| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $1,890 | $662 | $288 | $800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $1,890 | $662 | $288 | $800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $1,890 | $662 | $288 | $800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $1,890 | $662 | $288 | $800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $1,890 | $662 | $288 | $800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $1,890 | $662 | $288 | $800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $1,890 | $662 | $288 | $800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $1,890 | $662 | $288 | $800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $1,890 | $662 | $288 | $800 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $1,890 | $662 | $288 | $800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $1,890 | $662 | $288 | $800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $1,890 | $662 | $288 | $800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $1,890 | $662 | $288 | $800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $1,890 | $662 | $288 | $800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $1,890 | $662 | $288 | $800 | 3 insurers |
| MARION GENERAL HOSPITAL | MS | $1,117 | $670 | — | — | 5 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $1,610 | $644 | — | — | 1 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $2,400 | $643 | $1,296 | $2,016 | 2 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $2,400 | $643 | $336 | $2,400 | 5 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $1,500 | $636 | $1,095 | $1,365 | 5 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $1,500 | $636 | $240 | $1,946 | 5 insurers |
| SAINT JOSEPH EAST | KY | $1,560 | $627 | $1,420 | $1,420 | 1 insurers |
| SAINT JOSEPH EAST | KY | $1,560 | $627 | $240 | $1,560 | 5 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,560 | $627 | $1,420 | $1,420 | 1 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,560 | $627 | $240 | $1,560 | 5 insurers |
| ST NICHOLAS HOSPITAL | WI | $1,059 | $699 | — | — | 5 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,234 | $617 | — | — | 2 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $1,201 | $721 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $1,500 | $600 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $1,500 | $600 | — | — | 5 insurers |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $727 | $727 | — | — | 4 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $2,400 | $590 | $1,296 | $1,848 | 2 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $2,400 | $590 | $336 | $2,400 | 5 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,560 | $735 | $1,420 | $1,420 | 1 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,560 | $735 | $240 | $1,560 | 5 insurers |
| TRINITY ROCK ISLAND | IL | $720 | $576 | — | — | 5 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $720 | $576 | — | — | 3 insurers |
| TRINITY MUSCATINE | IA | $720 | $576 | — | — | 3 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $720 | $576 | — | — | 3 insurers |
| ST LUKES HOSPITAL | IA | $720 | $576 | — | — | 3 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $720 | $576 | — | — | 3 insurers |
| TRINITY - BETTENDORF | IA | $720 | $576 | — | — | 4 insurers |
| ALLEN HOSPITAL | IA | $720 | $576 | — | — | 5 insurers |
| FINLEY HOSPITAL | IA | $720 | $576 | — | — | 5 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $720 | $576 | — | — | 3 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $720 | $576 | — | — | 5 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $720 | $576 | — | — | 5 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $720 | $576 | — | — | 5 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | $1,873 | $749 | $643 | $1,761 | 5 insurers |
| STORY COUNTY HOSPITAL | IA | $714 | $571 | — | — | 5 insurers |
| STORY COUNTY HOSPITAL | IA | $714 | $571 | — | — | 5 insurers |
| HANCOCK COUNTY HEALTH SYSTEM | IA | $3,285 | $756 | — | — | 5 insurers |
| DICKENSON COMMUNITY HOSPITAL | VA | $3,285 | $756 | — | — | 5 insurers |
| LEE COUNTY COMMUNITY HOSPITAL | VA | $3,285 | $756 | — | — | 5 insurers |
| ST LUKES HOSPITAL | MN | $1,350 | $756 | — | — | 5 insurers |
| MEMORIAL HOSPITAL | IL | $1,682 | $757 | — | — | 5 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $1,130 | $565 | — | — | 5 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $1,130 | $565 | — | — | 5 insurers |
| WEST BOCA MEDICAL CENTER | FL | $1,130 | $565 | — | — | 5 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $1,130 | $565 | — | — | 5 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $1,130 | $565 | — | — | 5 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $1,130 | $565 | — | — | 5 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $1,130 | $565 | — | — | 5 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $1,130 | $565 | — | — | 5 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $1,130 | $565 | — | — | 5 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $1,130 | $565 | — | — | 5 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $1,130 | $565 | — | — | 5 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $1,130 | $565 | — | — | 5 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $1,130 | $565 | — | — | 5 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $1,130 | $565 | — | — | 5 insurers |
