| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $2,603 | $911 | $482 | $1,302 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $2,603 | $911 | $482 | $1,302 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $2,603 | $911 | $482 | $1,302 | 3 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $2,603 | $911 | $482 | $1,302 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $2,603 | $911 | $482 | $1,302 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $2,603 | $911 | $482 | $1,302 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $2,603 | $911 | $482 | $1,302 | 3 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $2,603 | $911 | $482 | $1,302 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $2,603 | $911 | $482 | $1,302 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $2,603 | $911 | $482 | $1,302 | 3 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $1,830 | $915 | — | — | 5 insurers |
| UNITED MEDICAL CENTER | DC | $1,831 | $916 | — | — | 5 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $1,831 | $916 | — | — | 5 insurers |
| MEMORIAL HOSPITAL | IL | $2,047 | $921 | — | — | 5 insurers |
| MEMORIAL HOSPITAL | IL | $2,047 | $921 | — | — | 5 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $1,850 | $925 | — | — | 5 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $1,850 | $925 | — | — | 5 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $1,850 | $925 | — | — | 5 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $1,850 | $925 | — | — | 5 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $1,850 | $925 | — | — | 5 insurers |
| AURORA MEDICAL CTR MANITOWOC COUNTY | WI | $1,850 | $925 | — | — | 5 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $1,850 | $925 | — | — | 5 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $1,850 | $925 | — | — | 5 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $1,850 | $925 | — | — | 5 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $1,850 | $925 | — | — | 5 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $1,850 | $925 | — | — | 5 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $1,850 | $925 | — | — | 5 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $1,850 | $925 | — | — | 5 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $1,850 | $925 | — | — | 5 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $1,850 | $925 | — | — | 5 insurers |
| AURORA MEDICAL CENTER | WI | $1,850 | $925 | — | — | 5 insurers |
| FAUQUIER HOSPITAL | VA | $2,232 | $893 | — | — | 1 insurers |
| PARADISE VALLEY HOSPITAL | CA | $2,622 | $892 | $147 | $2,622 | 5 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $1,511 | $892 | $147 | $1,511 | 5 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $1,511 | $892 | $147 | $1,511 | 5 insurers |
| SAN DIMAS COMMUNITY HOSPITAL | CA | $12,375 | $892 | $147 | $12,375 | 5 insurers |
| DESERT VALLEY HOSPITAL | CA | $2,031 | $892 | $147 | $6,368 | 5 insurers |
| CENTINELA HOSPITAL MEDICAL CENTER | CA | $9,883 | $892 | $147 | $9,883 | 5 insurers |
| SHASTA REGIONAL MEDICAL CENTER | CA | $6,039 | $892 | $147 | $6,039 | 5 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $3,032 | $891 | $147 | $6,009 | 5 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $1,781 | $891 | — | — | 5 insurers |
| ALTON MEMORIAL HOSPITAL | IL | $1,484 | $890 | $624 | $8,198 | 5 insurers |
| MEMORIAL HOSPITAL | IL | $1,484 | $890 | $624 | $8,198 | 5 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $1,484 | $890 | $720 | $1,484 | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $1,482 | $889 | $729 | $1,186 | 5 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $3,795 | $934 | $2,049 | $2,922 | 2 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $3,795 | $934 | $68.3 | $3,514 | 5 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $1,335 | $935 | — | — | 5 insurers |
| THE QUEENS MEDICAL CENTER | HI | $1,335 | $935 | — | — | 5 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | $2,343 | $937 | — | — | 5 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $1,758 | $879 | — | — | 5 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $1,758 | $879 | — | — | 4 insurers |
| AdventHealth Palm Coast | FL | $1,594 | $877 | $149 | $1,434 | 5 insurers |
| ADVENTHEALTH DELAND | FL | $1,594 | $877 | $149 | $1,434 | 5 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $2,416 | $876 | — | — | 5 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $2,416 | $876 | — | — | 5 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $2,416 | $876 | — | — | 5 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $1,750 | $875 | — | — | 5 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $1,750 | $875 | — | — | 5 insurers |
| FROEDTERT COMMUNITY HOSPITAL | WI | $1,590 | $874 | — | — | 5 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $1,584 | $950 | — | — | 5 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $1,584 | $950 | — | — | 5 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | — | $870 | — | — | 5 insurers |
