| CLARKE COUNTY HOSPITAL | IA | $968 | $968 | — | — | 4 insurers |
| BROADLAWNS MEDICAL CENTER | IA | $997 | $997 | — | — | 5 insurers |
| TWIN CITY MEDICAL CENTER | OH | $1,351 | $946 | $527 | $1,229 | 5 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | $2,043 | $1,022 | $288 | $1,982 | 5 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | $1,856 | $928 | $323 | $1,800 | 5 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | $1,856 | $928 | $241 | $1,800 | 5 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | $1,856 | $928 | $229 | $1,800 | 5 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | $1,856 | $928 | $388 | $1,800 | 5 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | $1,856 | $928 | $378 | $1,800 | 5 insurers |
| NOVANT PRINCE WILLIAM MEDICAL CENTER | VA | $1,856 | $928 | $378 | $1,800 | 5 insurers |
| GATEWAY REGIONAL MEDICAL CENTER | IL | — | $926 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,488 | $1,042 | — | — | 2 insurers |
| ST THOMAS MORE HOSPITAL | CO | $2,712 | $1,085 | — | — | 5 insurers |
| KAISER PERMANENTE CENTRAL HOSPITAL | WA | $1,412 | $875 | $962 | $962 | 2 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $1,095 | $1,095 | — | — | 5 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $1,564 | $860 | — | — | 4 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $1,564 | $860 | — | — | 4 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | $1,856 | $1,114 | $345 | $1,800 | 5 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | $1,856 | $1,114 | $337 | $1,800 | 5 insurers |
| DESERT VIEW HOSPITAL | NV | $2,110 | $844 | — | — | 5 insurers |
| MERCY HOSPITAL | CA | $2,095 | $838 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $2,095 | $838 | — | — | 5 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $1,384 | $830 | $400 | $1,824 | 5 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $1,384 | $830 | $400 | $1,824 | 5 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $1,384 | $830 | $400 | $1,824 | 5 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $1,384 | $830 | $400 | $1,824 | 5 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $1,153 | — | — | 5 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $997 | $797 | — | — | 3 insurers |
| ALLEN HOSPITAL | IA | $997 | $797 | — | — | 5 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $997 | $797 | — | — | 5 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | $1,125 | $788 | $436 | $3,857 | 5 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,523 | $1,185 | $792 | $1,493 | 5 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,523 | $1,185 | $366 | $1,504 | 5 insurers |
| MERCY MEDICAL CENTER | OH | $1,523 | $1,185 | $792 | $1,493 | 5 insurers |
| MERCY MEDICAL CENTER | OH | $1,523 | $1,185 | $366 | $1,504 | 5 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | $1,941 | $776 | — | — | 5 insurers |
| MINIMALLY INVASIVE SURGERY HOSPITAL | KS | $1,200 | $1,200 | — | — | 0 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $741 | $0 | $741 | 2 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $1,043 | $730 | $198 | $3,803 | 5 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $1,242 | $1,242 | — | — | 5 insurers |
| HILLS & DALES GENERAL HOSPITAL | MI | $3,112 | $716 | — | — | 5 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $3,630 | $1,271 | $1,634 | $3,630 | 5 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $3,630 | $1,271 | $290 | $3,630 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $3,630 | $1,271 | $1,561 | $3,630 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $3,630 | $1,271 | $290 | $3,630 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $3,630 | $1,271 | $1,561 | $3,630 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $3,630 | $1,271 | $290 | $3,630 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $3,630 | $1,271 | $1,561 | $3,630 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $3,630 | $1,271 | $290 | $3,630 | 5 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $1,115 | $669 | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $3,329 | $666 | — | — | 1 insurers |
| NORTON HOSPITALS, INC | KY | $3,329 | $666 | — | — | 1 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $662 | $216 | $1,797 | 5 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $662 | $216 | $1,184 | 5 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $662 | $216 | $1,593 | 5 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,281 | $653 | — | — | 4 insurers |
| ST CLARE HOSPITAL | WA | $4,550 | $1,311 | $3,276 | $3,412 | 2 insurers |
| ST CLARE HOSPITAL | WA | $4,550 | $1,311 | $455 | $3,412 | 5 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $1,643 | $1,314 | — | — | 5 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $1,653 | $645 | — | — | 2 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $1,270 | $635 | — | — | 5 insurers |
| TRINITY ROCK ISLAND | IL | $789 | $631 | — | — | 3 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $789 | $631 | — | — | 1 insurers |
| TRINITY - BETTENDORF | IA | $789 | $631 | — | — | 2 insurers |
