| CHEYENNE REGIONAL MEDICAL CENTER | WY | $2,404 | $1,683 | — | — | 5 insurers |
| SURGICAL INSTITUTE OF READING | PA | $2,206 | $1,726 | $151 | $103,241 | 5 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $4,937 | $1,728 | $1,044 | $2,822 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $4,937 | $1,728 | $1,044 | $2,822 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $4,937 | $1,728 | $1,044 | $2,822 | 3 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $4,937 | $1,728 | $1,044 | $2,822 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $4,937 | $1,728 | $1,044 | $2,822 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $4,937 | $1,728 | $1,044 | $2,822 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $4,937 | $1,728 | $1,044 | $2,822 | 3 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $4,937 | $1,728 | $1,044 | $2,822 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $4,937 | $1,728 | $1,044 | $2,822 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $4,937 | $1,728 | $1,044 | $2,822 | 3 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $1,750 | $1,750 | — | — | 5 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $2,066 | $1,653 | — | — | 5 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | $2,386 | $1,551 | — | — | 5 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $1,759 | $1,547 | — | — | 5 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $1,759 | $1,547 | — | — | 5 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $1,759 | $1,547 | — | — | 5 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | — | $1,494 | — | — | 5 insurers |
| COLQUITT REGIONAL MEDICAL CENTER | GA | $1,434 | $1,434 | — | — | 5 insurers |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY | OK | $1,434 | $1,434 | — | — | 5 insurers |
| STILLWATER MEDICAL CENTER | OK | $2,474 | $1,979 | $1,201 | $3,228 | 5 insurers |
| STILLWATER MEDICAL - PERRY | OK | $2,474 | $1,979 | $1,201 | $3,228 | 5 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | $2,474 | $1,979 | $1,201 | $3,228 | 5 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $6,932 | $2,038 | $160 | $6,932 | 5 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $2,038 | $923 | $3,000 | 3 insurers |
| University of Arkansas Medical Sciences | AR | $3,411 | $2,047 | — | — | 5 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $1,337 | $1,337 | — | — | 5 insurers |
| ST JOSEPH MEDICAL CENTER | WA | $4,363 | $1,276 | $365 | $4,363 | 5 insurers |
| JACKSON COUNTY REGIONAL HEALTH CENTER | IA | $1,273 | $1,273 | — | — | 5 insurers |
| ALTRU HOSPITAL | ND | $2,037 | $1,243 | — | — | 0 insurers |
| GRANVILLE HEALTH SYSTEMS | NC | $1,486 | $1,189 | — | — | 0 insurers |
| SAUK PRAIRIE HOSPITAL | WI | $2,130 | $1,165 | — | — | 5 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,654 | $1,158 | — | — | 2 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $1,136 | — | — | 5 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $1,136 | — | — | 5 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $3,075 | $1,129 | $2,153 | $2,429 | 3 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $3,075 | $1,129 | $160 | $6,300 | 5 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $2,330 | $1,113 | $4,128 | 5 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $2,330 | $1,113 | $3,537 | 5 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $2,330 | $1,113 | $3,660 | 5 insurers |
| TRINITY ROCK ISLAND | IL | $1,321 | $1,057 | — | — | 4 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,321 | $1,057 | — | — | 5 insurers |
| TRINITY MUSCATINE | IA | $1,321 | $1,057 | — | — | 3 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $1,321 | $1,057 | — | — | 3 insurers |
| ST LUKES HOSPITAL | IA | $1,321 | $1,057 | — | — | 3 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $1,321 | $1,057 | — | — | 3 insurers |
| TRINITY - BETTENDORF | IA | $1,321 | $1,057 | — | — | 4 insurers |
| ALLEN HOSPITAL | IA | $1,321 | $1,057 | — | — | 4 insurers |
| FINLEY HOSPITAL | IA | $1,321 | $1,057 | — | — | 5 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $1,321 | $1,057 | — | — | 3 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $1,321 | $1,057 | — | — | 5 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,321 | $1,057 | — | — | 4 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $1,321 | $1,057 | — | — | 5 insurers |
| SPRINGHILL MEDICAL CENTER | LA | $3,066 | $1,042 | — | — | 5 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $1,197 | $958 | $409 | $1,313 | 5 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $1,197 | $958 | $409 | $1,313 | 5 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $4,857 | $2,477 | — | — | 4 insurers |
| UNM HOSPITAL | NM | $1,687 | $928 | — | — | 5 insurers |
| SIDNEY HEALTH CENTER | MT | $1,385 | $858 | — | — | 5 insurers |
| SIDNEY HEALTH CENTER | MT | $1,385 | $858 | — | — | 4 insurers |
| SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT | OK | $1,084 | $813 | — | — | 5 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $1,160 | $812 | — | — | 5 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $1,160 | $812 | — | — | 5 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $4,393 | $2,636 | — | — | 1 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $1,030 | $721 | — | — | 5 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $844 | $717 | — | — | 3 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $844 | $717 | — | — | 2 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $2,729 | $2,729 | — | — | 5 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $813 | $610 | — | — | 0 insurers |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL | VT | $810 | $608 | — | — | 0 insurers |
| SOUTHWESTERN VERMONT MEDICAL CENTER | VT | $866 | $606 | — | — | 5 insurers |