| SAN GORGONIO MEMORIAL HOSPITAL | CA | $4,322 | $864 | — | — | 5 insurers |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO | IL | $1,234 | $864 | — | — | 5 insurers |
| UNM HOSPITAL | NM | $1,566 | $861 | — | — | 5 insurers |
| ST LUKES HOSPITAL | MN | $1,535 | $860 | — | — | 5 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $2,186 | $850 | $240 | $1,793 | 5 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $2,186 | $850 | $67.19 | $7,087 | 5 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $1,439 | $849 | $791 | $1,353 | 5 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $1,439 | $849 | $124 | $6,796 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $1,439 | $849 | $791 | $1,353 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $1,439 | $849 | $124 | $6,796 | 5 insurers |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH | LA | $3,442 | $974 | $516 | $3,270 | 5 insurers |
| PHYSICIANS MEDICAL CENTER | LA | $3,442 | $974 | $516 | $3,270 | 5 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,409 | $845 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,409 | $845 | — | — | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $2,952 | $844 | $886 | $2,125 | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $2,952 | $844 | $63.21 | $5,512 | 5 insurers |
| ALAMEDA HOSPITAL | CA | $1,687 | $844 | $675 | $1,265 | 4 insurers |
| HIGHLAND HOSPITAL | CA | $1,687 | $844 | $675 | $1,265 | 4 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $1,403 | $982 | — | — | 5 insurers |
| ADVENTHEALTH WATERMAN | FL | $1,519 | $835 | $260 | $2,330 | 5 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | $1,234 | $987 | — | — | 5 insurers |
| COX MEDICAL CENTERS | MO | $3,935 | $992 | — | — | 5 insurers |
| COX MEDICAL CENTER BRANSON | MO | $3,935 | $992 | — | — | 5 insurers |
| CARILION MEDICAL CENTER | VA | $2,366 | $828 | — | — | 5 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $2,366 | $828 | — | — | 5 insurers |
| MERCY MEDICAL CENTER | OR | $1,866 | $995 | $1,400 | $1,773 | 5 insurers |
| MERCY MEDICAL CENTER | OR | $1,866 | $995 | $568 | $2,656 | 5 insurers |
| DOMINICAN HOSPITAL | CA | $1,818 | $818 | $1,454 | $1,545 | 3 insurers |
| DOMINICAN HOSPITAL | CA | $1,818 | $818 | $147 | $9,244 | 5 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $1,006 | $53.5 | $1,890 | 2 insurers |
| ADVENTHEALTH DADE CITY | FL | $1,681 | $1,009 | $237 | $1,513 | 5 insurers |
| BAXTER HEALTH | AR | $1,351 | $811 | — | — | 3 insurers |
| HAZARD ARH REGIONAL MEDICAL CENTER | KY | $1,687 | $1,012 | — | — | 5 insurers |
| ST NICHOLAS HOSPITAL | WI | $1,227 | $810 | — | — | 5 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $2,747 | $808 | $21.83 | $2,747 | 5 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $1,154 | $808 | $0 | $1,039 | 4 insurers |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC | ID | $1,154 | $808 | $228 | $1,546 | 4 insurers |
| THOMAS HOSPITAL | AL | $1,615 | $808 | — | — | 5 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $1,345 | $807 | $624 | $8,198 | 5 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $3,795 | $1,017 | $2,049 | $3,188 | 2 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $3,795 | $1,017 | $68.3 | $3,514 | 5 insurers |
| WHEELING HOSPITAL, INC | WV | $1,603 | $802 | — | — | 5 insurers |
| HOLY FAMILY HOSPITAL | MA | $1,457 | $801 | — | — | 5 insurers |
| NAVICENT HEALTH BALDWIN | GA | $1,596 | $798 | — | — | 1 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | $1,596 | $798 | — | — | 1 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $1,991 | $796 | — | — | 5 insurers |
| BRIDGEPORT HOSPITAL | CT | $2,013 | $1,027 | — | — | 5 insurers |
| University of Arkansas Medical Sciences | AR | $1,325 | $795 | — | — | 5 insurers |
| SOUTH COUNTY HOSPITAL INC | RI | $1,714 | $1,028 | — | — | 3 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $1,870 | $1,029 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $1,583 | $1,029 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $1,583 | $1,029 | — | — | 5 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $6,084 | $791 | — | — | 5 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $3,070 | $788 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $3,070 | $788 | $568 | $3,671 | 5 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $2,708 | $1,034 | $1,625 | $2,139 | 3 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $2,708 | $1,034 | $68.3 | $5,506 | 5 insurers |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR | NY | $787 | $787 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $1,965 | $786 | — | — | 5 insurers |
| ROME MEMORIAL HOSPITAL, INC | NY | $1,941 | $784 | — | — | 5 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $783 | — | — | 5 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $783 | — | — | 5 insurers |
