| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $2,010 | $704 | $372 | $1,005 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $2,010 | $704 | $372 | $1,005 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $2,010 | $704 | $372 | $1,005 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $2,010 | $704 | $372 | $1,005 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $2,010 | $704 | $372 | $1,005 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $2,010 | $704 | $372 | $1,005 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $2,010 | $704 | $372 | $1,005 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $2,010 | $704 | $372 | $1,005 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $2,010 | $704 | $372 | $1,005 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $2,010 | $704 | $372 | $1,005 | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $3,721 | $707 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,387 | $707 | — | — | 0 insurers |
| WELLSPAN YORK HOSPITAL | PA | $868 | $694 | — | — | 0 insurers |
| WELLSPAN GOOD SAMARITAN HOSPITAL | PA | $868 | $694 | — | — | 0 insurers |
| WELLSPAN CHAMBERSBURG HOSPITAL | PA | $868 | $694 | — | — | 0 insurers |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL | PA | $868 | $694 | — | — | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $714 | $410 | $1,134 | 0 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $714 | $410 | $2,843 | 0 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $714 | $410 | $1,005 | 0 insurers |
| FORT DUNCAN MEDICAL CENTER | TX | $1,879 | $752 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $636 | $35 | $1,492 | 0 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $780 | $221 | $780 | 0 insurers |
| POMERENE HOSPITAL | OH | $755 | $604 | — | — | 0 insurers |
| SOUTH COUNTY HOSPITAL INC | RI | $994 | $596 | — | — | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $1,584 | $581 | $1,441 | $1,441 | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $1,584 | $581 | $332 | $1,441 | 0 insurers |
| TRINITY MUSCATINE | IA | $1,048 | $839 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $1,048 | $839 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $1,048 | $839 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $1,048 | $839 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $1,048 | $839 | — | — | 0 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $800 | $560 | $269 | $922 | 0 insurers |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC | ID | $800 | $560 | $256 | $1,053 | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | $3,089 | $853 | — | — | 0 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | — | $551 | — | — | 0 insurers |
| OSWEGO HOSPITAL | NY | $732 | $549 | — | — | 0 insurers |
| PHYSICIANS CENTRE,THE | TX | $874 | $874 | — | — | 0 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $513 | — | — | 0 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $513 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $827 | $496 | — | — | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $2,343 | $937 | — | — | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $2,343 | $937 | — | — | 0 insurers |
| CRISP REGIONAL HOSPITAL | GA | $468 | $445 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $1,013 | $405 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $1,013 | $405 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $2,873 | $1,006 | $517 | $1,437 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $2,873 | $1,006 | $517 | $1,437 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $2,873 | $1,006 | $517 | $1,437 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $2,873 | $1,006 | $517 | $1,437 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $2,873 | $1,006 | $517 | $1,437 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $2,873 | $1,006 | $517 | $1,437 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $2,873 | $1,006 | $517 | $1,437 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $2,873 | $1,006 | $517 | $1,437 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $2,873 | $1,006 | $517 | $1,437 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $2,873 | $1,006 | $517 | $1,437 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $2,873 | $1,006 | $517 | $1,437 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $2,873 | $1,006 | $517 | $1,437 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $2,873 | $1,006 | $517 | $1,437 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $2,873 | $1,006 | $517 | $1,437 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $2,873 | $1,006 | $517 | $1,437 | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | $1,015 | $1,015 | — | — | 0 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | $909 | $364 | — | — | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | $1,151 | $357 | — | — | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $573 | $344 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $573 | $344 | — | — | 0 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $977 | $342 | $256 | $2,960 | 0 insurers |
| UNM HOSPITAL | NM | $621 | $342 | — | — | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $864 | $337 | — | — | 0 insurers |
| TMC- BONHAM HOSPITAL | TX | $1,075 | $322 | — | — | 0 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $761 | $304 | — | — | 0 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $761 | $304 | — | — | 0 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $761 | $304 | — | — | 0 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $761 | $304 | — | — | 0 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $761 | $304 | — | — | 0 insurers |
| HENDERSON HOSPITAL | NV | $761 | $304 | — | — | 0 insurers |
| WEST HENDERSON HOSPITAL | NV | $761 | $304 | — | — | 0 insurers |
| BALDWIN HEALTH | AL | $2,140 | $1,113 | — | — | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $2,140 | $1,113 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $2,140 | $1,113 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $2,140 | $1,113 | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $2,140 | $1,113 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $2,140 | $1,113 | — | — | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $691 | $290 | $415 | $587 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $691 | $290 | $96.24 | $3,259 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $691 | $290 | $415 | $587 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $691 | $290 | $96.24 | $3,259 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $691 | $290 | $415 | $587 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $691 | $290 | $96.24 | $3,259 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $691 | $290 | $415 | $587 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $691 | $290 | $96.24 | $3,259 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $691 | $290 | $415 | $587 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $691 | $290 | $96.24 | $3,259 | 0 insurers |
| PAMPA REGIONAL MEDICAL CENTER | TX | $1,481 | $281 | $139 | $1,184 | 0 insurers |
| HOLY FAMILY MEMORIAL | WI | — | $268 | $70.74 | $488 | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $760 | $266 | $494 | $570 | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $760 | $266 | $147 | $5,160 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $481 | $245 | $356 | $433 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $481 | $245 | $317 | $756 | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $1,174 | $1,174 | — | — | 0 insurers |
