| MOUNT GRANT GENERAL HOSPITAL | NV | $1,069 | $721 | $186 | $1,069 | 0 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $1,069 | $721 | $186 | $1,069 | 0 insurers |
| SOUTH COUNTY HOSPITAL INC | RI | $1,200 | $720 | — | — | 0 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $725 | — | — | 0 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $725 | — | — | 0 insurers |
| SUSAN B ALLEN MEMORIAL HOSPITAL | KS | $1,119 | $727 | — | — | 0 insurers |
| DOYLESTOWN HOSPITAL | PA | $711 | $711 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $1,773 | $711 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $1,773 | $711 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $1,773 | $711 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $1,773 | $711 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $1,773 | $711 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $1,773 | $711 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $709 | $709 | — | — | 0 insurers |
| GENEVA GENERAL HOSPITAL | NY | $1,833 | $733 | — | — | 0 insurers |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES | NY | $1,833 | $733 | — | — | 0 insurers |
| RALEIGH GENERAL HOSPITAL | WV | $1,836 | $734 | — | — | 0 insurers |
| KNAPP MEDICAL CENTER | TX | $3,173 | $705 | $183 | $3,173 | 0 insurers |
| DALLAS MEDICAL CENTER | TX | $3,162 | $705 | $205 | $2,530 | 0 insurers |
| HARLINGEN MEDICAL CENTER | TX | $1,796 | $705 | $90.54 | $2,395 | 0 insurers |
| NORTH CENTRAL SURGICAL CENTER LLP | TX | $1,174 | $704 | $646 | $8,427 | 0 insurers |
| SOUTHERN REGIONAL MEDICAL CENTER | GA | $3,295 | $704 | $367 | $3,295 | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $2,700 | $702 | $361 | $5,010 | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $1,400 | $700 | — | — | 0 insurers |
| GARDEN CITY HOSPITAL | MI | $1,864 | $700 | $373 | $1,864 | 0 insurers |
| ST GABRIELS HOSPITAL | MN | $1,396 | $698 | $92.16 | $1,326 | 0 insurers |
| CENTRAL MAINE MEDICAL CENTER | ME | $1,324 | $696 | $397 | $1,324 | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | $2,536 | $696 | $657 | $7,993 | 0 insurers |
| EAST COOPER MEDICAL CENTER | SC | $379 | $696 | $140 | $2,843 | 0 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $696 | $569 | $1,254 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $3,060 | $695 | $918 | $2,203 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $3,060 | $695 | $81.52 | $5,512 | 0 insurers |
| LOWER BUCKS HOSPITAL | PA | $1,069 | $694 | $186 | $1,069 | 0 insurers |
| CRENSHAW COMMUNITY HOSPITAL | AL | $1,497 | $749 | — | — | 0 insurers |
| CRENSHAW COMMUNITY HOSPITAL | AL | $1,497 | $749 | — | — | 0 insurers |
| HELEN HAYES HOSPITAL | NY | $693 | $693 | — | — | 0 insurers |
| ST JOSEPH MEDICAL CENTER | WA | $1,238 | $752 | $97.8 | $1,238 | 0 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $753 | $753 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $1,773 | $754 | — | — | 0 insurers |
| RANDOLPH HOSPITAL | NC | $3,438 | $688 | — | — | 0 insurers |
| CODY REGIONAL HEALTH | WY | $807 | $686 | — | — | 0 insurers |
| VALLEY VIEW HOSPITAL ASSOCIATION | CO | $754 | $679 | — | — | 0 insurers |
| VALLEY VIEW HOSPITAL ASSOCIATION | CO | $754 | $679 | — | — | 0 insurers |
| CHEROKEE REGIONAL MEDICAL CENTER | IA | $754 | $679 | — | — | 0 insurers |
| CHEROKEE REGIONAL MEDICAL CENTER | IA | $754 | $679 | — | — | 0 insurers |
| NORTH VISTA HOSPITAL | NV | $894 | $767 | $256 | $894 | 0 insurers |
| DOMINICAN HOSPITAL | CA | $1,494 | $672 | $1,195 | $1,270 | 0 insurers |
| DOMINICAN HOSPITAL | CA | $1,494 | $672 | $94.42 | $9,244 | 0 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $1,920 | $672 | $275 | $2,960 | 0 insurers |
| WESTERLY HOSPITAL | RI | $1,865 | $671 | — | — | 0 insurers |
| CARILION MEDICAL CENTER | VA | $2,208 | $773 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $2,208 | $773 | — | — | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER | NY | $3,066 | $773 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $834 | $667 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $834 | $667 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $834 | $667 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $834 | $667 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $834 | $667 | — | — | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,415 | $667 | $1,288 | $1,288 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,415 | $667 | $332 | $2,152 | 0 insurers |
| SAINT JOHN HOSPITAL | KS | $1,925 | $665 | $206 | $1,662 | 0 insurers |