| CHI ST VINCENT MORRILTON | AR | $3,070 | $782 | — | — | 0 insurers |
| CHI ST VINCENT MORRILTON | AR | $3,070 | $782 | $568 | $2,640 | 5 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $3,070 | $780 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $3,070 | $780 | $568 | $1,979 | 5 insurers |
| LANDMARK MEDICAL CENTER | RI | $2,622 | $780 | $613 | $2,622 | 5 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $2,606 | $1,042 | — | — | 5 insurers |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | MI | $916 | $779 | — | — | 5 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $2,013 | $1,047 | — | — | 5 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $2,100 | $1,050 | — | — | 5 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $1,283 | $770 | $621 | $8,198 | 5 insurers |
| ADVENTHEALTH FISH MEMORIAL | FL | $1,913 | $1,052 | $260 | $1,722 | 5 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $2,065 | $1,053 | — | — | 4 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $1,280 | $768 | $621 | $8,198 | 5 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $1,280 | $768 | $621 | $8,198 | 5 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $1,280 | $768 | $621 | $8,198 | 5 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $1,810 | $766 | $1,177 | $1,177 | 1 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $1,810 | $766 | $0.65 | $3,196 | 5 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $1,276 | $766 | $574 | $6,771 | 5 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $1,276 | $766 | $574 | $6,771 | 5 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $1,276 | $766 | $574 | $6,771 | 5 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $1,276 | $766 | $574 | $6,771 | 5 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $1,276 | $766 | $574 | $6,771 | 5 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $1,276 | $766 | $574 | $6,771 | 5 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $1,276 | $766 | $574 | $6,771 | 5 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $1,276 | $766 | $574 | $6,771 | 5 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $1,276 | $766 | $574 | $6,771 | 5 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $1,276 | $766 | $574 | $6,771 | 5 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $2,639 | $1,058 | — | — | 5 insurers |
| HIGHLAND HILLS MEDICAL CENTER | MS | $1,519 | $759 | — | — | 0 insurers |
| NORTH VISTA HOSPITAL | NV | $3,478 | $758 | $62.58 | $3,478 | 5 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $1,254 | $1,066 | — | — | 1 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $2,159 | $756 | — | — | 5 insurers |
| LONGS PEAK HOSPITAL | CO | $2,159 | $756 | — | — | 5 insurers |
| LONGS PEAK HOSPITAL | CO | $2,159 | $756 | — | — | 5 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $2,159 | $756 | — | — | 5 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $2,159 | $756 | — | — | 5 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $1,937 | $755 | — | — | 2 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $2,147 | $751 | $966 | $2,147 | 5 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $2,147 | $751 | $467 | $9,029 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $2,147 | $751 | $923 | $2,147 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $2,147 | $751 | $417 | $9,029 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $2,147 | $751 | $923 | $2,147 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $2,147 | $751 | $417 | $9,029 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $2,147 | $751 | $923 | $2,147 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $2,147 | $751 | $417 | $9,029 | 5 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $1,447 | $1,074 | $1,230 | $1,404 | 5 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $1,447 | $1,074 | $68.3 | $1,404 | 5 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $2,220 | $1,077 | $1,532 | $1,754 | 4 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $2,220 | $1,077 | $132 | $6,374 | 5 insurers |
| MERCY MEDICAL CENTER INC | MD | $2,290 | $743 | $62.99 | $2,290 | 5 insurers |
| ST JOSEPH MEDICAL CENTER | WA | $823 | $743 | $62.99 | $1,237 | 5 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $2,160 | $1,080 | — | — | 5 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $2,160 | $1,080 | — | — | 5 insurers |
| METHODIST HOSPITAL UNION COUNTY | KY | $1,675 | $1,089 | — | — | 5 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $2,091 | $732 | $572 | $2,960 | 5 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $1,559 | $1,092 | — | — | 5 insurers |
| THE GENERAL | LA | $1,559 | $1,092 | — | — | 5 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $1,821 | $728 | — | — | 2 insurers |
| WESTERLY HOSPITAL | RI | $2,013 | $725 | — | — | 5 insurers |
| USC ARCADIA HOSPITAL | CA | $2,064 | $722 | — | — | 5 insurers |
| HOLY FAMILY MEMORIAL | WI | — | $716 | $58.4 | $1,302 | 0 insurers |