| ALLEN HOSPITAL | IA | $789 | $631 | — | — | 3 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $789 | $631 | — | — | 3 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $789 | $631 | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $1,605 | $626 | $358 | $1,280 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $3,827 | $1,339 | $473 | $1,315 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $3,827 | $1,339 | $473 | $1,315 | 3 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $3,827 | $1,339 | $473 | $1,315 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $3,827 | $1,339 | $473 | $1,315 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $3,827 | $1,339 | $473 | $1,315 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $3,827 | $1,339 | $473 | $1,315 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $3,827 | $1,339 | $473 | $1,315 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $3,827 | $1,339 | $473 | $1,315 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $3,827 | $1,339 | $473 | $1,315 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $3,827 | $1,339 | $473 | $1,315 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $3,827 | $1,339 | $473 | $1,315 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $3,827 | $1,339 | $473 | $1,315 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $3,827 | $1,339 | $473 | $1,315 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $3,827 | $1,339 | $473 | $1,315 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $3,827 | $1,339 | $473 | $1,315 | 3 insurers |
| ST ELIZABETH HOSPITAL | WA | $4,550 | $1,384 | $3,276 | $3,412 | 2 insurers |
| ST ELIZABETH HOSPITAL | WA | $4,550 | $1,384 | $455 | $3,412 | 5 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $577 | $273 | $377 | 2 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $884 | $575 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $884 | $575 | — | — | 5 insurers |
| NEW YORK-PRESBYTERIAN HOSPITAL | NY | — | $1,410 | $430 | $3,935 | 5 insurers |
| Baylor St Lukes Medical Center | TX | $4,033 | $1,412 | $272 | $3,428 | 5 insurers |
| CHI ST LUKES LAKESIDE HOSPITAL | TX | $4,033 | $1,412 | $272 | $3,428 | 5 insurers |
| HAVASU REGIONAL MEDICAL CENTER | AZ | $2,414 | $1,448 | — | — | 0 insurers |
| CENTINELA HOSPITAL MEDICAL CENTER | CA | $2,749 | $511 | $200 | $2,749 | 5 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $1,262 | $505 | — | — | 4 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | — | $499 | — | — | 5 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $1,138 | $489 | $797 | $1,138 | 3 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $1,138 | $489 | $285 | $1,749 | 5 insurers |
| DOMINICAN HOSPITAL | CA | $1,082 | $487 | $866 | $920 | 3 insurers |
| DOMINICAN HOSPITAL | CA | $1,082 | $487 | $350 | $6,552 | 5 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $1,230 | $481 | $738 | $1,230 | 5 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $1,230 | $481 | $350 | $1,973 | 5 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $471 | — | — | 5 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $471 | — | — | 5 insurers |
| BRISTOL HOSPITAL | CT | $2,792 | $419 | — | — | 5 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $2,792 | $419 | — | — | 5 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $2,792 | $419 | — | — | 5 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $2,792 | $419 | — | — | 5 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $2,792 | $419 | — | — | 5 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $2,792 | $419 | — | — | 5 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $2,792 | $419 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $2,792 | $419 | — | — | 5 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $2,792 | $419 | — | — | 5 insurers |
| LONESOME PINE HOSPITAL | VA | $2,792 | $419 | — | — | 5 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $1,254 | $409 | $702 | $1,003 | 4 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $1,254 | $409 | $314 | $1,749 | 5 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $1,254 | $409 | $702 | $1,003 | 4 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $1,254 | $409 | $314 | $1,749 | 5 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $1,206 | $402 | $362 | $989 | 4 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $1,206 | $402 | $341 | $1,973 | 5 insurers |
| HARLINGEN MEDICAL CENTER | TX | $1,923 | $399 | $365 | $1,539 | 5 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $2,241 | $1,569 | — | — | 5 insurers |
| THE QUEENS MEDICAL CENTER | HI | $2,241 | $1,569 | — | — | 5 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $2,253 | $1,577 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $962 | $385 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $962 | $385 | — | — | 5 insurers |
| EAST LIVERPOOL CITY HOSPITAL | OH | $1,767 | $376 | $201 | $1,732 | 5 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $632 | $373 | $348 | $594 | 5 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $632 | $373 | $145 | $855 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $632 | $373 | $348 | $594 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $632 | $373 | $145 | $855 | 5 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $2,757 | $1,610 | $1,544 | $2,702 | 5 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $2,757 | $1,610 | $500 | $2,702 | 5 insurers |
| ST ELIZABETH HOSPITAL | CO | $2,757 | $1,610 | $1,544 | $2,702 | 5 insurers |
| ST ELIZABETH HOSPITAL | CO | $2,757 | $1,610 | $500 | $2,702 | 5 insurers |
| University of Arkansas Medical Sciences | AR | $576 | $346 | — | — | 5 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $3,343 | $1,621 | $2,307 | $2,641 | 4 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $3,343 | $1,621 | $315 | $3,343 | 5 insurers |
| MISSOURI DELTA MEDICAL CENTER | MO | $1,234 | $308 | — | — | 5 insurers |
