| TRINITY ROCK ISLAND | IL | $970 | $776 | — | — | 2 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $970 | $776 | — | — | 1 insurers |
| TRINITY MUSCATINE | IA | $970 | $776 | — | — | 2 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $970 | $776 | — | — | 2 insurers |
| ST LUKES HOSPITAL | IA | $970 | $776 | — | — | 2 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $970 | $776 | — | — | 2 insurers |
| TRINITY - BETTENDORF | IA | $970 | $776 | — | — | 2 insurers |
| ALLEN HOSPITAL | IA | $970 | $776 | — | — | 2 insurers |
| FINLEY HOSPITAL | IA | $970 | $776 | — | — | 2 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $970 | $776 | — | — | 2 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $970 | $776 | — | — | 3 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $970 | $776 | — | — | 2 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $970 | $776 | — | — | 4 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $798 | $798 | — | — | 2 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $1,608 | $804 | — | — | 5 insurers |
| UNITED MEDICAL CENTER | DC | $1,608 | $804 | — | — | 5 insurers |
| BARNESVILLE HOSPITAL ASSOCIATION, INC | OH | $1,608 | $804 | — | — | 2 insurers |
| UNIONTOWN HOSPITAL | PA | $1,608 | $804 | — | — | 5 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $1,608 | $804 | — | — | 5 insurers |
| BERKELEY MEDICAL CENTER | WV | $1,608 | $804 | — | — | 2 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $1,608 | $804 | — | — | 5 insurers |
| WHEELING HOSPITAL, INC | WV | $1,608 | $804 | — | — | 5 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $1,608 | $804 | — | — | 5 insurers |
| WETZEL COUNTY HOSPITAL | WV | $1,608 | $804 | — | — | 5 insurers |
| BRAXTON COUNTY MEMORIAL HOSPITAL, INC | WV | $1,608 | $804 | — | — | 0 insurers |
| POTOMAC VALLEY HOSPITAL | WV | $1,608 | $804 | — | — | 0 insurers |
| JACKSON GENERAL HOSPITAL | WV | $1,608 | $804 | — | — | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $1,412 | $847 | $190 | $1,412 | 5 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $1,412 | $847 | $190 | $1,412 | 5 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $1,412 | $847 | $190 | $1,412 | 5 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $1,412 | $847 | $190 | $1,412 | 5 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $1,412 | $847 | $190 | $1,412 | 5 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $1,412 | $847 | $190 | $1,412 | 5 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $1,412 | $847 | $190 | $1,412 | 5 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $1,412 | $847 | $190 | $1,412 | 5 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $1,412 | $847 | $190 | $1,412 | 5 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $1,412 | $847 | $346 | $3,677 | 5 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $1,801 | $688 | $1,081 | $1,423 | 3 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $1,801 | $688 | $145 | $1,801 | 5 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,758 | $897 | — | — | 4 insurers |
| BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH | TX | $1,534 | $920 | $0.47 | $8,427 | 5 insurers |
| CHESHIRE MEDICAL CENTER | NH | $2,211 | $610 | — | — | 5 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $1,216 | $608 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $1,216 | $608 | — | — | 0 insurers |
| WILKES REGIONAL MEDICAL CENTER | NC | $1,210 | $605 | — | — | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $1,450 | $580 | — | — | 5 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $1,450 | $580 | — | — | 5 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $960 | $576 | — | — | 5 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $960 | $576 | — | — | 5 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $820 | $574 | — | — | 5 insurers |
| THOMAS HOSPITAL | AL | $1,118 | $559 | — | — | 5 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,096 | $548 | — | — | 2 insurers |
| UNM HOSPITAL | NM | $978 | $538 | — | — | 5 insurers |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER | AK | $1,574 | $1,023 | — | — | 0 insurers |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER | OR | $1,574 | $1,023 | — | — | 0 insurers |
| PEACE HARBOR MEDICAL CENTER | OR | $1,574 | $1,023 | — | — | 0 insurers |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER | WA | $1,574 | $1,023 | — | — | 1 insurers |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER | WA | $1,574 | $1,023 | — | — | 0 insurers |
| MISSOURI BAPTIST SULLIVAN HOSPITAL | MO | $865 | $519 | $190 | $1,412 | 5 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $518 | $311 | $377 | 2 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $2,051 | $507 | $1,087 | $1,676 | 2 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $2,051 | $507 | $207 | $1,682 | 5 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | $489 | $489 | $313 | $432 | 5 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | $1,133 | $482 | — | — | 3 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | $1,133 | $482 | — | — | 3 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $2,051 | $470 | $1,087 | $1,676 | 2 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $2,051 | $470 | $207 | $1,682 | 5 insurers |
| ST MARY MEDICAL CENTER | CA | $2,051 | $470 | $1,087 | $1,676 | 2 insurers |
| ST MARY MEDICAL CENTER | CA | $2,051 | $470 | $207 | $1,682 | 5 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $1,133 | $454 | — | — | 5 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $1,133 | $454 | — | — | 5 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $1,133 | $454 | — | — | 5 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $1,133 | $454 | — | — | 5 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $831 | $416 | — | — | 5 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $831 | $416 | — | — | 5 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $831 | $416 | — | — | 5 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $2,019 | $397 | — | — | 5 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $2,019 | $397 | — | — | 5 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $2,019 | $397 | — | — | 5 insurers |