| MOUNT GRANT GENERAL HOSPITAL | NV | $2,747 | $712 | $454 | $2,747 | 5 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $2,747 | $712 | $454 | $2,747 | 5 insurers |
| GENEVA GENERAL HOSPITAL | NY | $1,779 | $712 | — | — | 0 insurers |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES | NY | $1,779 | $712 | — | — | 5 insurers |
| FORT DUNCAN MEDICAL CENTER | TX | $2,779 | $1,112 | — | — | 5 insurers |
| ST THOMAS MORE HOSPITAL | CO | $1,768 | $707 | — | — | 5 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $1,759 | $705 | — | — | 5 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $1,759 | $705 | — | — | 5 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $1,759 | $705 | — | — | 5 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $1,759 | $705 | — | — | 5 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $1,759 | $705 | — | — | 5 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $1,459 | $703 | $671 | $1,328 | 5 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $1,459 | $703 | $403 | $1,328 | 5 insurers |
| OSWEGO HOSPITAL | NY | $1,493 | $1,120 | — | — | 5 insurers |
| BRISTOL HOSPITAL | CT | $4,683 | $702 | — | — | 5 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $4,683 | $702 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $4,683 | $702 | — | — | 5 insurers |
| JOHNSTON HEALTH | NC | $4,683 | $702 | — | — | 5 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $4,683 | $702 | — | — | 5 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $4,683 | $702 | — | — | 5 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $4,683 | $702 | — | — | 5 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $4,683 | $702 | — | — | 5 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $4,683 | $702 | — | — | 5 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $4,683 | $702 | — | — | 5 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $4,683 | $702 | — | — | 5 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $4,683 | $702 | — | — | 5 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $4,683 | $702 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $4,683 | $702 | — | — | 5 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $4,683 | $702 | — | — | 5 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $4,683 | $702 | — | — | 5 insurers |
| LONESOME PINE HOSPITAL | VA | $4,683 | $702 | — | — | 5 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $2,639 | $1,121 | — | — | 5 insurers |
| KNAPP MEDICAL CENTER | TX | $4,113 | $697 | $237 | $4,031 | 5 insurers |
| MISSION REGIONAL MEDICAL CENTER | TX | $2,811 | $697 | $142 | $2,249 | 5 insurers |
| DALLAS MEDICAL CENTER | TX | $1,874 | $697 | $121 | $1,874 | 5 insurers |
| HARLINGEN MEDICAL CENTER | TX | $4,044 | $697 | $204 | $3,235 | 5 insurers |
| SOUTHERN REGIONAL MEDICAL CENTER | GA | $2,938 | $695 | $377 | $2,938 | 5 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,623 | $695 | $1,022 | $1,591 | 4 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,623 | $695 | $147 | $7,160 | 5 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $1,131 | $348 | $1,500 | 3 insurers |
| CENTRAL MAINE MEDICAL CENTER | ME | $2,352 | $688 | $688 | $2,352 | 5 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,459 | $687 | $1,328 | $1,328 | 1 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,459 | $687 | $343 | $1,538 | 5 insurers |
| LOWER BUCKS HOSPITAL | PA | $1,200 | $685 | $209 | $1,200 | 5 insurers |
| STILLWATER MEDICAL CENTER | OK | $1,432 | $1,146 | $680 | $1,827 | 5 insurers |
| STILLWATER MEDICAL - PERRY | OK | $1,432 | $1,146 | $680 | $1,827 | 5 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | $1,432 | $1,146 | $680 | $1,827 | 5 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $702 | $667 | — | — | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,815 | $666 | $1,271 | $1,434 | 3 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,815 | $666 | $147 | $6,060 | 5 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $1,079 | $658 | $529 | $1,003 | 5 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $1,079 | $658 | $124 | $3,908 | 5 insurers |
| SAINT JOHN HOSPITAL | KS | $268 | $656 | $80.3 | $268 | 5 insurers |
| PROVIDENCE MEDICAL CENTER | KS | $2,197 | $656 | $320 | $2,030 | 5 insurers |
| WAYNE MEMORIAL HOSPITAL | GA | $1,666 | $1,166 | — | — | 0 insurers |
| FAYETTE MEDICAL CENTER | AL | $1,168 | $1,168 | $1,168 | $1,168 | 1 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $2,159 | $648 | — | — | 5 insurers |
| FINLEY HOSPITAL | IA | $1,474 | $1,179 | — | — | 5 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,478 | $1,183 | — | — | 2 insurers |
