| CHI HEALTH - MERCY CORNING | IA | $2,520 | $1,210 | $1,512 | $2,470 | 5 insurers |
| CHI HEALTH - MERCY CORNING | IA | $2,520 | $1,210 | $1,084 | $2,470 | 5 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | $2,870 | $1,220 | — | — | 3 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | $2,870 | $1,220 | — | — | 3 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $2,870 | $1,220 | — | — | 5 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $2,440 | $1,220 | — | — | 5 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $2,347 | $1,221 | — | — | 5 insurers |
| BAYLOR MEDICAL CENTER AT TROPHY CLUB | TX | $2,014 | $1,208 | $1,108 | $8,427 | 5 insurers |
| WELLSPAN YORK HOSPITAL | PA | $1,529 | $1,223 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTERS | AL | $1,226 | $1,226 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | CA | $1,226 | $1,226 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | TN | $1,226 | $1,226 | — | — | 5 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $1,751 | $1,226 | $720 | $2,083 | 5 insurers |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC | ID | $1,751 | $1,226 | $672 | $2,103 | 4 insurers |
| HOLY CROSS HOSPITAL-JORDAN VALLEY | UT | $3,006 | $1,202 | — | — | 5 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $2,402 | $1,201 | $1,489 | $1,922 | 3 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $2,402 | $1,201 | $250 | $6,169 | 5 insurers |
| ADVENTHEALTH SEBRING | FL | $2,048 | $1,229 | $434 | $1,965 | 5 insurers |
| ASHLEY REGIONAL MEDICAL CENTER | UT | $2,235 | $1,229 | — | — | 0 insurers |
| LEGENT SURGICAL HOSPITAL PLANO | TX | $3,563 | $1,200 | — | — | 4 insurers |
| WETZEL COUNTY HOSPITAL | WV | $2,462 | $1,231 | — | — | 5 insurers |
| BRIDGEPORT HOSPITAL | CT | $2,347 | $1,197 | — | — | 5 insurers |
| CARILION MEDICAL CENTER | VA | $3,523 | $1,233 | — | — | 5 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $2,520 | $1,235 | $1,436 | $2,470 | 5 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $2,520 | $1,235 | $882 | $2,470 | 5 insurers |
| HUMBOLDT COUNTY MEMORIAL HOSPITAL | IA | $1,379 | $1,241 | — | — | 5 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $2,814 | $1,182 | $1,688 | $2,392 | 3 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $2,814 | $1,182 | $250 | $3,259 | 5 insurers |
| CHI HEALTH BERGAN MERCY | NE | $2,814 | $1,182 | $1,688 | $2,392 | 3 insurers |
| CHI HEALTH BERGAN MERCY | NE | $2,814 | $1,182 | $250 | $3,259 | 5 insurers |
| CHI HEALTH IMMANUEL | NE | $2,814 | $1,182 | $1,688 | $2,392 | 3 insurers |
| CHI HEALTH IMMANUEL | NE | $2,814 | $1,182 | $250 | $3,259 | 5 insurers |
| CHI HEALTH MIDLANDS | NE | $2,814 | $1,182 | $1,688 | $2,392 | 3 insurers |
| CHI HEALTH MIDLANDS | NE | $2,814 | $1,182 | $250 | $3,259 | 5 insurers |
| CHI HEALTH LAKESIDE | NE | $2,814 | $1,182 | $1,688 | $2,392 | 3 insurers |
| CHI HEALTH LAKESIDE | NE | $2,814 | $1,182 | $250 | $3,259 | 5 insurers |
| OCH REGIONAL MEDICAL CENTER | MS | $1,844 | $1,180 | — | — | 5 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $2,500 | $1,250 | — | — | 5 insurers |
| COX BARTON COUNTY HOSPITAL | MO | $3,939 | $1,257 | — | — | 3 insurers |
| TRINITY ROCK ISLAND | IL | $1,574 | $1,259 | — | — | 4 insurers |
| TRINITY - BETTENDORF | IA | $1,574 | $1,259 | — | — | 4 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $1,574 | $1,259 | — | — | 5 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $1,574 | $1,259 | — | — | 5 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $3,184 | $1,168 | — | — | 5 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $3,184 | $1,168 | — | — | 5 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $3,184 | $1,168 | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $3,335 | $1,167 | $617 | $1,668 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $3,335 | $1,167 | $617 | $1,668 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $3,335 | $1,167 | $617 | $1,668 | 3 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $3,335 | $1,167 | $617 | $1,668 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $3,335 | $1,167 | $617 | $1,668 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $3,335 | $1,167 | $617 | $1,668 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $3,335 | $1,167 | $617 | $1,668 | 3 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $3,335 | $1,167 | $617 | $1,668 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $3,335 | $1,167 | $617 | $1,668 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $3,335 | $1,167 | $617 | $1,668 | 3 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | $1,943 | $1,166 | $461 | $1,885 | 5 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $2,529 | $1,265 | — | — | 5 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $2,320 | $1,160 | — | — | 5 insurers |
| ADVENTHEALTH SHAWNEE MISSION | KS | $2,319 | $1,160 | $175 | $2,105 | 5 insurers |