| LALLIE KEMP MEDICAL CENTER | LA | $987 | $592 | — | — | 2 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $1,396 | $586 | — | — | 3 insurers |
| SOUTH CENTRAL HEALTH | ND | $1,396 | $586 | — | — | 3 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,167 | $550 | $1,062 | $1,062 | 1 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,167 | $550 | $274 | $2,317 | 5 insurers |
| BALDWIN HEALTH | AL | $5,500 | $2,860 | — | — | 3 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $5,500 | $2,860 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $5,500 | $2,860 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $5,500 | $2,860 | — | — | 3 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $5,500 | $2,860 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $5,500 | $2,860 | — | — | 3 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $1,185 | $503 | $865 | $1,078 | 5 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $1,185 | $503 | $209 | $2,258 | 5 insurers |
| SAINT JOSEPH EAST | KY | $1,167 | $469 | $1,062 | $1,062 | 1 insurers |
| SAINT JOSEPH EAST | KY | $1,167 | $469 | $285 | $2,584 | 5 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,167 | $469 | $1,062 | $1,062 | 1 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,167 | $469 | $285 | $2,584 | 5 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $4,551 | $2,958 | — | — | 5 insurers |
| HAVASU REGIONAL MEDICAL CENTER | AZ | $749 | $449 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $923 | $434 | — | — | 5 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $866 | $433 | — | — | 1 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $866 | $433 | — | — | 1 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $866 | $433 | — | — | 1 insurers |
| COMANCHE COUNTY MEDICAL CENTER | TX | $513 | $333 | — | — | 5 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $943 | $330 | — | — | 2 insurers |
| ST LUKE'S WARREN HOSPITAL | NJ | $304 | $252 | — | — | 3 insurers |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS | PA | $304 | $252 | — | — | 3 insurers |
| ST LUKES HOSPITAL BETHLEHEM | PA | $304 | $252 | — | — | 3 insurers |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS | PA | $304 | $252 | — | — | 3 insurers |
| ST LUKE'S HOSPITAL - EASTON CAMPUS | PA | $304 | $252 | — | — | 3 insurers |
| ST LUKE'S MINERS MEMORIAL HOSPITAL | PA | $304 | $252 | — | — | 3 insurers |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS | PA | $304 | $252 | — | — | 3 insurers |
| ST LUKE'S HOSPITAL - MONROE CAMPUS | PA | $304 | $252 | — | — | 3 insurers |
| GEISINGER ST. LUKE'S HOSPITAL | PA | $304 | $252 | — | — | 3 insurers |
| ST LUKE'S HOSPITAL - CARBON CAMPUS | PA | $304 | $252 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $9,033 | $3,162 | $1,233 | $3,424 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $9,033 | $3,162 | $1,233 | $3,424 | 3 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $9,033 | $3,162 | $1,233 | $3,424 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $9,033 | $3,162 | $1,233 | $3,424 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $9,033 | $3,162 | $1,233 | $3,424 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $9,033 | $3,162 | $1,233 | $3,424 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $9,033 | $3,162 | $1,233 | $3,424 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $9,033 | $3,162 | $1,233 | $3,424 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $9,033 | $3,162 | $1,233 | $3,424 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $9,033 | $3,162 | $1,233 | $3,424 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $9,033 | $3,162 | $1,233 | $3,424 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $9,033 | $3,162 | $1,233 | $3,424 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $9,033 | $3,162 | $1,233 | $3,424 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $9,033 | $3,162 | $1,233 | $3,424 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $9,033 | $3,162 | $1,233 | $3,424 | 3 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $4,900 | $3,185 | — | — | 5 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | $3,775 | $3,209 | — | — | 3 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | $3,775 | $3,209 | — | — | 3 insurers |
| HUGGINS HOSPITAL | NH | $310 | $155 | — | — | 0 insurers |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM | AL | $464 | $116 | — | — | 5 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $3,453 | — | — | 5 insurers |
| RED BAY HOSPITAL | AL | $11,490 | $6,434 | — | — | 3 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $11,490 | $6,434 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $11,490 | $6,434 | — | — | 3 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $11,490 | $6,434 | — | — | 3 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $11,490 | $6,434 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $11,490 | $6,434 | — | — | 3 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $11,490 | $6,434 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $11,490 | $6,434 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $11,490 | $6,434 | — | — | 3 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $11,490 | $6,434 | — | — | 3 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $11,490 | $6,434 | — | — | 3 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $11,490 | $6,434 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $11,490 | $6,434 | — | — | 3 insurers |
| TWIN COUNTY REGIONAL HOSPITAL | VA | $17,324 | $6,930 | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | $12,214 | $7,939 | $9,088 | $14,143 | 1 insurers |
