| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $1,182 | $414 | $180 | $500 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $1,182 | $414 | $180 | $500 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $1,182 | $414 | $180 | $500 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $1,182 | $414 | $180 | $500 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $1,182 | $414 | $180 | $500 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $1,182 | $414 | $180 | $500 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $1,182 | $414 | $180 | $500 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $1,182 | $414 | $180 | $500 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $1,182 | $414 | $180 | $500 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $1,182 | $414 | $180 | $500 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $1,182 | $414 | $180 | $500 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $1,182 | $414 | $180 | $500 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $1,182 | $414 | $180 | $500 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $1,182 | $414 | $180 | $500 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $1,182 | $414 | $180 | $500 | 0 insurers |
| TWIN CITY MEDICAL CENTER | OH | $626 | $438 | $244 | $570 | 0 insurers |
| MUNSON HEALTHCARE GRAYLING HOSPITAL | MI | $520 | $442 | — | — | 0 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $520 | $442 | — | — | 0 insurers |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | MI | $520 | $442 | — | — | 0 insurers |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | MI | $520 | $442 | — | — | 0 insurers |
| PAUL OLIVER MEMORIAL HOSPITAL | MI | $520 | $442 | — | — | 0 insurers |
| KALKASKA MEMORIAL HEALTH CENTER | MI | $520 | $442 | — | — | 0 insurers |
| ENCINO HOSPITAL MEDICAL CENTER | CA | $300 | $375 | $74.41 | $300 | 0 insurers |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER | CA | $558 | $375 | $74.41 | $558 | 0 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $558 | $375 | $74.41 | $558 | 0 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $558 | $375 | $74.41 | $558 | 0 insurers |
| SHERMAN OAKS HOSPITAL | CA | $300 | $375 | $74.41 | $300 | 0 insurers |
| PROVIDENCE MEDICAL CENTER | KS | $2,171 | $375 | $112 | $2,006 | 0 insurers |
| NORTH VISTA HOSPITAL | NV | $558 | $375 | $167 | $558 | 0 insurers |
| MOUNT GRANT GENERAL HOSPITAL | NV | $282 | $375 | $74.59 | $282 | 0 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $558 | $375 | $74.39 | $558 | 0 insurers |
| EAST LIVERPOOL CITY HOSPITAL | OH | $1,200 | $375 | $147 | $1,176 | 0 insurers |
| LOWER BUCKS HOSPITAL | PA | $282 | $375 | $74.59 | $282 | 0 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $282 | $375 | $74.59 | $282 | 0 insurers |
| LANDMARK MEDICAL CENTER | RI | $558 | $375 | $72.67 | $530 | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $869 | $369 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $859 | $458 | $644 | $816 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $859 | $458 | $296 | $1,497 | 0 insurers |
| TRINITY ROCK ISLAND | IL | $450 | $360 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $450 | $360 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $450 | $360 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $450 | $360 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $450 | $360 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $450 | $360 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $450 | $360 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $450 | $360 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $450 | $360 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $450 | $360 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $450 | $360 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $450 | $360 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $450 | $360 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $751 | $353 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $869 | $348 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $869 | $348 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $869 | $348 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $869 | $348 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $869 | $348 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $869 | $348 | — | — | 0 insurers |
| CONEMAUGH NASON MEDICAL CENTER | PA | $869 | $348 | — | — | 0 insurers |
| CONEMAUGH MEYERSDALE MEDICAL CENTER | PA | $869 | $348 | — | — | 0 insurers |
| PETERSON REGIONAL MEDICAL CENTER | TX | $750 | $525 | — | — | 0 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $798 | $527 | — | — | 0 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $1,414 | $551 | — | — | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $938 | $563 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $938 | $563 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $563 | $74.59 | $338 | 0 insurers |
| SEVIER COUNTY MEDICAL CENTER | AR | $939 | $563 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,115 | $569 | — | — | 0 insurers |
| KAISER PERMANENTE CENTRAL HOSPITAL | WA | $922 | $571 | $628 | $628 | 0 insurers |
| TIPPAH COUNTY HOSPITAL | MS | $233 | $233 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - RICE LAKE | WI | $244 | $232 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER | WI | $244 | $232 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) | WI | $244 | $232 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - WESTON | WI | $244 | $232 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - EAU CLAIRE | WI | $244 | $232 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - MINOCQUA | WI | $244 | $232 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - RIVER REGION | WI | $244 | $232 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE | WI | $244 | $232 | — | — | 0 insurers |
| FLAMBEAU HOSPITAL | WI | $244 | $232 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | WI | $244 | $232 | — | — | 0 insurers |
| CONEMAUGH MINERS MEDICAL CENTER | PA | $1,553 | $621 | — | — | 0 insurers |
| HUGGINS HOSPITAL | NH | $1,284 | $642 | — | — | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $409 | $164 | — | — | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $409 | $164 | — | — | 0 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $973 | $681 | — | — | 0 insurers |
| THE GENERAL | LA | $973 | $681 | — | — | 0 insurers |
| LANAI COMMUNITY HOSPITAL | HI | $1,817 | $709 | — | — | 0 insurers |
| KULA HOSPITAL | HI | $1,817 | $709 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $939 | $751 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $939 | $751 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $939 | $751 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $939 | $751 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $939 | $751 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $939 | $751 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $939 | $751 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $939 | $751 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $939 | $751 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $939 | $751 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $939 | $751 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $939 | $751 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $939 | $751 | — | — | 0 insurers |
| BRISTOL HOSPITAL | CT | $489 | $73.35 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $489 | $73.35 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $489 | $73.35 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $489 | $73.35 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $489 | $73.35 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $489 | $73.35 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $489 | $73.35 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $489 | $73.35 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $489 | $73.35 | — | — | 0 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $489 | $73.35 | — | — | 0 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $489 | $73.35 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $489 | $73.35 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $489 | $73.35 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $489 | $73.35 | — | — | 0 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $489 | $73.35 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $489 | $73.35 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $489 | $73.35 | — | — | 0 insurers |