| ALLEN HOSPITAL | IA | $1,478 | $1,183 | — | — | 5 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,478 | $1,183 | — | — | 5 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $1,822 | $638 | $1,184 | $1,367 | 5 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $1,822 | $638 | $121 | $9,029 | 5 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $1,159 | $637 | — | — | 5 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,623 | $636 | $438 | $1,591 | 5 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,623 | $636 | $147 | $6,120 | 5 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $2,013 | $1,188 | — | — | 5 insurers |
| TRINITY ROCK ISLAND | IL | $792 | $634 | — | — | 3 insurers |
| TRINITY - BETTENDORF | IA | $792 | $634 | — | — | 2 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $792 | $634 | — | — | 5 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $2,186 | $630 | $1,640 | $1,814 | 4 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $2,186 | $630 | $67.19 | $7,452 | 5 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $1,482 | $622 | $889 | $1,260 | 3 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $1,482 | $622 | $124 | $3,259 | 5 insurers |
| CHI HEALTH BERGAN MERCY | NE | $1,482 | $622 | $889 | $1,260 | 3 insurers |
| CHI HEALTH BERGAN MERCY | NE | $1,482 | $622 | $124 | $3,259 | 5 insurers |
| CHI HEALTH IMMANUEL | NE | $1,482 | $622 | $889 | $1,260 | 3 insurers |
| CHI HEALTH IMMANUEL | NE | $1,482 | $622 | $124 | $3,259 | 5 insurers |
| CHI HEALTH MIDLANDS | NE | $1,482 | $622 | $889 | $1,260 | 3 insurers |
| CHI HEALTH MIDLANDS | NE | $1,482 | $622 | $124 | $3,259 | 5 insurers |
| CHI HEALTH LAKESIDE | NE | $1,482 | $622 | $889 | $1,260 | 3 insurers |
| CHI HEALTH LAKESIDE | NE | $1,482 | $622 | $124 | $3,259 | 5 insurers |
| COX MONETT HOSPITAL | MO | $3,935 | $1,200 | — | — | 5 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $1,459 | $619 | $1,065 | $1,328 | 5 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $1,459 | $619 | $257 | $1,328 | 5 insurers |
| BAPTIST HEALTH - FORT SMITH | AR | $4,816 | $1,204 | — | — | 5 insurers |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | AR | $4,816 | $1,204 | — | — | 5 insurers |
| BAPTIST HEALTH MEDICAL CENTER- CONWAY | AR | $4,816 | $1,204 | — | — | 5 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $3,018 | $1,207 | — | — | 1 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $2,032 | $1,219 | — | — | 5 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $2,186 | $599 | $240 | $2,011 | 5 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $2,186 | $599 | $147 | $7,439 | 5 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $2,186 | $599 | $240 | $1,814 | 5 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $2,186 | $599 | $67.19 | $7,484 | 5 insurers |
| GOOD SAMARITAN HOSPITAL | CA | $214 | $1,223 | — | — | 5 insurers |
| JACKSON HEALTH SYSTEM | FL | $6,274 | $598 | $531 | $804 | 1 insurers |
| HURON VALLEY-SINAI HOSPITAL | MI | $1,633 | $1,225 | $2,419 | $5,717 | 4 insurers |
| DAVIS MEDICAL CENTER | WV | $846 | $592 | — | — | 5 insurers |
| BROADDUS HOSPITAL ASSOCIATION, INC | WV | $846 | $592 | — | — | 5 insurers |
| WEBSTER MEMORIAL HOSPITAL | WV | $846 | $592 | — | — | 5 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $1,542 | $1,233 | — | — | 5 insurers |
| MARION GENERAL HOSPITAL | MS | $2,058 | $1,235 | — | — | 5 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $2,470 | $1,235 | — | — | 5 insurers |
| SAINT JOSEPH EAST | KY | $1,459 | $586 | $1,328 | $1,328 | 1 insurers |
| SAINT JOSEPH EAST | KY | $1,459 | $586 | $357 | $1,538 | 5 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,459 | $586 | $1,328 | $1,328 | 1 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,459 | $586 | $357 | $1,538 | 5 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $3,116 | $1,247 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL-JORDAN VALLEY | UT | $3,116 | $1,247 | — | — | 5 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $1,781 | $1,247 | — | — | 5 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $1,781 | $1,247 | — | — | 5 insurers |
| HSHS ST ELIZABETH'S HOSPITAL | IL | $1,734 | $1,248 | — | — | 5 insurers |
| ADVENTHEALTH OCALA | FL | $2,085 | $1,251 | — | — | 5 insurers |
| COX BARTON COUNTY HOSPITAL | MO | $3,935 | $1,255 | — | — | 3 insurers |
| Baylor St Lukes Medical Center | TX | $1,614 | $565 | $414 | $2,700 | 5 insurers |
| CHI ST LUKES LAKESIDE HOSPITAL | TX | $1,614 | $565 | $414 | $2,468 | 5 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,584 | $1,267 | — | — | 5 insurers |
| TRINITY MUSCATINE | IA | $1,584 | $1,267 | — | — | 1 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $1,584 | $1,267 | — | — | 1 insurers |
| ST LUKES HOSPITAL | IA | $1,584 | $1,267 | — | — | 1 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $1,584 | $1,267 | — | — | 1 insurers |
| ALLEN HOSPITAL | IA | $1,584 | $1,267 | — | — | 3 insurers |
