| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $5,750 | $2,415 | $3,450 | $4,888 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $5,750 | $2,415 | $863 | $4,888 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $5,750 | $2,415 | $3,450 | $4,888 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $5,750 | $2,415 | $978 | $4,888 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $5,750 | $2,415 | $3,450 | $4,888 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $5,750 | $2,415 | $805 | $4,888 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $5,750 | $2,415 | $3,450 | $4,888 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $5,750 | $2,415 | $1,035 | $4,888 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $5,750 | $2,415 | $3,450 | $4,888 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $5,750 | $2,415 | $920 | $4,888 | 0 insurers |
| ST CLARE HOSPITAL | WA | $8,375 | $2,414 | $6,030 | $6,282 | 0 insurers |
| ST CLARE HOSPITAL | WA | $8,375 | $2,414 | $6,030 | $6,282 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $8,146 | $2,395 | $5,865 | $6,680 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $8,146 | $2,395 | $1,711 | $8,146 | 0 insurers |
| KAISER PERMANENTE CENTRAL HOSPITAL | WA | $3,932 | $2,438 | $2,680 | $2,680 | 0 insurers |
| HIGHPOINT HEALTH-TROUSDALE WITH ASCENSION SAINT | TN | $10,619 | $2,442 | — | — | 0 insurers |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH | TN | $10,619 | $2,442 | — | — | 0 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $4,760 | $2,380 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $4,760 | $2,380 | — | — | 0 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | $4,723 | $2,362 | $823 | $4,581 | 0 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | $4,723 | $2,362 | $665 | $4,581 | 0 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | $4,723 | $2,362 | $614 | $4,581 | 0 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | $4,723 | $2,362 | $583 | $4,581 | 0 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | $4,723 | $2,362 | $930 | $4,581 | 0 insurers |
| FORT DUNCAN MEDICAL CENTER | TX | $5,844 | $2,338 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $4,563 | $2,327 | $3,377 | $4,107 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $4,563 | $2,327 | $2,282 | $4,107 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $4,277 | $2,523 | $2,352 | $4,020 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $4,277 | $2,523 | $984 | $4,020 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $4,277 | $2,523 | $2,352 | $4,020 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $4,277 | $2,523 | $984 | $4,020 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $7,220 | $2,527 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $7,220 | $2,527 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $7,220 | $2,527 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $7,220 | $2,527 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $7,220 | $2,527 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $7,220 | $2,527 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $7,220 | $2,527 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $7,220 | $2,527 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $7,220 | $2,527 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $7,220 | $2,527 | $0 | $0 | 0 insurers |
| CARILION MEDICAL CENTER | VA | $6,552 | $2,293 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $6,552 | $2,293 | — | — | 0 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $6,552 | $2,293 | — | — | 0 insurers |
| FAYETTE MEDICAL CENTER | AL | $2,541 | $2,541 | $2,541 | $2,541 | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $5,092 | $2,546 | — | — | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $8,375 | $2,547 | $6,030 | $6,282 | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $8,375 | $2,547 | $6,030 | $6,282 | 0 insurers |
| WILSON MEDICAL CENTER | KS | $5,649 | $2,260 | — | — | 0 insurers |
| WILSON MEDICAL CENTER | NC | $5,649 | $2,260 | — | — | 0 insurers |
| USC ARCADIA HOSPITAL | CA | $6,437 | $2,253 | — | — | 0 insurers |
| SAINT JOSEPH LONDON | KY | $6,246 | $2,229 | $5,684 | $5,684 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $6,246 | $2,229 | $892 | $5,684 | 0 insurers |
| UP HEALTH SYSTEM PORTAGE | MI | $3,706 | $2,224 | — | — | 0 insurers |
| ADVENTHEALTH FISH MEMORIAL | FL | $3,995 | $2,197 | $111 | $3,595 | 0 insurers |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA | TN | $8,115 | $2,646 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $3,629 | $2,177 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $3,629 | $2,177 | — | — | 0 insurers |
| MERCY HOSPITAL | CA | $5,418 | $2,167 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $5,418 | $2,167 | — | — | 0 insurers |
| PENDER COMMUNITY HOSPITAL | NE | $4,806 | $2,163 | $930 | $4,662 | 0 insurers |