| PROVIDENCE MEDICAL CENTER | KS | $1,843 | $665 | $167 | $1,781 | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | $1,662 | $665 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $1,662 | $665 | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $1,662 | $665 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $1,662 | $665 | — | — | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | $1,662 | $665 | — | — | 0 insurers |
| COSHOCTON REGIONAL MEDICAL CENTER | OH | $1,630 | $664 | $489 | $1,630 | 0 insurers |
| POMERENE HOSPITAL | OH | $974 | $779 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | GA | $1,567 | $784 | — | — | 0 insurers |
| BAXTER HEALTH | AR | $1,095 | $657 | — | — | 0 insurers |
| CHATUGE REGIONAL HOSPITAL | GA | $1,572 | $786 | — | — | 0 insurers |
| ARKANSAS SURGICAL HOSPITAL | AR | $1,111 | $786 | $454 | $5,000 | 0 insurers |
| TRINITY ROCK ISLAND | IL | $819 | $655 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $819 | $655 | — | — | 0 insurers |
| LANDMARK MEDICAL CENTER | RI | $2,926 | $789 | $343 | $2,926 | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,579 | $790 | — | — | 0 insurers |
| FRYE REGIONAL MEDICAL CENTER | NC | $1,630 | $652 | — | — | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | $1,581 | $791 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | $1,581 | $791 | — | — | 0 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $1,628 | $651 | — | — | 0 insurers |
| CHOCTAW HEALTH CENTER | MS | $1,587 | $794 | — | — | 0 insurers |
| CHOCTAW MEMORIAL HOSPITAL | OK | $1,587 | $794 | — | — | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $1,620 | $648 | — | — | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $1,620 | $648 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $1,620 | $648 | — | — | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $1,324 | $794 | $596 | $6,771 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $1,324 | $794 | $596 | $6,771 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $1,324 | $794 | $596 | $6,771 | 0 insurers |
| University of Arkansas Medical Sciences | AR | $1,325 | $795 | — | — | 0 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $1,075 | $645 | — | — | 0 insurers |
| COX MEDICAL CENTERS | MO | $2,551 | $643 | — | — | 0 insurers |
| COX MEDICAL CENTER BRANSON | MO | $2,551 | $643 | — | — | 0 insurers |
| BARAGA COUNTY MEMORIAL HOSPITAL | MI | $639 | $639 | — | — | 0 insurers |
| JACKSON HEALTH SYSTEM | FL | $10,092 | $636 | $1,213 | $1,263 | 0 insurers |
| FAYETTE MEDICAL CENTER | AL | $634 | $634 | $634 | $634 | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $2,028 | $811 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $1,623 | $812 | — | — | 0 insurers |
| UNIONTOWN HOSPITAL | PA | $1,623 | $812 | — | — | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $1,623 | $812 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $1,623 | $812 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $3,060 | $627 | $918 | $2,203 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $3,060 | $627 | $81.52 | $5,512 | 0 insurers |
| JACKSON GENERAL HOSPITAL | WV | $1,248 | $624 | — | — | 0 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $2,536 | $818 | $21.83 | $2,536 | 0 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $1,226 | $613 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $1,226 | $613 | — | — | 0 insurers |
| BELL HOSPITAL | MI | $1,387 | $832 | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $1,391 | $835 | — | — | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $1,734 | $607 | $780 | $1,734 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $1,734 | $607 | $277 | $5,160 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $1,734 | $607 | $746 | $1,734 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $1,734 | $607 | $277 | $5,160 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $1,734 | $607 | $746 | $1,734 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $1,734 | $607 | $263 | $5,160 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $1,734 | $607 | $746 | $1,734 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $1,734 | $607 | $263 | $5,160 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $1,186 | $605 | $878 | $1,067 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $1,186 | $605 | $693 | $1,198 | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,053 | $843 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $1,053 | $843 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,053 | $843 | — | — | 0 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | $1,405 | $843 | $261 | $1,369 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $2,017 | $597 | $1,634 | $1,634 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $2,017 | $597 | $0.65 | $1,837 | 0 insurers |
