| ENCINO HOSPITAL MEDICAL CENTER | CA | $180 | $600 | $54 | $180 | 0 insurers |
| SHERMAN OAKS HOSPITAL | CA | $180 | $600 | $54 | $180 | 0 insurers |
| SHASTA REGIONAL MEDICAL CENTER | CA | $3,000 | $600 | $109 | $3,000 | 0 insurers |
| COSHOCTON REGIONAL MEDICAL CENTER | OH | $1,200 | $600 | $228 | $1,176 | 0 insurers |
| MISSION REGIONAL MEDICAL CENTER | TX | $695 | $600 | $208 | $695 | 0 insurers |
| TRINITY ROCK ISLAND | IL | $720 | $576 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $720 | $576 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $720 | $576 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $720 | $576 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $720 | $576 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $720 | $576 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $720 | $576 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $720 | $576 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $720 | $576 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $720 | $576 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $720 | $576 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $720 | $576 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $720 | $576 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $1,200 | $564 | — | — | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $1,620 | $648 | — | — | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $1,620 | $648 | — | — | 0 insurers |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA | TN | $1,687 | $550 | — | — | 0 insurers |
| BOCA RATON REGIONAL HOSPITAL | FL | $1,020 | $663 | — | — | 0 insurers |
| BEEBE MEDICAL CENTER | DE | $788 | $670 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $1,117 | $670 | — | — | 0 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $1,365 | $690 | — | — | 0 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $1,365 | $690 | — | — | 0 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $1,365 | $690 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $1,283 | $706 | — | — | 0 insurers |
| FROEDTERT SOUTH INC. | WI | $1,301 | $716 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $1,301 | $716 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $1,301 | $716 | — | — | 0 insurers |
| GENEVA GENERAL HOSPITAL | NY | $1,800 | $720 | — | — | 0 insurers |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES | NY | $1,800 | $720 | — | — | 0 insurers |
| BRISTOL HOSPITAL | CT | $3,147 | $472 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $3,147 | $472 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $3,147 | $472 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $3,147 | $472 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $3,147 | $472 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $3,147 | $472 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $3,147 | $472 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $3,147 | $472 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $3,147 | $472 | — | — | 0 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $3,147 | $472 | — | — | 0 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $3,147 | $472 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $3,147 | $472 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $3,147 | $472 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $3,147 | $472 | — | — | 0 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $3,147 | $472 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $3,147 | $472 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $3,147 | $472 | — | — | 0 insurers |
| HIGHPOINT HEALTH-TROUSDALE WITH ASCENSION SAINT | TN | $2,025 | $472 | — | — | 0 insurers |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH | TN | $2,025 | $472 | — | — | 0 insurers |
| HANCOCK COUNTY HEALTH SYSTEM | IA | $2,014 | $463 | — | — | 0 insurers |
| DICKENSON COMMUNITY HOSPITAL | VA | $2,014 | $463 | — | — | 0 insurers |
| LEE COUNTY COMMUNITY HOSPITAL | VA | $2,014 | $463 | — | — | 0 insurers |
| MORGAN COUNTY ARH HOSPITAL | KY | $767 | $460 | — | — | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $653 | $457 | $124 | $3,218 | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | $689 | $448 | $121 | $2,855 | 0 insurers |
| NEW YORK-PRESBYTERIAN HOSPITAL | NY | — | $773 | $420 | $807 | 0 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $1,500 | $399 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-STUTTGART | AR | $1,560 | $390 | — | — | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $2,025 | $810 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $2,025 | $810 | — | — | 0 insurers |
| SAINT PETER'S UNIVERSITY HOSPITAL | NJ | $1,330 | $386 | — | — | 0 insurers |
| ST LUKES HOSPITAL | MN | $1,455 | $815 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $718 | $383 | $539 | $682 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $718 | $383 | $467 | $2,394 | 0 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $750 | $375 | — | — | 0 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $750 | $375 | — | — | 0 insurers |
| MISSOURI DELTA MEDICAL CENTER | MO | $3,344 | $836 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $1,646 | $839 | — | — | 0 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | $1,200 | $840 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $869 | $348 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $1,646 | $856 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $526 | $342 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $526 | $342 | — | — | 0 insurers |
| ROME MEMORIAL HOSPITAL, INC | NY | $825 | $333 | — | — | 0 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $2,233 | $893 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $900 | $540 | $540 | 0 insurers |
| PARKLAND HEALTH CENTER | MO | $1,501 | $901 | $375 | $1,419 | 0 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $1,501 | $901 | $375 | $1,419 | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $1,501 | $901 | $375 | $1,419 | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,782 | $909 | — | — | 0 insurers |
| MERCY GENERAL HOSPITAL | CA | $415 | $291 | $270 | $1,599 | 0 insurers |
| KAISER PERMANENTE CENTRAL HOSPITAL | WA | $1,474 | $914 | $1,004 | $1,004 | 0 insurers |
| RUTHERFORD REGIONAL MEDICAL CENTER | NC | $2,310 | $924 | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $699 | $267 | $419 | $552 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $699 | $267 | $133 | $699 | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $765 | $245 | $270 | $1,293 | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $600 | $240 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $600 | $240 | — | — | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $765 | $237 | $270 | $1,293 | 0 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $765 | $237 | $270 | $1,293 | 0 insurers |
| ROANE MEDICAL CENTER | TN | $765 | $237 | $270 | $1,293 | 0 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $765 | $237 | $270 | $1,293 | 0 insurers |