| UNM HOSPITAL | NM | $3,913 | $2,152 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $4,304 | $2,152 | — | — | 0 insurers |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | $6,144 | $2,150 | — | — | 0 insurers |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | $6,144 | $2,150 | — | — | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $4,277 | $2,139 | $2,652 | $3,422 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $4,277 | $2,139 | $984 | $3,635 | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $4,362 | $2,137 | $2,486 | $4,275 | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $4,362 | $2,137 | $1,527 | $4,275 | 0 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $4,512 | $2,707 | — | — | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $7,125 | $2,109 | $5,771 | $5,771 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $7,125 | $2,109 | $306 | $5,771 | 0 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $6,368 | $2,101 | $214 | $5,413 | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $5,998 | $2,099 | — | — | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $5,998 | $2,099 | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $5,998 | $2,099 | — | — | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $4,362 | $2,094 | $2,617 | $4,275 | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $4,362 | $2,094 | $1,876 | $4,275 | 0 insurers |
| BEEBE MEDICAL CENTER | DE | $3,237 | $2,751 | — | — | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | $7,393 | $2,070 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $2,562 | $2,050 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $2,562 | $2,050 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $2,562 | $2,050 | — | — | 0 insurers |
| SOVAH HEALTH DANVILLE | VA | $6,984 | $2,794 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $5,482 | $2,796 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $5,482 | $2,796 | — | — | 0 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $4,008 | $2,806 | — | — | 0 insurers |
| WELLSPAN YORK HOSPITAL | PA | $3,514 | $2,811 | — | — | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $4,619 | $2,818 | $2,263 | $4,296 | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $4,619 | $2,818 | $970 | $4,296 | 0 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | $4,723 | $2,834 | $877 | $4,581 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $7,148 | $1,994 | $5,718 | $6,219 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $7,148 | $1,994 | $1,114 | $7,148 | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $4,075 | $2,853 | $131 | $8,178 | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $6,674 | $2,870 | $4,672 | $6,674 | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $6,674 | $2,870 | $837 | $6,674 | 0 insurers |
| PEACEHEALTH ST JOHN MEDICAL CENTER | WA | $4,449 | $2,892 | — | — | 0 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $4,140 | $2,898 | — | — | 0 insurers |
| THE GENERAL | LA | $4,140 | $2,898 | — | — | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $7,257 | $2,903 | — | — | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $7,257 | $2,903 | — | — | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $3,206 | $1,924 | $165 | $2,789 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $3,206 | $1,924 | $165 | $2,789 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $3,206 | $1,924 | $165 | $2,789 | 0 insurers |
| UPHS MARQUETTE DLP HOSPITAL | MI | $3,174 | $1,905 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTERS | AL | $2,927 | $2,927 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTER | CA | $2,927 | $2,927 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTER | TN | $2,927 | $2,927 | — | — | 0 insurers |
| AdventHealth Palm Coast | FL | $3,459 | $1,902 | $111 | $3,113 | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $5,856 | $2,928 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $5,856 | $2,928 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $5,856 | $2,928 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $2,375 | $1,900 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $2,375 | $1,900 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $2,375 | $1,900 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $2,375 | $1,900 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $2,375 | $1,900 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $2,375 | $1,900 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $2,375 | $1,900 | — | — | 0 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $4,209 | $2,946 | — | — | 0 insurers |
| THE QUEENS MEDICAL CENTER | HI | $4,209 | $2,946 | — | — | 0 insurers |
| METHODIST HOSPITALS INC | IN | $2,679 | $1,875 | $1,136 | $2,591 | 0 insurers |
| TWIN COUNTY REGIONAL HOSPITAL | VA | $7,478 | $2,991 | — | — | 0 insurers |
| FAUQUIER HOSPITAL | VA | $7,488 | $2,995 | — | — | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $4,558 | $1,823 | — | — | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $7,125 | $3,014 | $4,631 | $4,631 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $7,125 | $3,014 | $1,018 | $4,988 | 0 insurers |
| ADVENTHEALTH DELAND | FL | $5,485 | $3,017 | $111 | $4,937 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $4,924 | $1,807 | $3,447 | $3,890 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $4,924 | $1,807 | $1,105 | $4,924 | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $2,581 | $1,806 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $2,581 | $1,806 | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | $1,800 | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $5,998 | $1,799 | — | — | 0 insurers |