| SURGICAL INSTITUTE OF READING | PA | $1,912 | $1,276 | $108 | $89,482 | 5 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $2,870 | $1,151 | — | — | 4 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $2,870 | $1,151 | — | — | 4 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $2,870 | $1,151 | — | — | 4 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $2,870 | $1,151 | — | — | 5 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $2,870 | $1,151 | — | — | 4 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $2,870 | $1,151 | — | — | 4 insurers |
| NORTHFIELD HOSPITAL | MN | $2,750 | $1,150 | — | — | 5 insurers |
| FINLEY HOSPITAL | IA | $1,606 | $1,285 | — | — | 5 insurers |
| BARAGA COUNTY MEMORIAL HOSPITAL | MI | $1,285 | $1,285 | — | — | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $3,221 | $1,288 | — | — | 5 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $3,221 | $1,288 | — | — | 5 insurers |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER | CO | $1,432 | $1,289 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $1,750 | $1,138 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $1,750 | $1,138 | — | — | 5 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $2,157 | $1,294 | — | — | 5 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $2,157 | $1,294 | — | — | 5 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $2,270 | $1,135 | — | — | 5 insurers |
| PARADISE VALLEY HOSPITAL | CA | $2,017 | $1,132 | $222 | $2,017 | 5 insurers |
| ENCINO HOSPITAL MEDICAL CENTER | CA | $787 | $1,132 | $222 | $787 | 5 insurers |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER | CA | $3,360 | $1,132 | $222 | $3,360 | 5 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $3,360 | $1,132 | $222 | $3,360 | 5 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $3,360 | $1,132 | $222 | $3,360 | 5 insurers |
| TRINITY MUSCATINE | IA | $1,630 | $1,304 | — | — | 4 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $1,630 | $1,304 | — | — | 4 insurers |
| ST LUKES HOSPITAL | IA | $1,630 | $1,304 | — | — | 4 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $1,630 | $1,304 | — | — | 4 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $1,630 | $1,304 | — | — | 4 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $2,884 | $1,125 | — | — | 3 insurers |
| THREE RIVERS HOSPITAL | WA | $1,317 | $1,317 | — | — | 4 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $1,111 | $1,111 | — | — | 5 insurers |
| METHODIST HOSPITAL UNION COUNTY | KY | $2,035 | $1,323 | — | — | 5 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | — | $1,104 | — | — | 5 insurers |
| LONGMONT UNITED HOSPITAL | CO | $2,743 | $1,097 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $2,743 | $1,097 | — | — | 5 insurers |
| SAINT ANTHONY HOSPITAL | IL | $2,743 | $1,097 | — | — | 5 insurers |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | $3,811 | $1,334 | — | — | 5 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $2,866 | $1,095 | $1,720 | $2,264 | 3 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $2,866 | $1,095 | $137 | $3,794 | 5 insurers |
| EVERGREEN MEDICAL CENTER | AL | $1,679 | $1,091 | — | — | 3 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $1,730 | $1,090 | $1,211 | $1,678 | 5 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $1,730 | $1,090 | $727 | $1,678 | 5 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $1,555 | $1,088 | — | — | 5 insurers |
| THE GENERAL | LA | $1,555 | $1,088 | — | — | 5 insurers |
| OAKLEAF SURGICAL HOSPITAL | WI | $1,207 | $1,087 | $255 | $1,207 | 5 insurers |
| GREENE COUNTY HOSPITAL | AL | $1,940 | $1,086 | — | — | 5 insurers |
| GREENE COUNTY HOSPITAL | AL | $1,940 | $1,086 | — | — | 5 insurers |
| GREENE COUNTY MEDICAL CENTER | IA | $1,940 | $1,086 | — | — | 5 insurers |
| GREENE COUNTY MEDICAL CENTER | IA | $1,940 | $1,086 | — | — | 5 insurers |
| MEMORIAL HOSPITAL | IL | $2,994 | $1,347 | — | — | 5 insurers |
| MEMORIAL HOSPITAL | IL | $2,994 | $1,347 | — | — | 5 insurers |
| APPLETON AREA HEALTH | MN | $2,410 | $1,350 | — | — | 5 insurers |
| THEDACARE REGIONAL MED CTR - NEENAH | WI | $2,410 | $1,350 | — | — | 5 insurers |
| THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC | WI | $2,410 | $1,350 | — | — | 5 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $3,191 | $1,350 | $2,074 | $2,074 | 1 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $3,191 | $1,350 | $167 | $2,317 | 5 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $2,720 | $1,360 | — | — | 5 insurers |
| CRENSHAW COMMUNITY HOSPITAL | AL | $2,130 | $1,065 | — | — | 2 insurers |
| CRENSHAW COMMUNITY HOSPITAL | AL | $2,130 | $1,065 | — | — | 2 insurers |
| SOUTH COUNTY HOSPITAL INC | RI | $2,288 | $1,373 | — | — | 3 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $2,305 | $1,383 | — | — | 1 insurers |
| UNITY HOSPITAL | NY | $1,729 | $1,383 | — | — | 1 insurers |
