| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $891 | $312 | $135 | $375 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $891 | $312 | $135 | $375 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $891 | $312 | $135 | $375 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $891 | $312 | $135 | $375 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $891 | $312 | $135 | $375 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $891 | $312 | $135 | $375 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $891 | $312 | $135 | $375 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $891 | $312 | $135 | $375 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $891 | $312 | $135 | $375 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $891 | $312 | $135 | $375 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $891 | $312 | $135 | $375 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $891 | $312 | $135 | $375 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $891 | $312 | $135 | $375 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $891 | $312 | $135 | $375 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $891 | $312 | $135 | $375 | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $816 | $326 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $816 | $326 | — | — | 0 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $455 | $296 | — | — | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $820 | $328 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $339 | $272 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $339 | $272 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $339 | $272 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $339 | $272 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $339 | $272 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $339 | $272 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $339 | $272 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $339 | $272 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $339 | $272 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $339 | $272 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $339 | $272 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $339 | $272 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $339 | $272 | — | — | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $653 | $261 | — | — | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $653 | $261 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $707 | $389 | — | — | 0 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $560 | $392 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $828 | $422 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $424 | $255 | $255 | 0 insurers |
| CARILION MEDICAL CENTER | VA | $340 | $119 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $340 | $119 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $340 | $119 | — | — | 0 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $340 | $119 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $340 | $119 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $248 | $105 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $255 | $102 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $255 | $102 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $255 | $102 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $255 | $102 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $255 | $102 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $248 | $99.52 | — | — | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $1,334 | $534 | — | — | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $945 | $567 | $283 | $945 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $945 | $567 | $283 | $945 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $945 | $567 | $283 | $945 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $945 | $567 | $283 | $945 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $945 | $567 | $283 | $945 | 0 insurers |
| SAINT PETER'S UNIVERSITY HOSPITAL | NJ | $670 | $576 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $1,150 | $644 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $1,150 | $644 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $1,150 | $644 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $1,150 | $644 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $1,150 | $644 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $1,150 | $644 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $1,150 | $644 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $1,150 | $644 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $1,150 | $644 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $1,150 | $644 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $1,150 | $644 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $1,150 | $644 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $1,150 | $644 | — | — | 0 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $707 | $707 | — | — | 0 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $1,151 | $806 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $1,050 | $840 | — | — | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $849 | — | — | 0 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $2,952 | $1,151 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $2,024 | $1,316 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $2,024 | $1,316 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $2,294 | $1,376 | $283 | $1,950 | 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 | — | — | $283 | $368 | 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 | — | — | $255 | $368 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $283 | $283 | 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 | — | — | $226 | $812 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $255 | $380 | 0 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 0 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $226 | $812 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $283 | $283 | 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 |
| CORONA REGIONAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| NORTHBAY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $226 | $812 | 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 | — | — | $283 | $868 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $226 | $679 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $184 | $909 | 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 | — | — | $283 | $735 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $283 | $735 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $283 | $735 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $283 | $735 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $283 | $1,513 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $184 | $1,029 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $695 | $2,498 | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $255 | $793 | 0 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | 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 |
| TEMECULA VALLEY 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 | — | — | $283 | $566 | 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 | — | — | $184 | $803 | 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 | — | — | $283 | $1,344 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 0 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $42.43 | $958 | 0 insurers |
| AdventHealth Porter | CO | — | — | $277 | $957 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $277 | $957 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $277 | $957 | 0 insurers |
