| University of Arkansas Medical Sciences | AR | $2,135 | $1,281 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $2,160 | $1,296 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $3,654 | $1,279 | $556 | $1,545 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $3,654 | $1,279 | $556 | $1,545 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $3,654 | $1,279 | $556 | $1,545 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $3,654 | $1,279 | $556 | $1,545 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $3,654 | $1,279 | $556 | $1,545 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $3,654 | $1,279 | $556 | $1,545 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $3,654 | $1,279 | $556 | $1,545 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $3,654 | $1,279 | $556 | $1,545 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $3,654 | $1,279 | $556 | $1,545 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $3,654 | $1,279 | $556 | $1,545 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $3,654 | $1,279 | $556 | $1,545 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $3,654 | $1,279 | $556 | $1,545 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $3,654 | $1,279 | $556 | $1,545 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $3,654 | $1,279 | $556 | $1,545 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $3,654 | $1,279 | $556 | $1,545 | 0 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $3,801 | $1,334 | — | — | 0 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $3,801 | $1,334 | — | — | 0 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $3,801 | $1,334 | — | — | 0 insurers |
| GATEWAY REGIONAL MEDICAL CENTER | IL | — | $1,356 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $3,480 | $1,218 | $487 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $3,480 | $1,218 | $487 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $3,480 | $1,218 | $487 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $3,480 | $1,218 | $487 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $3,480 | $1,218 | $487 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $3,480 | $1,218 | $487 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $3,480 | $1,218 | $487 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $3,480 | $1,218 | $487 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $3,480 | $1,218 | $487 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $3,480 | $1,218 | $487 | $1,315 | 0 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | $3,212 | $1,365 | — | — | 0 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | $3,212 | $1,365 | — | — | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,450 | $1,128 | $754 | $1,421 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,450 | $1,128 | $928 | $1,450 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,450 | $1,128 | $754 | $1,421 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,450 | $1,128 | $928 | $1,450 | 0 insurers |
| TRINITY ROCK ISLAND | IL | $1,392 | $1,114 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,392 | $1,114 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $1,392 | $1,114 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $1,392 | $1,114 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $1,392 | $1,114 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $1,392 | $1,114 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $1,392 | $1,114 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $1,392 | $1,114 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $1,392 | $1,114 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $1,392 | $1,114 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $1,392 | $1,114 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,392 | $1,114 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $1,392 | $1,114 | — | — | 0 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | $1,847 | $1,108 | $343 | $2,320 | 0 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | $1,847 | $1,108 | $336 | $2,320 | 0 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | $1,847 | $1,108 | $438 | $2,320 | 0 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $2,334 | $1,517 | — | — | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $4,036 | $1,614 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $3,360 | $961 | $1,008 | $2,419 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $3,360 | $961 | $540 | $3,360 | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $3,190 | $1,627 | — | — | 0 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | $1,351 | $946 | $1,081 | $1,392 | 0 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | $1,847 | $924 | $322 | $2,320 | 0 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | $1,847 | $924 | $260 | $2,795 | 0 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | $1,847 | $924 | $240 | $2,320 | 0 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | $1,847 | $924 | $228 | $2,320 | 0 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | $1,847 | $924 | $599 | $2,320 | 0 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | $1,847 | $924 | $377 | $2,320 | 0 insurers |
| NOVANT PRINCE WILLIAM MEDICAL CENTER | VA | $1,847 | $924 | $377 | $2,320 | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $1,351 | $900 | $731 | $1,324 | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $1,351 | $900 | $829 | $1,324 | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $4,183 | $1,677 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $4,183 | $1,677 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $4,183 | $1,677 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $4,183 | $1,677 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $4,183 | $1,677 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $4,187 | $1,679 | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | $1,704 | $1,704 | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | $1,704 | $1,704 | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | $1,704 | $1,704 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $8,667 | $867 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $2,156 | $862 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $2,156 | $862 | — | — | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $1,450 | $847 | $812 | $1,421 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $1,450 | $847 | $711 | $1,450 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $1,450 | $847 | $812 | $1,421 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $1,450 | $847 | $711 | $1,450 | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $1,740 | $1,044 | $1,044 | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $2,901 | $1,741 | $1,357 | $2,770 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $2,901 | $1,741 | $1,357 | $2,770 | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $2,901 | $1,741 | $1,357 | $2,770 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $2,901 | $1,741 | $1,357 | $2,770 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $2,901 | $1,741 | $1,357 | $2,770 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $2,901 | $1,741 | $1,357 | $2,770 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $2,901 | $1,741 | $1,357 | $2,770 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $2,901 | $1,741 | $1,392 | $2,770 | 0 insurers |