| UNITY MEDICAL CENTER | TN | $1,729 | $1,383 | — | — | 1 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $1,901 | $1,046 | — | — | 5 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $2,347 | $1,385 | — | — | 5 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $1,044 | — | — | 5 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $1,044 | — | — | 5 insurers |
| SURGEONS CHOICE MEDICAL CENTER | MI | $2,850 | $1,042 | — | — | 5 insurers |
| ARKANSAS SURGICAL HOSPITAL | AR | $1,487 | $1,040 | $454 | $1,193 | 5 insurers |
| ST THOMAS MORE HOSPITAL | CO | $2,590 | $1,036 | — | — | 5 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | $3,484 | $1,394 | — | — | 5 insurers |
| ST LUKES HOSPITAL | MN | $2,490 | $1,394 | — | — | 5 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $1,291 | $1,033 | — | — | 5 insurers |
| MAGEE GENERAL HOSPITAL | MS | $2,969 | $1,030 | — | — | 5 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $2,060 | $1,030 | — | — | 5 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $3,573 | $1,401 | $965 | $3,502 | 5 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $3,573 | $1,401 | $177 | $6,120 | 5 insurers |
| SHERIDAN COUNTY HOSPITAL | KS | $1,027 | $1,027 | — | — | 1 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $3,195 | $1,025 | $426 | $3,195 | 5 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $1,478 | $1,404 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER | MO | $1,699 | $1,019 | $934 | $4,587 | 5 insurers |
| WHEELING HOSPITAL, INC | WV | $2,034 | $1,017 | — | — | 5 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $2,770 | $1,413 | — | — | 4 insurers |
| UNIONTOWN HOSPITAL | PA | $2,033 | $1,017 | — | — | 5 insurers |
| ST NICHOLAS HOSPITAL | WI | $2,142 | $1,414 | — | — | 5 insurers |
| HSHS ST CLARE MEMORIAL HOSPITAL | WI | $2,142 | $1,414 | — | — | 5 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $2,358 | $1,415 | — | — | 5 insurers |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH | LA | $1,759 | $1,422 | $703 | $1,703 | 5 insurers |
| PHYSICIANS MEDICAL CENTER | LA | $1,759 | $1,422 | $703 | $1,703 | 5 insurers |
| HUGGINS HOSPITAL | NH | $2,013 | $1,007 | — | — | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $1,922 | $1,426 | $1,634 | $1,864 | 5 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $1,922 | $1,426 | $137 | $1,864 | 5 insurers |
| NORTH CENTRAL SURGICAL CENTER LLP | TX | $1,671 | $1,003 | $919 | $8,427 | 5 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $2,003 | $1,002 | — | — | 5 insurers |
| COX MEDICAL CENTERS | MO | $3,939 | $993 | — | — | 5 insurers |
| COX MEDICAL CENTER BRANSON | MO | $3,939 | $993 | — | — | 5 insurers |
| LANDMARK MEDICAL CENTER | RI | $2,926 | $989 | $520 | $2,926 | 5 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,642 | $985 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,642 | $985 | — | — | 5 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $1,700 | $1,445 | — | — | 5 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $3,616 | $1,446 | — | — | 1 insurers |
| NORTH ALABAMA MEDICAL CENTER | AL | $2,806 | $982 | — | — | 4 insurers |
| NORTH ALABAMA SHOALS HOSPITAL | AL | $2,806 | $982 | — | — | 4 insurers |
| BAYLOR SCOTT AND WHITE ORTHOPEDIC AND SPINE HOSPI | TX | $1,636 | $982 | $900 | $8,427 | 5 insurers |
| FAULKTON AREA MEDICAL CENTER | SD | $1,711 | $1,454 | — | — | 0 insurers |
| FAULKTON AREA MEDICAL CENTER | SD | $1,711 | $1,454 | — | — | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $2,640 | $969 | $1,848 | $2,086 | 3 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $2,640 | $969 | $177 | $6,300 | 5 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $2,202 | $1,467 | $1,192 | $2,158 | 5 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $2,202 | $1,467 | $177 | $2,158 | 5 insurers |
| NORTH VISTA HOSPITAL | NV | $2,000 | $962 | $256 | $11,442 | 5 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $3,692 | $1,477 | — | — | 4 insurers |
| BAXTER HEALTH | AR | $1,578 | $947 | — | — | 3 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $3,191 | $945 | $2,585 | $2,585 | 3 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $3,191 | $945 | $167 | $2,585 | 5 insurers |
| MERCY MEDICAL CENTER INC | MD | $3,490 | $943 | $123 | $7,606 | 5 insurers |
| ST JOSEPH MEDICAL CENTER | WA | $2,539 | $943 | $123 | $3,603 | 5 insurers |
| LORING HOSPITAL | IA | $1,172 | $938 | — | — | 0 insurers |
| VALLEY VIEW HOSPITAL ASSOCIATION | CO | $1,036 | $932 | — | — | 0 insurers |
| CHEROKEE REGIONAL MEDICAL CENTER | IA | $1,036 | $932 | — | — | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $2,546 | $1,502 | $1,400 | $2,393 | 5 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $2,546 | $1,502 | $250 | $6,796 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $2,546 | $1,502 | $1,400 | $2,393 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $2,546 | $1,502 | $250 | $6,796 | 5 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | $1,545 | $927 | $281 | $1,716 | 5 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | $2,510 | $1,506 | — | — | 5 insurers |