| HANCOCK COUNTY HEALTH SYSTEM | IA | $313 | $71.99 | — | — | 0 insurers |
| DICKENSON COMMUNITY HOSPITAL | VA | $313 | $71.99 | — | — | 0 insurers |
| LEE COUNTY COMMUNITY HOSPITAL | VA | $313 | $71.99 | — | — | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $1,931 | $772 | — | — | 0 insurers |
| EMANUEL MEDICAL CENTER | GA | $2,007 | $803 | — | — | 0 insurers |
| DLP SWAIN COUNTY HOSPITAL LLC | NC | $2,007 | $803 | — | — | 0 insurers |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER | AK | $1,313 | $853 | — | — | 0 insurers |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER | OR | $1,313 | $853 | — | — | 0 insurers |
| PEACE HARBOR MEDICAL CENTER | OR | $1,313 | $853 | — | — | 0 insurers |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER | WA | $1,313 | $853 | — | — | 0 insurers |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER | WA | $1,313 | $853 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $1,530 | $857 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $1,530 | $857 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $1,530 | $857 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $1,530 | $857 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $1,530 | $857 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $1,530 | $857 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $1,530 | $857 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $1,530 | $857 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $1,530 | $857 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $1,530 | $857 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $1,530 | $857 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $1,530 | $857 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $1,530 | $857 | — | — | 0 insurers |
| ROME MEMORIAL HOSPITAL, INC | NY | $2,276 | $919 | — | — | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | PA | $1,207 | $966 | $0 | $966 | 0 insurers |
| CRENSHAW COMMUNITY HOSPITAL | AL | $1,981 | $990 | — | — | 0 insurers |
| CRENSHAW COMMUNITY HOSPITAL | AL | $1,981 | $990 | — | — | 0 insurers |
| ST JOHN'S RIVERSIDE HOSPITAL | NY | $1,225 | $1,041 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $1,327 | $1,061 | — | — | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | GA | $1,543 | $1,080 | — | — | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $1,674 | $1,088 | — | — | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $1,706 | $1,109 | — | — | 0 insurers |
| PEACEHEALTH ST JOHN MEDICAL CENTER | WA | $1,721 | $1,119 | — | — | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $1,126 | — | — | 0 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $1,852 | $1,296 | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | $1,313 | $1,313 | — | — | 0 insurers |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | IL | $1,570 | $1,570 | — | — | 0 insurers |
| ACADIA ST LANDRY | LA | $2,252 | $1,689 | — | — | 0 insurers |
| ST MARYS HOSPITAL MEDICAL CTR | WI | $3,753 | $1,689 | — | — | 0 insurers |
| EAST VALLEY ER & HOSPITAL | AZ | $3,753 | $1,689 | — | — | 0 insurers |
| ALEXANDRIA EMERGENCY HOSPITAL | LA | $3,753 | $1,689 | — | — | 0 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $4,628 | $1,851 | — | — | 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 | — | — | $375 | $488 | 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 | — | — | $338 | $488 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $375 | $375 | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $375 | $3,696 | 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 | — | — | $74.41 | $1,077 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $45.65 | $450 | 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 | — | — | $74.41 | $1,077 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $375 | $375 | 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 | — | — | $74.41 | $1,077 | 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 | — | — | $375 | $375 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $74.41 | $901 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $244 | $1,206 | 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 | — | — | $375 | $976 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $375 | $976 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $375 | $976 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $375 | $976 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $375 | $2,008 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $244 | $1,366 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $498 | $4,507 | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $338 | $1,052 | 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 | — | — | $375 | $751 | 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 | — | — | $244 | $1,065 | 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 |
| POUDRE VALLEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST MARY-CORWIN HOSPITAL | CO | — | — | — | — | 0 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $239 | $394 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 0 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $56.29 | $1,273 | 0 insurers |
| AdventHealth Porter | CO | — | — | $368 | $1,269 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $368 | $1,269 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $368 | $1,269 | 0 insurers |
| AdventHealth Parker | CO | — | — | $368 | $1,269 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $368 | $1,269 | 0 insurers |
| LONGS PEAK HOSPITAL | CO | — | — | — | — | 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 |
| 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 | — | — | $375 | $1,755 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $375 | $1,755 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $225 | $1,201 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $375 | $994 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $356 | $820 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $375 | $510 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $225 | $1,201 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $112 | $1,201 | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $98.5 | $98.5 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $225 | $1,201 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $375 | $585 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $375 | $833 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $375 | $833 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $356 | $563 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $83.92 | $732 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $375 | $994 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $375 | $578 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $105 | $111 | 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 | — | — | $372 | $563 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $375 | $833 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $375 | $469 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $375 | $578 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $115 | $117 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $356 | $563 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $300 | $544 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $375 | $544 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $372 | $563 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $375 | $544 