| WETZEL COUNTY HOSPITAL | WV | $1,692 | $846 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $1,079 | $594 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $2,427 | $849 | $639 | $1,728 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $2,427 | $849 | $639 | $1,728 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $2,427 | $849 | $639 | $1,728 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $2,427 | $849 | $639 | $1,728 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $2,427 | $849 | $639 | $1,728 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $2,427 | $849 | $639 | $1,728 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $2,427 | $849 | $639 | $1,728 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $2,427 | $849 | $639 | $1,728 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $2,427 | $849 | $639 | $1,728 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $2,427 | $849 | $639 | $1,728 | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $2,125 | $850 | — | — | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $1,516 | $591 | — | — | 0 insurers |
| CENTRAL VERMONT MEDICAL CENTER | VT | $591 | $591 | — | — | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $2,017 | $853 | $1,311 | $1,311 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $2,017 | $853 | $0.65 | $2,317 | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | $587 | $587 | — | — | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $2,101 | $586 | $1,681 | $1,828 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $2,101 | $586 | $94.42 | $4,316 | 0 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $1,713 | $857 | — | — | 0 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $1,713 | $857 | — | — | 0 insurers |
| JACKSON COUNTY REGIONAL HEALTH CENTER | IA | $857 | $857 | — | — | 0 insurers |
| SPRINGHILL MEDICAL CENTER | LA | $1,706 | $580 | — | — | 0 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $1,238 | $867 | — | — | 0 insurers |
| JACKSON MEDICAL CENTER | AL | $868 | $868 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $2,228 | $572 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $2,228 | $572 | $568 | $2,332 | 0 insurers |
| SAINT JOSEPH EAST | KY | $1,415 | $568 | $1,288 | $1,288 | 0 insurers |
| SAINT JOSEPH EAST | KY | $1,415 | $568 | $346 | $2,584 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,415 | $568 | $1,288 | $1,288 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,415 | $568 | $346 | $2,584 | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $2,228 | $566 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $2,228 | $566 | $568 | $1,574 | 0 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $1,716 | $566 | $263 | $5,088 | 0 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $2,247 | $876 | — | — | 0 insurers |
| SPECIALISTS HOSPITAL SHREVEPORT | LA | $563 | $563 | $176 | $2,500 | 0 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $1,021 | $562 | — | — | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $1,322 | $880 | $94.42 | $1,296 | 0 insurers |
| ELLIS HOSPITAL | NY | $1,762 | $881 | — | — | 0 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | — | $881 | — | — | 0 insurers |
| ALAMEDA HOSPITAL | CA | $1,769 | $885 | $708 | $1,327 | 0 insurers |
| HIGHLAND HOSPITAL | CA | $1,769 | $885 | $708 | $1,327 | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $898 | $556 | — | — | 0 insurers |
| CLEVELAND AREA HOSPITAL | OK | $893 | $893 | — | — | 0 insurers |
| OSWEGO HOSPITAL | NY | $729 | $546 | — | — | 0 insurers |
| EVERGREEN MEDICAL CENTER | AL | $839 | $545 | — | — | 0 insurers |
| BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH | TX | $906 | $544 | $498 | $8,427 | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $775 | $542 | — | — | 0 insurers |
| GOOD SHEPHERD MEDICAL CENTER | OR | $1,079 | $540 | — | — | 0 insurers |
| CHI ST VINCENT MORRILTON | AR | $2,117 | $539 | — | — | 0 insurers |
| CHI ST VINCENT MORRILTON | AR | $2,117 | $539 | $568 | $1,821 | 0 insurers |
| PARADISE VALLEY HOSPITAL | CA | $1,630 | $903 | $118 | $3,295 | 0 insurers |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER | CA | $1,496 | $903 | $118 | $1,496 | 0 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $1,496 | $903 | $118 | $1,496 | 0 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $1,496 | $903 | $118 | $1,496 | 0 insurers |
| CHINO VALLEY MEDICAL CENTER | CA | $3,783 | $903 | $118 | $3,783 | 0 insurers |
| SAN DIMAS COMMUNITY HOSPITAL | CA | $3,783 | $903 | $118 | $3,783 | 0 insurers |
| DESERT VALLEY HOSPITAL | CA | $3,728 | $903 | $118 | $3,728 | 0 insurers |
| CENTINELA HOSPITAL MEDICAL CENTER | CA | $2,034 | $903 | $118 | $2,034 | 0 insurers |
| MONTCLAIR HOSPITAL MEDICAL CENTER | CA | $3,783 | $903 | $118 | $3,783 | 0 insurers |
