| TRINITY ROCK ISLAND | IL | $500 | $400 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $500 | $400 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $500 | $400 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $500 | $400 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $500 | $400 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $500 | $400 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $500 | $400 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $500 | $400 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $500 | $400 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $500 | $400 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $500 | $400 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $500 | $400 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $500 | $400 | — | — | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $680 | $401 | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $1,994 | $399 | — | — | 0 insurers |
| NORTON HOSPITALS, INC | KY | $1,994 | $399 | — | — | 0 insurers |
| STARR REGIONAL MEDICAL CENTER ATHENS | TN | $2,070 | $406 | — | — | 0 insurers |
| AMBERWELL ATCHISON ASSOCIATION | KS | $583 | $408 | $321 | — | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $667 | $409 | — | — | 0 insurers |
| BOCA RATON REGIONAL HOSPITAL | FL | $647 | $421 | — | — | 0 insurers |
| EMANUEL MEDICAL CENTER | GA | $1,070 | $428 | — | — | 0 insurers |
| DLP SWAIN COUNTY HOSPITAL LLC | NC | $1,070 | $428 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $680 | $354 | — | — | 0 insurers |
| JACKSON PURCHASE MEDICAL CENTER | KY | $880 | $352 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $500 | $350 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $500 | $350 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $680 | $347 | — | — | 0 insurers |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER | AK | $700 | $455 | — | — | 0 insurers |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER | OR | $700 | $455 | — | — | 0 insurers |
| PEACE HARBOR MEDICAL CENTER | OR | $700 | $455 | — | — | 0 insurers |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER | WA | $700 | $455 | — | — | 0 insurers |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER | WA | $700 | $455 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $1,347 | $471 | $95 | $265 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $1,347 | $471 | $95 | $265 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $1,347 | $471 | $95 | $265 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $1,347 | $471 | $95 | $265 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $1,347 | $471 | $95 | $265 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $1,347 | $471 | $95 | $265 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $1,347 | $471 | $95 | $265 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $1,347 | $471 | $95 | $265 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $1,347 | $471 | $95 | $265 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $1,347 | $471 | $95 | $265 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $1,347 | $471 | $95 | $265 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $1,347 | $471 | $95 | $265 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $1,347 | $471 | $95 | $265 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $1,347 | $471 | $95 | $265 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $1,347 | $471 | $95 | $265 | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $1,238 | $322 | $149 | $1,238 | 0 insurers |
| NORTHFIELD HOSPITAL | MN | $1,169 | $489 | — | — | 0 insurers |
| RUTHERFORD REGIONAL MEDICAL CENTER | NC | $770 | $308 | — | — | 0 insurers |
| KAISER PERMANENTE CENTRAL HOSPITAL | WA | $491 | $305 | $335 | $335 | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $500 | $300 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $500 | $300 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $300 | $180 | $453 | 0 insurers |
| UNM HOSPITAL | NM | $500 | $275 | — | — | 0 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $754 | $527 | — | — | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $313 | $243 | $163 | $306 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $313 | $243 | $160 | $313 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $313 | $243 | $163 | $306 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $313 | $243 | $160 | $313 | 0 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $814 | $570 | — | — | 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 | $840 | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $892 | $580 | — | — | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $910 | $592 | — | — | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $313 | $208 | $169 | $306 | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $313 | $208 | $160 | $306 | 0 insurers |
| PEACEHEALTH ST JOHN MEDICAL CENTER | WA | $918 | $597 | — | — | 0 insurers |
| SHASTA REGIONAL MEDICAL CENTER | CA | $1,000 | $200 | $109 | $1,000 | 0 insurers |
| GARDEN CITY HOSPITAL | MI | $300 | $200 | $59.98 | $300 | 0 insurers |
| KNAPP MEDICAL CENTER | TX | $1,000 | $200 | $50 | $980 | 0 insurers |
| MISSION REGIONAL MEDICAL CENTER | TX | $695 | $200 | $120 | $695 | 0 insurers |
| HAVASU REGIONAL MEDICAL CENTER | AZ | $1,000 | $600 | — | — | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $600 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $240 | $192 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $240 | $192 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $240 | $192 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $240 | $192 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $240 | $192 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $240 | $192 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $240 | $192 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $240 | $192 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $240 | $192 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $240 | $192 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $240 | $192 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $240 | $192 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $240 | $192 | — | — | 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 |
| HUNT REGIONAL MEDICAL CENTER | TX | $960 | $624 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,224 | $624 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $328 | $175 | $246 | $312 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $328 | $175 | $158 | $798 | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $1,060 | $636 | — | — | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $313 | $158 | $281 | $306 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $313 | $158 | $160 | $313 | 0 insurers |
| MORGAN COUNTY ARH HOSPITAL | KY | $256 | $154 | — | — | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $313 | $134 | $197 | $306 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $313 | $134 | $156 | $515 | 0 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $500 | $133 | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $313 | $123 | $84.38 | $306 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $313 | $123 | $84.38 | $606 | 0 insurers |
