| TRINITY ROCK ISLAND | IL | $2,112 | $1,690 | — | — | 3 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $2,112 | $1,690 | — | — | 5 insurers |
| TRINITY MUSCATINE | IA | $2,112 | $1,690 | — | — | 1 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $2,112 | $1,690 | — | — | 1 insurers |
| ST LUKES HOSPITAL | IA | $2,112 | $1,690 | — | — | 1 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $2,112 | $1,690 | — | — | 1 insurers |
| TRINITY - BETTENDORF | IA | $2,112 | $1,690 | — | — | 2 insurers |
| ALLEN HOSPITAL | IA | $2,112 | $1,690 | — | — | 3 insurers |
| FINLEY HOSPITAL | IA | $2,112 | $1,690 | — | — | 4 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $2,112 | $1,690 | — | — | 1 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $2,112 | $1,690 | — | — | 5 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $2,112 | $1,690 | — | — | 3 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $2,112 | $1,690 | — | — | 5 insurers |
| HAYWOOD REGIONAL MEDICAL CENTER | NC | $4,223 | $1,689 | — | — | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $4,233 | $1,693 | — | — | 1 insurers |
| MERCY MEDICAL CENTER INC | MD | $1,549 | $1,678 | $162 | $1,549 | 5 insurers |
| ST JOSEPH MEDICAL CENTER | WA | $1,641 | $1,678 | $162 | $1,641 | 5 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $2,839 | $1,704 | $710 | $4,587 | 5 insurers |
| NORTH VISTA HOSPITAL | NV | $4,857 | $1,712 | $377 | $4,857 | 5 insurers |
| WELLSPAN GOOD SAMARITAN HOSPITAL | PA | $2,145 | $1,716 | — | — | 5 insurers |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL | PA | $2,145 | $1,716 | — | — | 5 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $4,293 | $1,722 | — | — | 5 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $4,293 | $1,722 | — | — | 5 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $4,296 | $1,723 | — | — | 5 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $4,296 | $1,723 | — | — | 5 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $4,296 | $1,723 | — | — | 5 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $4,296 | $1,723 | — | — | 5 insurers |
| GENEVA GENERAL HOSPITAL | NY | $4,308 | $1,723 | — | — | 0 insurers |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES | NY | $4,308 | $1,723 | — | — | 5 insurers |
| PARKLAND HEALTH CENTER | MO | $2,882 | $1,729 | $710 | $4,587 | 5 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $4,713 | $1,650 | — | — | 5 insurers |
| LONGS PEAK HOSPITAL | CO | $4,713 | $1,650 | — | — | 5 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $4,713 | $1,650 | — | — | 5 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $4,713 | $1,650 | — | — | 5 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $2,355 | $1,649 | — | — | 5 insurers |
| THE QUEENS MEDICAL CENTER | HI | $2,355 | $1,649 | — | — | 5 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $3,418 | $1,733 | $3,076 | $3,350 | 3 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $3,418 | $1,733 | $824 | $5,310 | 5 insurers |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR | NY | $1,645 | $1,645 | — | — | 5 insurers |
| BEEBE MEDICAL CENTER | DE | $1,934 | $1,644 | — | — | 0 insurers |
| IBERIA MEDICAL CENTER | LA | $2,722 | $1,633 | — | — | 5 insurers |
| FINLEY HOSPITAL | IA | $2,040 | $1,632 | — | — | 5 insurers |
| LANDMARK MEDICAL CENTER | RI | $3,038 | $1,761 | $899 | $3,038 | 5 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $2,723 | $1,770 | — | — | 5 insurers |
| MOUNT GRANT GENERAL HOSPITAL | NV | $4,313 | $1,609 | $750 | $4,183 | 5 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $4,313 | $1,609 | $750 | $4,183 | 5 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $3,560 | $1,780 | — | — | 5 insurers |
| AdventHealth Palm Coast | FL | $2,903 | $1,597 | $366 | $3,304 | 5 insurers |
| ST JOSEPH'S MEDICAL CENTER | NY | $18,070 | $1,785 | — | — | 5 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $2,100 | $1,785 | — | — | 5 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $2,552 | $1,786 | — | — | 5 insurers |
| SOUTH COUNTY HOSPITAL INC | RI | $2,983 | $1,790 | — | — | 3 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $6,433 | $1,795 | $5,146 | $5,597 | 2 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $6,433 | $1,795 | $518 | $7,887 | 5 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $2,107 | $1,580 | — | — | 1 insurers |
| LAKE HEALTH | OH | $2,107 | $1,580 | — | — | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $3,155 | $1,578 | — | — | 5 insurers |
| KNAPP MEDICAL CENTER | TX | $7,061 | $1,573 | $407 | $6,920 | 5 insurers |
| MISSION REGIONAL MEDICAL CENTER | TX | $3,421 | $1,573 | $172 | $7,031 | 5 insurers |
| DALLAS MEDICAL CENTER | TX | $3,701 | $1,573 | $240 | $3,147 | 5 insurers |
| HARLINGEN MEDICAL CENTER | TX | $3,281 | $1,573 | $165 | $5,649 | 5 insurers |
| SOUTHERN REGIONAL MEDICAL CENTER | GA | $3,666 | $1,571 | $471 | $3,666 | 5 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $3,619 | $1,810 | — | — | 5 insurers |