| ADVENTHEALTH SEBRING | FL | $5,084 | $3,051 | $111 | $4,576 | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $2,021 | $1,718 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $2,021 | $1,718 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER - MARYVILLE | MO | $2,021 | $1,718 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $4,902 | $1,716 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $4,902 | $1,716 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $4,902 | $1,716 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $4,902 | $1,716 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $4,902 | $1,716 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $4,902 | $1,716 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $4,902 | $1,716 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $4,902 | $1,716 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $4,902 | $1,716 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $4,902 | $1,716 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $4,902 | $1,716 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $4,902 | $1,716 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $4,902 | $1,716 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $4,902 | $1,716 | $0 | $0 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $4,902 | $1,716 | $0 | $0 | 0 insurers |
| CHESAPEAKE GENERAL HOSPITAL | VA | $2,846 | $1,708 | — | — | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | $7,822 | $3,129 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $7,822 | $3,129 | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $7,822 | $3,129 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $7,822 | $3,129 | — | — | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | $7,822 | $3,129 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $2,000 | $1,700 | — | — | 0 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $3,390 | $1,695 | — | — | 0 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $3,390 | $1,695 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $4,207 | $1,683 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $4,207 | $1,683 | — | — | 0 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $4,193 | $1,677 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $2,781 | $1,669 | — | — | 0 insurers |
| COX MEDICAL CENTERS | MO | $6,535 | $1,647 | — | — | 0 insurers |
| COX MEDICAL CENTER BRANSON | MO | $6,535 | $1,647 | — | — | 0 insurers |
| GROSSMONT HOSPITAL | CA | $4,246 | $3,185 | — | — | 0 insurers |
| SHARP MEMORIAL HOSPITAL | CA | $4,246 | $3,185 | — | — | 0 insurers |
| SHARP CHULA VISTA MEDICAL CENTER | CA | $4,246 | $3,185 | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $6,430 | $3,215 | — | — | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $6,430 | $3,215 | — | — | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $6,430 | $3,215 | — | — | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $6,430 | $3,215 | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $6,430 | $3,215 | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $6,430 | $3,215 | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $6,430 | $3,215 | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $6,430 | $3,215 | — | — | 0 insurers |
| ADVENTHEALTH CENTRAL TEXAS | TX | $3,211 | $1,605 | $1,435 | $2,890 | 0 insurers |
| ADVENTHEALTH ROLLINS BROOK | TX | $3,211 | $1,605 | $1,435 | $2,890 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $4,095 | $1,597 | $0 | $0 | 0 insurers |
| ADVENTHEALTH WATERMAN | FL | $2,898 | $1,594 | $111 | $2,608 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $4,155 | $1,587 | $2,493 | $3,282 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $4,155 | $1,587 | $131 | $4,155 | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $2,435 | $1,583 | — | — | 0 insurers |
| BRIDGTON HOSPITAL | ME | $5,074 | $1,572 | $1,522 | $5,074 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $11,906 | $3,262 | $1,310 | $10,954 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $11,906 | $3,262 | $1,310 | $11,906 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $11,906 | $3,262 | $1,310 | $9,882 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $11,906 | $3,262 | $1,310 | $11,906 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | $3,270 | $3,270 | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | $3,270 | $3,270 | — | — | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $3,312 | $1,560 | $3,014 | $3,014 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $3,312 | $1,560 | $778 | $3,014 | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $3,381 | $1,555 | $2,401 | $2,536 | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $3,381 | $1,555 | $811 | $2,772 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $3,381 | $1,555 | $2,401 | $2,536 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $3,381 | $1,555 | $811 | $2,772 | 0 insurers |
| VALLEY VIEW MEDICAL CENTER | AZ | $2,586 | $1,552 | — | — | 0 insurers |
| ANTELOPE VALLEY HOSPITAL | CA | $1,540 | $1,540 | — | — | 0 insurers |
| MEMORIAL HOSPITAL | IL | $7,313 | $3,291 | — | — | 0 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $2,273 | $1,500 | — | — | 0 insurers |
| RUMFORD HOSPITAL | ME | $5,074 | $1,471 | $1,471 | $5,074 | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $7,668 | $1,457 | — | — | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $3,326 | $1,424 | $2,095 | $3,259 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $3,326 | $1,424 | $1,663 | $3,326 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $11,906 | $3,429 | $8,930 | $9,882 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $11,906 | $3,429 | $1,591 | $11,906 | 0 insurers |
| RANDOLPH HOSPITAL | NC | $6,942 | $1,388 | — | — | 0 insurers |
| ADVENTHEALTH OCALA | FL | $2,225 | $1,335 | — | — | 0 insurers |
