| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $2,457 | $860 | $374 | $1,040 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $2,457 | $860 | $374 | $1,040 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $2,457 | $860 | $374 | $1,040 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $2,457 | $860 | $374 | $1,040 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $2,457 | $860 | $374 | $1,040 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $2,457 | $860 | $374 | $1,040 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $2,457 | $860 | $374 | $1,040 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $2,457 | $860 | $374 | $1,040 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $2,457 | $860 | $374 | $1,040 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $2,457 | $860 | $374 | $1,040 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $2,457 | $860 | $374 | $1,040 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $2,457 | $860 | $374 | $1,040 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $2,457 | $860 | $374 | $1,040 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $2,457 | $860 | $374 | $1,040 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $2,457 | $860 | $374 | $1,040 | 0 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $125 | $897 | — | — | 0 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $125 | $897 | — | — | 0 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $125 | $897 | — | — | 0 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $1,172 | $820 | — | — | 0 insurers |
| BAXTER HEALTH | AR | $1,500 | $900 | — | — | 0 insurers |
| ST NICHOLAS HOSPITAL | WI | $1,372 | $906 | — | — | 0 insurers |
| HELEN KELLER HOSPITAL | AL | $791 | $791 | — | — | 0 insurers |
| HUNTSVILLE HOSPITAL | AL | $791 | $791 | — | — | 0 insurers |
| ATHENS LIMESTONE HOSPITAL | AL | $791 | $791 | — | — | 0 insurers |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS | AL | $791 | $791 | — | — | 0 insurers |
| SHASTA REGIONAL MEDICAL CENTER | CA | $3,900 | $780 | $191 | $3,900 | 0 insurers |
| GARDEN CITY HOSPITAL | MI | $1,170 | $780 | $234 | $1,170 | 0 insurers |
| KNAPP MEDICAL CENTER | TX | $3,900 | $780 | $50 | $3,822 | 0 insurers |
| MISSION REGIONAL MEDICAL CENTER | TX | $695 | $780 | $208 | $695 | 0 insurers |
| SAINT JOSEPH EAST | KY | $2,340 | $940 | $2,129 | $2,129 | 0 insurers |
| SAINT JOSEPH EAST | KY | $2,340 | $940 | $780 | $2,340 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $2,340 | $940 | $2,129 | $2,129 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $2,340 | $940 | $780 | $2,340 | 0 insurers |
| NEW YORK-PRESBYTERIAN HOSPITAL | NY | — | $773 | $546 | $1,048 | 0 insurers |
| LAKE CUMBERLAND REGIONAL HOSPITAL | KY | $2,407 | $963 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $936 | $749 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $936 | $749 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $936 | $749 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $936 | $749 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $936 | $749 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $936 | $749 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $936 | $749 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $936 | $749 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $936 | $749 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $936 | $749 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $936 | $749 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $936 | $749 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $936 | $749 | — | — | 0 insurers |
| TRISTAR SUMMIT MEDICAL CENTER | TN | $977 | $977 | — | — | 0 insurers |
| ALTRU HOSPITAL | ND | $1,650 | $1,007 | — | — | 0 insurers |
| STILLWATER MEDICAL CENTER | OK | $1,309 | $1,047 | $655 | $2,245 | 0 insurers |
| STILLWATER MEDICAL - PERRY | OK | $1,309 | $1,047 | $655 | $2,245 | 0 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | $1,309 | $1,047 | $655 | $2,245 | 0 insurers |
| Memorial Satilla Health | GA | $1,076 | $1,076 | $112 | $936 | 0 insurers |
| FROEDTERT SOUTH INC. | WI | $1,979 | $1,088 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $1,979 | $1,088 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $1,979 | $1,088 | — | — | 0 insurers |
| HUNT REGIONAL MEDICAL CENTER | TX | $960 | $624 | — | — | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $2,340 | $1,102 | $2,129 | $2,129 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $2,340 | $1,102 | $780 | $2,340 | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $3,028 | $1,110 | $2,755 | $2,755 | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $3,028 | $1,110 | $780 | $2,755 | 0 insurers |
| MORGAN COUNTY ARH HOSPITAL | KY | $995 | $597 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $1,888 | $1,133 | $780 | $1,605 | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $1,950 | $1,170 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $1,950 | $1,170 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $1,170 | $702 | $915 | 0 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $1,951 | $1,171 | $429 | $1,863 | 0 insurers |
| MISSOURI BAPTIST SULLIVAN HOSPITAL | MO | $1,951 | $1,171 | $429 | $1,863 | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $2,317 | $1,182 | — | — | 0 insurers |
| CONEMAUGH MINERS MEDICAL CENTER | PA | $2,955 | $1,182 | — | — | 0 insurers |
| AMBERWELL ATCHISON ASSOCIATION | KS | $767 | $537 | $422 | — | 0 insurers |
| KAISER PERMANENTE CENTRAL HOSPITAL | WA | $1,916 | $1,188 | $1,306 | $1,306 | 0 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $1,950 | $519 | — | — | 0 insurers |
| RUTHERFORD REGIONAL MEDICAL CENTER | NC | $3,003 | $1,201 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $777 | $505 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $777 | $505 | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $2,471 | $494 | — | — | 0 insurers |
| NORTON HOSPITALS, INC | KY | $2,471 | $494 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $1,112 | $473 | — | — | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $1,180 | $472 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $1,180 | $472 | — | — | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $4,827 | $1,255 | $579 | $4,827 | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $653 | $457 | $124 | $4,183 | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $1,112 | $446 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $1,112 | $446 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $1,112 | $446 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $1,112 | $446 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $1,112 | $446 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $1,112 | $446 | — | — | 0 insurers |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL | NJ | $1,294 | $1,294 | — | — | 0 insurers |
| CARILION MEDICAL CENTER | VA | $1,165 | $408 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $1,165 | $408 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $1,165 | $408 | — | — | 0 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $1,165 | $408 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $1,165 | $408 | — | — | 0 insurers |
| STARR REGIONAL MEDICAL CENTER ATHENS | TN | $2,070 | $406 | — | — | 0 insurers |