| WHEELING HOSPITAL, INC | WV | $3,619 | $1,810 | — | — | 5 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $3,619 | $1,810 | — | — | 5 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $3,619 | $1,810 | — | — | 5 insurers |
| BROADLAWNS MEDICAL CENTER | IA | $1,569 | $1,569 | — | — | 5 insurers |
| GARDEN CITY HOSPITAL | MI | $4,138 | $1,561 | $827 | $4,138 | 5 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $4,293 | $1,825 | — | — | 5 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $3,421 | $1,825 | $21.83 | $13,848 | 5 insurers |
| CENTRAL MAINE MEDICAL CENTER | ME | $3,140 | $1,553 | $942 | $3,140 | 5 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $3,371 | $1,551 | $2,393 | $2,528 | 2 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $3,371 | $1,551 | $307 | $7,772 | 5 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $3,371 | $1,551 | $2,393 | $2,528 | 2 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $3,371 | $1,551 | $307 | $7,772 | 5 insurers |
| University of Arkansas Medical Sciences | AR | $2,583 | $1,550 | — | — | 5 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $3,329 | $1,831 | — | — | 4 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $3,329 | $1,831 | — | — | 4 insurers |
| LOWER BUCKS HOSPITAL | PA | $4,313 | $1,548 | $750 | $3,743 | 5 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $3,191 | $1,548 | $2,202 | $2,521 | 4 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $3,191 | $1,548 | $466 | $8,265 | 5 insurers |
| WILSON MEDICAL CENTER | KS | $3,865 | $1,546 | — | — | 0 insurers |
| WILSON MEDICAL CENTER | NC | $3,865 | $1,546 | — | — | 0 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $2,575 | $1,545 | — | — | 2 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $2,570 | $1,542 | — | — | 5 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $2,570 | $1,542 | — | — | 5 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,980 | $1,540 | $1,030 | $1,940 | 5 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,980 | $1,540 | $475 | $1,980 | 5 insurers |
| MERCY MEDICAL CENTER | OH | $1,980 | $1,540 | $1,030 | $1,940 | 5 insurers |
| MERCY MEDICAL CENTER | OH | $1,980 | $1,540 | $475 | $1,980 | 5 insurers |
| HELEN KELLER HOSPITAL | AL | $1,849 | $1,849 | — | — | 5 insurers |
| HUNTSVILLE HOSPITAL | AL | $1,849 | $1,849 | — | — | 5 insurers |
| ATHENS LIMESTONE HOSPITAL | AL | $1,849 | $1,849 | — | — | 5 insurers |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS | AL | $1,849 | $1,849 | — | — | 5 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $2,180 | $1,526 | — | — | 5 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $2,540 | $1,524 | $1,232 | $23,604 | 5 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $11,483 | $1,493 | — | — | 5 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,866 | $1,493 | — | — | 2 insurers |
| ALLEN HOSPITAL | IA | $1,866 | $1,493 | — | — | 5 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,866 | $1,493 | — | — | 5 insurers |
| SOUTH TEXAS HEALTH SYSTEM | TX | $3,731 | $1,492 | — | — | 5 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | $3,152 | $1,891 | $585 | $3,057 | 5 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $9,958 | $1,892 | — | — | 5 insurers |
| DOMINICAN HOSPITAL | CA | $3,304 | $1,487 | $2,643 | $2,808 | 3 insurers |
| DOMINICAN HOSPITAL | CA | $3,304 | $1,487 | $518 | $24,015 | 5 insurers |
| SAINT JOHN HOSPITAL | KS | $511 | $1,483 | $153 | $511 | 5 insurers |
| PROVIDENCE MEDICAL CENTER | KS | $6,905 | $1,483 | $519 | $6,380 | 5 insurers |
| BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK | AR | $7,608 | $1,902 | — | — | 4 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $4,763 | $1,905 | — | — | 5 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $4,763 | $1,905 | — | — | 5 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $2,678 | $1,473 | — | — | 5 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $3,178 | $1,907 | — | — | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $3,179 | $1,908 | $1,232 | $23,604 | 5 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $3,179 | $1,908 | $1,232 | $23,604 | 5 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $3,179 | $1,908 | $1,232 | $23,604 | 5 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $3,179 | $1,908 | $1,232 | $23,604 | 5 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $3,180 | $1,908 | $1,542 | $35,264 | 5 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $2,452 | $1,471 | $1,103 | $6,771 | 5 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $2,452 | $1,471 | $1,103 | $6,771 | 5 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $2,452 | $1,471 | $1,103 | $6,771 | 5 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $2,452 | $1,471 | $1,103 | $6,771 | 5 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $2,452 | $1,471 | $1,103 | $6,771 | 5 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $2,452 | $1,471 | $1,103 | $6,771 | 5 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $2,452 | $1,471 | $1,103 | $6,771 | 5 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $2,452 | $1,471 | $1,103 | $6,771 | 5 insurers |