| TEXOMA MEDICAL CENTER | TX | $1,574 | $1,181 | — | — | 0 insurers |
| BELL HOSPITAL | MI | $355 | $213 | — | — | 0 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $205 | $205 | — | — | 0 insurers |
| TRISTAR SUMMIT MEDICAL CENTER | TN | $1,219 | $1,219 | — | — | 0 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $173 | $173 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $169 | $169 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $231 | $161 | — | — | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $879 | $154 | $747 | $879 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $879 | $154 | $70.32 | $3,943 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $879 | $154 | $332 | $879 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $879 | $154 | $188 | $2,888 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $879 | $154 | $305 | $879 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $879 | $154 | $112 | $2,960 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $879 | $154 | $600 | $879 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $879 | $154 | $275 | $3,943 | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $247 | $153 | — | — | 0 insurers |
| CHILDREN'S MERCY SOUTH | KS | $2,613 | $1,254 | — | — | 0 insurers |
| CHILDREN'S MERCY SOUTH | KS | $2,613 | $1,254 | — | — | 0 insurers |
| THE CHILDREN'S MERCY HOSPITAL | MO | $2,613 | $1,254 | — | — | 0 insurers |
| THE CHILDREN'S MERCY HOSPITAL | MO | $2,613 | $1,254 | — | — | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $1,273 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $164 | $131 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $164 | $131 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $164 | $131 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $164 | $131 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $164 | $131 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $164 | $131 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $164 | $131 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $164 | $131 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $164 | $131 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $164 | $131 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $164 | $131 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $164 | $131 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $164 | $131 | — | — | 0 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $145 | $102 | — | — | 0 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $129 | $96.75 | — | — | 0 insurers |
| SOUTHWESTERN VERMONT MEDICAL CENTER | VT | $119 | $83.3 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $113 | $79.1 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $113 | $79.1 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $112 | $52.64 | — | — | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $2,803 | $1,682 | — | — | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $3,408 | $1,704 | $2,113 | $2,726 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $3,408 | $1,704 | $96.24 | $4,406 | 0 insurers |
| ANTELOPE VALLEY HOSPITAL | CA | $1,926 | $1,926 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $3,450 | $1,932 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $3,450 | $1,932 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $3,450 | $1,932 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $3,450 | $1,932 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $3,450 | $1,932 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $3,450 | $1,932 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $3,450 | $1,932 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $3,450 | $1,932 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $3,450 | $1,932 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $3,450 | $1,932 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $3,450 | $1,932 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $3,450 | $1,932 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $3,450 | $1,932 | — | — | 0 insurers |
| GATEWAY REGIONAL MEDICAL CENTER | IL | — | $2,148 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF | CA | $2,150 | $2,150 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | IL | $2,150 | $2,150 | — | — | 0 insurers |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON | MA | $2,150 | $2,150 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | MO | $2,150 | $2,150 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | OH | $2,150 | $2,150 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN - PORTLAND | OR | $2,150 | $2,150 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA | PA | $2,150 | $2,150 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | SC | $2,150 | $2,150 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | TX | $2,150 | $2,150 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | WA | $2,150 | $2,150 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | $2,363 | $2,363 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | $2,363 | $2,363 | — | — | 0 insurers |
| BYRD REGIONAL HOSPITAL | LA | $3,080 | $3,080 | $837 | $1,191 | 0 insurers |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM | AL | $32,843 | $8,211 | — | — | 0 insurers |
| MAGNOLIA REGIONAL HEALTH CENTER | MS | $38,667 | $13,147 | — | — | 0 insurers |
| MEMORIAL HOSPITAL | IL | $17,555 | $14,044 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $24,703 | $14,822 | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| ANDALUSIA HEALTH | AL | — | — | $380 | $494 | 0 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| RUSSELL MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | — | — | — | — | 0 insurers |
| VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS | AL | — | — | $396 | $514 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $388 | $388 | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $2,539 | $6,642 | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| ST JOSEPH'S HOSPITAL | AZ | — | — | — | — | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | — | — | $52.21 | $494 | 0 insurers |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | — | — | $54.09 | $3,628 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | — | — | $46.64 | $2,782 | 0 insurers |
| HONORHEALTH TEMPE MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH DEER VALLEY MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | — | — | $52.21 | $2,782 | 0 insurers |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | — | — | $52.21 | $2,202 | 0 insurers |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| BENSON HOSPITAL | AZ | — | — | — | — | 0 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | — | — | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | — | — | $415 | $6,955 | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | — | — | $401 | $1,540 | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| CHI ST VINCENT MORRILTON | AR | — | — | $415 | $1,409 | 0 insurers |
| BRADLEY COUNTY MEDICAL CENTER | AR | — | — | — | — | 0 insurers |
| MERCY GENERAL HOSPITAL | CA | — | — | $63.97 | $12,297 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | — | — | $40.59 | $6,060 | 0 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | — | — | $72.54 | $555 | 0 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | — | — | $58.34 | $5,174 | 0 insurers |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER | CA | — | — | $848 | $848 | 0 insurers |