| FINLEY HOSPITAL | IA | $1,584 | $1,267 | — | — | 4 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $1,584 | $1,267 | — | — | 1 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $1,584 | $1,267 | — | — | 5 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,584 | $1,267 | — | — | 3 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $1,374 | $550 | — | — | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $2,419 | $549 | $726 | $1,742 | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $2,419 | $549 | $63.21 | $5,512 | 5 insurers |
| AIKEN REGIONAL MEDICAL CENTER | SC | $1,371 | $548 | — | — | 2 insurers |
| SWEETWATER HOSPITAL ASSOCIATION | TN | $1,371 | $548 | — | — | 2 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $1,593 | $1,274 | — | — | 3 insurers |
| ST ELIZABETH HOSPITAL | WA | $1,795 | $546 | $1,292 | $1,346 | 2 insurers |
| ST ELIZABETH HOSPITAL | WA | $1,795 | $546 | $757 | $6,630 | 5 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $1,810 | $536 | $1,466 | $1,466 | 3 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $1,810 | $536 | $0.65 | $3,196 | 5 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $1,459 | $535 | $1,328 | $1,328 | 1 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $1,459 | $535 | $305 | $1,328 | 5 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $3,227 | $1,291 | — | — | 1 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | $1,327 | $531 | — | — | 4 insurers |
| UNIONTOWN HOSPITAL | PA | $2,584 | $1,292 | — | — | 5 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $2,600 | $1,300 | — | — | 5 insurers |
| SAINT JOSEPH LONDON | KY | $1,459 | $521 | $1,328 | $1,328 | 1 insurers |
| SAINT JOSEPH LONDON | KY | $1,459 | $521 | $208 | $1,328 | 5 insurers |
| ST CLARE HOSPITAL | WA | $1,795 | $517 | $1,292 | $1,346 | 2 insurers |
| ST CLARE HOSPITAL | WA | $1,795 | $517 | $757 | $6,630 | 5 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $1,325 | $517 | — | — | 1 insurers |
| WELLSPAN YORK HOSPITAL | PA | $1,636 | $1,309 | — | — | 5 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $3,290 | $1,316 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $2,657 | $505 | — | — | 5 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $670 | $503 | — | — | 1 insurers |
| LAKE HEALTH | OH | $670 | $503 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $670 | $503 | — | — | 1 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $2,419 | $496 | $726 | $1,742 | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $2,419 | $496 | $63.21 | $5,512 | 5 insurers |
| DOYLESTOWN HOSPITAL | PA | $1,327 | $1,327 | — | — | 5 insurers |
| STEVENS COMMUNITY MEDICAL CENTER | MN | $654 | $491 | — | — | 5 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $1,225 | $490 | — | — | 1 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $1,334 | $1,334 | — | — | 5 insurers |
| BAPTIST MEDICAL CENTER BEACHES | FL | $2,550 | $484 | — | — | 5 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $832 | $483 | $499 | $782 | 5 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $832 | $483 | $366 | $782 | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $1,200 | $480 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $1,200 | $480 | — | — | 5 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $2,686 | $1,343 | — | — | 5 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $556 | $473 | — | — | 3 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $556 | $473 | — | — | 2 insurers |
| MOSAIC MEDICAL CENTER - MARYVILLE | MO | $556 | $473 | — | — | 5 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $1,740 | $463 | — | — | 5 insurers |
| IBERIA MEDICAL CENTER | LA | $2,270 | $1,362 | — | — | 5 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $4,542 | $454 | — | — | 5 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $4,542 | $454 | — | — | 5 insurers |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE | TN | $1,797 | $447 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $872 | $445 | $645 | $785 | 3 insurers |
| CHI ST ALEXIUS HEALTH | ND | $872 | $445 | $576 | $1,155 | 5 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | $1,105 | $442 | $66.78 | $939 | 4 insurers |
| BROADLAWNS MEDICAL CENTER | IA | $437 | $437 | — | — | 5 insurers |
| AUBURN COMMUNITY HOSPITAL | NY | $967 | $435 | — | — | 5 insurers |
| FROEDTERT SOUTH INC. | WI | $2,522 | $1,387 | — | — | 5 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $2,522 | $1,387 | — | — | 5 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $2,522 | $1,387 | — | — | 5 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $3,480 | $1,392 | — | — | 5 insurers |
| Adventhealth Zephyrhills | FL | $2,320 | $1,392 | $260 | $1,646 | 5 insurers |
| ADVENTHEALTH TAMPA | FL | $2,320 | $1,392 | $7.58 | $2,400 | 5 insurers |
| LONGMONT UNITED HOSPITAL | CO | $3,489 | $1,396 | — | — | 5 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $3,489 | $1,396 | — | — | 5 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | $2,151 | $1,398 | — | — | 5 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $565 | $424 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,999 | $1,399 | — | — | 5 insurers |