| PARKLAND HEALTH CENTER | MO | $2,452 | $1,471 | $1,325 | $4,587 | 5 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $2,452 | $1,471 | $1,103 | $6,771 | 5 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $2,452 | $1,471 | $1,103 | $6,771 | 5 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $5,452 | $1,908 | $1,671 | $4,643 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $5,452 | $1,908 | $1,671 | $4,643 | 3 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $5,452 | $1,908 | $1,671 | $4,643 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $5,452 | $1,908 | $1,671 | $4,643 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $5,452 | $1,908 | $1,671 | $4,643 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $5,452 | $1,908 | $1,671 | $4,643 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $5,452 | $1,908 | $1,671 | $4,643 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $5,452 | $1,908 | $1,671 | $4,643 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $5,452 | $1,908 | $1,671 | $4,643 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $5,452 | $1,908 | $1,671 | $4,643 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $5,452 | $1,908 | $1,671 | $4,643 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $5,452 | $1,908 | $1,671 | $4,643 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $5,452 | $1,908 | $1,671 | $4,643 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $5,452 | $1,908 | $1,671 | $4,643 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $5,452 | $1,908 | $1,671 | $4,643 | 3 insurers |
| ADVENTHEALTH FISH MEMORIAL | FL | $3,484 | $1,916 | $793 | $3,884 | 5 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $1,948 | $1,461 | — | — | 1 insurers |
| ADVENTHEALTH DELAND | FL | $2,639 | $1,451 | $366 | $3,206 | 5 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $4,831 | $1,932 | — | — | 5 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $2,984 | $1,940 | — | — | 5 insurers |
| HURON VALLEY-SINAI HOSPITAL | MI | $1,907 | $1,430 | $3,548 | $8,385 | 4 insurers |
| USC ARCADIA HOSPITAL | CA | $5,612 | $1,964 | — | — | 5 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | — | $1,965 | — | — | 5 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $4,713 | $1,414 | — | — | 5 insurers |
| OPELOUSAS GENERAL HEALTH SYSTEM | LA | $3,941 | $1,971 | — | — | 5 insurers |
| ELLIS HOSPITAL | NY | $3,962 | $1,981 | — | — | 4 insurers |
| MEMORIAL HOSPITAL | TX | $3,972 | $1,986 | $426 | $3,761 | 5 insurers |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | TX | $3,972 | $1,986 | $426 | $3,761 | 5 insurers |
| MEMORIAL HOSPITAL | TX | $3,972 | $1,986 | $426 | $3,761 | 5 insurers |
| MEMORIAL HOSPITAL | TX | $3,972 | $1,986 | $426 | $3,761 | 5 insurers |
| AIKEN REGIONAL MEDICAL CENTER | SC | $3,463 | $1,385 | — | — | 5 insurers |
| SWEETWATER HOSPITAL ASSOCIATION | TN | $3,463 | $1,385 | — | — | 5 insurers |
| PEACEHEALTH ST JOHN MEDICAL CENTER | WA | $3,074 | $1,998 | — | — | 5 insurers |
| FAYETTE MEDICAL CENTER | AL | $2,000 | $2,000 | $2,000 | $2,000 | 1 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $2,740 | $1,370 | — | — | 5 insurers |
| PARADISE VALLEY HOSPITAL | CA | $4,500 | $2,014 | $518 | $4,500 | 5 insurers |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER | CA | $8,856 | $2,014 | $518 | $8,856 | 5 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $11,070 | $2,014 | $518 | $11,070 | 5 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $11,070 | $2,014 | $518 | $11,070 | 5 insurers |
| CHINO VALLEY MEDICAL CENTER | CA | $8,959 | $2,014 | $518 | $8,959 | 5 insurers |
| SAN DIMAS COMMUNITY HOSPITAL | CA | $8,959 | $2,014 | $518 | $8,959 | 5 insurers |
| DESERT VALLEY HOSPITAL | CA | $1,838 | $2,014 | $518 | $4,313 | 5 insurers |
| CENTINELA HOSPITAL MEDICAL CENTER | CA | $4,313 | $2,014 | $200 | $5,468 | 5 insurers |
| SHERMAN OAKS HOSPITAL | CA | $2,978 | $2,014 | $107 | $4,313 | 5 insurers |
| MONTCLAIR HOSPITAL MEDICAL CENTER | CA | $8,959 | $2,014 | $518 | $8,959 | 5 insurers |
| SHASTA REGIONAL MEDICAL CENTER | CA | $5,468 | $2,014 | $518 | $5,468 | 5 insurers |
| GROSSMONT HOSPITAL | CA | $2,686 | $2,015 | — | — | 5 insurers |
| SHARP MEMORIAL HOSPITAL | CA | $2,686 | $2,015 | — | — | 5 insurers |
| SHARP CHULA VISTA MEDICAL CENTER | CA | $2,686 | $2,015 | — | — | 5 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $5,194 | $2,026 | — | — | 1 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $2,286 | $1,349 | — | — | 5 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,921 | $1,344 | — | — | 4 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $4,070 | $2,035 | — | — | 5 insurers |
| TRINITY ROCK ISLAND | IL | $2,546 | $2,037 | — | — | 5 insurers |