| SAINT JOSEPH EAST | KY | $3,312 | $1,330 | $3,014 | $3,014 | 0 insurers |
| SAINT JOSEPH EAST | KY | $3,312 | $1,330 | $809 | $3,014 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $3,312 | $1,330 | $3,014 | $3,014 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $3,312 | $1,330 | $809 | $3,014 | 0 insurers |
| PARKLAND HEALTH CENTER | MO | $2,175 | $1,305 | $449 | $1,996 | 0 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $2,175 | $1,305 | $449 | $1,996 | 0 insurers |
| MERCY MEDICAL CENTER | CA | $5,068 | $3,548 | $938 | $5,068 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $4,715 | $1,264 | $2,546 | $3,961 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $4,715 | $1,264 | $131 | $4,715 | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $4,908 | $1,259 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $4,908 | $1,259 | $1,293 | $2,699 | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $7,150 | $3,575 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $7,150 | $3,575 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $7,150 | $3,575 | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $7,150 | $3,575 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $7,150 | $3,575 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $7,150 | $3,575 | — | — | 0 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $7,150 | $3,575 | — | — | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $7,150 | $3,575 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $7,150 | $3,575 | — | — | 0 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $7,150 | $3,575 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $7,150 | $3,575 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $7,150 | $3,575 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $7,150 | $3,575 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $7,150 | $3,575 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $7,150 | $3,575 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $7,150 | $3,575 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $7,150 | $3,575 | — | — | 0 insurers |
| BAXTER HEALTH | AR | $2,084 | $1,250 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $4,908 | $1,248 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $4,908 | $1,248 | $1,293 | $2,699 | 0 insurers |
| LUBBOCK HEART HOSPITAL LP | TX | $1,246 | $1,246 | — | — | 0 insurers |
| HAYWOOD REGIONAL MEDICAL CENTER | NC | $3,064 | $1,225 | — | — | 0 insurers |
| Adventhealth Zephyrhills | FL | $6,025 | $3,615 | $111 | $4,274 | 0 insurers |
| ADVENTHEALTH TAMPA | FL | $6,025 | $3,615 | $111 | $5,422 | 0 insurers |
| LALLIE KEMP MEDICAL CENTER | LA | $2,018 | $1,211 | — | — | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $4,588 | $1,193 | $401 | $5,390 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $3,024 | $1,185 | $816 | $2,964 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $3,024 | $1,185 | $816 | $3,024 | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $4,362 | $3,664 | $3,937 | $4,275 | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $4,362 | $3,664 | $2,661 | $5,907 | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $8,937 | $1,162 | — | — | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $9,174 | $3,670 | — | — | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $4,715 | $1,160 | $2,546 | $3,631 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $4,715 | $1,160 | $131 | $4,715 | 0 insurers |
| BELL HOSPITAL | MI | $1,924 | $1,154 | — | — | 0 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $2,743 | $1,152 | — | — | 0 insurers |
| SOUTH CENTRAL HEALTH | ND | $2,743 | $1,152 | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $5,731 | $1,146 | — | — | 0 insurers |
| NORTON HOSPITALS, INC | KY | $5,731 | $1,146 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $7,376 | $3,688 | — | — | 0 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $1,885 | $1,131 | — | — | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $4,362 | $3,708 | $3,937 | $4,275 | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $4,362 | $3,708 | $934 | $4,939 | 0 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | $1,601 | $1,121 | $963 | $7,589 | 0 insurers |
| RED BAY HOSPITAL | AL | $6,650 | $3,724 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $6,650 | $3,724 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $6,650 | $3,724 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $6,650 | $3,724 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $6,650 | $3,724 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $6,650 | $3,724 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $6,650 | $3,724 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $6,650 | $3,724 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $6,650 | $3,724 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $6,650 | $3,724 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $6,650 | $3,724 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $6,650 | $3,724 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $6,650 | $3,724 | — | — | 0 insurers |
| IBERIA MEDICAL CENTER | LA | $1,815 | $1,089 | — | — | 0 insurers |
| LAKE CUMBERLAND REGIONAL HOSPITAL | KY | $2,714 | $1,086 | — | — | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $9,386 | $3,754 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,336 | $1,069 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $1,336 | $1,069 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,336 | $1,069 | — | — | 0 insurers |