| MCKENZIE HEALTH SYSTEM | MI | $1,644 | $1,315 | — | — | 0 insurers |
| ST LUKES HOSPITAL | MN | $2,414 | $1,352 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $2,651 | $1,352 | — | — | 0 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $912 | $365 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $656 | $361 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $1,950 | $1,365 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $1,950 | $1,365 | — | — | 0 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | $1,569 | $345 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $2,651 | $1,379 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $780 | $312 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $780 | $312 | — | — | 0 insurers |
| MISSOURI DELTA MEDICAL CENTER | MO | $5,668 | $1,417 | — | — | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $2,340 | $273 | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $699 | $267 | $419 | $552 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $699 | $267 | $133 | $800 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $457 | $244 | $343 | $434 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $457 | $244 | $297 | $3,021 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $313 | $243 | $163 | $306 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $313 | $243 | $213 | $313 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $313 | $243 | $163 | $306 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $313 | $243 | $213 | $313 | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $657 | $230 | $329 | $329 | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $657 | $230 | $98.55 | $3,275 | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $3,824 | $1,491 | — | — | 0 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $343 | $223 | — | — | 0 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $3,768 | $1,507 | — | — | 0 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $3,768 | $1,507 | — | — | 0 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $3,768 | $1,507 | — | — | 0 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $3,768 | $1,507 | — | — | 0 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $3,768 | $1,507 | — | — | 0 insurers |
| HENDERSON HOSPITAL | NV | $3,768 | $1,507 | — | — | 0 insurers |
| WEST HENDERSON HOSPITAL | NV | $3,768 | $1,507 | — | — | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $313 | $208 | $169 | $306 | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $313 | $208 | $192 | $313 | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $3,819 | $1,528 | — | — | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $313 | $183 | $175 | $306 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $313 | $183 | $153 | $313 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $313 | $183 | $175 | $306 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $313 | $183 | $153 | $313 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $707 | $175 | $375 | $578 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $707 | $175 | $375 | $3,796 | 0 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $707 | $162 | $375 | $578 | 0 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $707 | $162 | $375 | $3,796 | 0 insurers |
| ST MARY MEDICAL CENTER | CA | $707 | $162 | $375 | $578 | 0 insurers |
| ST MARY MEDICAL CENTER | CA | $707 | $162 | $375 | $3,796 | 0 insurers |
| TRINITY ROCK ISLAND | IL | $1,950 | $1,560 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,950 | $1,560 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $1,950 | $1,560 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $1,950 | $1,560 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $1,950 | $1,560 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $1,950 | $1,560 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $1,950 | $1,560 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $1,950 | $1,560 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $1,950 | $1,560 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $1,950 | $1,560 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $1,950 | $1,560 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,950 | $1,560 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $1,950 | $1,560 | — | — | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $313 | $158 | $281 | $306 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $313 | $158 | $238 | $313 | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $2,651 | $1,564 | — | — | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $313 | $134 | $197 | $306 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $313 | $134 | $156 | $2,010 | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $2,602 | $1,595 | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $313 | $123 | $84.38 | $306 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $313 | $123 | $84.38 | $2,363 | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $108 | $108 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $108 | $108 | — | — | 0 insurers |
| BRISTOL HOSPITAL | CT | $645 | $96.75 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $645 | $96.75 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $645 | $96.75 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $645 | $96.75 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $645 | $96.75 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $645 | $96.75 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $645 | $96.75 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $645 | $96.75 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $645 | $96.75 | — | — | 0 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $645 | $96.75 | — | — | 0 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $645 | $96.75 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $645 | $96.75 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $645 | $96.75 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $645 | $96.75 | — | — | 0 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $645 | $96.75 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $645 | $96.75 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $645 | $96.75 | — | — | 0 insurers |
| HANCOCK COUNTY HEALTH SYSTEM | IA | $413 | $94.99 | — | — | 0 insurers |
| DICKENSON COMMUNITY HOSPITAL | VA | $413 | $94.99 | — | — | 0 insurers |
| LEE COUNTY COMMUNITY HOSPITAL | VA | $413 | $94.99 | — | — | 0 insurers |
| EMANUEL MEDICAL CENTER | GA | $4,172 | $1,669 | — | — | 0 insurers |
| DLP SWAIN COUNTY HOSPITAL LLC | NC | $4,172 | $1,669 | — | — | 0 insurers |
| CONEMAUGH NASON MEDICAL CENTER | PA | $4,287 | $1,715 | — | — | 0 insurers |
| CONEMAUGH MEYERSDALE MEDICAL CENTER | PA | $4,287 | $1,715 | — | — | 0 insurers |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER | AK | $2,730 | $1,775 | — | — | 0 insurers |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER | OR | $2,730 | $1,775 | — | — | 0 insurers |