| LECONTE MEDICAL CENTER | TN | $765 | $237 | $270 | $1,293 | 0 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $765 | $237 | $270 | $1,293 | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $1,646 | $971 | — | — | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $415 | $226 | $320 | $407 | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $415 | $226 | $234 | $415 | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $519 | $221 | — | — | 0 insurers |
| TWIN CITY MEDICAL CENTER | OH | $300 | $210 | $117 | $273 | 0 insurers |
| CRITTENDEN COMMUNITY HOSPITAL | KY | $1,709 | $991 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $519 | $208 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $519 | $208 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $519 | $208 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $519 | $208 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $519 | $208 | — | — | 0 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | $857 | $189 | — | — | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $300 | $180 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $300 | $180 | — | — | 0 insurers |
| RALEIGH GENERAL HOSPITAL | WV | $428 | $171 | — | — | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $415 | $161 | $45.65 | $340 | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $415 | $161 | $45.65 | $1,772 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $564 | $161 | $169 | $406 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $564 | $161 | $95.88 | $575 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $564 | $128 | $169 | $406 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $564 | $128 | $169 | $575 | 0 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $252 | $126 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $252 | $126 | — | — | 0 insurers |
| BARNESVILLE HOSPITAL ASSOCIATION, INC | OH | $252 | $126 | — | — | 0 insurers |
| UNIONTOWN HOSPITAL | PA | $252 | $126 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $252 | $126 | — | — | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $252 | $126 | — | — | 0 insurers |
| BERKELEY MEDICAL CENTER | WV | $252 | $126 | — | — | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $252 | $126 | — | — | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $252 | $126 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $252 | $126 | — | — | 0 insurers |
| WETZEL COUNTY HOSPITAL | WV | $252 | $126 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $252 | $126 | — | — | 0 insurers |
| BRAXTON COUNTY MEMORIAL HOSPITAL, INC | WV | $252 | $126 | — | — | 0 insurers |
| POTOMAC VALLEY HOSPITAL | WV | $252 | $126 | — | — | 0 insurers |
| JACKSON GENERAL HOSPITAL | WV | $252 | $126 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $252 | $126 | — | — | 0 insurers |
| D W MCMILLAN MEMORIAL HOSPITAL | AL | $1,800 | $1,080 | — | — | 0 insurers |
| ATMORE COMMUNITY HOSPITAL | AL | $1,800 | $1,080 | — | — | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $415 | $120 | $311 | $344 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $415 | $120 | $145 | $1,772 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $564 | $116 | $169 | $406 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $564 | $116 | $169 | $575 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $415 | $114 | $45.65 | $382 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $415 | $114 | $45.65 | $415 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $415 | $114 | $45.65 | $344 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $415 | $114 | $45.65 | $1,772 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $146 | $113 | $75.69 | $143 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $146 | $113 | $98.97 | $146 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $146 | $113 | $75.69 | $143 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $146 | $113 | $98.97 | $146 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $146 | $85 | $81.51 | $143 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $146 | $85 | $71.32 | $146 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $146 | $85 | $81.51 | $143 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $146 | $85 | $71.32 | $146 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $146 | $73.79 | $131 | $143 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $146 | $73.79 | $111 | $146 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $146 | $62.3 | $91.7 | $143 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $146 | $62.3 | $72.77 | $1,546 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $146 | $57.06 | $39.3 | $143 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $146 | $57.06 | $39.3 | $1,817 | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $1,914 | $1,173 | — | — | 0 insurers |
| JACKSON PURCHASE MEDICAL CENTER | KY | $3,173 | $1,269 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL | IL | $1,800 | $1,296 | — | — | 0 insurers |
| HSHS GOOD SHEPHERD HOSPITAL INC | IL | $1,800 | $1,296 | — | — | 0 insurers |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER | AK | $2,007 | $1,305 | — | — | 0 insurers |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER | OR | $2,007 | $1,305 | — | — | 0 insurers |
| PEACE HARBOR MEDICAL CENTER | OR | $2,007 | $1,305 | — | — | 0 insurers |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER | WA | $2,007 | $1,305 | — | — | 0 insurers |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER | WA | $2,007 | $1,305 | — | — | 0 insurers |
| ST NICHOLAS HOSPITAL | WI | $1,980 | $1,307 | — | — | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $3,329 | $1,332 | — | — | 0 insurers |
| HARPER UNIVERSITY HOSPITAL | MI | $1,918 | $1,439 | $93 | $815 | 0 insurers |
| DESERT VIEW HOSPITAL | NV | $3,629 | $1,452 | — | — | 0 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $2,333 | $1,516 | — | — | 0 insurers |
| NORTHFIELD HOSPITAL | MN | $3,671 | $1,535 | — | — | 0 insurers |
| KENNEDY KRIEGER INSTITUTE | MD | $1,925 | $1,540 | — | — | 0 insurers |
| COLQUITT REGIONAL MEDICAL CENTER | GA | $1,591 | $1,591 | — | — | 0 insurers |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY | OK | $1,591 | $1,591 | — | — | 0 insurers |
| SAINT FRANCIS BARTLETT MEDICAL CENTER | TN | $2,182 | $1,637 | — | — | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $2,558 | $1,663 | — | — | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $2,608 | $1,695 | — | — | 0 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $2,442 | $1,709 | — | — | 0 insurers |
