 | $700 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $1,400 | $700 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $1,400 | $700 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $1,400 | $700 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $1,400 | $700 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $1,400 | $700 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $1,400 | $700 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $1,400 | $700 | — | — | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $1,390 | $695 | — | — | 0 insurers |
| DOMINICAN HOSPITAL | CA | $1,540 | $693 | $1,232 | $1,309 | 0 insurers |
| DOMINICAN HOSPITAL | CA | $1,540 | $693 | $52.98 | $23,352 | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $1,165 | $711 | $571 | $1,083 | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $1,165 | $711 | $88.98 | $4,182 | 0 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $1,422 | $711 | — | — | 0 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $1,422 | $711 | — | — | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $1,165 | $687 | $641 | $1,095 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $1,165 | $687 | $88.98 | $7,273 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $1,165 | $687 | $641 | $1,095 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $1,165 | $687 | $88.98 | $7,273 | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $981 | $687 | — | — | 0 insurers |
| ADVENTHEALTH OCALA | FL | $1,126 | $676 | — | — | 0 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | $727 | $727 | — | — | 0 insurers |
| CARLE EUREKA HOSPITAL | IL | $727 | $727 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $834 | $667 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $834 | $667 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $834 | $667 | — | — | 0 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $1,117 | $737 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $1,478 | $739 | — | — | 0 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | $1,009 | $656 | — | — | 0 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $1,179 | $648 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $1,482 | $756 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $1,905 | $762 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $1,905 | $762 | — | — | 0 insurers |
| HOLY FAMILY HOSPITAL | MA | $1,386 | $762 | — | — | 0 insurers |
| ADVENTHEALTH CENTRAL TEXAS | TX | $1,532 | $766 | $685 | $1,379 | 0 insurers |
| ADVENTHEALTH ROLLINS BROOK | TX | $1,532 | $766 | $685 | $1,379 | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $1,482 | $771 | — | — | 0 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $2,336 | $771 | $234 | $4,989 | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | $1,514 | $605 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $1,514 | $605 | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $1,514 | $605 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $1,514 | $605 | — | — | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | $1,514 | $605 | — | — | 0 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $1,503 | $601 | — | — | 0 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $1,503 | $601 | — | — | 0 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $1,503 | $601 | — | — | 0 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $1,503 | $601 | — | — | 0 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $1,503 | $601 | — | — | 0 insurers |
| HENDERSON HOSPITAL | NV | $1,503 | $601 | — | — | 0 insurers |
| WEST HENDERSON HOSPITAL | NV | $1,503 | $601 | — | — | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $1,493 | $597 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $1,110 | $592 | $833 | $1,055 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $1,110 | $592 | $722 | $1,066 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,165 | $591 | $1,049 | $1,142 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,165 | $591 | $105 | $6,357 | 0 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $738 | $590 | — | — | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $1,620 | $810 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $1,019 | $815 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $1,019 | $815 | — | — | 0 insurers |
| COX MEDICAL CENTERS | MO | $2,259 | $569 | — | — | 0 insurers |
| COX MEDICAL CENTER BRANSON | MO | $2,259 | $569 | — | — | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $1,729 | $839 | $1,193 | $1,366 | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $1,729 | $839 | $52.98 | $6,374 | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $1,110 | $555 | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | $555 | $555 | — | — | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $2,431 | $851 | $1,094 | $2,431 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $2,431 | $851 | $0.02 | $2,700 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $2,431 | $851 | $1,045 | $2,431 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $2,431 | $851 | $100 | $2,749 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $2,431 | $851 | $1,045 | $2,431 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $2,431 | $851 | $100 | $2,749 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $2,431 | $851 | $1,045 | $2,431 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $2,431 | $851 | $100 | $2,749 | 0 insurers |