| SAUK PRAIRIE HOSPITAL | WI | $768 | $420 | — | — | 5 insurers |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN | MS | $1,400 | $420 | — | — | 5 insurers |
| ELLIS HOSPITAL | NY | $2,809 | $1,405 | — | — | 4 insurers |
| MERCY HOSPITAL | CA | $3,518 | $1,407 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $3,518 | $1,407 | — | — | 5 insurers |
| CITIZENS MEDICAL CENTER | TX | $829 | $415 | — | — | 5 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $2,827 | $1,413 | — | — | 2 insurers |
| BALDWIN HEALTH | AL | $2,720 | $1,414 | — | — | 3 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $2,720 | $1,414 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $2,720 | $1,414 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $2,720 | $1,414 | — | — | 3 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $2,720 | $1,414 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $2,720 | $1,414 | — | — | 3 insurers |
| NORTHSIDE HOSPITAL FORSYTH | GA | — | $400 | — | — | 0 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $2,032 | $1,422 | — | — | 5 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $936 | $374 | — | — | 1 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $936 | $374 | — | — | 2 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $936 | $374 | — | — | 1 insurers |
| HIGHPOINT HEALTH-TROUSDALE WITH ASCENSION SAINT | TN | $1,593 | $371 | — | — | 4 insurers |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH | TN | $1,593 | $371 | — | — | 4 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $2,115 | $370 | $1,798 | $2,115 | 2 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $2,115 | $370 | $173 | $5,066 | 5 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $2,115 | $370 | $799 | $2,115 | 5 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $2,115 | $370 | $465 | $3,711 | 5 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $2,115 | $370 | $733 | $2,115 | 5 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $2,115 | $370 | $269 | $3,711 | 5 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $2,115 | $370 | $1,443 | $2,115 | 4 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $2,115 | $370 | $767 | $5,066 | 5 insurers |
| HAYWOOD REGIONAL MEDICAL CENTER | NC | $3,651 | $1,460 | — | — | 0 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $2,436 | $1,462 | — | — | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $1,336 | $347 | $160 | $7,563 | 5 insurers |
| THE CHILDREN'S HOSPITAL OF ALABAMA | AL | $804 | $346 | — | — | 5 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $1,852 | $1,482 | — | — | 2 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | $1,747 | $1,485 | — | — | 3 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | $1,747 | $1,485 | — | — | 3 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $687 | $323 | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $826 | $322 | $173 | $620 | 3 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $1,001 | $320 | $432 | $2,669 | 5 insurers |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL | IL | $1,502 | $1,502 | — | — | 5 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $2,315 | $1,505 | — | — | 5 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $1,001 | $310 | $432 | $2,669 | 5 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $1,001 | $310 | $450 | $2,669 | 5 insurers |
| ROANE MEDICAL CENTER | TN | $1,001 | $310 | $450 | $2,669 | 5 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $1,001 | $310 | $450 | $2,669 | 5 insurers |
| LECONTE MEDICAL CENTER | TN | $1,001 | $310 | $432 | $2,669 | 5 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $1,001 | $310 | $432 | $2,669 | 5 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $618 | $309 | — | — | 2 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $618 | $309 | — | — | 2 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $618 | $309 | — | — | 2 insurers |
| WELLSPAN GOOD SAMARITAN HOSPITAL | PA | $1,896 | $1,517 | — | — | 5 insurers |
| WELLSPAN CHAMBERSBURG HOSPITAL | PA | $1,896 | $1,517 | — | — | 5 insurers |
| RANDOLPH HOSPITAL | NC | $1,500 | $300 | — | — | 4 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $389 | $292 | — | — | 1 insurers |
| PETERSON REGIONAL MEDICAL CENTER | TX | $2,200 | $1,540 | — | — | 5 insurers |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $1,543 | $1,543 | — | — | 5 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $1,434 | $272 | — | — | 5 insurers |
| ADVENTHEALTH CENTRAL TEXAS | TX | $3,104 | $1,552 | $1,388 | $2,794 | 5 insurers |
| ADVENTHEALTH ROLLINS BROOK | TX | $3,104 | $1,552 | $1,388 | $2,794 | 5 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $327 | $262 | $229 | $743 | 5 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $327 | $262 | $229 | $743 | 5 insurers |
| DEACONESS HOSPITAL INC | IN | $311 | $249 | $62.05 | $697 | 5 insurers |