| CARILION MEDICAL CENTER | VA | $299 | $105 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $299 | $105 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $299 | $105 | — | — | 0 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $299 | $105 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $299 | $105 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $150 | $97.5 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $150 | $97.5 | — | — | 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 |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | $404 | $88.88 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $200 | $80 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $200 | $80 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $3,626 | $743 | $1,088 | $2,611 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $3,626 | $743 | $200 | $2,611 | 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 |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $3,626 | $823 | $1,088 | $2,611 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $3,626 | $823 | $200 | $2,611 | 0 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | $845 | $845 | $397 | $850 | 0 insurers |
| HEYWOOD HOSPITAL - | MA | $875 | $875 | $200 | $850 | 0 insurers |
| ST NICHOLAS HOSPITAL | WI | $1,372 | $906 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $1,530 | $918 | $756 | $1,224 | 0 insurers |
| LAKE CUMBERLAND REGIONAL HOSPITAL | KY | $2,407 | $963 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $1,750 | $980 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $1,750 | $980 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $1,750 | $980 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $1,750 | $980 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $1,750 | $980 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $1,750 | $980 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $1,750 | $980 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $1,750 | $980 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $1,750 | $980 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $1,750 | $980 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $1,750 | $980 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $1,750 | $980 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $1,750 | $980 | — | — | 0 insurers |
| NEW YORK-PRESBYTERIAN HOSPITAL | NY | — | $1,029 | $140 | $967 | 0 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $2,584 | $1,034 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $3,626 | $1,037 | $1,088 | $2,611 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $3,626 | $1,037 | $200 | $2,611 | 0 insurers |
| STILLWATER MEDICAL CENTER | OK | $1,309 | $1,047 | $214 | $1,178 | 0 insurers |
| STILLWATER MEDICAL - PERRY | OK | $1,309 | $1,047 | $214 | $1,178 | 0 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | $1,309 | $1,047 | $214 | $1,178 | 0 insurers |
| Memorial Satilla Health | GA | $1,076 | $1,076 | $112 | $240 | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $1,150 | $1,150 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $1,150 | $1,150 | — | — | 0 insurers |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL | NJ | $1,294 | $1,294 | — | — | 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 |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $4,253 | $4,253 | — | — | 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 | — | — | $200 | $260 | 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 | — | — | $180 | $260 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $200 | $200 | 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 | — | — | $160 | $574 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $112 | $240 | 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 | — | — | $160 | $574 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $200 | $200 | 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 | — | — | $160 | $574 | 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 | — | — | $200 | $200 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $160 | $480 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $130 | $643 | 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 | — | — | $200 | $520 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $200 | $520 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $200 | $520 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $200 | $520 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $32.27 | $1,070 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $130 | $728 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $121 | $2,693 | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | — | — | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $180 | $561 | 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 | — | — | $200 | $400 | 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 | — | — | $130 | $568 | 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 | — | — | $127 | $210 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 0 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $30 | $679 | 0 insurers |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| AdventHealth Porter | CO | — | — | $196 | $676 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $196 | $676 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $196 | $676 | 0 insurers |
| AdventHealth Parker | CO | — | — | $196 | $676 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $196 | $676 | 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 | — | — | $166 | $731 | 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 | — | — | $200 | $936 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $200 | $936 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $120 | $640 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $200 | $530 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $190 | $437 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $200 | $272 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $120 | $640 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $120 | $640 | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $200 | $452 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $120 | $640 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $106 | $112 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $200 | $444 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $200 | $444 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $190 | $300 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $120 | $390 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $200 | $530 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $200 | $308 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $200 | $312 | 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 | — | — | $115 | $117 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $200 | $444 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $200 | $250 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $200 | $308 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $198 | $300 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $190 | $300 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $160 | $290 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $200 | $290 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $198 | $300 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $200 | $290 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $200 | $200 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $200 | $290 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $200 | $200 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $200 | $308 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $120 | $390 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $196 | $312 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $160 | $290 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $200 | $272 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $200 | $250 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $200 | $308 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $200 | $290 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $196 | $312 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $200 | $290 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $200 | $452 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $200 | $290 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $200 | $452 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $200 | $340 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $107 | $109 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $200 | $290 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $107 | $109 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $200 | $308 | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $198 | $300 | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $120 | $390 | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $120 | $640 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $200 | $444 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $200 | $600 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $200 | $800 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $200 | $400 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $200 | $200 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $200 | $530 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $210 | $250 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $83.6 | $325 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $83.6 | $325 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $83.6 | $325 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $200 | $500 | 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 | $300 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $88.07 | $240 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $154 | $500 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $164 | $556 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $200 | $208 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $83.6 | $325 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $189 | $189 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $104 | $268 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $124 | $709 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $200 | $210 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $200 | $584 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $200 | $200 | 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 | — | — | $200 | $210 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $197 | $700 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $197 | $426 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $180 | $1,652 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $197 | $426 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $200 | $2,014 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $197 | $426 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $197 | $426 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $200 | $204 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $197 | $426 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $197 | $426 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $197 | $426 | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $180 | $1,652 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $200 | $339 | 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 | — | — | $200 | $339 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $197 | $426 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $200 | $1,400 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $200 | $584 | 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 | — | — | $180 | $1,652 | 0 insurers |
| CARLE EUREKA HOSPITAL | IL | — | — | — | — | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $197 | $426 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $197 | $426 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $200 | $759 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $197 | $426 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $200 | $208 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $200 | $210 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $200 | $556 | 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 | — | — | $187 | $214 | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $102 | $494 | 0 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE NORTHWEST INDIANA | IN | — | — | $180 | $1,652 | 0 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 0 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $200 | $472 | 0 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 0 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $120 | $359 | 0 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $84 | $340 | 0 insurers |
| HUTCHINSON REGIONAL MEDICAL CENTER INC | KS | — | — | — | — | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | — | — | — | — | 0 insurers |
| ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. | KS | — | — | — | — | 0 insurers |
| WESLEY MEDICAL CENTER | KS | — | — | $200 | $472 | 0 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | — | — | — | — | 0 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $84 | $1,452 | 0 insurers |
| WAMEGO HEALTH CENTER | KS | — | — | — | — | 0 insurers |
| COMMUNITY MEMORIAL HEALTHCARE, INC. | KS | — | — | $188 | $200 | 0 insurers |
| HANOVER HOSPITAL | KS | — | — | $200 | $902 | 0 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | $203 | $374 | 0 insurers |
| BOB WILSON MEMORIAL HOSPITAL | KS | — | — | — | — | 0 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $102 | $494 | 0 insurers |
| UOFL HEALTH - SHELBYVILLE HOSPITAL | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH EDGEWOOD | KY | — | — | $102 | $494 | 0 insurers |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH FLORENCE | KY | — | — | $102 | $494 | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | — | — | — | — | 0 insurers |
| UNIVERSITY OF KENTUCKY HOSPITAL | KY | — | — | $200 | $500 | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | — | — | — | — | 0 insurers |
| GEORGETOWN COMMUNITY HOSPITAL | KY | — | — | $168 | $1,725 | 0 insurers |
| TRISTAR GREENVIEW REGIONAL HOSPITAL | KY | — | — | $200 | $264 | 0 insurers |
| FRANKFORT REGIONAL MEDICAL CENTER | KY | — | — | $200 | $319 | 0 insurers |
| THREE RIVERS MEDICAL CENTER | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH GRANT | KY | — | — | $102 | $494 | 0 insurers |
| OPELOUSAS GENERAL HEALTH SYSTEM | LA | — | — | — | — | 0 insurers |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL | LA | — | — | $196 | $1,170 | 0 insurers |
| CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM | LA | — | — | $196 | $1,150 | 0 insurers |
| BYRD REGIONAL HOSPITAL | LA | — | — | $196 | $733 | 0 insurers |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL | LA | — | — | $196 | $1,170 | 0 insurers |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL | LA | — | — | $100 | $554 | 0 insurers |
| ST JAMES PARISH HOSPITAL | LA | — | — | — | — | 0 insurers |
| NORTHERN LIGHT MERCY HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT A R GOULD HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT MAINE COAST HOSPITAL | ME | — | — | — | — | 0 insurers |