| AURORA MEDICAL CTR MANITOWOC COUNTY | WI | $1,130 | $565 | — | — | 5 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $1,130 | $565 | — | — | 5 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $1,130 | $565 | — | — | 5 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $1,130 | $565 | — | — | 5 insurers |
| AURORA LAKELAND MEDICAL CENTER | WI | $1,130 | $565 | — | — | 5 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $1,130 | $565 | — | — | 5 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $1,130 | $565 | — | — | 5 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $1,130 | $565 | — | — | 5 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $1,130 | $565 | — | — | 5 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $1,130 | $565 | — | — | 5 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $1,130 | $565 | — | — | 5 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $1,130 | $565 | — | — | 5 insurers |
| AURORA MEDICAL CENTER | WI | $1,130 | $565 | — | — | 5 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $1,575 | $759 | $725 | $1,433 | 5 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $1,575 | $759 | $240 | $1,433 | 5 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,500 | $765 | — | — | 4 insurers |
| WESTERLY HOSPITAL | RI | $2,132 | $768 | — | — | 5 insurers |
| BRISTOL HOSPITAL | CT | $5,133 | $770 | — | — | 5 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $5,133 | $770 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $5,133 | $770 | — | — | 5 insurers |
| JOHNSTON HEALTH | NC | $5,133 | $770 | — | — | 5 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $5,133 | $770 | — | — | 5 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $5,133 | $770 | — | — | 5 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $5,133 | $770 | — | — | 5 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $5,133 | $770 | — | — | 5 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $5,133 | $770 | — | — | 5 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $5,133 | $770 | — | — | 5 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $5,133 | $770 | — | — | 5 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $5,133 | $770 | — | — | 5 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $5,133 | $770 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $5,133 | $770 | — | — | 5 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $5,133 | $770 | — | — | 5 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $5,133 | $770 | — | — | 5 insurers |
| LONESOME PINE HOSPITAL | VA | $5,133 | $770 | — | — | 5 insurers |
| SAINT JOSEPH LONDON | KY | $1,545 | $551 | $1,406 | $1,406 | 1 insurers |
| SAINT JOSEPH LONDON | KY | $1,545 | $551 | $240 | $1,946 | 5 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | $549 | — | — | 0 insurers |
| WINDOM AREA HEALTH | MN | $804 | $547 | — | — | 5 insurers |
| VALLEY PRESBYTERIAN HOSPITAL | CA | — | $546 | $115 | $750 | 5 insurers |
| NEW YORK-PRESBYTERIAN/QUEENS | NY | — | $546 | $415 | $806 | 5 insurers |
| NEW YORK-PRESBYTERIAN HOSPITAL | NY | — | $546 | $415 | $806 | 5 insurers |
| HUDSON VALLEY HOSPITAL CENTER | NY | — | $546 | $115 | $750 | 5 insurers |
| BEEBE MEDICAL CENTER | DE | $935 | $795 | — | — | 0 insurers |
| MUNSON HEALTHCARE GRAYLING HOSPITAL | MI | $940 | $799 | — | — | 4 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $940 | $799 | — | — | 3 insurers |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | MI | $940 | $799 | — | — | 3 insurers |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | MI | $940 | $799 | — | — | 4 insurers |
| PAUL OLIVER MEMORIAL HOSPITAL | MI | $940 | $799 | — | — | 4 insurers |
| KALKASKA MEMORIAL HEALTH CENTER | MI | $940 | $799 | — | — | 4 insurers |
| MERCY MEDICAL CENTER | OR | $982 | $524 | $737 | $933 | 5 insurers |
| MERCY MEDICAL CENTER | OR | $982 | $524 | $474 | $2,394 | 5 insurers |
| UNM HOSPITAL | NM | $1,500 | $825 | — | — | 5 insurers |
| THOMAS HOSPITAL | AL | $1,655 | $828 | — | — | 5 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $1,655 | $828 | — | — | 5 insurers |
| UNITED MEDICAL CENTER | DC | $1,655 | $828 | — | — | 5 insurers |
| BARNESVILLE HOSPITAL ASSOCIATION, INC | OH | $1,655 | $828 | — | — | 2 insurers |
| UNIONTOWN HOSPITAL | PA | $1,655 | $828 | — | — | 5 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $1,655 | $828 | — | — | 5 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $1,655 | $828 | — | — | 5 insurers |
| BERKELEY MEDICAL CENTER | WV | $1,655 | $828 | — | — | 2 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $1,655 | $828 | — | — | 5 insurers |
| WEIRTON MEDICAL CENTER, INC | WV | $1,655 | $828 | — | — | 5 insurers |
| WHEELING HOSPITAL, INC | WV | $1,655 | $828 | — | — | 5 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $1,655 | $828 | — | — | 5 insurers |
| WETZEL COUNTY HOSPITAL | WV | $1,655 | $828 | — | — | 5 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $1,655 | $828 | — | — | 5 insurers |