| COOPER UNIVERSITY HOSPITAL | NJ | $8,363 | $8,363 | — | — | 5 insurers |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM | AL | $36,626 | $9,157 | — | — | 5 insurers |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF | CA | $11,425 | $11,425 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | IL | $11,425 | $11,425 | — | — | 0 insurers |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON | MA | $11,425 | $11,425 | — | — | 1 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | MO | $11,425 | $11,425 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | OH | $11,425 | $11,425 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN - PORTLAND | OR | $11,425 | $11,425 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA | PA | $11,425 | $11,425 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | SC | $11,425 | $11,425 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | TX | $11,425 | $11,425 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | WA | $11,425 | $11,425 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $37,525 | $22,515 | — | — | 5 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 5 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 5 insurers |
| ANDALUSIA HEALTH | AL | — | — | $1,031 | $1,341 | 5 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 2 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 5 insurers |
| RUSSELL MEDICAL CENTER | AL | — | — | — | — | 5 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | — | — | — | — | 5 insurers |
| VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS | AL | — | — | $1,073 | $1,395 | 5 insurers |
| EAMC - LANIER | AL | — | — | — | — | 5 insurers |
| EAMC - LANIER | AL | — | — | — | — | 5 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $1,004 | $1,004 | 2 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 5 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 5 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $2,539 | $6,642 | 3 insurers |
| TUCSON MEDICAL CENTER | AZ | — | — | — | — | 2 insurers |
| ST JOSEPH'S HOSPITAL | AZ | — | — | — | — | 5 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | — | — | $452 | $1,332 | 5 insurers |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | — | — | $450 | $3,822 | 5 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | — | — | $411 | $3,590 | 5 insurers |
| HONORHEALTH TEMPE MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH DEER VALLEY MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | — | — | $452 | $3,590 | 5 insurers |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | — | — | $452 | $3,093 | 5 insurers |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| BENSON HOSPITAL | AZ | — | — | — | — | 1 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | — | — | — | — | 1 insurers |
| CHI-ST VINCENT INFIRMARY | AR | — | — | $726 | $2,421 | 5 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | — | — | $726 | $2,421 | 5 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 2 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 5 insurers |
| CHI ST VINCENT MORRILTON | AR | — | — | $726 | $2,421 | 5 insurers |
| BRADLEY COUNTY MEDICAL CENTER | AR | — | — | — | — | 5 insurers |
| PENINSULA MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP | CA | — | — | — | — | 1 insurers |
| SUTTER AMADOR HOSPITAL | CA | — | — | — | — | 1 insurers |
| MERCY GENERAL HOSPITAL | CA | — | — | $252 | $18,443 | 5 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 2 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | — | — | $286 | $1,498 | 5 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS | CA | — | — | — | — | 1 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL | CA | — | — | — | — | 1 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | — | — | $230 | $7,244 | 5 insurers |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER | CA | — | — | $4,018 | $4,307 | 5 insurers |
| ST JOHNS REGIONAL MEDICAL CENTER | CA | — | — | $305 | $16,750 | 5 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | — | — | $160 | $3,808 | 5 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | — | — | — | — | 3 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | — | — | $160 | $7,160 | 5 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $1,498 | $4,417 | 5 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | — | — | $160 | $4,849 | 5 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $1,150 | $7,512 | 5 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 4 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 2 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | — | — | $160 | $8,942 | 5 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | — | — | $160 | $7,111 | 5 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 1 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | — | — | $160 | $7,030 | 5 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | — | — | $160 | $14,855 | 5 insurers |
| UCSF HEALTH SAINT FRANCIS HOSPITAL | CA | — | — | $246 | $7,222 | 5 insurers |
| ST MARY MEDICAL CENTER | CA | — | — | $452 | $3,093 | 5 insurers |
| SEQUOIA HOSPITAL | CA | — | — | $160 | $10,404 | 5 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 5 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | — | — | $160 | $6,120 | 5 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | — | — | $250 | $5,572 | 5 insurers |
| DOMINICAN HOSPITAL | CA | — | — | $160 | $9,253 | 5 insurers |
| SIERRA VIEW MEDICAL CENTER | CA | — | — | — | — | 5 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $1,474 | $4,417 | 5 insurers |
| MERCY MEDICAL CENTER REDDING | CA | — | — | $318 | $5,310 | 5 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $1,760 | $18,025 | 5 insurers |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | CA | — | — | — | — | 1 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 1 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP | CA | — | — | — | — | 1 insurers |