| COLQUITT REGIONAL MEDICAL CENTER | GA | $3,769 | $3,769 | — | — | 0 insurers |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY | OK | $3,769 | $3,769 | — | — | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $9,455 | $3,782 | — | — | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $2,061 | $1,031 | — | — | 0 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $1,212 | $1,030 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,451 | $1,016 | — | — | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $2,772 | $970 | $1,247 | $2,772 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $2,772 | $970 | $89.09 | $2,772 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $2,772 | $970 | $1,192 | $2,772 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $2,772 | $970 | $100 | $2,772 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $2,772 | $970 | $1,192 | $2,772 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $2,772 | $970 | $100 | $2,772 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $2,772 | $970 | $1,192 | $2,772 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $2,772 | $970 | $100 | $2,772 | 0 insurers |
| TRINITY ROCK ISLAND | IL | $1,189 | $951 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $1,189 | $951 | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $6,471 | $3,883 | — | — | 0 insurers |
| WELLINGTON REGIONAL MEDICAL CENTER | FL | $5,212 | $3,909 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $2,148 | $913 | — | — | 0 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $9,071 | $907 | — | — | 0 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $9,071 | $907 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $9,049 | $905 | — | — | 0 insurers |
| ST NICHOLAS HOSPITAL | WI | $5,950 | $3,927 | — | — | 0 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $2,512 | $879 | $157 | $2,135 | 0 insurers |
| Baylor St Lukes Medical Center | TX | $2,479 | $868 | $78.95 | $2,107 | 0 insurers |
| CHI ST LUKES LAKESIDE HOSPITAL | TX | $2,479 | $868 | $95.96 | $2,107 | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $2,148 | $861 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $2,148 | $861 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $2,148 | $861 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $2,148 | $861 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $2,148 | $861 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $2,148 | $861 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $5,314 | $3,986 | — | — | 0 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $4,000 | $4,000 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $7,938 | $4,048 | — | — | 0 insurers |
| BALDWIN HEALTH | AL | $7,820 | $4,066 | — | — | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $7,820 | $4,066 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $7,820 | $4,066 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $7,820 | $4,066 | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $7,820 | $4,066 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $7,820 | $4,066 | — | — | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $1,507 | $731 | $1,040 | $1,191 | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $1,507 | $731 | $377 | $2,917 | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $2,085 | $730 | $1,355 | $1,564 | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $2,085 | $730 | $100 | $1,564 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $1,829 | $715 | $1,097 | $1,829 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $1,829 | $715 | $494 | $1,829 | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $7,938 | $4,128 | — | — | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $1,341 | $671 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $2,936 | $666 | $881 | $2,114 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $2,936 | $666 | $587 | $2,936 | 0 insurers |
| BRISTOL HOSPITAL | CT | $4,394 | $659 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $4,394 | $659 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $4,394 | $659 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $4,394 | $659 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $4,394 | $659 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $4,394 | $659 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $4,394 | $659 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $4,394 | $659 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $4,394 | $659 | — | — | 0 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $4,394 | $659 | — | — | 0 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $4,394 | $659 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $4,394 | $659 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $4,394 | $659 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $4,394 | $659 | — | — | 0 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $4,394 | $659 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $4,394 | $659 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $4,394 | $659 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $1,564 | $626 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $1,564 | $626 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $5,629 | $4,222 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $2,936 | $602 | $881 | $2,114 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $2,936 | $602 | $587 | $2,936 | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $1,814 | $591 | $1,016 | $1,451 | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $1,814 | $591 | $454 | $5,029 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $1,814 | $591 | $1,016 | $1,451 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $1,814 | $591 | $454 | $5,029 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $1,714 | $571 | $514 | $1,405 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $1,714 | $571 | $446 | $1,714 | 0 insurers |