| IBERIA MEDICAL CENTER | LA | $908 | $545 | — | — | 0 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $1,555 | $544 | $1,322 | $2,960 | 0 insurers |
| Baylor St Lukes Medical Center | TX | $1,548 | $542 | $697 | $2,700 | 0 insurers |
| CHI ST LUKES LAKESIDE HOSPITAL | TX | $1,548 | $542 | $851 | $2,468 | 0 insurers |
| CHILDREN'S MERCY SOUTH | KS | $1,788 | $858 | — | — | 0 insurers |
| CHILDREN'S MERCY SOUTH | KS | $1,788 | $858 | — | — | 0 insurers |
| THE CHILDREN'S MERCY HOSPITAL | MO | $1,788 | $858 | — | — | 0 insurers |
| THE CHILDREN'S MERCY HOSPITAL | MO | $1,788 | $858 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,683 | $858 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,683 | $858 | — | — | 0 insurers |
| HOLY FAMILY MEMORIAL | WI | — | $540 | $97.67 | $982 | 0 insurers |
| WESTERLY HOSPITAL | RI | $1,482 | $534 | — | — | 0 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $1,332 | $533 | — | — | 0 insurers |
| JACKSON COUNTY REGIONAL HEALTH CENTER | IA | $874 | $874 | — | — | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $1,482 | $874 | — | — | 0 insurers |
| MARIA PARHAM MEDICAL CENTER | NC | $2,190 | $876 | — | — | 0 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | $2,197 | $879 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $2,197 | $879 | — | — | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $2,197 | $879 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $2,197 | $879 | — | — | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $1,040 | $520 | — | — | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $1,277 | $511 | — | — | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $1,277 | $511 | — | — | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $1,277 | $511 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $1,277 | $511 | — | — | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $1,105 | $508 | $785 | $829 | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $1,105 | $508 | $88.98 | $4,317 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $1,105 | $508 | $785 | $829 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $1,105 | $508 | $88.98 | $4,317 | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $1,501 | $901 | — | — | 0 insurers |
| ADVENTHEALTH SHAWNEE MISSION | KS | $984 | $492 | $50.93 | $2,632 | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $980 | $490 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $816 | $490 | $401 | $653 | 0 insurers |
| MONUMENT HEALTH RAPID CITY HOSPITAL | SD | $911 | $911 | $556 | $875 | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $3,042 | $913 | — | — | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | $1,075 | $914 | — | — | 0 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | $1,075 | $914 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $604 | $483 | — | — | 0 insurers |
| AdventHealth Palm Coast | FL | $872 | $479 | $13.24 | $784 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $615 | $478 | $320 | $603 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $615 | $478 | $90.07 | $603 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $615 | $478 | $320 | $603 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $615 | $478 | $90.07 | $603 | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $1,196 | $478 | — | — | 0 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $476 | $476 | — | — | 0 insurers |
| ADVENTHEALTH DELAND | FL | $848 | $467 | $13.24 | $763 | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $2,402 | $937 | — | — | 0 insurers |
| RANDOLPH HOSPITAL | NC | $2,312 | $462 | — | — | 0 insurers |
| CARILION MEDICAL CENTER | VA | $2,697 | $944 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $2,697 | $944 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $646 | $452 | — | — | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $3,467 | $950 | $381 | $3,190 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $3,467 | $950 | $52.98 | $7,795 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $3,467 | $950 | $381 | $2,878 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $3,467 | $950 | $46.61 | $7,484 | 0 insurers |
| TRINITY MUSCATINE | IA | $562 | $450 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $562 | $450 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $562 | $450 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $562 | $450 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $562 | $450 | — | — | 0 insurers |
| UNIONTOWN HOSPITAL | PA | $1,906 | $953 | — | — | 0 insurers |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | KY | $1,597 | $958 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $546 | $437 | — | — | 0 insurers |
| BELL HOSPITAL | MI | $728 | $437 | — | — | 0 insurers |
| ADVENTHEALTH FISH MEMORIAL | FL | $792 | $436 | $50.93 | $713 | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $870 | $435 | — | — | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,013 | $434 | $638 | $993 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,013 | $434 | $52.98 | $7,160 | 0 insurers |