| CRISP REGIONAL HOSPITAL | GA | $565 | $537 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $669 | $535 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $1,512 | $907 | $744 | $1,210 | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $875 | $534 | $429 | $814 | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $875 | $534 | $163 | $3,908 | 0 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $2,539 | $908 | — | — | 0 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $2,539 | $908 | — | — | 0 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $2,539 | $908 | — | — | 0 insurers |
| DELTA COUNTY MEMORIAL HOSPITAL | CO | $889 | $533 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $1,820 | $910 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $1,820 | $910 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $1,820 | $910 | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $1,820 | $910 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $1,820 | $910 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $1,820 | $910 | — | — | 0 insurers |
| AURORA MEDICAL CTR MANITOWOC COUNTY | WI | $1,820 | $910 | — | — | 0 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $1,820 | $910 | — | — | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $1,820 | $910 | — | — | 0 insurers |
| AURORA LAKELAND MEDICAL CENTER | WI | $1,820 | $910 | — | — | 0 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $1,820 | $910 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $1,820 | $910 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $1,820 | $910 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $1,820 | $910 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $1,820 | $910 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $1,820 | $910 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $1,820 | $910 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $1,820 | $910 | — | — | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $1,522 | $913 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $1,522 | $913 | — | — | 0 insurers |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE | TN | $2,118 | $527 | — | — | 0 insurers |
| THOMAS HOSPITAL | AL | $1,053 | $527 | — | — | 0 insurers |
| MISSOURI DELTA MEDICAL CENTER | MO | $2,100 | $525 | — | — | 0 insurers |
| WHITESBURG ARH HOSPITAL | KY | $1,529 | $917 | — | — | 0 insurers |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | KY | $1,529 | $917 | — | — | 0 insurers |
| HAZARD ARH REGIONAL MEDICAL CENTER | KY | $1,529 | $917 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $1,300 | $520 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $1,300 | $520 | — | — | 0 insurers |
| SAINT JOSEPH LONDON | KY | $1,456 | $520 | $1,325 | $1,325 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $1,456 | $520 | $208 | $2,163 | 0 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $2,308 | $923 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $2,308 | $923 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL-JORDAN VALLEY | UT | $2,308 | $923 | — | — | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | $1,872 | $517 | — | — | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $875 | $516 | $481 | $823 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $875 | $516 | $163 | $6,796 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $875 | $516 | $481 | $823 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $875 | $516 | $163 | $6,796 | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $1,854 | $927 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $887 | $514 | $532 | $834 | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $887 | $514 | $390 | $834 | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $2,321 | $928 | — | — | 0 insurers |
| OKLAHOMA SPINE HOSPITAL | OK | $1,135 | $930 | — | — | 0 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $1,331 | $932 | — | — | 0 insurers |
| THE QUEENS MEDICAL CENTER | HI | $1,331 | $932 | — | — | 0 insurers |
| BAYLOR MEDICAL CENTER AT TROPHY CLUB | TX | $1,560 | $936 | $858 | $8,427 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $2,408 | $939 | $565 | $2,017 | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $1,238 | $495 | — | — | 0 insurers |
| THREE RIVERS HOSPITAL | WA | $491 | $491 | — | — | 0 insurers |
| BARNESVILLE HOSPITAL ASSOCIATION, INC | OH | $1,902 | $951 | — | — | 0 insurers |
| BERKELEY MEDICAL CENTER | WV | $1,902 | $951 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $1,865 | $951 | — | — | 0 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $1,840 | $490 | — | — | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $1,005 | $955 | — | — | 0 insurers |
| ISLAND HOSPITAL | WA | $484 | $484 | — | — | 0 insurers |