| BRAXTON COUNTY MEMORIAL HOSPITAL, INC | WV | $1,655 | $828 | — | — | 0 insurers |
| POTOMAC VALLEY HOSPITAL | WV | $1,655 | $828 | — | — | 0 insurers |
| JACKSON GENERAL HOSPITAL | WV | $1,655 | $828 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $1,655 | $828 | — | — | 5 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $1,260 | $491 | — | — | 0 insurers |
| POUDRE VALLEY HOSPITAL | CO | $1,201 | $841 | — | — | 5 insurers |
| ST ELIZABETH HOSPITAL | WA | $1,575 | $479 | $1,134 | $1,181 | 2 insurers |
| ST ELIZABETH HOSPITAL | WA | $1,575 | $479 | $600 | $2,640 | 5 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $900 | $855 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $2,158 | $865 | — | — | 5 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $2,158 | $865 | — | — | 5 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $2,158 | $865 | — | — | 5 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $2,158 | $865 | — | — | 5 insurers |
| ST CLARE HOSPITAL | WA | $1,575 | $454 | $1,134 | $1,181 | 2 insurers |
| ST CLARE HOSPITAL | WA | $1,575 | $454 | $600 | $2,640 | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $1,337 | $869 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $1,337 | $869 | — | — | 5 insurers |
| FROEDTERT SOUTH INC. | WI | $1,582 | $870 | — | — | 5 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $1,582 | $870 | — | — | 4 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $1,582 | $870 | — | — | 4 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $1,060 | $424 | — | — | 1 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $1,060 | $424 | — | — | 1 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $900 | $540 | $540 | 1 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $1,500 | $900 | — | — | 5 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $1,501 | $901 | $330 | $1,501 | 5 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $1,501 | $901 | $330 | $1,501 | 5 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $1,501 | $901 | $330 | $1,501 | 5 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $1,501 | $901 | $330 | $1,501 | 5 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $1,501 | $901 | $330 | $1,501 | 5 insurers |
| ALTON MEMORIAL HOSPITAL | IL | $1,501 | $901 | $330 | $1,501 | 5 insurers |
| MEMORIAL HOSPITAL | IL | $1,501 | $901 | $330 | $1,501 | 5 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $1,501 | $901 | $330 | $1,501 | 5 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $1,501 | $901 | $330 | $1,501 | 5 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $1,501 | $901 | $330 | $1,501 | 5 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $1,501 | $901 | $330 | $1,501 | 5 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $1,501 | $901 | $600 | $1,884 | 5 insurers |
| PROGRESS WEST HOSPITAL | MO | $1,501 | $901 | $600 | $1,501 | 5 insurers |
| MISSOURI BAPTIST SULLIVAN HOSPITAL | MO | $1,501 | $901 | $330 | $1,501 | 5 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $1,501 | $901 | $600 | $1,501 | 5 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $1,203 | $421 | — | — | 5 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $1,203 | $421 | — | — | 5 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $1,203 | $421 | — | — | 5 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $2,400 | $917 | $1,440 | $1,896 | 3 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $2,400 | $917 | $252 | $2,400 | 5 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $2,158 | $917 | — | — | 5 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $1,300 | $390 | — | — | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $1,275 | $365 | $383 | $918 | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $1,275 | $365 | $217 | $1,275 | 5 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $468 | $364 | $243 | $458 | 5 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $468 | $364 | $318 | $468 | 5 insurers |
| MERCY MEDICAL CENTER | OH | $468 | $364 | $243 | $458 | 5 insurers |
| MERCY MEDICAL CENTER | OH | $468 | $364 | $318 | $468 | 5 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $1,403 | $360 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $1,403 | $360 | $452 | $1,362 | 5 insurers |
| CHI ST VINCENT MORRILTON | AR | $1,403 | $357 | — | — | 0 insurers |
| CHI ST VINCENT MORRILTON | AR | $1,403 | $357 | $452 | $1,362 | 5 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $1,403 | $357 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $1,403 | $357 | $452 | $1,362 | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $1,403 | $347 | $744 | $1,146 | 2 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $1,403 | $347 | $360 | $2,920 | 5 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $1,403 | $982 | $252 | $3,218 | 5 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $848 | $339 | — | — | 1 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $848 | $339 | — | — | 2 insurers |