| TRINITY - BETTENDORF | IA | $2,546 | $2,037 | — | — | 5 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $5,524 | $2,038 | — | — | 5 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $5,524 | $2,038 | — | — | 5 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $5,524 | $2,038 | — | — | 5 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $2,670 | $1,335 | — | — | 5 insurers |
| ALAMEDA HOSPITAL | CA | $2,658 | $1,329 | $1,063 | $1,994 | 4 insurers |
| HIGHLAND HOSPITAL | CA | $2,658 | $1,329 | $1,063 | $1,994 | 4 insurers |
| WELLSPAN YORK HOSPITAL | PA | $1,652 | $1,322 | — | — | 5 insurers |
| COX MEDICAL CENTERS | MO | $5,228 | $1,317 | — | — | 5 insurers |
| COX MEDICAL CENTER BRANSON | MO | $5,228 | $1,317 | — | — | 5 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $3,369 | $1,314 | — | — | 1 insurers |
| ADVENTHEALTH SEBRING | FL | $3,447 | $2,068 | $731 | $3,359 | 5 insurers |
| DEACONESS HOSPITAL INC | IN | $2,602 | $2,082 | $158 | $1,634 | 5 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $2,590 | $1,295 | — | — | 5 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $3,230 | $1,292 | — | — | 1 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $3,230 | $1,292 | — | — | 1 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $3,230 | $1,292 | — | — | 2 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $3,230 | $1,292 | — | — | 1 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $2,992 | $2,095 | — | — | 5 insurers |
| THE GENERAL | LA | $2,992 | $2,095 | — | — | 5 insurers |
| UNIONTOWN HOSPITAL | PA | $4,198 | $2,099 | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $6,037 | $2,113 | $1,416 | $3,826 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $6,037 | $2,113 | $1,416 | $3,826 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $6,037 | $2,113 | $1,416 | $3,826 | 3 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $6,037 | $2,113 | $1,416 | $3,826 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $6,037 | $2,113 | $1,416 | $3,826 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $6,037 | $2,113 | $1,416 | $3,826 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $6,037 | $2,113 | $1,416 | $3,826 | 3 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $6,037 | $2,113 | $1,416 | $3,826 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $6,037 | $2,113 | $1,416 | $3,826 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $6,037 | $2,113 | $1,416 | $3,826 | 3 insurers |
| CAREWELL HEALTH MEDICAL CENTER | NJ | $2,496 | $2,121 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL OF MICHIGAN | MI | $2,857 | $2,143 | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $6,130 | $1,226 | — | — | 1 insurers |
| NORTON HOSPITALS, INC | KY | $6,130 | $1,226 | — | — | 1 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $2,697 | $2,158 | — | — | 2 insurers |
| BOCA RATON REGIONAL HOSPITAL | FL | $3,326 | $2,162 | — | — | 5 insurers |
| HAZARD ARH REGIONAL MEDICAL CENTER | KY | $2,024 | $1,214 | — | — | 5 insurers |
| BECKLEY ARH HOSPITAL | WV | $2,024 | $1,214 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $3,016 | $1,206 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $3,016 | $1,206 | — | — | 5 insurers |
| DETROIT RECEIVING HOSPITAL | MI | $2,904 | $2,178 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $3,000 | $1,200 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $3,000 | $1,200 | — | — | 5 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $1,593 | $1,195 | — | — | 1 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $2,732 | $2,186 | $657 | $2,732 | 5 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $2,732 | $2,186 | $657 | $2,732 | 5 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $2,286 | $1,189 | — | — | 5 insurers |
| BRIDGEPORT HOSPITAL | CT | $2,286 | $1,166 | — | — | 5 insurers |
| UNITED MEDICAL CENTER | DC | $2,328 | $1,164 | — | — | 5 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $2,328 | $1,164 | — | — | 5 insurers |
| JACKSON HEALTH SYSTEM | FL | $2,230 | $1,162 | $1,162 | $1,162 | 1 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $3,027 | $1,156 | $1,816 | $2,391 | 3 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $3,027 | $1,156 | $172 | $7,382 | 5 insurers |
| RINGGOLD COUNTY HOSPITAL | IA | $1,279 | $1,151 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $2,290 | $1,145 | — | — | 5 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $2,290 | $1,145 | — | — | 5 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $2,290 | $1,145 | — | — | 5 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $2,290 | $1,145 | — | — | 5 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $2,290 | $1,145 | — | — | 5 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $2,290 | $1,145 | — | — | 5 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $2,290 | $1,145 | — | — | 5 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $2,290 | $1,145 | — | — | 5 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $2,290 | $1,145 | — | — | 5 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $2,290 | $1,145 | — | — | 5 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $2,290 | $1,145 | — | — | 5 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $2,290 | $1,145 | — | — | 5 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $2,290 | $1,145 | — | — | 5 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $2,290 | $1,145 | — | — | 5 insurers |