| SUTTER TRACY COMMUNITY HOSPITAL | CA | — | — | — | — | 1 insurers |
| NORTHBAY MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $1,498 | $4,417 | 5 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | — | — | $160 | $8,570 | 5 insurers |
| SUTTER COAST HOSPITAL | CA | — | — | — | — | 1 insurers |
| STANFORD HEALTH CARE | CA | — | — | $1,690 | $7,163 | 5 insurers |
| MERCY MEDICAL CENTER | CA | — | — | $224 | $12,552 | 5 insurers |
| UCSF HEALTH ST. MARY'S HOSPITAL | CA | — | — | $248 | $7,753 | 5 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 2 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $1,498 | $3,596 | 5 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $1,000 | $6,762 | 5 insurers |
| EDEN MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| SUTTER AUBURN FAITH HOSPITAL | CA | — | — | — | — | 1 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | — | — | $160 | $8,609 | 5 insurers |
| SUTTER DELTA MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| MEMORIAL HOSPITAL LOS BANOS | CA | — | — | — | — | 1 insurers |
| SUTTER DAVIS HOSPITAL | CA | — | — | — | — | 1 insurers |
| UCI HEALTH - LOS ALAMITOS | CA | — | — | $1,539 | $8,064 | 5 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $1,539 | $8,064 | 5 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $1,539 | $8,064 | 5 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $1,539 | $8,064 | 5 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | — | — | $160 | $9,228 | 5 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 5 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $362 | $10,525 | 5 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $1,000 | $5,865 | 5 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $1,091 | $5,953 | 5 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 4 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 2 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 1 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 5 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 2 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 2 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 1 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 3 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | — | — | $272 | $859 | 3 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 1 insurers |
| MARK TWAIN MEDICAL CENTER | CA | — | — | $160 | $160 | 5 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $1,750 | $8,407 | 5 insurers |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO | CA | — | — | — | — | 5 insurers |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | CA | — | — | — | — | 5 insurers |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB | CA | — | — | $1,000 | $6,762 | 5 insurers |
| LONGMONT UNITED HOSPITAL | CO | — | — | — | — | 1 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 5 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 5 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $1,205 | $8,538 | 5 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 1 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 5 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $420 | $3,700 | 5 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | — | — | $803 | $6,796 | 5 insurers |
| ST ELIZABETH HOSPITAL | CO | — | — | $286 | $1,498 | 5 insurers |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER | CO | — | — | — | — | 5 insurers |
| AdventHealth Porter | CO | — | — | $618 | $3,501 | 5 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $618 | $3,501 | 5 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 1 insurers |
| AdventHealth Littleton | CO | — | — | $618 | $3,501 | 5 insurers |
| AdventHealth Parker | CO | — | — | $618 | $3,501 | 5 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 1 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | — | — | — | — | 2 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 1 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $618 | $3,501 | 5 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | — | — | — | — | 5 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | — | — | — | — | 5 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 4 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | — | — | — | — | 4 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 1 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $461 | $7,227 | 5 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 5 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | — | — | — | — | 5 insurers |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT | CT | — | — | — | — | 5 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $709 | $6,242 | 5 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $709 | $6,049 | 5 insurers |
| ORLANDO HEALTH | FL | — | — | $1,230 | $10,699 | 5 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $1,250 | $3,312 | 5 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $1,187 | $2,730 | 5 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $1,556 | $8,484 | 5 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $1,084 | $5,769 | 5 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $447 | $10,699 | 5 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $1,950 | $11,343 | 5 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $1,187 | $7,573 | 5 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $2,250 | $40,673 | 5 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $377 | $2,774 | 5 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 5 insurers |