| ALTRU HOSPITAL | ND | $550 | $336 | — | — | 0 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | $468 | $327 | $374 | $5,062 | 5 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $1,403 | $321 | $744 | $1,146 | 2 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $1,403 | $321 | $360 | $2,920 | 5 insurers |
| ST MARY MEDICAL CENTER | CA | $1,403 | $321 | $744 | $1,146 | 2 insurers |
| ST MARY MEDICAL CENTER | CA | $1,403 | $321 | $360 | $2,920 | 5 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $300 | $300 | — | — | 5 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $300 | $300 | — | — | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $1,275 | $289 | $383 | $918 | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $1,275 | $289 | $280 | $1,275 | 5 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $683 | $274 | — | — | 5 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $683 | $274 | — | — | 5 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $468 | $273 | $262 | $458 | 5 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $468 | $273 | $229 | $468 | 5 insurers |
| ST ELIZABETH HOSPITAL | CO | $468 | $273 | $262 | $458 | 5 insurers |
| ST ELIZABETH HOSPITAL | CO | $468 | $273 | $229 | $468 | 5 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $409 | $272 | $221 | $401 | 5 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $409 | $272 | $251 | $409 | 5 insurers |
| ST GABRIELS HOSPITAL | MN | $523 | $262 | $185 | $1,002 | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $1,275 | $261 | $383 | $918 | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $1,275 | $261 | $280 | $1,275 | 5 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $468 | $255 | $360 | $458 | 5 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $468 | $255 | $313 | $468 | 5 insurers |
| BAXTER HEALTH | AR | $420 | $252 | — | — | 1 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $468 | $237 | $421 | $458 | 3 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $468 | $237 | $355 | $468 | 5 insurers |
| OPELOUSAS GENERAL HEALTH SYSTEM | LA | $2,174 | $1,087 | — | — | 5 insurers |
| BRIDGEPORT HOSPITAL | CT | $2,132 | $1,087 | — | — | 5 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $714 | $228 | $270 | $1,293 | 5 insurers |
| University of Arkansas Medical Sciences | AR | $378 | $227 | — | — | 5 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | $1,012 | $223 | — | — | 5 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $714 | $221 | $270 | $1,293 | 5 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $714 | $221 | $270 | $1,293 | 5 insurers |
| ROANE MEDICAL CENTER | TN | $714 | $221 | $270 | $1,293 | 5 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $714 | $221 | $270 | $1,293 | 5 insurers |
| LECONTE MEDICAL CENTER | TN | $714 | $221 | $270 | $1,293 | 5 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $714 | $221 | $270 | $1,293 | 5 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $2,132 | $1,109 | — | — | 5 insurers |
| PARKWEST MEDICAL CENTER | TN | $714 | $214 | $280 | $1,293 | 5 insurers |
| DOMINICAN HOSPITAL | CA | $468 | $210 | $374 | $397 | 3 insurers |
| DOMINICAN HOSPITAL | CA | $468 | $210 | $304 | $5,715 | 5 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $468 | $201 | $327 | $468 | 3 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $468 | $201 | $117 | $2,400 | 5 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $4,338 | $1,128 | $521 | $3,713 | 5 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $531 | $195 | $483 | $483 | 1 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $531 | $195 | $228 | $1,062 | 5 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $468 | $183 | $281 | $468 | 5 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $468 | $183 | $257 | $2,400 | 5 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $468 | $182 | $51.43 | $383 | 5 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $468 | $182 | $51.43 | $1,772 | 5 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $409 | $175 | $258 | $401 | 4 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $409 | $175 | $204 | $1,546 | 5 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $1,360 | $1,156 | — | — | 5 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $1,360 | $1,156 | — | — | 5 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $409 | $160 | $110 | $401 | 5 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $409 | $160 | $110 | $1,817 | 5 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $468 | $156 | $140 | $383 | 4 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $468 | $156 | $140 | $2,400 | 5 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $1,538 | $154 | — | — | 5 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $468 | $152 | $262 | $374 | 4 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $468 | $152 | $117 | $2,400 | 5 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $468 | $152 | $262 | $374 | 4 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $468 | $152 | $117 | $2,400 | 5 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $468 | $135 | $351 | $388 | 4 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $468 | $135 | $164 | $1,772 | 5 insurers |