| COX MEDICAL CENTERS | MO | $1,221 | $308 | — | — | 1 insurers |
| COX MEDICAL CENTER BRANSON | MO | $1,221 | $308 | — | — | 1 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | $1,661 | $1,661 | — | — | 5 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | $1,661 | $1,661 | — | — | 5 insurers |
| LINCOLNHEALTH | ME | $1,661 | $1,661 | — | — | 5 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | $1,661 | $1,661 | — | — | 5 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | $1,661 | $1,661 | — | — | 5 insurers |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | $1,661 | $1,661 | — | — | 5 insurers |
| MEMORIAL HOSPITAL, THE | NH | $1,661 | $1,661 | — | — | 5 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $627 | $288 | $445 | $470 | 2 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $627 | $288 | $150 | $861 | 5 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $627 | $288 | $445 | $470 | 2 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $627 | $288 | $150 | $861 | 5 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $2,051 | $267 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTERS | AL | $1,703 | $1,703 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | CA | $1,703 | $1,703 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | TN | $1,703 | $1,703 | — | — | 5 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $1,200 | $228 | — | — | 5 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $205 | $205 | — | — | 5 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $2,536 | $1,775 | — | — | 5 insurers |
| FIELD HEALTH SYSTEM | MS | $229 | $172 | — | — | 2 insurers |
| TRINITY MUSCATINE | IA | $2,255 | $1,804 | — | — | 4 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $2,255 | $1,804 | — | — | 4 insurers |
| ST LUKES HOSPITAL | IA | $2,255 | $1,804 | — | — | 4 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $2,255 | $1,804 | — | — | 4 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $2,255 | $1,804 | — | — | 4 insurers |
| ELIZABETHTOWN COMMUNITY HOSPITAL | NY | $133 | $133 | — | — | 5 insurers |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR | NY | $128 | $128 | — | — | 5 insurers |
| TRINITY ROCK ISLAND | IL | $2,329 | $1,863 | — | — | 5 insurers |
| TRINITY - BETTENDORF | IA | $2,329 | $1,863 | — | — | 4 insurers |
| TRINITY MUSCATINE | IA | $106 | $84.8 | — | — | 1 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $106 | $84.8 | — | — | 1 insurers |
| ST LUKES HOSPITAL | IA | $106 | $84.8 | — | — | 1 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $106 | $84.8 | — | — | 1 insurers |
| FINLEY HOSPITAL | IA | $106 | $84.8 | — | — | 4 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $106 | $84.8 | — | — | 1 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $106 | $84.8 | — | — | 5 insurers |
| WHIDBEYHEALTH MEDICAL CENTER | WA | $1,890 | $1,890 | — | — | 1 insurers |
| WELIA HEALTH | MN | $2,735 | $1,915 | — | — | 1 insurers |
| LONGMONT UNITED HOSPITAL | CO | $4,811 | $1,924 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $4,811 | $1,924 | — | — | 3 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $4,811 | $1,924 | — | — | 3 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $4,811 | $1,924 | — | — | 3 insurers |
| SAINT ANTHONY HOSPITAL | IL | $4,811 | $1,924 | — | — | 3 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $4,162 | $2,110 | $3,746 | $4,079 | 3 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $4,162 | $2,110 | $511 | $4,079 | 5 insurers |
| CHESAPEAKE GENERAL HOSPITAL | VA | $3,585 | $2,151 | — | — | 0 insurers |
| HUTCHINSON HEALTH | MN | — | $2,160 | $1,539 | $2,846 | 2 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $3,024 | $2,419 | — | — | 5 insurers |
| RED BAY HOSPITAL | AL | $4,870 | $2,727 | — | — | 3 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $4,870 | $2,727 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $4,870 | $2,727 | — | — | 3 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $4,870 | $2,727 | — | — | 3 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $4,870 | $2,727 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $4,870 | $2,727 | — | — | 3 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $4,870 | $2,727 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $4,870 | $2,727 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $4,870 | $2,727 | — | — | 3 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $4,870 | $2,727 | — | — | 3 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $4,870 | $2,727 | — | — | 3 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $4,870 | $2,727 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $4,870 | $2,727 | — | — | 3 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | $4,254 | $2,765 | — | — | 2 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | $2,873 | $2,873 | — | — | 4 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $3,854 | $3,854 | — | — | 2 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | $6,280 | $4,082 | $793 | $4,855 | 1 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 5 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 5 insurers |
| ANDALUSIA HEALTH | AL | — | — | $345 | $448 | 5 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 5 insurers |
| RUSSELL MEDICAL CENTER | AL | — | — | — | — | 1 insurers |
| BALDWIN HEALTH | AL | — | — | — | — | 3 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | — | — | — | — | 5 insurers |
| VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS | AL | — | — | $359 | $736 | 5 insurers |