| TIPPAH COUNTY HOSPITAL | MS | $1,176 | $1,176 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $575 | $374 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $575 | $374 | — | — | 5 insurers |
| BRISTOL HOSPITAL | CT | $2,470 | $371 | — | — | 5 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $2,470 | $371 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $2,470 | $371 | — | — | 5 insurers |
| JOHNSTON HEALTH | NC | $2,470 | $371 | — | — | 5 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $2,470 | $371 | — | — | 5 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $2,470 | $371 | — | — | 5 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $2,470 | $371 | — | — | 5 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $2,470 | $371 | — | — | 5 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $2,470 | $371 | — | — | 5 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $2,470 | $371 | — | — | 5 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $2,470 | $371 | — | — | 5 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $2,470 | $371 | — | — | 5 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $2,470 | $371 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $2,470 | $371 | — | — | 5 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $2,470 | $371 | — | — | 5 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $2,470 | $371 | — | — | 5 insurers |
| LONESOME PINE HOSPITAL | VA | $2,470 | $371 | — | — | 5 insurers |
| HANCOCK COUNTY HEALTH SYSTEM | IA | $1,581 | $364 | — | — | 5 insurers |
| DICKENSON COMMUNITY HOSPITAL | VA | $1,581 | $364 | — | — | 5 insurers |
| LEE COUNTY COMMUNITY HOSPITAL | VA | $1,581 | $364 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $864 | $346 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $864 | $346 | — | — | 5 insurers |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER | CA | $3,478 | $345 | $307 | $3,478 | 5 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $3,478 | $345 | $307 | $3,478 | 5 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $3,478 | $345 | $307 | $3,478 | 5 insurers |
| NORTH VISTA HOSPITAL | NV | $3,478 | $345 | $230 | $3,478 | 5 insurers |
| MOUNT GRANT GENERAL HOSPITAL | NV | $3,478 | $345 | $276 | $3,374 | 5 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $3,478 | $345 | $207 | $2,782 | 5 insurers |
| LOWER BUCKS HOSPITAL | PA | $3,478 | $345 | $276 | $2,782 | 5 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $3,478 | $345 | $276 | $3,374 | 5 insurers |
| LANDMARK MEDICAL CENTER | RI | $3,478 | $345 | $281 | $3,304 | 5 insurers |
| TRINITY ROCK ISLAND | IL | $415 | $332 | — | — | 5 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $415 | $332 | — | — | 3 insurers |
| TRINITY MUSCATINE | IA | $415 | $332 | — | — | 3 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $415 | $332 | — | — | 3 insurers |
| ST LUKES HOSPITAL | IA | $415 | $332 | — | — | 3 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $415 | $332 | — | — | 3 insurers |
| TRINITY - BETTENDORF | IA | $415 | $332 | — | — | 4 insurers |
| ALLEN HOSPITAL | IA | $415 | $332 | — | — | 5 insurers |
| FINLEY HOSPITAL | IA | $415 | $332 | — | — | 5 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $415 | $332 | — | — | 3 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $415 | $332 | — | — | 5 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $415 | $332 | — | — | 5 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $415 | $332 | — | — | 5 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $692 | $325 | — | — | 5 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $697 | $296 | — | — | 5 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $702 | $282 | — | — | 5 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $697 | $279 | — | — | 5 insurers |
| WEST KENDALL BAPTIST HOSPITAL | FL | $406 | $264 | — | — | 5 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $2,006 | $1,304 | — | — | 5 insurers |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | AR | $900 | $225 | — | — | 5 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $2,045 | $1,329 | — | — | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $776 | $222 | $233 | $559 | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $776 | $222 | $132 | $776 | 5 insurers |
| PEACEHEALTH ST JOHN MEDICAL CENTER | WA | $2,063 | $1,341 | — | — | 5 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $1,852 | $185 | — | — | 5 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $1,953 | $1,367 | $198 | $2,059 | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $776 | $176 | $233 | $559 | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $776 | $176 | $221 | $776 | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $776 | $159 | $233 | $559 | 4 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $776 | $159 | $221 | $776 | 5 insurers |
| CITIZENS MEDICAL CENTER | TX | $2,876 | $1,438 | — | — | 4 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $3,709 | $1,447 | — | — | 3 insurers |
| BRIDGEPORT HOSPITAL | CT | $2,880 | $1,469 | — | — | 5 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $2,981 | $1,640 | — | — | 3 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $2,981 | $1,640 | — | — | 3 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $2,880 | $1,699 | — | — | 5 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $3,239 | $1,943 | $346 | $2,753 | 5 insurers |
| LANAI COMMUNITY HOSPITAL | HI | $5,298 | $2,066 | — | — | 3 insurers |
| KULA HOSPITAL | HI | $5,298 | $2,066 | — | — | 3 insurers |