| SOUTH TEXAS HEALTH SYSTEM | TX | $2,417 | $967 | — | — | 0 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $1,935 | $968 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $1,935 | $968 | — | — | 0 insurers |
| ALTRU HOSPITAL | ND | $701 | $428 | — | — | 0 insurers |
| FORT DUNCAN MEDICAL CENTER | TX | $2,434 | $974 | — | — | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $529 | $423 | $108 | $529 | 0 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $529 | $423 | $108 | $529 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $977 | $977 | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | $504 | $403 | $45.31 | $45.31 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $3,467 | $999 | $2,600 | $2,878 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $3,467 | $999 | $46.61 | $7,809 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,013 | $397 | $274 | $993 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,013 | $397 | $52.98 | $5,432 | 0 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $1,340 | $1,005 | — | — | 0 insurers |
| BRISTOL HOSPITAL | CT | $2,624 | $394 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $2,624 | $394 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $2,624 | $394 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $2,624 | $394 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $2,624 | $394 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $2,624 | $394 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $2,624 | $394 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $2,624 | $394 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $2,624 | $394 | — | — | 0 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $2,624 | $394 | — | — | 0 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $2,624 | $394 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $2,624 | $394 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $2,624 | $394 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $2,624 | $394 | — | — | 0 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $2,624 | $394 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $2,624 | $394 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $2,624 | $394 | — | — | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $782 | $391 | $485 | $626 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $782 | $391 | $88.98 | $4,406 | 0 insurers |
| OPELOUSAS GENERAL HEALTH SYSTEM | LA | $2,023 | $1,012 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $2,981 | $388 | — | — | 0 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $550 | $385 | $0 | $495 | 0 insurers |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC | ID | $550 | $385 | $0 | $495 | 0 insurers |
| University of Arkansas Medical Sciences | AR | $620 | $372 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $854 | $363 | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $720 | $360 | — | — | 0 insurers |
| ADVENTHEALTH DADE CITY | FL | $1,735 | $1,041 | $48.38 | $1,561 | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $703 | $352 | — | — | 0 insurers |
| POUDRE VALLEY HOSPITAL | CO | $1,501 | $1,051 | — | — | 0 insurers |
| POUDRE VALLEY HOSPITAL | CO | $1,501 | $1,051 | — | — | 0 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $1,501 | $1,051 | — | — | 0 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $1,501 | $1,051 | — | — | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $860 | $344 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $855 | $343 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $854 | $343 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $854 | $343 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $854 | $343 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $854 | $343 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $854 | $343 | — | — | 0 insurers |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR | NY | $342 | $342 | — | — | 0 insurers |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | TX | $967 | $338 | $196 | $870 | 0 insurers |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | TX | $967 | $338 | $509 | $870 | 0 insurers |
| TRINITY ROCK ISLAND | IL | $423 | $338 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $423 | $338 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $423 | $338 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $423 | $338 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $423 | $338 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $423 | $338 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $423 | $338 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $423 | $338 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $423 | $338 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $423 | $338 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $423 | $338 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $423 | $338 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $423 | $338 | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $3,042 | $1,065 | — | — | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $3,042 | $1,065 | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $3,042 | $1,065 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $669 | $335 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $669 | $335 | — | — | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $334 | $334 | — | — | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $550 | $330 | $248 | $6,771 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $550 | $330 | $248 | $6,771 | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $550 | $330 | $248 | $6,771 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $550 | $330 | $248 | $6,771 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $550 | $330 | $248 | $6,771 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $550 | $330 | $248 | $6,771 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $550 | $330 | $248 | $6,771 | 0 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $550 | $330 | $248 | $6,771 | 0 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $550 | $330 | $248 | $6,771 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $550 | $330 | $248 | $6,771 | 0 insurers |
| PROGRESS WEST HOSPITAL | MO | $550 | $330 | $248 | $6,771 | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $347 | $329 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $3,065 | $1,073 | $567 | $1,533 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $3,065 | $1,073 | $567 | $1,533 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $3,065 | $1,073 | $567 | $1,533 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $3,065 | $1,073 | $567 | $1,533 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $3,065 | $1,073 | $567 | $1,533 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $3,065 | $1,073 | $567 | $1,533 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $3,065 | $1,073 | $567 | $1,533 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $3,065 | $1,073 | $567 | $1,533 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $3,065 | $1,073 | $567 | $1,533 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $3,065 | $1,073 | $567 | $1,533 | 0 insurers |
| SINAI-GRACE HOSPITAL | MI | $1,431 | $1,073 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $5,236 | $1,073 | $1,571 | $3,770 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $5,236 | $1,073 | $49.17 | $32,295 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $771 | $324 | $463 | $655 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $771 | $324 | $88.98 | $3,489 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $771 | $324 | $463 | $655 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $771 | $324 | $88.98 | $3,489 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $771 | $324 | $463 | $655 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $771 | $324 | $88.98 | $3,489 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $771 | $324 | $463 | $655 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $771 | $324 | $88.98 | $3,489 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $771 | $324 | $463 | $655 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $771 | $324 | $88.98 | $3,489 | 0 insurers |
| RINGGOLD COUNTY HOSPITAL | IA | $357 | $321 | — | — | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $6,177 | $1,081 | $5,250 | $6,177 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $6,177 | $1,081 | $504 | $5,250 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $6,177 | $1,081 | $2,335 | $6,177 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $6,177 | $1,081 | $875 | $5,559 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $6,177 | $1,081 | $2,140 | $6,177 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $6,177 | $1,081 | $787 | $5,559 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $6,177 | $1,081 | $4,216 | $6,177 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $6,177 | $1,081 | $1,508 | $7,561 | 0 insurers |
| THOMAS HOSPITAL | AL | $636 | $318 | — | — | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $507 | $314 | — | — | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $507 | $314 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $1,450 | $1,088 | — | — | 0 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | $779 | $312 | $623 | $7,462 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $2,850 | $1,089 | $1,710 | $2,252 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $2,850 | $1,089 | $49.35 | $2,252 | 0 insurers |
| SOUTHWESTERN VERMONT MEDICAL CENTER | VT | $433 | $303 | — | — | 0 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $430 | $301 | — | — | 0 insurers |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS | NY | $1,103 | $1,103 | — | — | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $3,005 | $1,103 | $2,104 | $2,374 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $3,005 | $1,103 | $52.98 | $5,592 | 0 insurers |
| VALLEY MEDICAL CENTER | WA | $415 | $291 | $166 | $332 | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $2,220 | $1,110 | — | — | 0 insurers |
| CITIZENS MEDICAL CENTER | TX | $567 | $284 | — | — | 0 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $349 | $279 | — | — | 0 insurers |
| ANTELOPE VALLEY HOSPITAL | CA | $275 | $275 | — | — | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $2,258 | $1,129 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $2,258 | $1,129 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $2,258 | $1,129 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $380 | $266 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $380 | $266 | — | — | 0 insurers |
| SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT | OK | $352 | $264 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $1,897 | $1,138 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $1,897 | $1,138 | — | — | 0 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $971 | $258 | — | — | 0 insurers |
| EAST VALLEY ER & HOSPITAL | AZ | $566 | $255 | — | — | 0 insurers |
| ALEXANDRIA EMERGENCY HOSPITAL | LA | $566 | $255 | — | — | 0 insurers |
| ST MARYS HOSPITAL MEDICAL CTR | WI | $566 | $255 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $285 | $242 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $285 | $242 | — | — | 0 insurers |
| USC ARCADIA HOSPITAL | CA | $692 | $242 | — | — | 0 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $239 | $239 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | $223 | $223 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | $223 | $223 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $439 | $220 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $5,236 | $1,189 | $1,571 | $3,770 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $5,236 | $1,189 | $49.17 | $32,295 | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | AR | $807 | $202 | — | — | 0 insurers |
| Adventhealth Zephyrhills | FL | $2,002 | $1,201 | $50.93 | $1,420 | 0 insurers |
| ADVENTHEALTH TAMPA | FL | $2,002 | $1,201 | $36.75 | $1,802 | 0 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $2,003 | $1,202 | — | — | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $4,624 | $1,202 | $555 | $12,434 | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $562 | $197 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $490 | $196 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $490 | $196 | — | — | 0 insurers |
| ST LUKE'S WARREN HOSPITAL | NJ | $236 | $196 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS | PA | $236 | $196 | — | — | 0 insurers |
| ST LUKES HOSPITAL BETHLEHEM | PA | $236 | $196 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS | PA | $236 | $196 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - EASTON CAMPUS | PA | $236 | $196 | — | — | 0 insurers |
| ST LUKE'S MINERS MEMORIAL HOSPITAL | PA | $236 | $196 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS | PA | $236 | $196 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - MONROE CAMPUS | PA | $236 | $196 | — | — | 0 insurers |
| GEISINGER ST. LUKE'S HOSPITAL | PA | $236 | $196 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - CARBON CAMPUS | PA | $236 | $196 | — | — | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $1,855 | $1,206 | — | — | 0 insurers |
| RUTHERFORD REGIONAL MEDICAL CENTER | NC | $461 | $184 | — | — | 0 insurers |
| BAXTER HEALTH | AR | $296 | $178 | — | — | 0 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $1,441 | $1,225 | — | — | 0 insurers |
| LUBBOCK HEART HOSPITAL LP | TX | $174 | $174 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | $1,533 | $1,226 | — | — | 0 insurers |
| CARSON TAHOE REGIONAL MEDICAL CENTER | NV | $244 | $171 | $19.52 | $205 | 0 insurers |
| ADVENTHEALTH SEBRING | FL | $2,050 | $1,230 | $50.93 | $1,845 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $359 | $169 | $327 | $327 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $359 | $169 | $84.33 | $1,538 | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $3,523 | $1,233 | $2,290 | $2,642 | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $3,523 | $1,233 | $100 | $2,749 | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $3,084 | $1,234 | — | — | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $3,084 | $1,234 | — | — | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $508 | $163 | $105 | $1,941 | 0 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $230 | $161 | — | — | 0 insurers |
| THE QUEENS MEDICAL CENTER | HI | $230 | $161 | — | — | 0 insurers |
| BECKLEY ARH HOSPITAL | WV | $268 | $161 | — | — | 0 insurers |
| HELEN KELLER HOSPITAL | AL | $160 | $160 | — | — | 0 insurers |
| HUNTSVILLE HOSPITAL | AL | $160 | $160 | — | — | 0 insurers |
| ATHENS LIMESTONE HOSPITAL | AL | $160 | $160 | — | — | 0 insurers |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS | AL | $160 | $160 | — | — | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $5,045 | $1,241 | $2,724 | $3,885 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $567 | $158 | $454 | $493 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $567 | $158 | $52.98 | $4,316 | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $508 | $157 | $105 | $1,941 | 0 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $508 | $157 | $105 | $1,941 | 0 insurers |
| ROANE MEDICAL CENTER | TN | $508 | $157 | $105 | $1,941 | 0 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $508 | $157 | $105 | $1,941 | 0 insurers |
| LECONTE MEDICAL CENTER | TN | $508 | $157 | $105 | $1,941 | 0 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $508 | $157 | $105 | $1,941 | 0 insurers |
| HARRISON MEMORIAL HOSPITAL | KY | $224 | $157 | — | — | 0 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $153 | $153 | — | — | 0 insurers |
| PARKWEST MEDICAL CENTER | TN | $508 | $152 | $229 | $1,722 | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $149 | $149 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $382 | $149 | $80.22 | $287 | 0 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $207 | $145 | — | — | 0 insurers |