| ADAMS COUNTY REGIONAL MEDICAL CENTER | OH | $1,200 | $960 | $336 | $1,140 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $996 | $480 | $458 | $906 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $996 | $480 | $275 | $2,348 | 0 insurers |
| TOPS SURGICAL SPECIALTY HOSPITAL | TX | $1,354 | $474 | $1 | $5,394 | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $1,865 | $970 | — | — | 0 insurers |
| HARRISON MEMORIAL HOSPITAL | KY | $673 | $471 | — | — | 0 insurers |
| POUDRE VALLEY HOSPITAL | CO | $1,391 | $974 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,627 | $976 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,627 | $976 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $463 | $463 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $463 | $463 | — | — | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $923 | $462 | $572 | $738 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $923 | $462 | $163 | $6,169 | 0 insurers |
| BAYLOR SCOTT AND WHITE ORTHOPEDIC AND SPINE HOSPI | TX | $1,636 | $982 | $900 | $8,427 | 0 insurers |
| ACADIA ST LANDRY | LA | $611 | $458 | — | — | 0 insurers |
| HIAWATHA COMMUNITY HOSPITAL | KS | $696 | $452 | $251 | $661 | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $2,479 | $992 | — | — | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $1,071 | $450 | $643 | $910 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $1,071 | $450 | $161 | $3,259 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $1,071 | $450 | $643 | $910 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $1,071 | $450 | $163 | $3,259 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $1,071 | $450 | $643 | $910 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $1,071 | $450 | $150 | $3,259 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $1,071 | $450 | $643 | $910 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $1,071 | $450 | $163 | $3,259 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $1,071 | $450 | $643 | $910 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $1,071 | $450 | $163 | $3,259 | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $1,990 | $995 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $556 | $445 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $556 | $445 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $556 | $445 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $556 | $445 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $556 | $445 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $556 | $445 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $556 | $445 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $556 | $445 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $556 | $445 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $556 | $445 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $556 | $445 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $556 | $445 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $556 | $445 | — | — | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $1,268 | $444 | $634 | $634 | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $1,268 | $444 | $190 | $3,635 | 0 insurers |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR | NY | $438 | $438 | — | — | 0 insurers |
| METHODIST HOSPITAL UNION COUNTY | KY | $1,548 | $1,006 | — | — | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $2,517 | $1,007 | — | — | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $1,180 | $432 | $1,074 | $1,074 | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $1,180 | $432 | $247 | $1,834 | 0 insurers |
| COQUILLE VALLEY HOSPITAL | OR | — | $431 | $237 | $649 | 0 insurers |
| MAGNOLIA REGIONAL MEDICAL HOSPITAL | AR | $1,687 | $1,012 | — | — | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | $1,384 | $429 | — | — | 0 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $1,540 | $1,016 | — | — | 0 insurers |
| AMBERWELL ATCHISON ASSOCIATION | KS | $607 | $425 | $212 | — | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $1,393 | $424 | $1,003 | $1,045 | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $1,393 | $424 | $785 | $4,556 | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | $1,154 | $1,018 | $37 | $54,007 | 0 insurers |
| HUTCHINSON REGIONAL MEDICAL CENTER INC | KS | $564 | $423 | — | — | 0 insurers |
| TIPPAH COUNTY HOSPITAL | MS | $423 | $423 | — | — | 0 insurers |
| UPHS MARQUETTE DLP HOSPITAL | MI | $1,712 | $1,027 | — | — | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,100 | $404 | $770 | $869 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,100 | $404 | $94.42 | $6,060 | 0 insurers |
| ST CLARE HOSPITAL | WA | $1,393 | $402 | $1,003 | $1,045 | 0 insurers |