| EAMC - LANIER | AL | — | — | — | — | 5 insurers |
| EAMC - LANIER | AL | — | — | — | — | 5 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $368 | $368 | 2 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 5 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 5 insurers |
| BARTLETT REGIONAL HOSPITAL | AK | $78,265 | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $977 | $4,193 | 3 insurers |
| TUCSON MEDICAL CENTER | AZ | — | — | — | — | 2 insurers |
| ST JOSEPH'S HOSPITAL | AZ | — | — | — | — | 5 insurers |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH TEMPE MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH DEER VALLEY MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| BENSON HOSPITAL | AZ | — | — | — | — | 1 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | — | — | — | — | 1 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 5 insurers |
| BRADLEY COUNTY MEDICAL CENTER | AR | — | — | — | — | 2 insurers |
| PENINSULA MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP | CA | — | — | — | — | 1 insurers |
| SUTTER AMADOR HOSPITAL | CA | — | — | — | — | 1 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 2 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS | CA | — | — | — | — | 1 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL | CA | — | — | — | — | 1 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | — | — | — | — | 3 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $350 | $1,476 | 5 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $267 | $780 | 5 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 4 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 2 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 1 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 5 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $350 | $1,476 | 5 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $588 | $588 | 1 insurers |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | CA | — | — | — | — | 1 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP | CA | — | — | — | — | 1 insurers |
| SUTTER TRACY COMMUNITY HOSPITAL | CA | — | — | — | — | 1 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | — | — | — | — | 5 insurers |
| NORTHBAY MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $350 | $1,476 | 5 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | — | — | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | — | — | — | — | 3 insurers |
| SUTTER COAST HOSPITAL | CA | — | — | — | — | 1 insurers |
| STANFORD HEALTH CARE | CA | — | — | $585 | $3,648 | 4 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 1 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $350 | $1,225 | 5 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $334 | $4,942 | 5 insurers |
| EDEN MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | — | — | — | — | 5 insurers |
| SUTTER AUBURN FAITH HOSPITAL | CA | — | — | — | — | 1 insurers |
| SUTTER DELTA MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| MEMORIAL HOSPITAL LOS BANOS | CA | — | — | — | — | 1 insurers |
| SUTTER DAVIS HOSPITAL | CA | — | — | — | — | 1 insurers |
| UCI HEALTH - LOS ALAMITOS | CA | — | — | $514 | $1,337 | 5 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $514 | $1,337 | 5 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $514 | $1,337 | 5 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $514 | $1,337 | 5 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 5 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $45.84 | $2,776 | 5 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $334 | $4,733 | 5 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 3 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 3 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $442 | $3,846 | 5 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 4 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 2 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | — | — | — | — | 5 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 1 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 5 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 2 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 2 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 1 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 2 insurers |
| TEMECULA VALLEY HOSPITAL | CA | — | — | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 3 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 1 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $585 | $1,170 | 5 insurers |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO | CA | — | — | — | — | 3 insurers |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | CA | — | — | — | — | 5 insurers |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB | CA | — | — | $334 | $4,942 | 5 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 5 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 5 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 5 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $436 | $920 | 5 insurers |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER | CO | — | — | — | — | 5 insurers |
| AdventHealth Porter | CO | — | — | $413 | $849 | 5 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $418 | $849 | 5 insurers |
| AdventHealth Littleton | CO | — | — | $413 | $849 | 5 insurers |