| BEEBE MEDICAL CENTER | DE | $1,853 | $1,575 | — | — | 0 insurers |
| GREAT FALLS CLINIC HOSPITAL | MT | $1,593 | $1,593 | — | — | 5 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $217 | $217 | — | — | 1 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $620 | $217 | — | — | 5 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $2,458 | $1,622 | — | — | 5 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $198 | $198 | — | — | 5 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $455 | $191 | — | — | 4 insurers |
| SOUTH CENTRAL HEALTH | ND | $455 | $191 | — | — | 4 insurers |
| TRINITY ROCK ISLAND | IL | $2,042 | $1,633 | — | — | 5 insurers |
| TRINITY - BETTENDORF | IA | $2,042 | $1,633 | — | — | 4 insurers |
| MEMORIAL HOSPITAL SWEETWATER COUNTY | WY | $1,642 | $1,642 | — | — | 5 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $246 | $172 | — | — | 2 insurers |
| MONTEFIORE NEW ROCHELLE HOSPITAL | NY | $2,542 | $1,652 | — | — | 5 insurers |
| TRINITY MUSCATINE | IA | $2,071 | $1,657 | — | — | 4 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $2,071 | $1,657 | — | — | 4 insurers |
| ST LUKES HOSPITAL | IA | $2,071 | $1,657 | — | — | 4 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $2,071 | $1,657 | — | — | 4 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $2,071 | $1,657 | — | — | 4 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $2,762 | $1,657 | — | — | 1 insurers |
| RUSSELL MEDICAL CENTER | AL | $441 | $159 | — | — | 5 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $247 | $156 | $173 | $240 | 5 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $247 | $156 | $104 | $240 | 5 insurers |
| OCHSNER CHOCTAW GENERAL | AL | $200 | $152 | — | — | 5 insurers |
| ELLIS HOSPITAL | NY | $300 | $150 | — | — | 2 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $1,968 | $1,673 | — | — | 5 insurers |
| ST CROIX REGIONAL MEDICAL CENTER | WI | $258 | $142 | — | — | 5 insurers |
| OCHSNER STENNIS MEMORIAL HOSPITAL | MS | $200 | $138 | — | — | 5 insurers |
| OCHSNER WATKINS HOSPITAL | MS | $200 | $134 | — | — | 5 insurers |
| OCHSNER SCOTT REGIONAL | MS | $200 | $126 | — | — | 5 insurers |
| OCHSNER LAIRD HOSPITAL | MS | $200 | $122 | — | — | 5 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $159 | $119 | — | — | 0 insurers |
| PEACEHEALTH ST JOHN MEDICAL CENTER | WA | $2,622 | $1,704 | — | — | 5 insurers |
| ALTRU HOSPITAL | ND | $190 | $116 | — | — | 0 insurers |
| MUNSON HEALTHCARE GRAYLING HOSPITAL | MI | $2,008 | $1,707 | — | — | 5 insurers |
| THEDACARE REGIONAL MED CTR - NEENAH | WI | $3,048 | $1,707 | — | — | 2 insurers |
| WHIDBEYHEALTH MEDICAL CENTER | WA | $100 | $100 | — | — | 0 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $2,462 | $1,723 | — | — | 5 insurers |
| COLQUITT REGIONAL MEDICAL CENTER | GA | $1,724 | $1,724 | — | — | 5 insurers |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY | OK | $1,724 | $1,724 | — | — | 5 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $1,727 | $1,727 | — | — | 5 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $814 | $81.36 | — | — | 5 insurers |
| OCHSNER RUSH HOSPITAL | MS | $200 | $70 | — | — | 5 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $2,700 | $1,755 | — | — | 5 insurers |
| TWIN COUNTY REGIONAL HOSPITAL | VA | $165 | $66.05 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $132 | $66 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $132 | $66 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $132 | $66 | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $3,520 | $1,760 | — | — | 5 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $6,063 | $1,783 | $4,365 | $4,972 | 2 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $5,150 | $1,802 | $927 | $2,575 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $5,150 | $1,802 | $927 | $2,575 | 3 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $5,150 | $1,802 | $927 | $2,575 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $5,150 | $1,802 | $927 | $2,575 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $5,150 | $1,802 | $927 | $2,575 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $5,150 | $1,802 | $927 | $2,575 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $5,150 | $1,802 | $927 | $2,575 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $5,150 | $1,802 | $927 | $2,575 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $5,150 | $1,802 | $927 | $2,575 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $5,150 | $1,802 | $927 | $2,575 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $5,150 | $1,802 | $927 | $2,575 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $5,150 | $1,802 | $927 | $2,575 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $5,150 | $1,802 | $927 | $2,575 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $5,150 | $1,802 | $927 | $2,575 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $5,150 | $1,802 | $927 | $2,575 | 3 insurers |