| DELTA COUNTY MEMORIAL HOSPITAL | CO | $2,530 | $1,518 | — | — | 5 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $3,047 | $1,523 | — | — | 2 insurers |
| ROME MEMORIAL HOSPITAL, INC | NY | $2,242 | $905 | — | — | 5 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $2,261 | $905 | — | — | 5 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $905 | $905 | — | — | 1 insurers |
| MOUNT GRANT GENERAL HOSPITAL | NV | $3,195 | $904 | $108 | $3,099 | 5 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $3,195 | $904 | $108 | $3,099 | 5 insurers |
| CITIZENS MEDICAL CENTER | TX | $1,805 | $903 | — | — | 5 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $3,573 | $1,529 | $2,251 | $3,502 | 4 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $3,573 | $1,529 | $177 | $7,160 | 5 insurers |
| DALLAS MEDICAL CENTER | TX | $2,501 | $884 | $162 | $2,501 | 5 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $2,209 | $884 | — | — | 5 insurers |
| CHATUGE REGIONAL HOSPITAL | GA | $1,764 | $882 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $5,865 | $880 | — | — | 5 insurers |
| JOHNSTON HEALTH | NC | $5,865 | $880 | — | — | 5 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $5,865 | $880 | — | — | 5 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $5,865 | $880 | — | — | 5 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $5,865 | $880 | — | — | 5 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $5,865 | $880 | — | — | 5 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $5,865 | $880 | — | — | 5 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $5,865 | $880 | — | — | 5 insurers |
| LONESOME PINE HOSPITAL | VA | $5,865 | $880 | — | — | 5 insurers |
| GARDEN CITY HOSPITAL | MI | $4,112 | $877 | $470 | $4,112 | 5 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $2,546 | $1,553 | $1,248 | $2,368 | 5 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $2,546 | $1,553 | $250 | $3,908 | 5 insurers |
| LEGENT ORTHOPEDIC + SPINE | TX | $14,044 | $1,555 | — | — | 3 insurers |
| LEGENT ORTHOPEDIC HOSPITAL | TX | $14,044 | $1,555 | — | — | 3 insurers |
| CENTRAL MAINE MEDICAL CENTER | ME | $3,681 | $872 | $873 | $3,681 | 5 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | $2,226 | $1,558 | — | — | 5 insurers |
| LOWER BUCKS HOSPITAL | PA | $3,195 | $870 | $108 | $2,556 | 5 insurers |
| HAYWOOD REGIONAL MEDICAL CENTER | NC | $3,899 | $1,560 | — | — | 2 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $2,365 | $1,561 | — | — | 5 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $2,850 | $1,568 | — | — | 5 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $2,098 | $1,574 | — | — | 0 insurers |
| WELIA HEALTH | MN | $1,218 | $853 | — | — | 1 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $1,700 | $850 | — | — | 5 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $2,260 | $1,582 | — | — | 5 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $2,260 | $1,582 | — | — | 5 insurers |
| WESTERLY HOSPITAL | RI | $2,347 | $845 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $2,100 | $840 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $2,100 | $840 | — | — | 5 insurers |
| SAINT JOHN HOSPITAL | KS | $4,516 | $833 | $295 | $3,613 | 5 insurers |
| PROVIDENCE MEDICAL CENTER | KS | $4,039 | $833 | $224 | $3,732 | 5 insurers |
| COSHOCTON REGIONAL MEDICAL CENTER | OH | $2,295 | $832 | $688 | $2,295 | 5 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $2,803 | $824 | $177 | $6,897 | 5 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $2,335 | $817 | — | — | 5 insurers |
| LONGS PEAK HOSPITAL | CO | $2,335 | $817 | — | — | 5 insurers |
| LONGS PEAK HOSPITAL | CO | $2,335 | $817 | — | — | 5 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $2,335 | $817 | — | — | 5 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $2,335 | $817 | — | — | 5 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $3,225 | $1,613 | — | — | 5 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $3,225 | $1,613 | — | — | 5 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $3,225 | $1,613 | — | — | 5 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $1,900 | $1,615 | — | — | 5 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | $5,348 | $1,618 | $0 | $5,000 | 5 insurers |
| SIOUX CENTER HEALTH | IA | $836 | $811 | — | — | 5 insurers |
| HARRISON MEMORIAL HOSPITAL | KY | $2,320 | $1,624 | — | — | 5 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $796 | $294 | $2,424 | 5 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $796 | $294 | $2,843 | 5 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $796 | $294 | $2,149 | 5 insurers |