| PEACE HARBOR MEDICAL CENTER | OR | $2,730 | $1,775 | — | — | 0 insurers |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER | WA | $2,730 | $1,775 | — | — | 0 insurers |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER | WA | $2,730 | $1,775 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $3,180 | $1,781 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $3,180 | $1,781 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $3,180 | $1,781 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $3,180 | $1,781 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $3,180 | $1,781 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $3,180 | $1,781 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $3,180 | $1,781 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $3,180 | $1,781 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $3,180 | $1,781 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $3,180 | $1,781 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $3,180 | $1,781 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $3,180 | $1,781 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $3,180 | $1,781 | — | — | 0 insurers |
| GOSHEN HOSPITAL | IN | $2,547 | $1,783 | — | — | 0 insurers |
| NORTHFIELD HOSPITAL | MN | $4,556 | $1,905 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $2,596 | $2,077 | — | — | 0 insurers |
| COLQUITT REGIONAL MEDICAL CENTER | GA | $2,094 | $2,094 | — | — | 0 insurers |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY | OK | $2,094 | $2,094 | — | — | 0 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $3,175 | $2,223 | — | — | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $3,481 | $2,263 | — | — | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $3,548 | $2,306 | — | — | 0 insurers |
| PEACEHEALTH ST JOHN MEDICAL CENTER | WA | $3,580 | $2,327 | — | — | 0 insurers |
| HAVASU REGIONAL MEDICAL CENTER | AZ | $3,900 | $2,340 | — | — | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $2,340 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $2,925 | $2,340 | — | — | 0 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | $2,355 | $2,355 | $1,550 | $3,315 | 0 insurers |
| HEYWOOD HOSPITAL - | MA | $2,437 | $2,437 | $780 | $3,315 | 0 insurers |
| SAINT PETER'S UNIVERSITY HOSPITAL | NJ | $3,870 | $2,580 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $4,253 | $4,253 | — | — | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | $4,568 | $4,568 | $112 | $1,370 | 0 insurers |
| DOCTORS HOSPITAL OF LAREDO | TX | $4,568 | $4,568 | $112 | $1,370 | 0 insurers |
| FLOYD CHEROKEE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| ANDALUSIA HEALTH | AL | — | — | $780 | $1,014 | 0 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| RUSSELL MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| BALDWIN HEALTH | AL | — | — | — | — | 0 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | — | — | — | — | 0 insurers |
| VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS | AL | — | — | $702 | $1,014 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $780 | $780 | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| ST JOSEPH'S HOSPITAL | AZ | — | — | — | — | 0 insurers |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH TEMPE MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH DEER VALLEY MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| BENSON HOSPITAL | AZ | — | — | — | — | 0 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | — | — | — | — | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| BRADLEY COUNTY MEDICAL CENTER | AR | — | — | — | — | 0 insurers |
| PENINSULA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP | CA | — | — | — | — | 0 insurers |
| SUTTER AMADOR HOSPITAL | CA | — | — | — | — | 0 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL | CA | — | — | — | — | 0 insurers |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | — | — | — | — | 0 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $600 | $2,239 | 0 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 0 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $600 | $2,239 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $780 | $780 | 0 insurers |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | CA | — | — | — | — | 0 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 0 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP | CA | — | — | — | — | 0 insurers |
| SUTTER TRACY COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| NORTHBAY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $600 | $2,239 | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | — | — | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | — | — | — | — | 0 insurers |
| SUTTER COAST HOSPITAL | CA | — | — | — | — | 0 insurers |
| STANFORD HEALTH CARE | CA | — | — | $780 | $780 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $600 | $1,872 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $507 | $2,508 | 0 insurers |
| EDEN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SUTTER AUBURN FAITH HOSPITAL | CA | — | — | — | — | 0 insurers |
| SUTTER DELTA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL LOS BANOS | CA | — | — | — | — | 0 insurers |
| SUTTER DAVIS HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - LOS ALAMITOS | CA | — | — | $780 | $2,028 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $780 | $2,028 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $780 | $2,028 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $780 | $2,028 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $56.48 | $4,173 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $507 | $2,839 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $212 | $6,013 | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $702 | $2,187 | 0 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 0 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 0 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 0 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | — | — | — | — | 0 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 0 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $780 | $1,560 | 0 insurers |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO | CA | — | — | — | — | 0 insurers |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | CA | — | — | — | — | 0 insurers |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB | CA | — | — | $507 | $2,215 | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | — | — | — | — | 0 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ST MARY-CORWIN HOSPITAL | CO | — | — | — | — | 0 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $497 | $819 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 0 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $117 | $2,644 | 0 insurers |
| AdventHealth Porter | CO | — | — | $764 | $2,637 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $764 | $2,637 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $764 | $2,637 | 0 insurers |