| PENDER COMMUNITY HOSPITAL | NE | $1,847 | $831 | $474 | $1,792 | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $4,396 | $1,758 | — | — | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $4,396 | $1,758 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $4,183 | $1,778 | — | — | 0 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $2,900 | $772 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $3,360 | $763 | $1,008 | $2,419 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $3,360 | $763 | $540 | $3,360 | 0 insurers |
| BAPTIST HEALTH - FORT SMITH | AR | $3,016 | $754 | — | — | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,450 | $735 | $1,305 | $1,421 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,450 | $735 | $928 | $1,450 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $3,360 | $689 | $1,008 | $2,419 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $3,360 | $689 | $540 | $3,360 | 0 insurers |
| TIPPAH COUNTY HOSPITAL | MS | $1,905 | $1,905 | — | — | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | $2,340 | $655 | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $2,950 | $590 | — | — | 0 insurers |
| NORTON HOSPITALS, INC | KY | $2,950 | $590 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $3,625 | $1,994 | — | — | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $1,351 | $581 | $946 | $1,351 | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $1,351 | $581 | $338 | $4,640 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,351 | $578 | $851 | $1,324 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,351 | $578 | $675 | $2,989 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,351 | $530 | $365 | $1,324 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,351 | $530 | $365 | $3,514 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $1,351 | $528 | $810 | $1,351 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $1,351 | $528 | $743 | $4,640 | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $5,173 | $2,069 | — | — | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,351 | $496 | $946 | $1,067 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,351 | $496 | $675 | $3,333 | 0 insurers |
| FROEDTERT SOUTH INC. | WI | $3,800 | $2,090 | — | — | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $1,351 | $450 | $405 | $1,108 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $1,351 | $450 | $405 | $4,640 | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $1,351 | $440 | $756 | $1,081 | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $1,351 | $440 | $338 | $4,640 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $1,351 | $440 | $756 | $1,081 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $1,351 | $440 | $338 | $4,640 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $1,351 | $397 | $973 | $1,108 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $1,351 | $397 | $284 | $6,795 | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $5,495 | $2,198 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $5,495 | $2,198 | — | — | 0 insurers |
| ALTRU HOSPITAL | ND | $3,686 | $2,248 | — | — | 0 insurers |
| MUNSON HEALTHCARE GRAYLING HOSPITAL | MI | $2,650 | $2,253 | — | — | 0 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $2,650 | $2,253 | — | — | 0 insurers |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | MI | $2,650 | $2,253 | — | — | 0 insurers |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | MI | $2,650 | $2,253 | — | — | 0 insurers |
| PAUL OLIVER MEMORIAL HOSPITAL | MI | $2,650 | $2,253 | — | — | 0 insurers |
| KALKASKA MEMORIAL HEALTH CENTER | MI | $2,650 | $2,253 | — | — | 0 insurers |
| CARILION MEDICAL CENTER | VA | $6,531 | $2,286 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $6,531 | $2,286 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $6,531 | $2,286 | — | — | 0 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $6,531 | $2,286 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $6,531 | $2,286 | — | — | 0 insurers |
| LAKE CUMBERLAND REGIONAL HOSPITAL | KY | $5,872 | $2,349 | — | — | 0 insurers |
| JACKSON COUNTY REGIONAL HEALTH CENTER | IA | $143 | $143 | — | — | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $6,096 | $2,438 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - RICE LAKE | WI | $116 | $110 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER | WI | $116 | $110 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) | WI | $116 | $110 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - WESTON | WI | $116 | $110 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - EAU CLAIRE | WI | $116 | $110 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - MINOCQUA | WI | $116 | $110 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - RIVER REGION | WI | $116 | $110 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE | WI | $116 | $110 | — | — | 0 insurers |
| FLAMBEAU HOSPITAL | WI | $116 | $110 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | WI | $116 | $110 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $5,050 | $2,525 | — | — | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | $5,055 | $2,528 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | $5,055 | $2,528 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | GA | $5,097 | $2,549 | — | — | 0 insurers |
| FLOYD CHEROKEE MEDICAL CENTER | AL | $5,102 | $2,551 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER | GA | $5,104 | $2,552 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $3,965 | $2,577 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $3,965 | $2,577 | — | — | 0 insurers |