| AdventHealth Parker | CO | — | — | $413 | $849 | 5 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $413 | $849 | 5 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | — | — | — | — | 5 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | — | — | — | — | 5 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 5 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | — | — | — | — | 4 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $385 | $385 | 1 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 5 insurers |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT | CT | — | — | — | — | 5 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $446 | $2,085 | 5 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $432 | $2,021 | 5 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | — | — | — | — | 1 insurers |
| ORLANDO HEALTH | FL | — | — | $411 | $1,336 | 5 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $417 | $1,106 | 5 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $397 | $912 | 5 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $411 | $1,336 | 5 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $411 | $1,336 | 5 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | — | — | — | — | 5 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $397 | $1,336 | 5 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $2,048 | $2,156 | 3 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $417 | $927 | 5 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 5 insurers |
| ST ANTHONYS HOSPITAL | FL | — | — | — | — | 5 insurers |
| AdventHealth Carrollwood | FL | — | — | $417 | $927 | 5 insurers |
| ST JOSEPHS HOSPITAL | FL | — | — | — | — | 5 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 1 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $411 | $866 | 5 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $417 | $1,106 | 5 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | — | — | 0 insurers |
| BARTOW REGIONAL MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| MORTON PLANT HOSPITAL | FL | — | — | — | — | 5 insurers |
| TAMPA GENERAL HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA AVENTURA HOSPITAL | FL | — | — | $2,209 | $2,255 | 3 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 5 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $417 | $927 | 5 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $1,906 | $2,007 | 3 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $2,209 | $2,255 | 3 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $2,227 | $2,274 | 3 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $2,057 | $2,100 | 3 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $2,140 | $2,253 | 3 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $2,057 | $2,100 | 3 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $411 | $866 | 5 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | — | — | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 3 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $2,057 | $2,100 | 3 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $1,887 | $1,987 | 3 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $2,057 | $2,100 | 3 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $1,906 | $1,947 | 3 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $1,885 | $1,984 | 3 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $2,057 | $2,100 | 3 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 3 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $2,057 | $2,100 | 3 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $2,057 | $2,100 | 3 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $2,127 | $2,172 | 3 insurers |
| WELLINGTON REGIONAL MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $411 | $866 | 5 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $411 | $1,336 | 5 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $417 | $927 | 5 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | — | — | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | — | — | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 4 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $2,274 | $2,274 | 2 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 5 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $417 | $1,106 | 5 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 5 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 5 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $2,194 | $2,435 | 2 insurers |
| Memorial Satilla Health | GA | — | — | $655 | $655 | 5 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $393 | $1,947 | 5 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $350 | $1,947 | 5 insurers |
| NGMC BARROW, LLC | GA | — | — | $393 | $1,947 | 5 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $372 | $738 | 5 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 5 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC | GA | — | — | — | — | 5 insurers |
| BURKE MEDICAL CENTER | GA | — | — | — | — | 5 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $607 | $607 | 2 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $350 | $876 | 5 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 4 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $415 | $1,155 | 5 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 5 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 5 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $378 | $393 | 3 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $393 | $1,947 | 5 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 4 insurers |