| AdventHealth Parker | CO | — | — | $764 | $2,637 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $764 | $2,637 | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 0 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $649 | $2,849 | 0 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | — | — | — | — | 0 insurers |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT | CT | — | — | — | — | 0 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $780 | $3,648 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $780 | $3,648 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $468 | $2,496 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $780 | $2,067 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $741 | $1,704 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $780 | $780 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $468 | $2,496 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $468 | $2,496 | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $780 | $1,763 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $468 | $2,496 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $780 | $1,217 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $780 | $1,732 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $780 | $1,732 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $741 | $1,170 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $468 | $1,521 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $780 | $2,067 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $780 | $1,201 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $780 | $1,217 | 0 insurers |
| BARTOW REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MORTON PLANT HOSPITAL | FL | — | — | — | — | 0 insurers |
| TAMPA GENERAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA AVENTURA HOSPITAL | FL | — | — | $772 | $1,170 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $780 | $1,732 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $780 | $975 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $780 | $1,201 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $772 | $1,170 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $741 | $1,170 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $624 | $1,131 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $780 | $1,131 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $772 | $1,170 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $780 | $1,131 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $780 | $975 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $107 | $109 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $772 | $1,638 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $107 | $109 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $468 | $1,521 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $764 | $1,217 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $105 | $107 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $780 | $1,061 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $780 | $975 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $780 | $1,201 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $780 | $1,131 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $764 | $1,217 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $780 | $1,131 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $110 | $112 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $780 | $1,131 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $780 | $1,763 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $780 | $1,326 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $780 | $780 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $780 | $1,131 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $780 | $1,061 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $780 | $1,201 | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $772 | $1,170 | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $468 | $1,521 | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $468 | $2,496 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $780 | $1,732 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $105 | $111 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $780 | $3,120 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $780 | $1,560 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $772 | $1,170 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $780 | $2,067 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $819 | $975 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $110 | $1,268 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $110 | $1,268 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $110 | $1,268 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $780 | $1,950 | 0 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC | GA | — | — | — | — | 0 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $110 | $1,170 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $88.07 | $936 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $154 | $1,950 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $640 | $2,168 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $780 | $811 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $110 | $1,268 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $738 | $738 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $407 | $1,045 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $482 | $1,404 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $780 | $819 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $780 | $2,276 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $780 | $780 | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 0 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | — | — | — | — | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $780 | $819 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $767 | $2,730 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $767 | $1,661 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $377 | $6,447 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $767 | $1,661 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $377 | $7,857 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $767 | $1,661 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $767 | $1,661 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $780 | $796 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $767 | $1,661 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $767 | $1,661 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $767 | $1,661 | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $377 | $6,447 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $780 | $1,321 | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | — | — | — | — | 0 insurers |
| EDWARD HOSPITAL | IL | — | — | $780 | $1,321 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $767 | $1,661 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $780 | $5,460 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $780 | $2,276 | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS | IL | — | — | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $377 | $6,447 | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $767 | $1,661 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $767 | $1,661 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $780 | $2,961 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $767 | $1,661 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $780 | $811 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $780 | $819 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $780 | $2,168 | 0 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 0 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | $780 | $835 | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $398 | $1,927 | 0 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | — | — | — | — | 0 insurers |