| AURORA MEDICAL CENTER | WI | $2,290 | $1,145 | — | — | 5 insurers |
| CHI ST ALEXIUS HEALTH | ND | $2,243 | $1,144 | $1,660 | $2,019 | 3 insurers |
| CHI ST ALEXIUS HEALTH | ND | $2,243 | $1,144 | $1,480 | $2,687 | 5 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $2,266 | $1,133 | $1,405 | $1,813 | 3 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $2,266 | $1,133 | $307 | $7,934 | 5 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $3,057 | $1,122 | $2,140 | $2,415 | 3 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $3,057 | $1,122 | $518 | $18,089 | 5 insurers |
| CHI HEALTH SCHUYLER | NE | $1,315 | $1,118 | $1,187 | $1,289 | 5 insurers |
| CHI HEALTH SCHUYLER | NE | $1,315 | $1,118 | $282 | $1,489 | 5 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $2,220 | $1,110 | — | — | 5 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $2,220 | $1,110 | — | — | 5 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $2,220 | $1,110 | — | — | 5 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $2,271 | $119 | $2,728 | 2 insurers |
| NORTH ALABAMA MEDICAL CENTER | AL | $6,495 | $2,273 | — | — | 5 insurers |
| NORTH ALABAMA SHOALS HOSPITAL | AL | $6,495 | $2,273 | — | — | 5 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $1,315 | $1,105 | $1,187 | $1,289 | 5 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $1,315 | $1,105 | $802 | $1,781 | 5 insurers |
| HOLY FAMILY MEMORIAL | WI | — | $2,278 | $275 | $4,141 | 0 insurers |
| CITIZENS MEDICAL CENTER | TX | $4,556 | $2,278 | — | — | 5 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $3,829 | $2,297 | — | — | 5 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $4,050 | $1,078 | — | — | 5 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $5,665 | $1,076 | — | — | 5 insurers |
| HARPER UNIVERSITY HOSPITAL | MI | $3,077 | $2,308 | $3,600 | $7,723 | 4 insurers |
| ADVENTHEALTH CENTRAL TEXAS | TX | $2,125 | $1,063 | $950 | $1,913 | 5 insurers |
| ADVENTHEALTH ROLLINS BROOK | TX | $2,125 | $1,063 | $950 | $1,913 | 5 insurers |
| BAXTER HEALTH | AR | $1,762 | $1,057 | — | — | 3 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,759 | $1,055 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,759 | $1,055 | — | — | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $4,269 | $1,054 | $2,263 | $3,488 | 2 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $4,269 | $1,054 | $172 | $3,488 | 5 insurers |
| SAINT JOSEPH HOSPITAL | KY | $2,216 | $1,044 | $2,017 | $2,017 | 1 insurers |
| SAINT JOSEPH HOSPITAL | KY | $2,216 | $1,044 | $521 | $3,052 | 5 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $2,608 | $1,043 | — | — | 2 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $1,224 | $1,040 | — | — | 3 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $1,224 | $1,040 | — | — | 2 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,476 | $1,033 | — | — | 5 insurers |
| CARILION MEDICAL CENTER | VA | $2,914 | $1,020 | — | — | 5 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $1,671 | $1,019 | $819 | $1,554 | 5 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $1,671 | $1,019 | $307 | $3,908 | 5 insurers |
| BAPTIST HEALTH MEDICAL CENTER- CONWAY | AR | $4,063 | $1,016 | — | — | 4 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $1,671 | $986 | $919 | $1,571 | 5 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $1,671 | $986 | $307 | $6,796 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $1,671 | $986 | $919 | $1,571 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $1,671 | $986 | $307 | $6,796 | 5 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $13,700 | $2,398 | $11,645 | $13,700 | 2 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $13,700 | $2,398 | $469 | $13,476 | 5 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $13,700 | $2,398 | $5,179 | $13,700 | 5 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $13,700 | $2,398 | $469 | $12,330 | 5 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $13,700 | $2,398 | $4,747 | $13,700 | 5 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $13,700 | $2,398 | $469 | $12,330 | 5 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $13,700 | $2,398 | $9,350 | $13,700 | 4 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $13,700 | $2,398 | $469 | $15,207 | 5 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $4,269 | $978 | $2,263 | $3,488 | 2 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $4,269 | $978 | $172 | $3,488 | 5 insurers |
| ST MARY MEDICAL CENTER | CA | $4,269 | $978 | $2,263 | $3,488 | 2 insurers |
| ST MARY MEDICAL CENTER | CA | $4,269 | $978 | $172 | $3,488 | 5 insurers |
| MERCY HOSPITAL | CA | $2,442 | $977 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $2,442 | $977 | — | — | 5 insurers |
| SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT | OK | $1,285 | $964 | — | — | 5 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $1,283 | $962 | — | — | 5 insurers |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | KY | $1,601 | $961 | — | — | 5 insurers |
| MARIA PARHAM MEDICAL CENTER | NC | $2,389 | $956 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $1,710 | $940 | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $2,402 | $937 | $1,251 | $4,467 | 3 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $2,289 | $916 | — | — | 4 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $6,168 | $2,467 | — | — | 5 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $6,168 | $2,467 | — | — | 5 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $6,168 | $2,467 | — | — | 5 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $6,168 | $2,467 | — | — | 5 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $6,168 | $2,467 | — | — | 5 insurers |
| HENDERSON HOSPITAL | NV | $6,168 | $2,467 | — | — | 5 insurers |
| WEST HENDERSON HOSPITAL | NV | $6,168 | $2,467 | — | — | 5 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $2,477 | $2,477 | — | — | 1 insurers |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | $2,573 | $901 | — | — | 5 insurers |
| ST ELIZABETH HOSPITAL | WA | $2,955 | $899 | $2,127 | $2,216 | 2 insurers |
| ST ELIZABETH HOSPITAL | WA | $2,955 | $899 | $1,761 | $7,747 | 5 insurers |
| VALLEY PRESBYTERIAN HOSPITAL | CA | — | $2,481 | $521 | $9,686 | 5 insurers |
| HUDSON VALLEY HOSPITAL CENTER | NY | — | $2,481 | $521 | $9,686 | 5 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $3,107 | $2,486 | — | — | 3 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $1,621 | $892 | — | — | 5 insurers |
| SAINT JOSEPH EAST | KY | $2,216 | $890 | $2,017 | $2,017 | 1 insurers |
| SAINT JOSEPH EAST | KY | $2,216 | $890 | $542 | $3,052 | 5 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $2,216 | $890 | $2,017 | $2,017 | 1 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $2,216 | $890 | $542 | $3,052 | 5 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $2,068 | $875 | $1,344 | $1,344 | 1 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $2,068 | $875 | $0.65 | $3,462 | 5 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $2,071 | $870 | $1,243 | $1,760 | 3 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $2,071 | $870 | $307 | $3,361 | 5 insurers |
| CHI HEALTH BERGAN MERCY | NE | $2,071 | $870 | $1,243 | $1,760 | 3 insurers |
| CHI HEALTH BERGAN MERCY | NE | $2,071 | $870 | $307 | $3,259 | 5 insurers |
| CHI HEALTH IMMANUEL | NE | $2,071 | $870 | $1,243 | $1,760 | 3 insurers |
| CHI HEALTH IMMANUEL | NE | $2,071 | $870 | $290 | $3,361 | 5 insurers |
| CHI HEALTH MIDLANDS | NE | $2,071 | $870 | $1,243 | $1,760 | 3 insurers |
| CHI HEALTH MIDLANDS | NE | $2,071 | $870 | $307 | $3,361 | 5 insurers |
| CHI HEALTH LAKESIDE | NE | $2,071 | $870 | $1,243 | $1,760 | 3 insurers |
| CHI HEALTH LAKESIDE | NE | $2,071 | $870 | $307 | $3,361 | 5 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $6,282 | $2,513 | — | — | 1 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $2,442 | $855 | — | — | 5 insurers |
| ST CLARE HOSPITAL | WA | $2,955 | $852 | $2,127 | $2,216 | 2 insurers |
| ST CLARE HOSPITAL | WA | $2,955 | $852 | $1,761 | $7,747 | 5 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $3,438 | $2,551 | $2,922 | $3,335 | 5 insurers |
| WESTERLY HOSPITAL | RI | $2,286 | $823 | — | — | 5 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $3,210 | $2,568 | — | — | 3 insurers |
| RANDOLPH HOSPITAL | NC | $4,014 | $803 | — | — | 4 insurers |
| HSHS ST ELIZABETH'S HOSPITAL | IL | $3,591 | $2,586 | — | — | 5 insurers |
| SINAI-GRACE HOSPITAL | MI | $3,451 | $2,588 | — | — | 0 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $3,945 | $2,604 | — | — | 5 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $4,248 | $2,604 | — | — | 2 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $2,337 | $771 | $122 | $4,989 | 5 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $964 | $771 | — | — | 5 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $2,896 | $753 | $169 | $4,020 | 5 insurers |
| ADVENTHEALTH WATERMAN | FL | $1,345 | $740 | $289 | $5,700 | 5 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $3,892 | $739 | — | — | 5 insurers |
| MERCY MEDICAL CENTER | OR | $1,383 | $738 | $1,037 | $1,314 | 5 insurers |
| MERCY MEDICAL CENTER | OR | $1,383 | $738 | $899 | $6,319 | 5 insurers |
| BRISTOL HOSPITAL | CT | $4,911 | $737 | — | — | 5 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $4,911 | $737 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $4,911 | $737 | — | — | 5 insurers |