| University of Arkansas Medical Sciences | AR | $4,685 | $2,811 | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $8,953 | $3,134 | $166 | $460 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $8,953 | $3,134 | $166 | $460 | 3 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $8,953 | $3,134 | $166 | $460 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $8,953 | $3,134 | $166 | $460 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $8,953 | $3,134 | $166 | $460 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $8,953 | $3,134 | $166 | $460 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $8,953 | $3,134 | $166 | $460 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $8,953 | $3,134 | $166 | $460 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $8,953 | $3,134 | $166 | $460 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $8,953 | $3,134 | $166 | $460 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $8,953 | $3,134 | $166 | $460 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $8,953 | $3,134 | $166 | $460 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $8,953 | $3,134 | $166 | $460 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $8,953 | $3,134 | $166 | $460 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $8,953 | $3,134 | $166 | $460 | 3 insurers |
| HARPER UNIVERSITY HOSPITAL | MI | $4,560 | $3,420 | $93 | $469 | 5 insurers |
| HURON VALLEY-SINAI HOSPITAL | MI | $4,578 | $3,434 | $93 | $610 | 5 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | $3,550 | $3,550 | $220 | $363 | 5 insurers |
| CHILDREN'S HOSPITAL OF MICHIGAN | MI | $5,314 | $3,986 | — | — | 0 insurers |
| NEW YORK-PRESBYTERIAN HOSPITAL | NY | — | $4,500 | $242 | $4,230 | 5 insurers |
| DETROIT RECEIVING HOSPITAL | MI | $6,335 | $4,751 | — | — | 0 insurers |
| SINAI-GRACE HOSPITAL | MI | $6,648 | $4,986 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $13,100 | $7,336 | — | — | 3 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $13,100 | $7,336 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $13,100 | $7,336 | — | — | 3 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $13,100 | $7,336 | — | — | 3 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $13,100 | $7,336 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $13,100 | $7,336 | — | — | 3 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $13,100 | $7,336 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $13,100 | $7,336 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $13,100 | $7,336 | — | — | 3 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $13,100 | $7,336 | — | — | 3 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $13,100 | $7,336 | — | — | 3 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $13,100 | $7,336 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $13,100 | $7,336 | — | — | 3 insurers |
| MARSHFIELD MEDICAL CENTER - RIVER REGION | WI | $16,595 | $15,765 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - RICE LAKE | WI | $17,136 | $16,279 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER | WI | $17,136 | $16,279 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) | WI | $17,136 | $16,279 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - WESTON | WI | $17,136 | $16,279 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - MINOCQUA | WI | $17,136 | $16,279 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE | WI | $17,136 | $16,279 | — | — | 5 insurers |
| FLAMBEAU HOSPITAL | WI | $17,136 | $16,279 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | WI | $17,136 | $16,279 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - EAU CLAIRE | WI | $17,146 | $16,289 | — | — | 5 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 | — | — | $346 | $449 | 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 | — | — | $311 | $449 | 5 insurers |
| EAMC - LANIER | AL | — | — | — | — | 5 insurers |
| EAMC - LANIER | AL | — | — | — | — | 5 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $346 | $346 | 2 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 5 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 5 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $346 | $3,404 | 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 | — | — | — | — | 3 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $307 | $992 | 5 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $187 | $415 | 5 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 5 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 1 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 2 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $307 | $992 | 5 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $346 | $346 | 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 |
| NORTHBAY MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $307 | $992 | 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 | — | — | $346 | $346 | 1 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 1 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $307 | $829 | 5 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $225 | $1,111 | 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 | — | — | $346 | $898 | 5 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $346 | $898 | 5 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $346 | $898 | 5 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $346 | $898 | 5 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 5 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $346 | $1,849 | 5 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $225 | $1,258 | 5 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 3 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 3 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $311 | $969 | 5 insurers |
| KECK HOSPITAL OF USC | 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 | — | — | — | — | 2 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 3 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 1 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $346 | $691 | 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 | — | — | $225 | $981 | 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 |
| ST MARY-CORWIN HOSPITAL | CO | — | — | — | — | 1 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 1 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 4 insurers |
| AdventHealth Porter | CO | — | — | $339 | $1,168 | 5 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $339 | $1,168 | 5 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 3 insurers |
| AdventHealth Littleton | CO | — | — | $339 | $1,168 | 5 insurers |