| ARCHBOLD BROOKS | GA | — | — | $235 | $669 | 5 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $231 | $1,142 | 5 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 5 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $389 | $466 | 4 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 1 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 5 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $428 | $1,805 | 4 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $428 | $428 | 1 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 1 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 5 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | — | — | — | — | 3 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $428 | $450 | 3 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 3 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $358 | $1,499 | 5 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $358 | $1,456 | 5 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $428 | $2,692 | 5 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $358 | $1,456 | 5 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $428 | $3,281 | 5 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $358 | $1,456 | 5 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $358 | $1,456 | 5 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $428 | $437 | 3 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 3 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $358 | $1,456 | 5 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $358 | $1,456 | 5 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $358 | $1,456 | 5 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 3 insurers |
| MEMORIAL HOSPITAL | IL | — | — | — | — | 5 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $428 | $2,692 | 5 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $428 | $1,048 | 3 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | — | — | — | — | 3 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | — | — | — | — | 3 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 2 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | — | — | — | — | 3 insurers |
| EDWARD HOSPITAL | IL | — | — | $428 | $1,048 | 3 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $358 | $1,456 | 5 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $428 | $2,135 | 5 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $428 | $1,805 | 4 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | — | — | — | — | 3 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | — | — | — | — | 3 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $428 | $2,692 | 5 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 5 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $358 | $1,456 | 5 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $358 | $1,456 | 5 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $1,218 | $1,543 | 2 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $358 | $1,456 | 5 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $382 | $397 | 3 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $389 | $466 | 4 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 5 insurers |
| UNION HOSPITAL INC | IN | — | — | $384 | $1,047 | 5 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 5 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 5 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | — | — | — | — | 3 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 5 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | $351 | $421 | 5 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $396 | $1,655 | 5 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | — | — | — | — | 5 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | — | — | — | — | 5 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | — | — | — | — | 5 insurers |
| UCHICAGO MEDICINE NORTHWEST INDIANA | IN | — | — | $428 | $2,692 | 5 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 5 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 1 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $218 | $1,287 | 5 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 1 insurers |
| FINLEY HOSPITAL | IA | — | — | — | — | 5 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | — | — | — | — | 4 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 5 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $1,251 | $1,965 | 5 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $376 | $679 | 5 insurers |
| HUTCHINSON REGIONAL MEDICAL CENTER INC | KS | — | — | — | — | 3 insurers |
| STORMONT VAIL HEALTH FLINT HILLS, LLC | KS | $1,507 | — | — | — | 5 insurers |
| STORMONT VAIL HOSPITAL | KS | $2,753 | — | — | — | 5 insurers |
| ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. | KS | — | — | — | — | 5 insurers |
| WESLEY MEDICAL CENTER | KS | — | — | $218 | $1,287 | 5 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | — | — | — | — | 1 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $378 | $2,748 | 5 insurers |
| WAMEGO HEALTH CENTER | KS | — | — | — | — | 5 insurers |
| COMMUNITY MEMORIAL HEALTHCARE, INC. | KS | — | — | $398 | $398 | 1 insurers |
| HANOVER HOSPITAL | KS | — | — | $2,037 | $2,140 | 3 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | $286 | $751 | 3 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $396 | $1,655 | 5 insurers |
| UOFL HEALTH - SHELBYVILLE HOSPITAL | KY | — | — | — | — | 5 insurers |
| ST ELIZABETH EDGEWOOD | KY | — | — | $396 | $1,655 | 5 insurers |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital | KY | — | — | — | — | 5 insurers |