| JOHNSTON HEALTH | NC | $4,911 | $737 | — | — | 5 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $4,911 | $737 | — | — | 5 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $4,911 | $737 | — | — | 5 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $4,911 | $737 | — | — | 5 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $4,911 | $737 | — | — | 5 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $4,911 | $737 | — | — | 5 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $4,911 | $737 | — | — | 5 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $4,911 | $737 | — | — | 5 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $4,911 | $737 | — | — | 5 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $4,911 | $737 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $4,911 | $737 | — | — | 5 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $4,911 | $737 | — | — | 5 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $4,911 | $737 | — | — | 5 insurers |
| LONESOME PINE HOSPITAL | VA | $4,911 | $737 | — | — | 5 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $1,506 | $708 | — | — | 5 insurers |
| DOYLESTOWN HOSPITAL | PA | $2,680 | $2,680 | — | — | 5 insurers |
| POUDRE VALLEY HOSPITAL | CO | $3,829 | $2,680 | — | — | 5 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $3,829 | $2,680 | — | — | 5 insurers |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | AR | $2,778 | $694 | — | — | 4 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | $1,721 | $688 | $1,377 | $7,462 | 5 insurers |
| SAINT JOSEPH LONDON | KY | $1,887 | $673 | $1,717 | $1,717 | 1 insurers |
| SAINT JOSEPH LONDON | KY | $1,887 | $673 | $269 | $2,815 | 5 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $1,345 | $673 | — | — | 2 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $1,345 | $673 | — | — | 2 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $1,345 | $673 | — | — | 2 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $5,437 | $2,719 | — | — | 5 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $5,437 | $2,719 | — | — | 4 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $2,569 | $659 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $2,569 | $659 | $181 | $6,955 | 5 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $1,315 | $644 | $750 | $1,289 | 5 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $1,315 | $644 | $460 | $1,289 | 5 insurers |
| CHI HEALTH - MERCY CORNING | IA | $1,315 | $631 | $789 | $1,289 | 5 insurers |
| CHI HEALTH - MERCY CORNING | IA | $1,315 | $631 | $565 | $1,289 | 5 insurers |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN | MS | $2,100 | $630 | — | — | 5 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $3,237 | $2,752 | — | — | 0 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $2,764 | $1,398 | $3,000 | 3 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,435 | $614 | $904 | $1,406 | 4 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,435 | $614 | $518 | $19,451 | 5 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $2,068 | $612 | $1,675 | $1,675 | 3 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $2,068 | $612 | $0.65 | $3,401 | 5 insurers |
| BAPTIST HEALTH - FORT SMITH | AR | $2,397 | $599 | — | — | 4 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $2,336 | $594 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $2,336 | $594 | $181 | $2,421 | 5 insurers |
| THOMAS HOSPITAL | AL | $5,573 | $2,787 | — | — | 5 insurers |
| BETHESDA HOSPITAL EAST | FL | $4,327 | $2,813 | — | — | 5 insurers |
| BAPTIST HOSPITAL | FL | $4,327 | $2,813 | — | — | 5 insurers |
| HOMESTEAD HOSPITAL | FL | $4,327 | $2,813 | — | — | 5 insurers |
| SOUTH MIAMI HOSPITAL | FL | $4,327 | $2,813 | — | — | 5 insurers |
| WEST KENDALL BAPTIST HOSPITAL | FL | $4,327 | $2,813 | — | — | 5 insurers |
| WAYNE MEMORIAL HOSPITAL | GA | $4,018 | $2,813 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $4,021 | $2,815 | — | — | 5 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $4,021 | $2,815 | — | — | 5 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $1,611 | $564 | — | — | 5 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $1,408 | $563 | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,435 | $563 | $387 | $1,406 | 5 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,435 | $563 | $387 | $18,271 | 5 insurers |
| MISSOURI DELTA MEDICAL CENTER | MO | $11,317 | $2,829 | — | — | 5 insurers |
| ADVENTHEALTH SHAWNEE MISSION | KS | $1,083 | $541 | $141 | $2,390 | 5 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,069 | $535 | — | — | 2 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $533 | $533 | — | — | 5 insurers |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF | CA | $525 | $525 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | IL | $525 | $525 | — | — | 0 insurers |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON | MA | $525 | $525 | — | — | 1 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | MO | $525 | $525 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | OH | $525 | $525 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN - PORTLAND | OR | $525 | $525 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA | PA | $525 | $525 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | SC | $525 | $525 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | TX | $525 | $525 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | WA | $525 | $525 | — | — | 0 insurers |