| FAUQUIER HOSPITAL | VA | $2,975 | $1,190 | — | — | 1 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $468 | $128 | $51.43 | $430 | 5 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $468 | $128 | $51.43 | $468 | 5 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $468 | $128 | $51.43 | $388 | 5 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $468 | $128 | $51.43 | $1,772 | 5 insurers |
| TRINITY ROCK ISLAND | IL | $1,500 | $1,200 | — | — | 1 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,500 | $1,200 | — | — | 5 insurers |
| TRINITY MUSCATINE | IA | $1,500 | $1,200 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $1,500 | $1,200 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $1,500 | $1,200 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $1,500 | $1,200 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $1,500 | $1,200 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $1,500 | $1,200 | — | — | 1 insurers |
| FINLEY HOSPITAL | IA | $1,500 | $1,200 | — | — | 1 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $1,500 | $1,200 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $1,500 | $1,200 | — | — | 2 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,500 | $1,200 | — | — | 1 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $1,500 | $1,200 | — | — | 2 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $409 | $114 | $327 | $356 | 2 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $409 | $114 | $102 | $2,400 | 5 insurers |
| CARILION STONEWALL JACKSON HOSPITAL | VA | $2,026 | $1,216 | $466 | $3,120 | 1 insurers |
| NORTON SCOTT HOSPITAL | IN | $536 | $107 | — | — | 1 insurers |
| NORTON HOSPITALS, INC | KY | $536 | $107 | — | — | 1 insurers |
| WELLSPAN GOOD SAMARITAN HOSPITAL | PA | $1,550 | $1,240 | — | — | 5 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $1,925 | $1,251 | — | — | 5 insurers |
| COLQUITT REGIONAL MEDICAL CENTER | GA | $1,257 | $1,257 | — | — | 5 insurers |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY | OK | $1,257 | $1,257 | — | — | 5 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $2,132 | $1,258 | — | — | 5 insurers |
| SAINT PETER'S UNIVERSITY HOSPITAL | NJ | $1,330 | $1,330 | — | — | 5 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $4,080 | $1,346 | $300 | $3,468 | 5 insurers |
| RED BAY HOSPITAL | AL | $2,450 | $1,372 | — | — | 3 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $2,450 | $1,372 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $2,450 | $1,372 | — | — | 3 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $2,450 | $1,372 | — | — | 3 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $2,450 | $1,372 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $2,450 | $1,372 | — | — | 3 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $2,450 | $1,372 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $2,450 | $1,372 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $2,450 | $1,372 | — | — | 3 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $2,450 | $1,372 | — | — | 3 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $2,450 | $1,372 | — | — | 3 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $2,450 | $1,372 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $2,450 | $1,372 | — | — | 3 insurers |
| UPHS MARQUETTE DLP HOSPITAL | MI | $2,352 | $1,411 | — | — | 0 insurers |
| NORTHFIELD HOSPITAL | MN | $3,403 | $1,423 | — | — | 5 insurers |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER | MN | $1,830 | $1,464 | — | — | 5 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $1,500 | $1,500 | — | — | 5 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $2,442 | $1,709 | — | — | 5 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $2,520 | $1,764 | — | — | 5 insurers |
| THE QUEENS MEDICAL CENTER | HI | $2,520 | $1,764 | — | — | 5 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $2,520 | $1,764 | — | — | 5 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $2,400 | $1,781 | $2,040 | $2,328 | 5 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $2,400 | $1,781 | $600 | $2,328 | 5 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $1,800 | — | — | 5 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $2,365 | $1,892 | — | — | 4 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $2,387 | $1,909 | — | — | 5 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $3,339 | $2,003 | — | — | 5 insurers |
| CLARKE COUNTY HOSPITAL | IA | $2,231 | $2,231 | — | — | 0 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $6,258 | $2,441 | — | — | 1 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $2,520 | $2,520 | — | — | 2 insurers |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | IL | $2,570 | $2,570 | — | — | 5 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $2,917 | $2,917 | — | — | 2 insurers |
| LANAI COMMUNITY HOSPITAL | HI | $8,942 | $3,487 | — | — | 1 insurers |
| KULA HOSPITAL | HI | $8,942 | $3,487 | — | — | 1 insurers |
| FLOYD CHEROKEE MEDICAL CENTER | AL | — | — | — | — | 1 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 5 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 5 insurers |