| FROEDTERT COMMUNITY HOSPITAL | WI | $4,708 | $2,589 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $4,730 | $2,649 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $4,730 | $2,649 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $4,730 | $2,649 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $4,730 | $2,649 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $4,730 | $2,649 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $4,730 | $2,649 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $4,730 | $2,649 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $4,730 | $2,649 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $4,730 | $2,649 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $4,730 | $2,649 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $4,730 | $2,649 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $4,730 | $2,649 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $4,730 | $2,649 | — | — | 0 insurers |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER | MN | $3,395 | $2,716 | — | — | 0 insurers |
| UPHS MARQUETTE DLP HOSPITAL | MI | $4,547 | $2,728 | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $7,390 | $2,823 | $4,434 | $5,838 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $7,390 | $2,823 | $487 | $7,390 | 0 insurers |
| HOLY FAMILY HOSPITAL | MA | $5,539 | $3,046 | — | — | 0 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $5,539 | $3,046 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $5,539 | $3,046 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $5,539 | $3,046 | — | — | 0 insurers |
| ST NICHOLAS HOSPITAL | WI | $4,687 | $3,093 | — | — | 0 insurers |
| WELIA HEALTH | MN | $4,513 | $3,159 | — | — | 0 insurers |
| CONEMAUGH MINERS MEDICAL CENTER | PA | $8,465 | $3,386 | — | — | 0 insurers |
| BROADLAWNS MEDICAL CENTER | IA | $3,403 | $3,403 | — | — | 0 insurers |
| CARILION STONEWALL JACKSON HOSPITAL | VA | $5,696 | $3,418 | $1,310 | $6,032 | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $3,480 | — | — | 0 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | $3,502 | $3,502 | $1,450 | $4,930 | 0 insurers |
| ST LUKES HOSPITAL | MN | $6,281 | $3,517 | — | — | 0 insurers |
| BEEBE MEDICAL CENTER | DE | $4,151 | $3,528 | — | — | 0 insurers |
| HEYWOOD HOSPITAL - | MA | $3,625 | $3,625 | $1,160 | $4,930 | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $3,902 | $3,707 | — | — | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $6,456 | $3,874 | — | — | 0 insurers |
| SAINT PETER'S UNIVERSITY HOSPITAL | NJ | $4,090 | $4,083 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $4,230 | $4,230 | — | — | 0 insurers |
| CONEMAUGH NASON MEDICAL CENTER | PA | $10,687 | $4,275 | — | — | 0 insurers |
| CONEMAUGH MEYERSDALE MEDICAL CENTER | PA | $10,687 | $4,275 | — | — | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | $5,053 | $4,295 | — | — | 0 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | $5,053 | $4,295 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $8,700 | $4,524 | — | — | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $9,413 | $4,707 | — | — | 0 insurers |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | IL | $4,850 | $4,850 | — | — | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $4,872 | $4,872 | — | — | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $8,700 | $5,133 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $7,000 | $5,950 | — | — | 0 insurers |
| SAINT FRANCIS BARTLETT MEDICAL CENTER | TN | $11,050 | $8,288 | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| ANDALUSIA HEALTH | AL | — | — | $1,160 | $1,508 | 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 | — | — | $1,044 | $1,508 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $1,160 | $1,160 | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $1,160 | $11,425 | 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 |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $1,044 | $1,557 | 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 |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $1,160 | $1,160 | 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 |
| 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 | — | — | $1,160 | $8,248 | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $928 | $2,784 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $754 | $10,892 | 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 | — | — | $1,160 | $3,016 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $1,160 | $3,016 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $1,160 | $3,016 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $1,160 | $3,016 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $974 | $6,206 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $754 | $8,816 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $2,848 | $6,202 | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $1,044 | $10,034 | 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 |
| 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 | — | — | $1,160 | $2,320 | 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 | — | — | $754 | $10,892 | 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 |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 0 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $174 | $3,935 | 0 insurers |
| AdventHealth Porter | CO | — | — | $1,137 | $3,922 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $1,137 | $3,922 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $1,137 | $3,922 | 0 insurers |
| AdventHealth Parker | CO | — | — | $1,137 | $3,922 | 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 | — | — | $1,137 | $3,922 | 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 |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $1,160 | $5,426 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $1,160 | $5,426 | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | — | — | — | — | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $696 | $3,712 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $1,160 | $3,074 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $1,102 | $2,534 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $1,160 | $1,578 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $696 | $3,712 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $696 | $3,712 | 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 | — | — | $1,160 | $2,622 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $696 | $3,712 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $1,160 | $1,810 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $1,160 | $2,575 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $1,160 | $2,575 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $1,102 | $1,740 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $696 | $2,262 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $1,160 | $3,074 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $1,160 | $1,786 | 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 | — | — | $1,148 | $1,740 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $1,160 | $2,575 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $1,160 | $1,450 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $1,160 | $1,786 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $1,148 | $1,740 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $1,102 | $1,740 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $928 | $1,682 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $1,160 | $1,682 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $116 | $118 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $1,160 | $1,682 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $1,160 | $1,450 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $1,160 | $1,682 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $115 | $117 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $1,160 | $1,786 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $696 | $2,262 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $1,137 | $1,810 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $928 | $1,682 | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $107 | $109 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $1,160 | $1,450 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $1,160 | $1,786 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $1,160 | $1,682 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $1,137 | $1,810 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $1,160 | $1,682 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $1,160 | $2,622 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $1,160 | $1,682 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $1,160 | $2,622 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $1,160 | $1,972 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $1,160 | $1,682 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $1,160 | $1,682 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $1,160 | $1,578 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $1,160 | $1,786 | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $110 | $113 | 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 | — | — | $696 | $2,262 | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $696 | $3,712 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $1,160 | $2,575 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $1,160 | $3,480 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $1,160 | $4,640 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $1,160 | $2,320 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $1,148 | $1,740 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $1,160 | $3,074 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $1,218 | $1,450 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $1,044 | $1,392 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $485 | $1,885 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $485 | $1,885 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $485 | $1,885 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $1,160 | $2,900 | 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 | — | — | $1,038 | $1,740 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $754 | $1,392 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $1,160 | $2,900 | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $951 | $3,225 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $1,160 | $1,206 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $485 | $1,885 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | — | — | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $606 | $1,554 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $870 | $1,392 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $1,160 | $1,218 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $1,160 | $3,385 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $1,160 | $1,160 | 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 | — | — | $1,160 | $1,218 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $1,160 | $4,060 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $1,160 | $2,471 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $1,044 | $9,586 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $1,160 | $2,471 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $1,160 | $11,683 | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $1,160 | $2,471 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $1,160 | $2,471 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $1,160 | $1,183 | 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 | — | — | $1,160 | $2,471 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $1,160 | $2,471 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $1,160 | $2,471 | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $1,044 | $9,586 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $1,160 | $1,965 | 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 | — | — | $1,160 | $1,965 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $1,160 | $2,471 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $1,160 | $8,120 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $1,160 | $3,385 | 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 | — | — | $1,044 | $9,586 | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $1,160 | $2,471 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $1,160 | $2,471 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $1,160 | $4,404 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $1,160 | $2,471 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $1,160 | $1,206 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $1,160 | $1,218 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $1,160 | $3,225 | 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 | — | — | $960 | $1,242 | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $464 | $2,865 | 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 | — | — | $1,044 | $9,586 | 0 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 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 | — | — | $696 | $1,473 | 0 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $487 | $1,972 | 0 insurers |
| HUTCHINSON REGIONAL MEDICAL CENTER INC | KS | — | — | — | — | 0 insurers |