| HOLY FAMILY HOSPITAL | MA | $5,205 | $2,863 | — | — | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $2,187 | $496 | $656 | $1,575 | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $2,187 | $496 | $556 | $6,485 | 5 insurers |
| HIGHLAND HILLS MEDICAL CENTER | MS | $5,768 | $2,884 | — | — | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | $1,231 | $492 | $161 | $1,046 | 4 insurers |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | TX | $8,249 | $2,887 | $201 | $7,424 | 5 insurers |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | TX | $8,249 | $2,887 | $201 | $7,424 | 5 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $2,895 | $2,895 | — | — | 5 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | $7,248 | $2,899 | — | — | 5 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $938 | $469 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $938 | $469 | — | — | 0 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $665 | $466 | — | — | 5 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | $7,479 | $458 | $427 | $12,538 | 5 insurers |
| EAST COOPER MEDICAL CENTER | SC | $6,828 | $458 | $80 | $8,579 | 5 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $458 | $427 | $2,796 | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $2,187 | $448 | $656 | $1,575 | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $2,187 | $448 | $556 | $6,485 | 5 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | $2,940 | $2,940 | — | — | 4 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | $2,940 | $2,940 | — | — | 3 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | $2,940 | $2,940 | — | — | 4 insurers |
| BAPTIST MEDICAL CENTER BEACHES | FL | $2,265 | $430 | — | — | 5 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $4,290 | $429 | — | — | 5 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $4,290 | $429 | — | — | 5 insurers |
| JACKSON COUNTY REGIONAL HEALTH CENTER | IA | $428 | $428 | — | — | 5 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $1,414 | $416 | $297 | $13,688 | 5 insurers |
| ADVENTHEALTH OCALA | FL | $4,961 | $2,977 | — | — | 5 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $7,450 | $2,980 | — | — | 5 insurers |
| CHILDREN'S MERCY SOUTH | KS | $800 | $384 | — | — | 5 insurers |
| CHILDREN'S MERCY SOUTH | KS | $800 | $384 | — | — | 5 insurers |
| THE CHILDREN'S MERCY HOSPITAL | MO | $800 | $384 | — | — | 5 insurers |
| THE CHILDREN'S MERCY HOSPITAL | MO | $800 | $384 | — | — | 5 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | $4,614 | $2,999 | — | — | 5 insurers |
| JENNIE STUART MEDICAL CENTER | KY | $1,223 | $379 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTERS | AL | $3,007 | $3,007 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | CA | $3,007 | $3,007 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | TN | $3,007 | $3,007 | — | — | 5 insurers |
| LONGMONT UNITED HOSPITAL | CO | $7,549 | $3,020 | — | — | 4 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $7,549 | $3,020 | — | — | 3 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $7,549 | $3,020 | — | — | 4 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $7,549 | $3,020 | — | — | 3 insurers |
| SAINT ANTHONY HOSPITAL | IL | $7,549 | $3,020 | — | — | 3 insurers |
| SAN GORGONIO MEMORIAL HOSPITAL | CA | $1,670 | $334 | — | — | 5 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $11,194 | $3,067 | $1,231 | $10,298 | 5 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $11,194 | $3,067 | $518 | $16,143 | 5 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $916 | $293 | $138 | $2,805 | 5 insurers |
| ALTRU HOSPITAL | ND | $478 | $292 | — | — | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $916 | $284 | $138 | $2,805 | 5 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $916 | $284 | $138 | $2,805 | 5 insurers |
| ROANE MEDICAL CENTER | TN | $916 | $284 | $138 | $2,805 | 5 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $916 | $284 | $138 | $2,610 | 5 insurers |
| LECONTE MEDICAL CENTER | TN | $916 | $284 | $138 | $2,805 | 5 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $916 | $284 | $138 | $2,610 | 5 insurers |
| PARKWEST MEDICAL CENTER | TN | $916 | $275 | $412 | $2,181 | 5 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $345 | $256 | $172 | $366 | 5 insurers |
| ELLIS HOSPITAL | NY | $506 | $253 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $1,907 | $191 | — | — | 5 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $320 | $160 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $320 | $160 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $320 | $160 | — | — | 0 insurers |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN | MS | $444 | $133 | — | — | 5 insurers |
| RUSSELL MEDICAL CENTER | AL | $251 | $90.36 | — | — | 5 insurers |