| AdventHealth Parker | CO | — | — | $277 | $957 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $277 | $957 | 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 | — | — | $277 | $1,033 | 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 | — | — | $283 | $1,323 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $283 | $1,323 | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | — | — | — | — | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $170 | $905 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $283 | $750 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $269 | $618 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $283 | $385 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $170 | $905 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $170 | $905 | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $283 | $639 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $170 | $905 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $283 | $441 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $283 | $628 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $283 | $628 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $110 | $113 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $170 | $552 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $283 | $750 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $283 | $436 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $283 | $441 | 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 | — | — | $283 | $628 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $98.94 | $104 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $283 | $436 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $115 | $117 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $110 | $113 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $226 | $410 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $283 | $410 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $283 | $283 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $283 | $410 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $283 | $354 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $283 | $410 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $280 | $594 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $283 | $436 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $170 | $552 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $277 | $441 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $105 | $107 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $283 | $385 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $283 | $354 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $283 | $436 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $283 | $410 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $277 | $441 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $283 | $410 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $283 | $639 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $283 | $410 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $98.94 | $101 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $283 | $481 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $283 | $410 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $283 | $410 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $283 | $385 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $283 | $436 | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $280 | $424 | 0 insurers |
| WELLINGTON REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $170 | $552 | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $170 | $905 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $283 | $628 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $105 | $111 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $283 | $1,132 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $283 | $566 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $280 | $424 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $283 | $750 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $297 | $354 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $255 | $339 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $118 | $460 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $118 | $460 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $118 | $460 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $283 | $707 | 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 | — | — | $264 | $334 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $184 | $339 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $283 | $707 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $232 | $786 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $283 | $294 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $118 | $460 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $268 | $268 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $148 | $379 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $170 | $509 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $283 | $297 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $283 | $826 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $283 | $283 | 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 | — | — | $283 | $297 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $278 | $990 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $278 | $603 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $255 | $2,338 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $278 | $603 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $283 | $2,850 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $278 | $603 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $278 | $603 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $283 | $289 | 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 | — | — | $278 | $603 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $278 | $603 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $278 | $603 | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $255 | $2,338 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $283 | $479 | 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 | — | — | $283 | $479 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $278 | $603 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $283 | $1,980 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $283 | $826 | 0 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 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 | — | — | $255 | $2,338 | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $278 | $603 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $278 | $603 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $283 | $1,074 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $278 | $603 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $283 | $294 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $283 | $297 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $283 | $786 | 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 | — | — | $234 | $303 | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $144 | $699 | 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 | — | — | $255 | $2,338 | 0 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 0 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $240 | $668 | 0 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | — | — | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | — | — | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | — | — | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | — | — | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 0 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $170 | $638 | 0 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $119 | $481 | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | — | — | — | — | 0 insurers |
| ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. | KS | — | — | — | — | 0 insurers |
| WESLEY MEDICAL CENTER | KS | — | — | $240 | $668 | 0 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | — | — | — | — | 0 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $119 | $2,054 | 0 insurers |
| WAMEGO HEALTH CENTER | KS | — | — | — | — | 0 insurers |
| COMMUNITY MEMORIAL HEALTHCARE, INC. | KS | — | — | $272 | $283 | 0 insurers |
| HANOVER HOSPITAL | KS | — | — | $283 | $1,276 | 0 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | $240 | $287 | 0 insurers |
| BOB WILSON MEMORIAL HOSPITAL | KS | — | — | — | — | 0 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $144 | $699 | 0 insurers |
| UOFL HEALTH - SHELBYVILLE HOSPITAL | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH EDGEWOOD | KY | — | — | $144 | $699 | 0 insurers |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH FLORENCE | KY | — | — | $144 | $699 | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | — | — | — | — | 0 insurers |
| UNIVERSITY OF KENTUCKY HOSPITAL | KY | — | — | $113 | $707 | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | — | — | — | — | 0 insurers |
| GEORGETOWN COMMUNITY HOSPITAL | KY | — | — | $274 | $1,395 | 0 insurers |
| TRISTAR GREENVIEW REGIONAL HOSPITAL | KY | — | — | $283 | $373 | 0 insurers |
| FRANKFORT REGIONAL MEDICAL CENTER | KY | — | — | $113 | $325 | 0 insurers |
| THREE RIVERS MEDICAL CENTER | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH GRANT | KY | — | — | $144 | $699 | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | — | — | $277 | $1,750 | 0 insurers |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL | LA | — | — | $277 | $1,655 | 0 insurers |
| CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM | LA | — | — | $277 | $1,130 | 0 insurers |
| BYRD REGIONAL HOSPITAL | LA | — | — | $277 | $1,037 | 0 insurers |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL | LA | — | — | $277 | $1,655 | 0 insurers |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL | LA | — | — | $141 | $784 | 0 insurers |
| ST JAMES PARISH HOSPITAL | LA | — | — | — | — | 0 insurers |
| CHRISTUS COUSHATTA HEALTH CARE CENTER | LA | — | — | $283 | $893 | 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 |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | — | — | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | — | — | — | — | 0 insurers |
| LAWRENCE GENERAL HOSPITAL | MA | — | — | — | — | 0 insurers |
| LAWRENCE GENERAL HOSPITAL | MA | — | — | — | — | 0 insurers |
| SAINT ANNE'S HOSPITAL | MA | — | — | — | — | 0 insurers |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH | MA | — | — | $283 | $764 | 0 insurers |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL | MA | — | — | — | — | 0 insurers |
| HOLY FAMILY HOSPITAL | MA | — | — | — | — | 0 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM | MA | — | — | $283 | $818 | 0 insurers |
| BETH ISRAEL DEACONESS MEDICAL CENTER | MA | — | — | $283 | $826 | 0 insurers |
| HEYWOOD HOSPITAL - | MA | — | — | $283 | $1,202 | 0 insurers |
| SOUTH SHORE HOSPITAL | MA | — | — | $274 | $733 | 0 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON | MA | — | — | $170 | $283 | 0 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | — | — | $354 | $1,202 | 0 insurers |
| COREWELL HEALTH ZEELAND HOSPITAL | MI | — | — | — | — | 0 insurers |
| LAKELAND HOSPITAL, ST JOSEPH | MI | — | — | — | — | 0 insurers |
| SPECTRUM HEALTH | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH WATERVLIET HOSPITAL | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH BIG RAPIDS HOSPITAL | MI | — | — | — | — | 0 insurers |
| HARPER UNIVERSITY HOSPITAL | MI | — | — | $76.36 | $384 | 0 insurers |
| COREWELL HEALTH LUDINGTON HOSPITAL | MI | — | — | — | — | 0 insurers |
| BEAUMONT HOSPITAL ROYAL OAK | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH WAYNE HOSPITAL | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH TRENTON HOSPITAL | MI | — | — | — | — | 0 insurers |
| Henry Ford Health Warren Hospital | MI | — | — | — | — | 0 insurers |
| HURON VALLEY-SINAI HOSPITAL | MI | — | — | $87.69 | $384 | 0 insurers |
| COREWELL HEALTH REED CITY HOSPITAL | MI | — | — | — | — | 0 insurers |
| OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP | MI | — | — | $278 | $603 | 0 insurers |
| COREWELL HEALTH GERBER HOSPITAL | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH PENNOCK HOSPITAL | MI | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH DULUTH | MN | — | — | — | — | 0 insurers |
| SANFORD WORTHINGTON MEDICAL CENTER | MN | — | — | — | — | 0 insurers |
| ALOMERE HEALTH | MN | — | — | — | — | 0 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | — | — | — | — | 0 insurers |
| WINONA HEALTH SERVICES | MN | — | — | — | — | 0 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH VIRGINIA | MN | — | — | — | — | 0 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES | MN | — | — | — | — | 0 insurers |
| MAHNOMEN HEALTH CENTER | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH SANDSTONE | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH ADA | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH HOLY TRINITY HOSPITAL | MN | — | — | — | — | 0 insurers |
| NORTH VALLEY HEALTH CENTER | MN | — | — | $283 | $846 | 0 insurers |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH MOOSE LAKE | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH FOSSTON | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH DEER RIVER | MN | — | — | — | — | 0 insurers |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL | MN | — | — | — | — | 0 insurers |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL | MN | — | — | — | — | 0 insurers |
| TISHOMINGO HEALTH SERVICES INC | MS | — | — | $283 | $849 | 0 insurers |
| NORTH MISSISSIPPI MEDICAL CENTER-GILMORE AMORY | MS | — | — | $283 | $849 | 0 insurers |
| GEORGE REGIONAL HEALTH SYSTEM | MS | — | — | $283 | $1,276 | 0 insurers |
| ALLIANCE HEALTH CENTER | MS | — | — | $119 | $566 | 0 insurers |
| PONTOTOC HEALTH SERVICE INC CAH | MS | — | — | $283 | $849 | 0 insurers |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY | MO | — | — | $255 | $1,267 | 0 insurers |
| NORTHEAST REGIONAL MEDICAL CENTER | MO | — | — | — | — | 0 insurers |
| BOONE HOSPITAL CENTER | MO | — | — | $283 | $554 | 0 insurers |
| SSM ST CLARE HEALTH CENTER | MO | — | — | $283 | $1,628 | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS | MO | — | — | $283 | $1,628 | 0 insurers |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS | MO | — | — | $283 | $1,628 | 0 insurers |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL | MO | — | — | $277 | $1,167 | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | — | — | — | — | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | MO | — | — | $241 | $495 | 0 insurers |
| LEE'S SUMMIT MEDICAL CENTER | MO | — | — | $240 | $656 | 0 insurers |
| MOSAIC MEDICAL CENTER - MARYVILLE | MO | — | — | — | — | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | — | — | $234 | $315 | 0 insurers |
| MOUNTAINVIEW MEDICAL CENTER | MT | — | — | $42.43 | $958 | 0 insurers |
| PRAIRIE COMMUNITY CAH | MT | — | — | — | — | 0 insurers |
| HOLY ROSARY HOSPITAL | MT | — | — | — | — | 0 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | — | — | $234 | $315 | 0 insurers |