| PARK PLACE SURGICAL HOSPITAL | LA | $795 | $795 | — | — | 5 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $1,986 | $794 | — | — | 2 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | $2,048 | $1,638 | — | — | 5 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $2,059 | $1,647 | — | — | 3 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | $1,545 | $773 | $269 | $1,719 | 5 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | $1,545 | $773 | $201 | $1,719 | 5 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | $1,545 | $773 | $315 | $1,719 | 5 insurers |
| NOVANT PRINCE WILLIAM MEDICAL CENTER | VA | $1,545 | $773 | $315 | $1,719 | 5 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $2,214 | $1,661 | — | — | 1 insurers |
| LAKE HEALTH | OH | $2,214 | $1,661 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $3,022 | $1,662 | — | — | 5 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $3,022 | $1,662 | — | — | 5 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $1,954 | $762 | — | — | 1 insurers |
| AUBURN COMMUNITY HOSPITAL | NY | $2,163 | $761 | — | — | 5 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $2,792 | $1,675 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $1,256 | $754 | — | — | 5 insurers |
| TRINITY ROCK ISLAND | IL | $2,095 | $1,676 | — | — | 5 insurers |
| FORT DUNCAN MEDICAL CENTER | TX | $4,200 | $1,680 | — | — | 5 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,067 | $747 | — | — | 4 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $1,470 | $735 | — | — | 5 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $5,774 | $1,698 | $4,157 | $4,735 | 2 insurers |
| DELTA MEMORIAL HOSPITAL | AR | $2,130 | $1,704 | — | — | 5 insurers |
| REDINGTON FAIRVIEW GENERAL HOSPITAL | ME | $958 | $719 | — | — | 5 insurers |
| REDINGTON FAIRVIEW GENERAL HOSPITAL | ME | $958 | $719 | — | — | 5 insurers |
| GIBSON COMMUNITY HOSPITAL | IL | $1,723 | $1,723 | — | — | 5 insurers |
| GIBSON GENERAL HOSPITAL | IN | $1,723 | $1,723 | — | — | 5 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $5,423 | $705 | — | — | 5 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $2,335 | $701 | — | — | 5 insurers |
| SPECIALISTS HOSPITAL SHREVEPORT | LA | $696 | $696 | $696 | $2,500 | 5 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | $1,384 | $692 | $195 | $2,135 | 5 insurers |
| TMC- BONHAM HOSPITAL | TX | $2,297 | $689 | — | — | 4 insurers |
| RANDOLPH HOSPITAL | NC | $3,411 | $682 | — | — | 4 insurers |
| TEXOMA MEDICAL CENTER | TX | $2,332 | $1,749 | — | — | 5 insurers |
| RUSSELL REGIONAL HOSPITAL | KS | $800 | $680 | — | — | 0 insurers |
| GLENCOE REGIONAL HEALTH | MN | $680 | $680 | — | — | 1 insurers |
| UNITED MEDICAL CENTER | DC | $3,513 | $1,757 | — | — | 5 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $3,513 | $1,757 | — | — | 5 insurers |
| CODY REGIONAL HEALTH | WY | $791 | $672 | — | — | 5 insurers |
| USC ARCADIA HOSPITAL | CA | $5,079 | $1,778 | — | — | 5 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $2,552 | $1,786 | — | — | 5 insurers |
| BROADLAWNS MEDICAL CENTER | IA | $639 | $639 | — | — | 5 insurers |
| POCAHONTAS COMMUNITY HOSPITAL | IA | $1,991 | $1,792 | — | — | 0 insurers |
| CENTRAL VERMONT MEDICAL CENTER | VT | $633 | $633 | — | — | 5 insurers |
| UNM HOSPITAL | NM | $1,151 | $633 | — | — | 5 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $787 | $630 | — | — | 5 insurers |
| TRINITY MUSCATINE | IA | $787 | $630 | — | — | 3 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $787 | $630 | — | — | 3 insurers |
| ST LUKES HOSPITAL | IA | $787 | $630 | — | — | 3 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $787 | $630 | — | — | 3 insurers |
| ALLEN HOSPITAL | IA | $787 | $630 | — | — | 4 insurers |
| FINLEY HOSPITAL | IA | $787 | $630 | — | — | 5 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $787 | $630 | — | — | 3 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $787 | $630 | — | — | 4 insurers |
| ISLAND HOSPITAL | WA | $626 | $626 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $4,509 | $1,803 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $4,509 | $1,803 | — | — | 5 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $2,340 | $623 | — | — | 5 insurers |
| PENDER COMMUNITY HOSPITAL | NE | $1,384 | $623 | $355 | $1,342 | 5 insurers |
| ADVENTHEALTH OCALA | FL | $3,016 | $1,809 | — | — | 5 insurers |
| BALDWIN HEALTH | AL | $3,490 | $1,815 | — | — | 3 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $3,490 | $1,815 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $3,490 | $1,815 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $3,490 | $1,815 | — | — | 3 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $3,490 | $1,815 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $3,490 | $1,815 | — | — | 3 insurers |
| SUMMIT SURGICAL, LLC | KS | $766 | $613 | — | — | 5 insurers |
| COLQUITT REGIONAL MEDICAL CENTER | GA | $1,824 | $1,824 | — | — | 5 insurers |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY | OK | $1,824 | $1,824 | — | — | 5 insurers |