| AdventHealth Carrollwood | FL | — | — | $401 | $2,774 | 5 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $2,050 | $10,472 | 5 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 2 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $1,230 | $10,699 | 5 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $1,250 | $3,312 | 5 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $1,950 | $8,253 | 5 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $1,950 | $12,500 | 5 insurers |
| BARTOW REGIONAL MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| MORTON PLANT HOSPITAL | FL | — | — | — | — | 5 insurers |
| TAMPA GENERAL HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA AVENTURA HOSPITAL | FL | — | — | $1,950 | $9,160 | 5 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 5 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $1,250 | $2,774 | 5 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $2,397 | $12,500 | 5 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $1,950 | $12,418 | 5 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $2,050 | $8,727 | 5 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $2,050 | $10,472 | 5 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $1,950 | $14,306 | 5 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $1,500 | $7,522 | 5 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $1,950 | $9,160 | 5 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $1,950 | $254,408 | 5 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $1,950 | $15,319 | 5 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $1,950 | $12,418 | 5 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $1,950 | $9,160 | 5 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $1,950 | $12,418 | 5 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $1,230 | $10,699 | 5 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $1,950 | $12,500 | 5 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $1,950 | $14,306 | 5 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $1,950 | $12,418 | 5 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $1,950 | $15,319 | 5 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $1,950 | $12,418 | 5 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $1,500 | $7,522 | 5 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $1,950 | $12,500 | 5 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $1,950 | $12,418 | 5 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $1,950 | $11,343 | 5 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $1,500 | $7,522 | 5 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $1,950 | $11,343 | 5 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $1,950 | $12,500 | 5 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $1,638 | $7,522 | 5 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 3 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $1,950 | $12,418 | 5 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $1,950 | $12,418 | 5 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $1,950 | $12,418 | 5 insurers |
| WEST BOCA MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $1,950 | $9,160 | 5 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $1,230 | $10,699 | 5 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $1,230 | $10,597 | 5 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $1,250 | $2,774 | 5 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $1,950 | $12,500 | 5 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $1,950 | $12,500 | 5 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $1,950 | $12,500 | 5 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 3 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $1,950 | $9,160 | 5 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 5 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $1,250 | $3,312 | 5 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 5 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 5 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $6,566 | $16,655 | 5 insurers |
| Memorial Satilla Health | GA | — | — | $1,150 | $7,512 | 5 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 5 insurers |
| SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS | GA | $1,672 | — | — | — | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $1,178 | $16,442 | 5 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $1,049 | $16,442 | 5 insurers |
| NGMC BARROW, LLC | GA | — | — | $1,178 | $16,442 | 5 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $1,114 | $2,535 | 5 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 5 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC | GA | — | — | — | — | 5 insurers |
| BURKE MEDICAL CENTER | GA | — | — | — | — | 5 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $1,150 | $7,512 | 5 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $1,150 | $16,800 | 5 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $517 | $4,243 | 5 insurers |
| SOUTHEAST GEORGIA HEALTH SYSTEM -- CAMDEN CAMPUS | GA | $1,672 | — | — | — | 5 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 2 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $1,244 | $5,045 | 5 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 5 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 5 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $1,132 | $1,177 | 3 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | — | — | $0.65 | $2,581 | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $1,178 | $16,442 | 5 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $2,550 | $2,800 | 2 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 2 insurers |
| ARCHBOLD BROOKS | GA | — | — | $39.32 | $3,423 | 5 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $350 | $4,765 | 5 insurers |