| ST CLARE HOSPITAL | WA | $1,393 | $402 | $785 | $4,556 | 0 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $1,743 | $1,046 | — | — | 0 insurers |
| ST LUKES HOSPITAL | MN | $705 | $395 | — | — | 0 insurers |
| GREATER BALTIMORE MEDICAL CENTER | MD | $394 | $394 | — | — | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $855 | $393 | $607 | $641 | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $855 | $393 | $163 | $6,043 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $855 | $393 | $607 | $641 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $855 | $393 | $163 | $6,043 | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $2,970 | $386 | — | — | 0 insurers |
| SANFORD WORTHINGTON MEDICAL CENTER | MN | $480 | $384 | — | — | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | PA | $1,324 | $1,059 | $530 | $1,059 | 0 insurers |
| REGIONAL MEDICAL CENTER | IA | $469 | $375 | — | — | 0 insurers |
| TOUCHETTE REGIONAL HOSPITAL INC | IL | $595 | $369 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTERS | AL | $1,074 | $1,074 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTER | CA | $1,074 | $1,074 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTER | TN | $1,074 | $1,074 | — | — | 0 insurers |
| OCH REGIONAL MEDICAL CENTER | MS | $570 | $365 | — | — | 0 insurers |
| BRISTOL HOSPITAL | CT | $2,424 | $364 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $2,424 | $364 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $2,424 | $364 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $2,424 | $364 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $2,424 | $364 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $2,424 | $364 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $2,424 | $364 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $2,424 | $364 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $2,424 | $364 | — | — | 0 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $2,424 | $364 | — | — | 0 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $2,424 | $364 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $2,424 | $364 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $2,424 | $364 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $2,424 | $364 | — | — | 0 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $2,424 | $364 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $2,424 | $364 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $2,424 | $364 | — | — | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $453 | $362 | $176 | $771 | 0 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $453 | $362 | $176 | $771 | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $854 | $362 | $623 | $777 | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $854 | $362 | $151 | $1,326 | 0 insurers |
| UNION GENERAL HOSPITAL | GA | $718 | $359 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,548 | $1,084 | — | — | 0 insurers |
| HANCOCK COUNTY HEALTH SYSTEM | IA | $1,552 | $357 | — | — | 0 insurers |
| DICKENSON COMMUNITY HOSPITAL | VA | $1,552 | $357 | — | — | 0 insurers |
| LEE COUNTY COMMUNITY HOSPITAL | VA | $1,552 | $357 | — | — | 0 insurers |
| COLQUITT REGIONAL MEDICAL CENTER | GA | $1,086 | $1,086 | — | — | 0 insurers |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY | OK | $1,086 | $1,086 | — | — | 0 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $353 | $353 | — | — | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $569 | $352 | — | — | 0 insurers |
| ALTRU HOSPITAL | ND | $1,788 | $1,091 | — | — | 0 insurers |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH | LA | $2,053 | $1,094 | $135 | $1,950 | 0 insurers |
| PHYSICIANS MEDICAL CENTER | LA | $2,053 | $1,094 | $135 | $1,950 | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $2,739 | $1,096 | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | $431 | $345 | $86.62 | $706 | 0 insurers |
| LORING HOSPITAL | IA | $430 | $344 | — | — | 0 insurers |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN | NY | $1,099 | $1,099 | — | — | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $1,865 | $1,100 | — | — | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $1,935 | $339 | $1,645 | $1,935 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $1,935 | $339 | $277 | $3,943 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $1,935 | $339 | $731 | $1,935 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $1,935 | $339 | $277 | $2,888 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $1,935 | $339 | $670 | $1,935 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $1,935 | $339 | $247 | $2,960 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $1,935 | $339 | $1,321 | $1,935 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $1,935 | $339 | $277 | $3,943 | 0 insurers |