| AdventHealth Parker | CO | — | — | $339 | $1,168 | 5 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 1 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 4 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $339 | $1,168 | 5 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | — | — | — | — | 4 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | — | — | — | — | 3 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 3 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | — | — | — | — | 3 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 3 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $296 | $346 | 2 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 1 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | — | — | — | — | 5 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $346 | $1,616 | 5 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $346 | $1,616 | 5 insurers |
| ORLANDO HEALTH | FL | — | — | $207 | $1,106 | 5 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $346 | $916 | 5 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $328 | $755 | 5 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $313 | $470 | 5 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $207 | $1,106 | 5 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $207 | $1,106 | 5 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $346 | $781 | 5 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $207 | $1,106 | 5 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $313 | $539 | 5 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $346 | $767 | 5 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 5 insurers |
| AdventHealth Carrollwood | FL | — | — | $346 | $767 | 5 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $328 | $518 | 5 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 1 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $207 | $674 | 5 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $346 | $916 | 5 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $313 | $532 | 5 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $313 | $539 | 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 | — | — | $115 | $117 | 3 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 5 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $346 | $767 | 5 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $313 | $432 | 5 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $313 | $532 | 5 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $342 | $518 | 5 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $328 | $518 | 5 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $105 | $107 | 3 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $313 | $501 | 5 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $346 | $346 | 1 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $107 | $109 | 3 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $313 | $501 | 5 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $342 | $726 | 5 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $313 | $532 | 5 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $207 | $674 | 5 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $313 | $539 | 5 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $346 | $346 | 1 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 3 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $313 | $470 | 5 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $98.94 | $104 | 3 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $313 | $532 | 5 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $313 | $501 | 5 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $313 | $539 | 5 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $313 | $501 | 5 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $346 | $346 | 1 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $313 | $501 | 5 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $320 | $781 | 5 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $313 | $587 | 5 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $313 | $501 | 5 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 3 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $313 | $501 | 5 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $313 | $470 | 5 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $313 | $532 | 5 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $110 | $113 | 3 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $207 | $674 | 5 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $207 | $1,106 | 5 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $346 | $767 | 5 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $313 | $1,037 | 5 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $313 | $1,382 | 5 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $313 | $691 | 5 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 3 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $118 | $118 | 2 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 5 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $346 | $916 | 5 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 5 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 5 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $363 | $432 | 3 insurers |
| Memorial Satilla Health | GA | — | — | $187 | $415 | 5 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $174 | $562 | 5 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $174 | $562 | 5 insurers |
| NGMC BARROW, LLC | GA | — | — | $174 | $562 | 5 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $346 | $864 | 5 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 5 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC | GA | — | — | — | — | 5 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $183 | $602 | 5 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $147 | $415 | 5 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $346 | $864 | 5 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 1 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $283 | $961 | 5 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 5 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 5 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $346 | $359 | 3 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $174 | $562 | 5 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | — | — | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 1 insurers |