| SAINT JOSEPH EAST | KY | $359 | $144 | $327 | $327 | 0 insurers |
| SAINT JOSEPH EAST | KY | $359 | $144 | $87.74 | $1,538 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $359 | $144 | $327 | $327 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $359 | $144 | $87.74 | $1,538 | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $561 | $144 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $561 | $144 | $598 | $6,955 | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $561 | $143 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $561 | $143 | $598 | $2,699 | 0 insurers |
| MERCY HOSPITAL | CA | $351 | $141 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $351 | $141 | — | — | 0 insurers |
| SANFORD USD MEDICAL CENTER | SD | $1,581 | $1,265 | — | — | 0 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $324 | $130 | — | — | 0 insurers |
| KANSAS MEDICAL CENTER LLC | KS | $212 | $127 | — | — | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $212 | $127 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $212 | $127 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $211 | $127 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $211 | $127 | — | — | 0 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $2,320 | $1,276 | — | — | 0 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $169 | $118 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $251 | $118 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $226 | $113 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $226 | $113 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $226 | $113 | — | — | 0 insurers |
| ADVENTHEALTH WATERMAN | FL | $191 | $105 | $41.06 | $504 | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $262 | $105 | — | — | 0 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $134 | $101 | — | — | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $246 | $98.4 | — | — | 0 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $249 | $97 | — | — | 0 insurers |
| CAREWELL HEALTH MEDICAL CENTER | NJ | $100 | $85 | — | — | 0 insurers |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM | AL | $327 | $81.75 | — | — | 0 insurers |
| MORRIS HOSPITAL & HEALTHCARE CENTERS | IL | $315 | $75.79 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $149 | $74.5 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $149 | $74.5 | — | — | 0 insurers |
| PETERSON REGIONAL MEDICAL CENTER | TX | $1,900 | $1,330 | — | — | 0 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $582 | $58.2 | — | — | 0 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $582 | $58.2 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $3,839 | $1,344 | $691 | $1,920 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $3,839 | $1,344 | $691 | $1,920 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $3,839 | $1,344 | $691 | $1,920 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $3,839 | $1,344 | $691 | $1,920 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $3,839 | $1,344 | $691 | $1,920 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $3,839 | $1,344 | $691 | $1,920 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $3,839 | $1,344 | $691 | $1,920 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $3,839 | $1,344 | $691 | $1,920 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $3,839 | $1,344 | $691 | $1,920 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $3,839 | $1,344 | $691 | $1,920 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $3,839 | $1,344 | $691 | $1,920 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $3,839 | $1,344 | $691 | $1,920 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $3,839 | $1,344 | $691 | $1,920 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $3,839 | $1,344 | $691 | $1,920 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $3,839 | $1,344 | $691 | $1,920 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $2,992 | $1,346 | — | — | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $3,467 | $1,349 | $381 | $2,843 | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $3,467 | $1,349 | $46.61 | $8,006 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $5,045 | $1,352 | $2,724 | $4,238 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $5,576 | $1,372 | $49.35 | $4,294 | 0 insurers |
| SAINT PETER'S UNIVERSITY HOSPITAL | NJ | $2,130 | $1,420 | — | — | 0 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $2,051 | $1,436 | — | — | 0 insurers |
| THE GENERAL | LA | $2,051 | $1,436 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $2,240 | $1,456 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $2,240 | $1,456 | — | — | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $4,997 | $1,479 | $4,048 | $4,048 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $4,997 | $1,479 | $0.65 | $6,047 | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $2,279 | $1,481 | — | — | 0 insurers |
| HSHS ST ELIZABETH'S HOSPITAL | IL | $2,059 | $1,482 | — | — | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $5,576 | $1,494 | $49.35 | $4,684 | 0 insurers |
| HOMESTEAD HOSPITAL | FL | $2,301 | $1,496 | — | — | 0 insurers |
| AIKEN REGIONAL MEDICAL CENTER | SC | $3,752 | $1,501 | — | — | 0 insurers |