| HAVASU REGIONAL MEDICAL CENTER | AZ | $7,145 | $4,287 | — | — | 0 insurers |
| AIKEN REGIONAL MEDICAL CENTER | SC | $10,732 | $4,293 | — | — | 0 insurers |
| SWEETWATER HOSPITAL ASSOCIATION | TN | $10,732 | $4,293 | — | — | 0 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $1,862 | $496 | — | — | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $1,216 | $474 | — | — | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $1,429 | $457 | $134 | $1,286 | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $695 | $452 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $695 | $452 | — | — | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $1,429 | $443 | $134 | $1,286 | 0 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $1,429 | $443 | $134 | $1,286 | 0 insurers |
| ROANE MEDICAL CENTER | TN | $1,429 | $443 | $134 | $1,286 | 0 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $1,429 | $443 | $124 | $1,286 | 0 insurers |
| LECONTE MEDICAL CENTER | TN | $1,429 | $443 | $134 | $1,286 | 0 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $1,429 | $443 | $110 | $1,286 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $2,261 | $396 | $1,922 | $2,261 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $2,261 | $396 | $169 | $1,922 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $2,261 | $396 | $855 | $2,261 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $2,261 | $396 | $169 | $2,035 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $2,261 | $396 | $783 | $2,261 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $2,261 | $396 | $169 | $2,035 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $2,261 | $396 | $1,543 | $2,261 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $2,261 | $396 | $169 | $2,510 | 0 insurers |
| ESKENAZI HEALTH | IN | $391 | $391 | — | — | 0 insurers |
| ESKENAZI HEALTH | IN | $391 | $391 | — | — | 0 insurers |
| ESKENAZI HEALTH | IN | $391 | $391 | — | — | 0 insurers |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | TX | $999 | $350 | $136 | $899 | 0 insurers |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | TX | $999 | $350 | $136 | $899 | 0 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | $4,484 | $4,484 | — | — | 0 insurers |
| KANSAS MEDICAL CENTER LLC | KS | $576 | $345 | — | — | 0 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $842 | $337 | — | — | 0 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $305 | $305 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $1,595 | $303 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $1,595 | $303 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER BEACHES | FL | $1,595 | $303 | — | — | 0 insurers |
| POUDRE VALLEY HOSPITAL | CO | $6,471 | $4,530 | — | — | 0 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $6,471 | $4,530 | — | — | 0 insurers |
| ALTRU HOSPITAL | ND | $488 | $298 | — | — | 0 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $387 | $290 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL OF MICHIGAN | MI | $6,055 | $4,541 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | $282 | $282 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | $282 | $282 | — | — | 0 insurers |
| ADVENTHEALTH SHAWNEE MISSION | KS | $9,141 | $4,570 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | $5,738 | $4,590 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $5,740 | $4,592 | — | — | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER | NY | $5,914 | $237 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $5,775 | $4,620 | — | — | 0 insurers |
| COX MONETT HOSPITAL | MO | $660 | $201 | — | — | 0 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $199 | $199 | — | — | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $11,906 | $4,631 | $1,310 | $9,763 | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $11,906 | $4,631 | $1,310 | $11,906 | 0 insurers |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR | NY | $187 | $187 | — | — | 0 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $5,824 | $4,659 | — | — | 0 insurers |
| TIPPAH COUNTY HOSPITAL | MS | $160 | $160 | — | — | 0 insurers |
| COOPER UNIVERSITY HOSPITAL | NJ | $4,679 | $4,679 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $187 | $150 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $187 | $150 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $187 | $150 | — | — | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $7,938 | $4,683 | — | — | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $11,733 | $4,693 | — | — | 0 insurers |
| MULTICARE GOOD SAMARITAN HOSPITAL | WA | $11,733 | $4,693 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $11,733 | $4,693 | — | — | 0 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $195 | $137 | — | — | 0 insurers |
| MEMORIAL MEDICAL CENTER | NM | $7,968 | $4,781 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $6,955 | $4,868 | — | — | 0 insurers |