| ARCHBOLD BROOKS | GA | — | — | $180 | $463 | 5 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 5 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $346 | $363 | 4 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 5 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 5 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $346 | $1,008 | 4 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $346 | $346 | 2 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 1 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 5 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | — | — | — | — | 3 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $346 | $363 | 3 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 5 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $346 | $1,210 | 5 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $346 | $736 | 5 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $311 | $2,856 | 5 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $346 | $736 | 5 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $346 | $3,481 | 5 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 1 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $346 | $736 | 5 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 3 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $346 | $736 | 5 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $346 | $352 | 3 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 2 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE | IL | — | — | — | — | 4 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $346 | $736 | 5 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $346 | $736 | 5 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $346 | $736 | 5 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 2 insurers |
| MEMORIAL HOSPITAL | IL | — | — | — | — | 1 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $311 | $2,856 | 5 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $346 | $585 | 5 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | — | — | — | — | 2 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 1 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | — | — | — | — | 1 insurers |
| EDWARD HOSPITAL | IL | — | — | $346 | $585 | 5 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $346 | $736 | 5 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $346 | $2,419 | 5 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $346 | $1,008 | 4 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | — | — | — | — | 2 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | — | — | — | — | 3 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS | IL | — | — | — | — | 4 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | — | — | — | — | 4 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $311 | $2,856 | 5 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 5 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $346 | $736 | 5 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $346 | $736 | 5 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $346 | $1,311 | 4 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $346 | $736 | 5 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $346 | $359 | 3 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $346 | $363 | 4 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 5 insurers |
| UNION HOSPITAL INC | IN | — | — | $346 | $961 | 5 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 5 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 5 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | — | — | — | — | 2 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 5 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | $286 | $370 | 5 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $64.3 | $854 | 5 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | — | — | — | — | 5 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | — | — | — | — | 5 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | — | — | — | — | 5 insurers |
| UCHICAGO MEDICINE NORTHWEST INDIANA | IN | — | — | $311 | $2,856 | 5 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 5 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 5 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $346 | $816 | 5 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 5 insurers |
| NORTON SCOTT HOSPITAL | IN | — | — | — | — | 1 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | — | — | — | — | 5 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 1 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $207 | $1,473 | 5 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $145 | $587 | 4 insurers |
| HUTCHINSON REGIONAL MEDICAL CENTER INC | KS | — | — | — | — | 3 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | — | — | — | — | 1 insurers |
| ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. | KS | — | — | — | — | 5 insurers |
| WESLEY MEDICAL CENTER | KS | — | — | $346 | $816 | 5 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | — | — | — | — | 1 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $145 | $2,509 | 5 insurers |
| WAMEGO HEALTH CENTER | KS | — | — | — | — | 5 insurers |
| COMMUNITY MEMORIAL HEALTHCARE, INC. | KS | — | — | $346 | $443 | 2 insurers |
| HANOVER HOSPITAL | KS | — | — | $301 | $1,559 | 5 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | $350 | $401 | 3 insurers |
| BOB WILSON MEMORIAL HOSPITAL | KS | — | — | — | — | 1 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $64.3 | $854 | 5 insurers |
| UOFL HEALTH - SHELBYVILLE HOSPITAL | KY | — | — | — | — | 5 insurers |
| ST ELIZABETH EDGEWOOD | KY | — | — | $64.3 | $854 | 5 insurers |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital | KY | — | — | — | — | 5 insurers |
| ST ELIZABETH FLORENCE | KY | — | — | $64.3 | $854 | 5 insurers |
| JENNIE STUART MEDICAL CENTER | KY | — | — | — | — | 5 insurers |
| UNIVERSITY OF KENTUCKY HOSPITAL | KY | — | — | $64.3 | $864 | 5 insurers |
| NORTON HOSPITALS, INC | KY | — | — | — | — | 1 insurers |