| KANSAS MEDICAL CENTER LLC | KS | $564 | $338 | — | — | 0 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $1,299 | $1,104 | — | — | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $1,039 | $332 | $432 | $2,244 | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $1,851 | $1,111 | — | — | 0 insurers |
| STORY COUNTY HOSPITAL | IA | $408 | $326 | — | — | 0 insurers |
| MEMORIAL MEDICAL CENTER | NM | $1,862 | $1,117 | — | — | 0 insurers |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER | KS | $432 | $324 | — | — | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $1,039 | $322 | $432 | $2,244 | 0 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $1,039 | $322 | $468 | $2,244 | 0 insurers |
| ROANE MEDICAL CENTER | TN | $1,039 | $322 | $468 | $2,244 | 0 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $1,039 | $322 | $468 | $1,780 | 0 insurers |
| LECONTE MEDICAL CENTER | TN | $1,039 | $322 | $432 | $2,244 | 0 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $1,039 | $322 | $432 | $1,798 | 0 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $460 | $322 | — | — | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $1,121 | $1,121 | — | — | 0 insurers |
| CHESAPEAKE GENERAL HOSPITAL | VA | $1,870 | $1,122 | — | — | 0 insurers |
| SOUTHWESTERN VERMONT MEDICAL CENTER | VT | $445 | $312 | — | — | 0 insurers |
| JENNIE M MELHAM MEMORIAL MEDICAL CENTER | NE | $310 | $310 | — | — | 0 insurers |
| STEVENS COMMUNITY MEDICAL CENTER | MN | $412 | $309 | — | — | 0 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $410 | $308 | — | — | 0 insurers |
| VALLEY VIEW HOSPITAL ASSOCIATION | CO | $333 | $300 | — | — | 0 insurers |
| CHEROKEE REGIONAL MEDICAL CENTER | IA | $333 | $300 | — | — | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $1,014 | $298 | $730 | $831 | 0 insurers |
| BAPTIST MEDICAL CENTER BEACHES | FL | $1,549 | $294 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $1,548 | $294 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $1,548 | $294 | — | — | 0 insurers |
| SAUNDERS MEDICAL CENTER | NE | $392 | $294 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $682 | $290 | — | — | 0 insurers |
| FROEDTERT SOUTH INC. | WI | $2,097 | $1,153 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $2,097 | $1,153 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $2,097 | $1,153 | — | — | 0 insurers |
| SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT | OK | $381 | $286 | — | — | 0 insurers |
| LADD MEMORIAL HOSPITAL | WI | $379 | $265 | — | — | 0 insurers |
| ST MARYS HOSPITAL MEDICAL CTR | WI | $583 | $262 | — | — | 0 insurers |
| EAST VALLEY ER & HOSPITAL | AZ | $583 | $262 | — | — | 0 insurers |
| ALEXANDRIA EMERGENCY HOSPITAL | LA | $583 | $262 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $308 | $262 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $308 | $262 | — | — | 0 insurers |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $1,183 | $1,183 | — | — | 0 insurers |
| CARSON TAHOE REGIONAL MEDICAL CENTER | NV | $1,702 | $1,191 | $136 | $1,430 | 0 insurers |
| POTOMAC VALLEY HOSPITAL | WV | $2,387 | $1,194 | — | — | 0 insurers |
| BROADLAWNS MEDICAL CENTER | IA | $245 | $245 | — | — | 0 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $444 | $244 | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $3,059 | $1,199 | $826 | $2,998 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $3,059 | $1,199 | $94.42 | $6,120 | 0 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | $607 | $243 | $486 | $2,023 | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA | AR | $939 | $235 | — | — | 0 insurers |
| HOMESTEAD HOSPITAL | FL | $1,862 | $1,210 | — | — | 0 insurers |
| GEORGE E WEEMS MEMORIAL HOSPITAL | FL | $331 | $232 | — | — | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $1,632 | $1,211 | $1,387 | $1,583 | 0 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | $1,731 | $1,212 | — | — | 0 insurers |
| HIGHLAND HILLS MEDICAL CENTER | MS | $2,427 | $1,214 | — | — | 0 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | $219 | $219 | — | — | 0 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | $219 | $219 | — | — | 0 insurers |
| LINCOLNHEALTH | ME | $219 | $219 | — | — | 0 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | $219 | $219 | — | — | 0 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | $219 | $219 | — | — | 0 insurers |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | $219 | $219 | — | — | 0 insurers |
| MEMORIAL HOSPITAL, THE | NH | $219 | $219 | — | — | 0 insurers |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL | VT | $291 | $218 | — | — | 0 insurers |