| PEACEHEALTH ST JOHN MEDICAL CENTER | WA | $2,631 | $1,710 | — | — | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $3,000 | $1,800 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $2,250 | $1,800 | — | — | 0 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | $1,811 | $1,811 | $1,192 | $2,550 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $5,290 | $1,851 | $288 | $800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $5,290 | $1,851 | $288 | $800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $5,290 | $1,851 | $288 | $800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $5,290 | $1,851 | $288 | $800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $5,290 | $1,851 | $288 | $800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $5,290 | $1,851 | $288 | $800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $5,290 | $1,851 | $288 | $800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $5,290 | $1,851 | $288 | $800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $5,290 | $1,851 | $288 | $800 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $5,290 | $1,851 | $288 | $800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $5,290 | $1,851 | $288 | $800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $5,290 | $1,851 | $288 | $800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $5,290 | $1,851 | $288 | $800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $5,290 | $1,851 | $288 | $800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $5,290 | $1,851 | $288 | $800 | 0 insurers |
| HEYWOOD HOSPITAL - | MA | $1,874 | $1,874 | $600 | $2,550 | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $2,260 | $2,260 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $2,260 | $2,260 | — | — | 0 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $6,302 | $2,458 | — | — | 0 insurers |
| TRISTAR SUMMIT MEDICAL CENTER | TN | $2,519 | $2,519 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $2,595 | $2,595 | — | — | 0 insurers |
| LANAI COMMUNITY HOSPITAL | HI | $9,001 | $3,510 | — | — | 0 insurers |
| KULA HOSPITAL | HI | $9,001 | $3,510 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $6,850 | $3,836 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $6,850 | $3,836 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $6,850 | $3,836 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $6,850 | $3,836 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $6,850 | $3,836 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $6,850 | $3,836 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $6,850 | $3,836 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $6,850 | $3,836 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $6,850 | $3,836 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $6,850 | $3,836 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $6,850 | $3,836 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $6,850 | $3,836 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $6,850 | $3,836 | — | — | 0 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $8,083 | $5,658 | — | — | 0 insurers |
| ST LUKE'S WARREN HOSPITAL | NJ | $7,125 | $5,914 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS | PA | $7,125 | $5,914 | — | — | 0 insurers |
| ST LUKES HOSPITAL BETHLEHEM | PA | $7,125 | $5,914 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS | PA | $7,125 | $5,914 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - EASTON CAMPUS | PA | $7,125 | $5,914 | — | — | 0 insurers |
| ST LUKE'S MINERS MEMORIAL HOSPITAL | PA | $7,125 | $5,914 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS | PA | $7,125 | $5,914 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - MONROE CAMPUS | PA | $7,125 | $5,914 | — | — | 0 insurers |
| GEISINGER ST. LUKE'S HOSPITAL | PA | $7,125 | $5,914 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - CARBON CAMPUS | PA | $7,125 | $5,914 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - RICE LAKE | WI | $6,728 | $6,391 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER | WI | $6,728 | $6,391 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) | WI | $6,728 | $6,391 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - WESTON | WI | $6,728 | $6,391 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - EAU CLAIRE | WI | $6,728 | $6,391 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - MINOCQUA | WI | $6,728 | $6,391 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - RIVER REGION | WI | $6,728 | $6,391 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE | WI | $6,728 | $6,391 | — | — | 0 insurers |
| FLAMBEAU HOSPITAL | WI | $6,728 | $6,391 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | WI | $6,728 | $6,391 | — | — | 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 | — | — | $600 | $780 | 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 | — | — | $540 | $780 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $600 | $600 | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $600 | $5,909 | 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 |
| MT. GRAHAM REGIONAL MEDICAL CENTER | AZ | $924 | — | — | — | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | AR | $2,563 | — | — | — | 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 | — | — | $479 | $1,722 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $112 | $720 | 0 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 0 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $479 | $1,722 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $600 | $600 | 0 insurers |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | CA | — | — | — | — | 0 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 0 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP | CA | — | — | — | — | 0 insurers |
| SUTTER TRACY COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| NORTHBAY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $479 | $1,722 | 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 | — | — | $600 | $1,840 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $479 | $1,440 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $390 | $1,929 | 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 | — | — | $600 | $1,560 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $600 | $1,560 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $600 | $1,560 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $600 | $1,560 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $32.27 | $3,210 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $390 | $2,184 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | — | — | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $540 | $1,683 | 0 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 0 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 0 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 0 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | — | — | — | — | 0 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 0 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $600 | $1,200 | 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 | — | — | $390 | $1,704 | 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 | — | — | $600 | $2,850 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 0 insurers |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | — | — | — | — | 0 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $90 | $2,036 | 0 insurers |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| AdventHealth Porter | CO | — | — | $588 | $2,030 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $588 | $2,030 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $588 | $2,030 | 0 insurers |