| ST JOHNS REGIONAL MEDICAL CENTER | CA | — | — | $77.4 | $9,306 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | — | — | $40.59 | $6,009 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | — | — | $40.59 | $3,808 | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | — | — | — | — | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | — | — | $40.59 | $7,160 | 0 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $555 | $1,629 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | — | — | $40.59 | $4,316 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $1,116 | $7,512 | 0 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 0 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | — | — | $40.59 | $7,439 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | — | — | $40.59 | $7,111 | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | — | — | $40.59 | $6,374 | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | — | — | $40.59 | $12,737 | 0 insurers |
| UCSF HEALTH SAINT FRANCIS HOSPITAL | CA | — | — | $62.38 | $7,009 | 0 insurers |
| ST MARY MEDICAL CENTER | CA | — | — | $52.21 | $2,202 | 0 insurers |
| SEQUOIA HOSPITAL | CA | — | — | $40.59 | $10,404 | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | — | — | $40.59 | $6,120 | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | — | — | $63.42 | $4,945 | 0 insurers |
| DOMINICAN HOSPITAL | CA | — | — | $40.59 | $9,244 | 0 insurers |
| SIERRA VIEW MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $542 | $1,629 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | — | — | $80.66 | $5,310 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $649 | $18,025 | 0 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 0 insurers |
| NORTHBAY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $555 | $1,629 | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | — | — | $40.59 | $7,087 | 0 insurers |
| STANFORD HEALTH CARE | CA | — | — | $645 | $5,542 | 0 insurers |
| MERCY MEDICAL CENTER | CA | — | — | $56.81 | $8,966 | 0 insurers |
| UCSF HEALTH ST. MARY'S HOSPITAL | CA | — | — | $56.82 | $7,009 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $555 | $1,333 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $369 | $6,762 | 0 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | — | — | $40.59 | $7,484 | 0 insurers |
| UCI HEALTH - LOS ALAMITOS | CA | — | — | $567 | $8,064 | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $567 | $8,064 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $567 | $8,064 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $567 | $8,064 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | — | — | $40.59 | $7,452 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $43.66 | $10,525 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $369 | $5,239 | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $511 | $5,324 | 0 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 0 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 0 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 0 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 0 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | — | — | $68.99 | $218 | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | — | — | $40.59 | $40.59 | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $645 | $8,407 | 0 insurers |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO | CA | — | — | — | — | 0 insurers |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | CA | — | — | — | — | 0 insurers |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB | CA | — | — | $369 | $6,762 | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | — | — | — | — | 0 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| POUDRE VALLEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $1,205 | $4,833 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | — | — | $96.24 | $6,796 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | — | — | $72.54 | $555 | 0 insurers |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| AdventHealth Porter | CO | — | — | $86.31 | $2,441 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $86.31 | $2,441 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $86.31 | $2,441 | 0 insurers |
| AdventHealth Parker | CO | — | — | $86.31 | $2,441 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $86.31 | $2,441 | 0 insurers |
| LONGS PEAK HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 0 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $948 | $5,841 | 0 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | — | — | — | — | 0 insurers |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT | CT | — | — | — | — | 0 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $79.98 | $2,301 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $79.98 | $2,230 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $453 | $6,672 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $461 | $1,221 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $438 | $1,006 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $1,600 | $12,418 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $453 | $5,570 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $453 | $6,672 | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $1,950 | $7,531 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $438 | $5,570 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $2,051 | $12,500 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $1,950 | $9,160 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $453 | $6,672 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $461 | $1,221 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $1,309 | $8,253 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $1,735 | $7,321 | 0 insurers |
| BARTOW REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MORTON PLANT HOSPITAL | FL | — | — | — | — | 0 insurers |
| TAMPA GENERAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA AVENTURA HOSPITAL | FL | — | — | $1,950 | $9,160 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $461 | $1,023 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $2,051 | $12,500 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $1,660 | $12,418 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $1,950 | $9,160 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $1,950 | $9,160 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $1,380 | $14,306 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $1,309 | $7,480 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $1,423 | $6,802 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $1,394 | $7,480 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $2,008 | $15,319 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $1,715 | $12,418 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $1,950 | $9,160 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $1,950 | $12,418 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $453 | $6,672 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $1,735 | $40,673 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $1,380 | $14,306 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $1,618 | $12,418 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $2,075 | $15,319 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $1,660 | $12,418 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $1,715 | $12,418 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $1,998 | $12,500 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $1,715 | $12,418 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $1,950 | $7,531 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $1,309 | $7,480 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $1,950 | $7,531 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $1,998 | $12,500 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $1,950 | $12,418 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $1,669 | $12,418 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $1,394 | $8,484 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $1,660 | $12,418 | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $1,423 | $6,802 | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $453 | $6,672 | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $453 | $6,607 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $461 | $1,023 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $1,723 | $12,500 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $1,660 | $12,500 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $1,826 | $12,500 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $1,950 | $9,160 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $461 | $1,221 | 0 insurers |
| NORTH WALTON DOCTORS HOSPITAL | FL | $1,383 | — | — | — | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $2,421 | $9,641 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $1,116 | $7,512 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS | GA | $1,013 | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $434 | $10,045 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $387 | $10,045 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $434 | $10,045 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $411 | $1,727 | 0 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | GA | — | — | — | — | 0 insurers |
| BURKE MEDICAL CENTER | GA | — | — | — | — | 0 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $1,116 | $7,512 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $1,116 | $16,800 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $69.79 | $2,643 | 0 insurers |
| SOUTHEAST GEORGIA HEALTH SYSTEM -- CAMDEN CAMPUS | GA | $1,013 | — | — | — | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $459 | $3,185 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $417 | $434 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | — | — | $0.65 | $3,196 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $434 | $10,045 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $2,550 | $2,800 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $51.05 | $3,423 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $602 | $602 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $408 | $515 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | — | — | $180 | $5,160 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $325 | $3,338 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $473 | $1,757 | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 0 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | — | — | — | — | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $473 | $496 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $55.74 | $5,538 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $55.74 | $8,334 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $473 | $3,170 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $55.74 | $8,334 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $473 | $3,399 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $55.74 | $8,334 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $55.74 | $8,334 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $473 | $1,586 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $55.74 | $8,334 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $55.74 | $8,334 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $55.74 | $8,334 | 0 insurers |
| MEMORIAL HOSPITAL | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $473 | $3,170 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $222 | $1,651 | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | — | — | $52.21 | $3,794 | 0 insurers |
| EDWARD HOSPITAL | IL | — | — | $222 | $762 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $55.74 | $8,334 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $473 | $4,566 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $325 | $3,338 | 0 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $473 | $3,170 | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $55.74 | $8,334 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $55.74 | $8,334 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $3,121 | $4,704 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $55.74 | $8,334 | 0 insurers |
| METHODIST HOSPITALS INC | IN | — | — | $402 | $2,764 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $421 | $438 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $408 | $515 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $424 | $5,272 | 0 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 0 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | $47.6 | $443 | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $437 | $4,603 | 0 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE NORTHWEST INDIANA | IN | — | — | $473 | $3,170 | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 0 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $713 | $743 | 0 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | — | — | — | — | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | — | — | $40.59 | $6,054 | 0 insurers |
| TRINITY - BETTENDORF | IA | — | — | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | — | — | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | — | — | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | — | — | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 0 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $3,503 | $5,500 | 0 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $415 | $2,624 | 0 insurers |
| HUTCHINSON REGIONAL MEDICAL CENTER INC | KS | — | — | — | — | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | — | — | — | — | 0 insurers |
| LABETTE HEALTH | KS | — | — | — | — | 0 insurers |
| ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. | KS | — | — | — | — | 0 insurers |
| WESLEY MEDICAL CENTER | KS | — | — | $1,233 | $1,897 | 0 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | — | — | — | — | 0 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $418 | $3,032 | 0 insurers |
| WAMEGO HEALTH CENTER | KS | — | — | — | — | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | — | — | $63.42 | $4,945 | 0 insurers |
| COMMUNITY MEMORIAL HEALTHCARE, INC. | KS | — | — | $440 | $1,100 | 0 insurers |
| HANOVER HOSPITAL | KS | — | — | $1,203 | $3,591 | 0 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | $45.6 | $46.24 | 0 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $437 | $4,603 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | — | — | $430 | $1,538 | 0 insurers |
| SAINT JOSEPH LONDON | KY | — | — | $396 | $792 | 0 insurers |
| UOFL HEALTH - SHELBYVILLE HOSPITAL | KY | — | — | — | — | 0 insurers |