| ST MARY-CORWIN HOSPITAL | CO | $1,508 | $603 | — | — | 5 insurers |
| BOB WILSON MEMORIAL HOSPITAL | KS | $1,508 | $603 | — | — | 5 insurers |
| SUSAN B ALLEN MEMORIAL HOSPITAL | KS | $923 | $600 | — | — | 2 insurers |
| FRIEND COMMUNITY HEALTHCARE SYSTEM | NE | $984 | $590 | — | — | 5 insurers |
| BRISTOL HOSPITAL | CT | $3,909 | $586 | — | — | 5 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $3,909 | $586 | — | — | 5 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $3,909 | $586 | — | — | 5 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $3,909 | $586 | — | — | 5 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $3,909 | $586 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $3,909 | $586 | — | — | 5 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $3,909 | $586 | — | — | 5 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $3,909 | $586 | — | — | 5 insurers |
| PUTNAM GENERAL HOSPITAL | GA | $1,150 | $575 | — | — | 0 insurers |
| SANFORD USD MEDICAL CENTER | SD | $2,318 | $1,854 | — | — | 3 insurers |
| Baylor St Lukes Medical Center | TX | $1,632 | $571 | $288 | $4,487 | 5 insurers |
| CHI ST LUKES LAKESIDE HOSPITAL | TX | $1,632 | $571 | $288 | $4,487 | 5 insurers |
| GOSHEN HOSPITAL | IN | $2,659 | $1,861 | — | — | 5 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $2,327 | $1,862 | — | — | 2 insurers |
| RIVER'S EDGE HOSPITAL & CLINIC | MN | $702 | $562 | — | — | 5 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $2,510 | $1,883 | — | — | 2 insurers |
| BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH | TX | $906 | $544 | $498 | $8,427 | 5 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $676 | $541 | $252 | $992 | 5 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $676 | $541 | $252 | $992 | 5 insurers |
| THOMAS HOSPITAL | AL | $3,781 | $1,891 | — | — | 5 insurers |
| NORTH CANYON MEDICAL CENTER | ID | $671 | $537 | — | — | 5 insurers |
| OKLAHOMA SPINE HOSPITAL | OK | $5,658 | $1,905 | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $1,338 | $522 | $281 | $1,004 | 3 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $4,769 | $1,908 | — | — | 1 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $688 | $516 | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | $644 | $515 | $124 | $930 | 5 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $1,469 | $514 | $661 | $1,469 | 5 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $1,469 | $514 | $358 | $5,160 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $1,469 | $514 | $632 | $1,469 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $1,469 | $514 | $358 | $5,160 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $1,469 | $514 | $632 | $1,469 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $1,469 | $514 | $341 | $5,160 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $1,469 | $514 | $632 | $1,469 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $1,469 | $514 | $341 | $5,160 | 5 insurers |
| SOUTHWESTERN VERMONT MEDICAL CENTER | VT | $728 | $509 | — | — | 5 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $1,923 | $493 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $1,923 | $493 | $568 | $2,332 | 5 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $1,923 | $489 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $1,923 | $489 | $568 | $1,574 | 5 insurers |
| WILKES REGIONAL MEDICAL CENTER | NC | $970 | $485 | — | — | 0 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | $1,141 | $485 | — | — | 4 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | $1,141 | $485 | — | — | 5 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $3,241 | $1,945 | $934 | $4,587 | 5 insurers |
| CARSON TAHOE REGIONAL MEDICAL CENTER | NV | $2,783 | $1,948 | $223 | $2,338 | 5 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $481 | $481 | — | — | 5 insurers |
| LADD MEMORIAL HOSPITAL | WI | $679 | $475 | — | — | 5 insurers |
| TOPS SURGICAL SPECIALTY HOSPITAL | TX | $1,354 | $474 | $1 | $5,394 | 5 insurers |
| BUENA VISTA REGIONAL MEDICAL CENTER | IA | $1,960 | $1,960 | $872 | $2,426 | 0 insurers |
| BAPTIST MEDICAL CENTER BEACHES | FL | $2,419 | $460 | — | — | 5 insurers |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI | TN | $1,564 | $458 | — | — | 1 insurers |
| MARIA PARHAM MEDICAL CENTER | NC | $1,119 | $447 | — | — | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $7,625 | $1,983 | $830 | $6,481 | 5 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $879 | $440 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $879 | $440 | — | — | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $1,335 | $427 | $432 | $2,244 | 5 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $1,335 | $414 | $432 | $2,244 | 5 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $1,335 | $414 | $601 | $2,244 | 5 insurers |