| KONA COMMUNITY HOSPITAL | HI | — | — | — | — | 5 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 5 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $1,083 | $1,396 | 4 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | — | — | $452 | $5,160 | 5 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 1 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 5 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $1,282 | $3,338 | 5 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $1,282 | $3,952 | 2 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 1 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 5 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | — | — | — | — | 1 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $1,282 | $1,346 | 3 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 4 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $467 | $4,932 | 5 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $467 | $5,581 | 5 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $946 | $3,946 | 5 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $467 | $5,581 | 5 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $1,282 | $7,272 | 4 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 1 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $467 | $5,581 | 5 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 1 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $467 | $5,581 | 5 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $1,282 | $5,339 | 5 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 3 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | — | — | — | — | 1 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $467 | $5,581 | 5 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $467 | $5,581 | 5 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $467 | $5,581 | 5 insurers |
| MEMORIAL HOSPITAL | IL | — | — | — | — | 5 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $946 | $3,946 | 5 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $1,282 | $4,164 | 5 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 2 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | — | — | $452 | $4,815 | 5 insurers |
| EDWARD HOSPITAL | IL | — | — | $1,282 | $2,622 | 5 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $467 | $5,581 | 5 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $1,282 | $5,638 | 5 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $1,282 | $3,338 | 5 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 5 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | — | — | — | — | 1 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | — | — | — | — | 4 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $946 | $3,946 | 5 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 5 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $467 | $5,581 | 5 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $467 | $5,581 | 5 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $4,840 | $5,809 | 2 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $467 | $5,581 | 5 insurers |
| METHODIST HOSPITALS INC | IN | — | — | $1,049 | $4,053 | 5 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $1,143 | $1,188 | 3 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $1,083 | $1,396 | 4 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 5 insurers |
| UNION HOSPITAL INC | IN | — | — | $1,151 | $8,436 | 5 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 5 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 5 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | — | — | — | — | 1 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 5 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | $413 | $1,204 | 5 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $1,186 | $4,603 | 5 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | — | — | — | — | 5 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | — | — | — | — | 5 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | — | — | — | — | 5 insurers |
| UCHICAGO MEDICINE NORTHWEST INDIANA | IN | — | — | $946 | $3,946 | 5 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 5 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 1 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $382 | $1,854 | 5 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 1 insurers |
| TRINITY MUSCATINE | IA | — | — | — | — | 4 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | — | — | — | — | 4 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | — | — | $803 | $3,259 | 5 insurers |
| MARY GREELEY MEDICAL CENTER | IA | — | — | $160 | $6,054 | 5 insurers |
| ST LUKES HOSPITAL | IA | — | — | — | — | 4 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | — | — | — | — | 4 insurers |
| TRINITY - BETTENDORF | IA | — | — | — | — | 5 insurers |
| ALLEN HOSPITAL | IA | — | — | — | — | 4 insurers |
| FINLEY HOSPITAL | IA | — | — | — | — | 5 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | — | — | — | — | 4 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | — | — | — | — | 4 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | — | — | — | — | 4 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | — | — | — | — | 5 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 5 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $8,286 | $13,010 | 5 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | — | — | $452 | $4,168 | 5 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $1,125 | $3,918 | 5 insurers |
| HUTCHINSON REGIONAL MEDICAL CENTER INC | KS | — | — | — | — | 1 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | — | — | — | — | 1 insurers |
| LABETTE HEALTH | KS | — | — | — | — | 5 insurers |
| WESLEY MEDICAL CENTER | KS | — | — | $382 | $1,854 | 5 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | — | — | — | — | 1 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $1,133 | $8,225 | 5 insurers |