| AdventHealth Parker | CO | — | — | $588 | $2,030 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $588 | $2,030 | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 0 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | — | — | — | — | 0 insurers |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT | CT | — | — | — | — | 0 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $600 | $2,807 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $600 | $2,807 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $360 | $1,920 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $600 | $1,590 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $570 | $1,311 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $600 | $816 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $360 | $1,920 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $360 | $1,920 | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $600 | $1,356 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $360 | $1,920 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $600 | $936 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $600 | $1,332 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $600 | $1,332 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $570 | $900 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $360 | $1,170 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $600 | $1,590 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $600 | $924 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $600 | $936 | 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 | — | — | $594 | $900 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $600 | $1,332 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $600 | $750 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $600 | $600 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $594 | $900 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $570 | $900 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $105 | $107 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $600 | $870 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $116 | $118 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $600 | $870 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $600 | $750 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $600 | $870 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $115 | $117 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $107 | $109 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $360 | $1,170 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $588 | $936 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $480 | $870 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $600 | $816 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $600 | $750 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $600 | $924 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $600 | $870 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $588 | $936 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $600 | $870 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $600 | $1,356 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $600 | $870 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $600 | $1,356 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $600 | $1,020 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $600 | $870 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $600 | $870 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $600 | $816 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $600 | $924 | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $594 | $900 | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $360 | $1,170 | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $360 | $1,920 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $600 | $1,332 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $600 | $2,400 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $600 | $1,200 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $594 | $900 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $600 | $1,590 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $630 | $750 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $112 | $720 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $110 | $975 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $110 | $975 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $110 | $975 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $600 | $1,500 | 0 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC | GA | — | — | — | — | 0 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $561 | $708 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $88.07 | $720 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $600 | $1,500 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $492 | $1,668 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $600 | $624 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $110 | $975 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | — | — | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $313 | $804 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $363 | $1,117 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $600 | $630 | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| GRAHAM HOSPITAL ASSOCIATION | IL | $924 | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $600 | $1,751 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $600 | $600 | 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 | — | — | $600 | $630 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $590 | $2,100 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $590 | $1,278 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $540 | $4,960 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $590 | $1,278 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $600 | $6,044 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $590 | $1,278 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $590 | $1,278 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $600 | $612 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $590 | $1,278 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $590 | $1,278 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $590 | $1,278 | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $540 | $4,960 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $600 | $1,016 | 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 | — | — | $600 | $1,016 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $590 | $1,278 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $600 | $4,200 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $600 | $1,751 | 0 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 0 insurers |