| ROANE MEDICAL CENTER | TN | $1,335 | $414 | $601 | $2,244 | 5 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $1,335 | $414 | $601 | $1,941 | 5 insurers |
| LECONTE MEDICAL CENTER | TN | $1,335 | $414 | $432 | $2,244 | 5 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $1,335 | $414 | $432 | $1,941 | 5 insurers |
| UH REGIONAL HOSPITALS | OH | $2,706 | $2,030 | — | — | 1 insurers |
| UH ST JOHN MEDICAL CENTER | OH | $2,706 | $2,030 | — | — | 1 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | $2,706 | $2,030 | — | — | 1 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | $2,706 | $2,030 | — | — | 1 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | $2,706 | $2,030 | — | — | 1 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $2,706 | $2,030 | — | — | 1 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $5,095 | $2,038 | — | — | 1 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $5,095 | $2,038 | — | — | 2 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $5,095 | $2,038 | — | — | 1 insurers |
| MISSOURI BAPTIST SULLIVAN HOSPITAL | MO | $3,398 | $2,039 | $748 | $7,508 | 5 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $459 | $390 | — | — | 3 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $459 | $390 | — | — | 2 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $3,889 | $389 | — | — | 5 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | $972 | $389 | $778 | $3,027 | 5 insurers |
| CHESAPEAKE GENERAL HOSPITAL | VA | $3,403 | $2,042 | — | — | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $3,150 | $2,048 | — | — | 5 insurers |
| MONUMENT HEALTH RAPID CITY HOSPITAL | SD | $2,052 | $2,052 | $1,252 | $1,970 | 5 insurers |
| GOOD SHEPHERD MEDICAL CENTER | OR | $744 | $372 | — | — | 4 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $3,711 | $371 | — | — | 5 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $3,711 | $371 | — | — | 5 insurers |
| KANSAS MEDICAL CENTER LLC | KS | $609 | $366 | — | — | 5 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $2,064 | $361 | $1,754 | $2,064 | 2 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $2,064 | $361 | $358 | $3,943 | 5 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $2,064 | $361 | $780 | $2,064 | 5 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $2,064 | $361 | $358 | $2,888 | 5 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $2,064 | $361 | $715 | $2,064 | 5 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $2,064 | $361 | $263 | $2,960 | 5 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $2,064 | $361 | $1,409 | $2,064 | 4 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $2,064 | $361 | $358 | $3,943 | 5 insurers |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE | TN | $1,429 | $356 | — | — | 1 insurers |
| SIDNEY HEALTH CENTER | MT | $574 | $355 | — | — | 5 insurers |
| SIDNEY HEALTH CENTER | MT | $574 | $355 | — | — | 4 insurers |
| PENOBSCOT VALLEY HOSPITAL | ME | $444 | $355 | — | — | 5 insurers |
| ALTRU HOSPITAL | ND | $582 | $355 | — | — | 0 insurers |
| JOHNSON COUNTY HEALTHCARE CENTER | WY | $2,079 | $2,079 | — | — | 0 insurers |
| JOHNSON COUNTY HEALTHCARE CENTER | WY | $2,079 | $2,079 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $5,993 | $2,098 | $1,079 | $2,997 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $5,993 | $2,098 | $1,079 | $2,997 | 3 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $5,993 | $2,098 | $1,079 | $2,997 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $5,993 | $2,098 | $1,079 | $2,997 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $5,993 | $2,098 | $1,079 | $2,997 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $5,993 | $2,098 | $1,079 | $2,997 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $5,993 | $2,098 | $1,079 | $2,997 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $5,993 | $2,098 | $1,079 | $2,997 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $5,993 | $2,098 | $1,079 | $2,997 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $5,993 | $2,098 | $1,079 | $2,997 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $5,993 | $2,098 | $1,079 | $2,997 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $5,993 | $2,098 | $1,079 | $2,997 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $5,993 | $2,098 | $1,079 | $2,997 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $5,993 | $2,098 | $1,079 | $2,997 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $5,993 | $2,098 | $1,079 | $2,997 | 3 insurers |
| HOULTON REGIONAL HOSPITAL | ME | $347 | $330 | — | — | 5 insurers |
| NORTHWEST TEXAS HOSPITAL | TX | $5,259 | $2,104 | — | — | 5 insurers |
| SAUK PRAIRIE HOSPITAL | WI | $3,851 | $2,106 | — | — | 5 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $2,108 | $2,108 | — | — | 5 insurers |
| WAYNE HOSPITAL | OH | $2,812 | $2,109 | — | — | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $2,520 | $2,117 | $2,274 | $2,470 | 5 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $2,520 | $2,117 | $1,537 | $3,413 | 5 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $713 | $299 | — | — | 4 insurers |