| ANDALUSIA HEALTH | AL | — | — | $600 | $780 | 5 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 3 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 5 insurers |
| RUSSELL MEDICAL CENTER | AL | — | — | — | — | 5 insurers |
| BALDWIN HEALTH | AL | — | — | — | — | 3 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | — | — | — | — | 5 insurers |
| VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS | AL | — | — | $540 | $780 | 5 insurers |
| EAMC - LANIER | AL | — | — | — | — | 5 insurers |
| EAMC - LANIER | AL | — | — | — | — | 5 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $600 | $600 | 2 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 5 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 5 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $600 | $5,909 | 5 insurers |
| TUCSON MEDICAL CENTER | AZ | — | — | — | — | 2 insurers |
| ST JOSEPH'S HOSPITAL | AZ | — | — | — | — | 5 insurers |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH TEMPE MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH DEER VALLEY MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| BENSON HOSPITAL | AZ | — | — | — | — | 1 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | — | — | — | — | 1 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 3 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 5 insurers |
| BRADLEY COUNTY MEDICAL CENTER | AR | — | — | — | — | 4 insurers |
| PENINSULA MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP | CA | — | — | — | — | 1 insurers |
| SUTTER AMADOR HOSPITAL | CA | — | — | — | — | 1 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 5 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS | CA | — | — | — | — | 1 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL | CA | — | — | — | — | 1 insurers |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | — | — | — | — | 2 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $480 | $1,722 | 5 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $540 | $806 | 5 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 5 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 1 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 3 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $480 | $1,722 | 5 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $600 | $600 | 1 insurers |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | CA | — | — | — | — | 1 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 1 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP | CA | — | — | — | — | 1 insurers |
| SUTTER TRACY COMMUNITY HOSPITAL | CA | — | — | — | — | 1 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | — | — | — | — | 5 insurers |
| NORTHBAY MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $480 | $1,722 | 5 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | — | — | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | — | — | — | — | 3 insurers |
| SUTTER COAST HOSPITAL | CA | — | — | — | — | 1 insurers |
| STANFORD HEALTH CARE | CA | — | — | $600 | $4,266 | 4 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 1 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $480 | $1,440 | 5 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $390 | $5,634 | 5 insurers |
| EDEN MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | — | — | — | — | 2 insurers |
| SUTTER AUBURN FAITH HOSPITAL | CA | — | — | — | — | 1 insurers |
| SUTTER DELTA MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| MEMORIAL HOSPITAL LOS BANOS | CA | — | — | — | — | 1 insurers |
| SUTTER DAVIS HOSPITAL | CA | — | — | — | — | 1 insurers |
| UCI HEALTH - LOS ALAMITOS | CA | — | — | $600 | $1,560 | 5 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $600 | $1,560 | 5 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $600 | $1,560 | 5 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $600 | $1,560 | 5 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 5 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $600 | $3,210 | 5 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $390 | $4,560 | 5 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 3 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $1,474 | $6,370 | 1 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | — | — | — | — | 5 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 3 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $540 | $5,190 | 5 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 5 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | — | — | — | — | 5 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 1 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 5 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | — | — | — | — | 2 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 5 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 1 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 1 insurers |
| TEMECULA VALLEY HOSPITAL | CA | — | — | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 3 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 1 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $600 | $1,200 | 5 insurers |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO | CA | — | — | — | — | 3 insurers |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | CA | — | — | — | — | 5 insurers |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB | CA | — | — | $390 | $5,634 | 5 insurers |