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $375 | $469 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $375 | $544 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $372 | $788 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $375 | $578 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $83.92 | $732 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $368 | $585 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $300 | $544 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $107 | $109 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $375 | $469 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $375 | $578 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $375 | $544 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $368 | $585 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $375 | $544 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $110 | $112 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $375 | $544 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $375 | $848 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $375 | $638 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $375 | $544 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $375 | $544 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $375 | $510 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $375 | $578 | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $372 | $563 | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $83.92 | $732 | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $225 | $1,201 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $375 | $833 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $375 | $1,126 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $375 | $1,501 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $375 | $751 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $372 | $563 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $375 | $994 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $394 | $469 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $45.65 | $450 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $44.75 | $610 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $44.75 | $610 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $44.75 | $610 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $375 | $938 | 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 | — | — | $44.75 | $563 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $35.8 | $450 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $116 | $938 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $308 | $1,043 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $375 | $390 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $44.75 | $610 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $355 | $355 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $196 | $503 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $56.34 | $675 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $375 | $394 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $375 | $1,095 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $375 | $375 | 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 | — | — | $375 | $394 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $369 | $1,313 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $369 | $799 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $145 | $3,100 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $369 | $799 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $145 | $3,778 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $369 | $799 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $369 | $799 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $375 | $383 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE | IL | — | — | — | — | 0 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $369 | $799 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $369 | $799 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $369 | $799 | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $145 | $3,100 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $375 | $636 | 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 | — | — | $375 | $636 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $369 | $799 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $375 | $2,627 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $375 | $1,095 | 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 | — | — | $145 | $3,100 | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $369 | $799 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $369 | $799 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $375 | $1,424 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $369 | $799 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $375 | $390 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $375 | $394 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $375 | $1,043 | 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 | — | — | $311 | $402 | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $191 | $927 | 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 | — | — | $145 | $3,100 | 0 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 0 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $375 | $886 | 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 | — | — | $225 | $359 | 0 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $158 | $638 | 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 | — | — | $375 | $886 | 0 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | — | — | — | — | 0 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $158 | $2,724 | 0 insurers |
| WAMEGO HEALTH CENTER | KS | — | — | — | — | 0 insurers |
| COMMUNITY MEMORIAL HEALTHCARE, INC. | KS | — | — | $375 | $475 | 0 insurers |
| HANOVER HOSPITAL | KS | — | — | $375 | $1,693 | 0 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | $79.25 | $380 | 0 insurers |
| BOB WILSON MEMORIAL HOSPITAL | KS | — | — | — | — | 0 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $191 | $927 | 0 insurers |
| UOFL HEALTH - SHELBYVILLE HOSPITAL | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH EDGEWOOD | KY | — | — | $191 | $927 | 0 insurers |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH FLORENCE | KY | — | — | $191 | $927 | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | — | — | — | — | 0 insurers |
| UNIVERSITY OF KENTUCKY HOSPITAL | KY | — | — | $112 | $938 | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | — | — | — | — | 0 insurers |
| GEORGETOWN COMMUNITY HOSPITAL | KY | — | — | $315 | $3,237 | 0 insurers |
| TRISTAR GREENVIEW REGIONAL HOSPITAL | KY | — | — | $375 | $495 | 0 insurers |
| FRANKFORT REGIONAL MEDICAL CENTER | KY | — | — | $271 | $432 | 0 insurers |
| THREE RIVERS MEDICAL CENTER | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH GRANT | KY | — | — | $191 | $927 | 0 insurers |
| OPELOUSAS GENERAL HEALTH SYSTEM | LA | — | — | — | — | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | — | — | $90.21 | $2,322 | 0 insurers |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL | LA | — | — | $90.21 | $2,195 | 0 insurers |
| CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM | LA | — | — | $90.21 | $1,499 | 0 insurers |
| BYRD REGIONAL HOSPITAL | LA | — | — | $90.21 | $1,375 | 0 insurers |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL | LA | — | — | $90.21 | $2,195 | 0 insurers |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL | LA | — | — | $90.21 | $1,039 | 0 insurers |
| ST JAMES PARISH HOSPITAL | LA | — | — | — | — | 0 insurers |
| CHRISTUS COUSHATTA HEALTH CARE CENTER | LA | — | — | $93.1 | $1,184 | 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 |
| MAINEHEALTH PEN BAY HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT C A DEAN HOSPITAL | ME | — | — | — | — | 0 insurers |
| LINCOLNHEALTH | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT MAYO HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | — | — | — | — | 0 insurers |