| SOUTH CENTRAL HEALTH | ND | $713 | $299 | — | — | 4 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | $299 | $299 | — | — | 5 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | $299 | $299 | — | — | 5 insurers |
| LINCOLNHEALTH | ME | $299 | $299 | — | — | 5 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | $299 | $299 | — | — | 5 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | $299 | $299 | — | — | 5 insurers |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | $299 | $299 | — | — | 5 insurers |
| MEMORIAL HOSPITAL, THE | NH | $299 | $299 | — | — | 5 insurers |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER | MN | $2,663 | $2,130 | — | — | 5 insurers |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL | VT | $390 | $293 | — | — | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $2,520 | $2,142 | $2,274 | $2,470 | 5 insurers |
| CHI HEALTH SCHUYLER | NE | $2,520 | $2,142 | $540 | $2,853 | 5 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $594 | $279 | — | — | 4 insurers |
| ST CROIX REGIONAL MEDICAL CENTER | WI | $504 | $277 | — | — | 5 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $527 | $264 | — | — | 2 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $527 | $264 | — | — | 2 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $527 | $264 | — | — | 2 insurers |
| COQUILLE VALLEY HOSPITAL | OR | — | $256 | $141 | $841 | 5 insurers |
| SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT | OK | $335 | $251 | — | — | 5 insurers |
| GROSSMONT HOSPITAL | CA | $2,905 | $2,179 | — | — | 5 insurers |
| SHARP MEMORIAL HOSPITAL | CA | $2,905 | $2,179 | — | — | 5 insurers |
| SHARP CHULA VISTA MEDICAL CENTER | CA | $2,905 | $2,179 | — | — | 5 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $706 | $247 | — | — | 5 insurers |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE | TX | $3,648 | $2,189 | $830 | $3,361 | 5 insurers |
| GREENE COUNTY HOSPITAL | AL | $429 | $240 | — | — | 3 insurers |
| GREENE COUNTY MEDICAL CENTER | IA | $429 | $240 | — | — | 3 insurers |
| ALLEN HOSPITAL | IA | $284 | $227 | — | — | 5 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $284 | $227 | — | — | 5 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $320 | $224 | — | — | 5 insurers |
| CHI ST ALEXIUS HEALTH | ND | $415 | $212 | $307 | $374 | 3 insurers |
| CHI ST ALEXIUS HEALTH | ND | $415 | $212 | $274 | $1,540 | 5 insurers |
| EDGEWOOD SURGICAL HOSPITAL | PA | $2,226 | $2,226 | — | — | 5 insurers |
| ELLIS HOSPITAL | NY | $396 | $198 | — | — | 4 insurers |
| ELLIS HOSPITAL | NY | $396 | $198 | — | — | 2 insurers |
| BOCA RATON REGIONAL HOSPITAL | FL | $3,443 | $2,238 | — | — | 5 insurers |
| SPRING VIEW HOSPITAL | KY | $5,604 | $2,241 | — | — | 0 insurers |
| EMANUEL MEDICAL CENTER | GA | $5,615 | $2,246 | — | — | 0 insurers |
| DLP SWAIN COUNTY HOSPITAL LLC | NC | $5,615 | $2,246 | — | — | 0 insurers |
| HAVASU REGIONAL MEDICAL CENTER | AZ | $3,744 | $2,247 | — | — | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $2,257 | $2,257 | — | — | 5 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $292 | $169 | $175 | $274 | 5 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $292 | $169 | $128 | $274 | 5 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | $5,704 | $2,282 | — | — | 5 insurers |
| BARNESVILLE HOSPITAL ASSOCIATION, INC | OH | $284 | $142 | — | — | 1 insurers |
| BERKELEY MEDICAL CENTER | WV | $284 | $142 | — | — | 1 insurers |
| ST JOSEPHS AREA HEALTH SERVICES | MN | $224 | $139 | $145 | $220 | 5 insurers |
| JACKSON GENERAL HOSPITAL | WV | $270 | $135 | — | — | 0 insurers |
| BRAXTON COUNTY MEMORIAL HOSPITAL, INC | WV | $263 | $132 | — | — | 0 insurers |
| POTOMAC VALLEY HOSPITAL | WV | $263 | $132 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER | MO | $3,837 | $2,302 | $913 | $4,705 | 3 insurers |
| SIOUX FALLS SPECIALTY HOSPITAL | SD | $3,079 | $2,309 | $444 | $3,079 | 5 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $331 | $116 | $275 | $2,960 | 5 insurers |
| CARLE EUREKA HOSPITAL | IL | $2,325 | $2,325 | — | — | 5 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $2,920 | $2,336 | — | — | 5 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $2,958 | $2,366 | — | — | 3 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $123 | $61.5 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $123 | $61.5 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $123 | $61.5 | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $5,927 | $2,371 | — | — | 5 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $5,927 | $2,371 | — | — | 5 insurers |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR | NY | $2,371 | $2,371 | — | — | 5 insurers |
| VALLEY VIEW MEDICAL CENTER | AZ | $4,096 | $2,458 | — | — | 1 insurers |