| SWEETWATER HOSPITAL ASSOCIATION | TN | $3,752 | $1,501 | — | — | 0 insurers |
| UH REGIONAL HOSPITALS | OH | $2,211 | $1,658 | — | — | 0 insurers |
| UH ST JOHN MEDICAL CENTER | OH | $2,211 | $1,658 | — | — | 0 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | $2,211 | $1,658 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | $2,211 | $1,658 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | $2,211 | $1,658 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $2,211 | $1,658 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $2,214 | $1,661 | — | — | 0 insurers |
| LAKE HEALTH | OH | $2,214 | $1,661 | — | — | 0 insurers |
| BALDWIN HEALTH | AL | $3,210 | $1,669 | — | — | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $3,210 | $1,669 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $3,210 | $1,669 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $3,210 | $1,669 | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $3,210 | $1,669 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $3,210 | $1,669 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $2,000 | $1,700 | — | — | 0 insurers |
| WELLINGTON REGIONAL MEDICAL CENTER | FL | $2,327 | $1,745 | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | $2,773 | $1,802 | $9,060 | $14,761 | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | $2,773 | $1,802 | — | — | 0 insurers |
| WELLSPAN YORK HOSPITAL | PA | $2,254 | $1,803 | — | — | 0 insurers |
| WELLSPAN GOOD SAMARITAN HOSPITAL | PA | $2,254 | $1,803 | — | — | 0 insurers |
| WELLSPAN CHAMBERSBURG HOSPITAL | PA | $2,254 | $1,803 | — | — | 0 insurers |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL | PA | $2,254 | $1,803 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $1,834 | $1,834 | — | — | 0 insurers |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL | NJ | $1,933 | $1,933 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $3,600 | $1,980 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $3,600 | $1,980 | — | — | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | $2,016 | $2,016 | — | — | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | $2,016 | $2,016 | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | $2,016 | $2,016 | — | — | 0 insurers |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $2,069 | $2,069 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTERS | AL | $2,091 | $2,091 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTER | CA | $2,091 | $2,091 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTER | TN | $2,091 | $2,091 | — | — | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $4,997 | $2,114 | $3,248 | $3,248 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $4,997 | $2,114 | $0.65 | $6,047 | 0 insurers |
| GROSSMONT HOSPITAL | CA | $2,916 | $2,187 | — | — | 0 insurers |
| SHARP MEMORIAL HOSPITAL | CA | $2,916 | $2,187 | — | — | 0 insurers |
| SHARP CHULA VISTA MEDICAL CENTER | CA | $2,916 | $2,187 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $4,334 | $2,210 | $3,207 | $3,901 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $4,334 | $2,210 | $2,860 | $3,901 | 0 insurers |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE | TX | $3,697 | $2,218 | $1,481 | $3,538 | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF | CA | $2,388 | $2,388 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | IL | $2,388 | $2,388 | — | — | 0 insurers |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON | MA | $2,388 | $2,388 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | MO | $2,388 | $2,388 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | OH | $2,388 | $2,388 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN - PORTLAND | OR | $2,388 | $2,388 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA | PA | $2,388 | $2,388 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | SC | $2,388 | $2,388 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | TX | $2,388 | $2,388 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | WA | $2,388 | $2,388 | — | — | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $8,166 | $2,401 | $5,880 | $6,696 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $8,166 | $2,401 | $52.98 | $8,166 | 0 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $12,916 | $2,454 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $12,916 | $2,454 | — | — | 0 insurers |
| PEACEHEALTH ST JOHN MEDICAL CENTER | WA | $3,868 | $2,514 | — | — | 0 insurers |
| COOPER UNIVERSITY HOSPITAL | NJ | $2,576 | $2,576 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $4,830 | $2,705 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $4,830 | $2,705 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $4,830 | $2,705 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $4,830 | $2,705 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $4,830 | $2,705 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $4,830 | $2,705 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $4,830 | $2,705 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $4,830 | $2,705 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $4,830 | $2,705 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $4,830 | $2,705 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $4,830 | $2,705 | — | — | 0 insurers |