| STORY COUNTY HOSPITAL | IA | $272 | $218 | — | — | 0 insurers |
| STORY COUNTY HOSPITAL | IA | $272 | $218 | — | — | 0 insurers |
| ST JOSEPHS AREA HEALTH SERVICES | MN | $345 | $214 | $92.16 | $328 | 0 insurers |
| BEEBE MEDICAL CENTER | DE | $1,447 | $1,230 | — | — | 0 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $2,051 | $1,231 | — | — | 0 insurers |
| DAVIS MEDICAL CENTER | WV | $301 | $211 | — | — | 0 insurers |
| BROADDUS HOSPITAL ASSOCIATION, INC | WV | $301 | $211 | — | — | 0 insurers |
| WEBSTER MEMORIAL HOSPITAL | WV | $301 | $211 | — | — | 0 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | $210 | $210 | — | — | 0 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | $210 | $210 | — | — | 0 insurers |
| LINCOLNHEALTH | ME | $210 | $210 | — | — | 0 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | $210 | $210 | — | — | 0 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | $210 | $210 | — | — | 0 insurers |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | $210 | $210 | — | — | 0 insurers |
| MEMORIAL HOSPITAL, THE | NH | $210 | $210 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER - NASSAU | FL | $1,095 | $208 | — | — | 0 insurers |
| PARK NICOLLET METHODIST HOSPITAL | MN | — | $1,234 | $1,234 | $2,475 | 0 insurers |
| WELLSPAN YORK HOSPITAL | PA | $1,544 | $1,235 | — | — | 0 insurers |
| LEGENT ORTHOPEDIC + SPINE | TX | $3,173 | $1,241 | — | — | 0 insurers |
| LEGENT ORTHOPEDIC HOSPITAL | TX | $3,173 | $1,241 | — | — | 0 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $1,248 | $243 | $1,500 | 0 insurers |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | KY | $320 | $192 | — | — | 0 insurers |
| HEYWOOD HOSPITAL - | MA | $190 | $190 | $755 | $4,142 | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $374 | $187 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $374 | $187 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $374 | $187 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $293 | $185 | $205 | $284 | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $293 | $185 | $129 | $284 | 0 insurers |
| ADVENTHEALTH DELAND | FL | $542 | $181 | — | — | 0 insurers |
| ADVENTHEALTH FISH MEMORIAL | FL | $542 | $181 | — | — | 0 insurers |
| AdventHealth Palm Coast | FL | $542 | $181 | — | — | 0 insurers |
| ADVENTHEALTH SHAWNEE MISSION | KS | $542 | $181 | — | — | 0 insurers |
| ADVENTHEALTH CENTRAL TEXAS | TX | $542 | $181 | — | — | 0 insurers |
| ADVENTHEALTH ROLLINS BROOK | TX | $542 | $181 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $1,803 | $1,262 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $1,803 | $1,262 | — | — | 0 insurers |
| GOOD SAMARITAN HOSPITAL | CA | $376 | $1,269 | — | — | 0 insurers |
| BRAXTON COUNTY MEMORIAL HOSPITAL, INC | WV | $2,539 | $1,270 | — | — | 0 insurers |
| GREENE COUNTY HOSPITAL | AL | $305 | $171 | — | — | 0 insurers |
| GREENE COUNTY MEDICAL CENTER | IA | $305 | $171 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $363 | $171 | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $465 | $163 | — | — | 0 insurers |
| HELEN KELLER HOSPITAL | AL | $161 | $161 | — | — | 0 insurers |
| HUNTSVILLE HOSPITAL | AL | $161 | $161 | — | — | 0 insurers |
| ATHENS LIMESTONE HOSPITAL | AL | $161 | $161 | — | — | 0 insurers |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS | AL | $161 | $161 | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | $1,286 | $1,286 | — | — | 0 insurers |
| STEPHENS MEMORIAL HOSPITAL | TX | $147 | $147 | — | — | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $487 | $143 | $94.42 | $6,009 | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $188 | $140 | $95.48 | $199 | 0 insurers |
| ELLIS HOSPITAL | NY | $250 | $125 | — | — | 0 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $1,187 | $119 | — | — | 0 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $1,187 | $119 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $1,129 | $113 | — | — | 0 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | $178 | $107 | — | — | 0 insurers |
| JACKSON GENERAL HOSPITAL | WV | $210 | $105 | — | — | 0 insurers |
| BARNESVILLE HOSPITAL ASSOCIATION, INC | OH | $209 | $105 | — | — | 0 insurers |
| BERKELEY MEDICAL CENTER | WV | $209 | $105 | — | — | 0 insurers |
| BRAXTON COUNTY MEMORIAL HOSPITAL, INC | WV | $204 | $102 | — | — | 0 insurers |
| POTOMAC VALLEY HOSPITAL | WV | $204 | $102 | — | — | 0 insurers |
| RUSSELL MEDICAL CENTER | AL | $280 | $101 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $180 | $99 | — | — | 0 insurers |
| COX BARTON COUNTY HOSPITAL | MO | $300 | $95.55 | — | — | 0 insurers |
| COX MONETT HOSPITAL | MO | $300 | $91.36 | — | — | 0 insurers |
| STEPHENS MEMORIAL HOSPITAL | TX | $73.55 | $73.55 | — | — | 0 insurers |