| SANFORD USD MEDICAL CENTER | SD | $6,117 | $4,894 | — | — | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $21,888 | $5,000 | — | — | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $5,001 | $5,001 | — | — | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $7,735 | $5,028 | — | — | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $6,704 | $5,216 | $3,486 | $6,570 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $6,704 | $5,216 | $1,139 | $6,570 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $6,704 | $5,216 | $3,486 | $6,570 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $6,704 | $5,216 | $1,139 | $6,570 | 0 insurers |
| UCSF HEALTH ST. MARY'S HOSPITAL | CA | $7,509 | $5,256 | $1,038 | $7,509 | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $13,170 | $5,268 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $6,590 | $5,272 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $6,590 | $5,272 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $6,590 | $5,272 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $6,590 | $5,272 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $6,590 | $5,272 | — | — | 0 insurers |
| HSHS ST ELIZABETH'S HOSPITAL | IL | $7,361 | $5,300 | — | — | 0 insurers |
| TEXOMA MEDICAL CENTER | TX | $7,080 | $5,310 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $9,730 | $5,352 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $9,730 | $5,352 | — | — | 0 insurers |
| UCSF HEALTH SAINT FRANCIS HOSPITAL | CA | $7,867 | $5,507 | $1,030 | $7,867 | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $9,219 | $5,531 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $9,219 | $5,531 | — | — | 0 insurers |
| ALAMEDA HOSPITAL | CA | $11,549 | $5,775 | $4,620 | $8,662 | 0 insurers |
| HIGHLAND HOSPITAL | CA | $11,549 | $5,775 | $4,620 | $8,662 | 0 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $7,703 | $5,777 | — | — | 0 insurers |
| LAKE HEALTH | OH | $7,703 | $5,777 | — | — | 0 insurers |
| DOMINICAN HOSPITAL | CA | $13,138 | $5,912 | $10,510 | $11,167 | 0 insurers |
| DOMINICAN HOSPITAL | CA | $13,138 | $5,912 | $8,540 | $13,138 | 0 insurers |
| ADVENTHEALTH DADE CITY | FL | $9,900 | $5,940 | $111 | $8,910 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $5,985 | $5,985 | — | — | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $15,199 | $6,080 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $15,199 | $6,080 | — | — | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $6,404 | $6,084 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $15,374 | $6,150 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $7,958 | $6,366 | — | — | 0 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $16,209 | $6,484 | — | — | 0 insurers |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $6,643 | $6,643 | — | — | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $13,204 | $6,694 | $11,884 | $12,940 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $13,204 | $6,694 | $1,332 | $13,204 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | $6,733 | $6,733 | — | — | 0 insurers |
| HOMESTEAD HOSPITAL | FL | $10,711 | $6,962 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $6,973 | $6,973 | — | — | 0 insurers |
| DOYLESTOWN HOSPITAL | PA | $7,125 | $7,125 | — | — | 0 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | $9,061 | $7,249 | — | — | 0 insurers |
| MERCY GENERAL HOSPITAL | CA | $10,824 | $7,577 | $1,591 | $10,824 | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | $7,739 | $7,739 | — | — | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | $7,739 | $7,739 | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | $7,739 | $7,739 | — | — | 0 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $19,778 | $7,911 | — | — | 0 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $19,778 | $7,911 | — | — | 0 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $19,778 | $7,911 | — | — | 0 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $19,778 | $7,911 | — | — | 0 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $19,778 | $7,911 | — | — | 0 insurers |
| HENDERSON HOSPITAL | NV | $19,778 | $7,911 | — | — | 0 insurers |
| WEST HENDERSON HOSPITAL | NV | $19,778 | $7,911 | — | — | 0 insurers |
| ST JOHNS REGIONAL MEDICAL CENTER | CA | $11,405 | $7,984 | $2,532 | $11,405 | 0 insurers |
| UH REGIONAL HOSPITALS | OH | $10,701 | $8,026 | — | — | 0 insurers |
| UH ST JOHN MEDICAL CENTER | OH | $10,701 | $8,026 | — | — | 0 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | $10,701 | $8,026 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | $10,701 | $8,026 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | $10,701 | $8,026 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $10,701 | $8,026 | — | — | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $20,228 | $8,091 | — | — | 0 insurers |
| ST JOHN'S RIVERSIDE HOSPITAL | NY | $9,545 | $8,113 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $16,479 | $8,240 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $16,479 | $8,240 | — | — | 0 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $13,754 | $8,252 | — | — | 0 insurers |
| SINAI-GRACE HOSPITAL | MI | $11,258 | $8,444 | — | — | 0 insurers |
| HURON VALLEY-SINAI HOSPITAL | MI | $11,608 | $8,706 | $93 | $1,171 | 0 insurers |
| HARPER UNIVERSITY HOSPITAL | MI | $11,887 | $8,915 | $93 | $1,077 | 0 insurers |
| DETROIT RECEIVING HOSPITAL | MI | $12,255 | $9,191 | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | $9,787 | $9,787 | — | — | 0 insurers |