| LONGMONT UNITED HOSPITAL | CO | — | — | — | — | 2 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 5 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 5 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $600 | $2,850 | 5 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 1 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $90 | $2,036 | 5 insurers |
| AdventHealth Porter | CO | — | — | $588 | $2,030 | 5 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $588 | $2,030 | 5 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 3 insurers |
| AdventHealth Littleton | CO | — | — | $588 | $2,030 | 5 insurers |
| AdventHealth Parker | CO | — | — | $588 | $2,030 | 5 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 1 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 3 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $588 | $2,030 | 5 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 3 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $499 | $2,192 | 5 insurers |
| FAMILY HEALTH WEST HOSPITAL | CO | — | — | — | — | 2 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 1 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $600 | $2,807 | 5 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $600 | $2,807 | 5 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | — | — | — | — | 4 insurers |
| ORLANDO HEALTH | FL | — | — | $360 | $1,920 | 5 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $600 | $1,590 | 5 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $570 | $1,311 | 5 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $600 | $816 | 5 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $360 | $1,920 | 5 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $360 | $1,920 | 5 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | — | — | — | — | 5 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $600 | $1,356 | 5 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $360 | $1,920 | 5 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $600 | $936 | 5 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $600 | $1,332 | 5 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 5 insurers |
| AdventHealth Carrollwood | FL | — | — | $600 | $1,332 | 5 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $570 | $900 | 5 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 1 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $360 | $1,170 | 5 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $600 | $1,590 | 5 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $600 | $924 | 5 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $600 | $936 | 5 insurers |
| BARTOW REGIONAL MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| MORTON PLANT HOSPITAL | FL | — | — | — | — | 5 insurers |
| TAMPA GENERAL HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA AVENTURA HOSPITAL | FL | — | — | $594 | $900 | 5 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 5 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $600 | $1,332 | 5 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $600 | $750 | 5 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $107 | $109 | 3 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $600 | $600 | 1 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $570 | $900 | 5 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $480 | $870 | 5 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $600 | $870 | 5 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $594 | $900 | 5 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $107 | $109 | 3 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $600 | $750 | 5 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $600 | $600 | 1 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $594 | $1,260 | 5 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $600 | $924 | 5 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $360 | $1,170 | 5 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $588 | $936 | 5 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $480 | $870 | 5 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 3 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $600 | $816 | 5 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $600 | $750 | 5 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $600 | $924 | 5 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $600 | $870 | 5 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $588 | $936 | 5 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $600 | $870 | 5 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $600 | $1,356 | 5 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $600 | $870 | 5 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $600 | $1,356 | 5 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $97.81 | $103 | 3 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $600 | $870 | 5 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 3 insurers |