| TRINITY ROCK ISLAND | IL | $2,400 | $1,920 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $2,400 | $1,920 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $2,400 | $1,920 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $2,400 | $1,920 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $2,400 | $1,920 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $2,400 | $1,920 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $2,400 | $1,920 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $2,400 | $1,920 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $2,400 | $1,920 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $2,400 | $1,920 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $2,400 | $1,920 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $2,400 | $1,920 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $2,400 | $1,920 | — | — | 0 insurers |
| HAVASU REGIONAL MEDICAL CENTER | AZ | $3,156 | $1,893 | — | — | 0 insurers |
| SAINT JOSEPH EAST | KY | $4,883 | $1,961 | $4,444 | $4,444 | 0 insurers |
| SAINT JOSEPH EAST | KY | $4,883 | $1,961 | $2,000 | $4,883 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $4,883 | $1,961 | $4,444 | $4,444 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $4,883 | $1,961 | $2,000 | $4,883 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $8,000 | $1,968 | $4,320 | $6,160 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $8,000 | $1,968 | $1,120 | $8,000 | 0 insurers |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA | TN | $5,729 | $1,868 | — | — | 0 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | $2,668 | $1,868 | — | — | 0 insurers |
| ASHLEY REGIONAL MEDICAL CENTER | UT | $3,630 | $1,997 | — | — | 0 insurers |
| ENCINO HOSPITAL MEDICAL CENTER | CA | $180 | $2,000 | $54 | $180 | 0 insurers |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER | CA | $2,520 | $2,000 | $756 | $2,520 | 0 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $2,520 | $2,000 | $756 | $2,520 | 0 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $2,520 | $2,000 | $756 | $2,520 | 0 insurers |
| SHERMAN OAKS HOSPITAL | CA | $180 | $2,000 | $54 | $180 | 0 insurers |
| SHASTA REGIONAL MEDICAL CENTER | CA | $3,992 | $2,000 | $651 | $3,992 | 0 insurers |
| GARDEN CITY HOSPITAL | MI | $3,000 | $2,000 | $600 | $3,000 | 0 insurers |
| NORTH VISTA HOSPITAL | NV | $2,132 | $2,000 | $640 | $2,132 | 0 insurers |
| MOUNT GRANT GENERAL HOSPITAL | NV | $2,132 | $2,000 | $640 | $2,132 | 0 insurers |
| HUGGINS HOSPITAL | NH | $4,000 | $2,000 | — | — | 0 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $2,132 | $2,000 | $284 | $2,132 | 0 insurers |
| COSHOCTON REGIONAL MEDICAL CENTER | OH | $3,681 | $2,000 | $884 | $3,608 | 0 insurers |
| LOWER BUCKS HOSPITAL | PA | $2,132 | $2,000 | $640 | $2,132 | 0 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $2,132 | $2,000 | $640 | $2,132 | 0 insurers |
| LANDMARK MEDICAL CENTER | RI | $2,132 | $2,000 | $425 | $2,132 | 0 insurers |
| MISSION REGIONAL MEDICAL CENTER | TX | $695 | $2,000 | $208 | $9,980 | 0 insurers |
| CARILION MEDICAL CENTER | VA | $5,735 | $2,007 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $5,735 | $2,007 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $5,735 | $2,007 | — | — | 0 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $5,735 | $2,007 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $5,735 | $2,007 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $3,043 | $1,826 | $761 | $5,001 | 0 insurers |
| ALTRU HOSPITAL | ND | $2,936 | $1,791 | — | — | 0 insurers |
| BEEBE MEDICAL CENTER | DE | $2,106 | $1,790 | — | — | 0 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $5,150 | $2,060 | — | — | 0 insurers |
| BOCA RATON REGIONAL HOSPITAL | FL | $2,722 | $1,769 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $2,340 | $1,755 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $2,340 | $1,755 | — | — | 0 insurers |
| LAKE HEALTH | OH | $2,340 | $1,755 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER | MO | $3,499 | $2,099 | $761 | $5,001 | 0 insurers |
| MISSOURI BAPTIST SULLIVAN HOSPITAL | MO | $3,499 | $2,099 | $770 | $5,001 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $8,000 | $2,144 | $4,320 | $6,720 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $8,000 | $2,144 | $1,120 | $8,000 | 0 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $2,250 | $1,688 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $2,250 | $1,688 | — | — | 0 insurers |
| HUNT REGIONAL MEDICAL CENTER | TX | $2,581 | $1,677 | — | — | 0 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $4,402 | $2,201 | — | — | 0 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $4,402 | $2,201 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $6,300 | $2,205 | $959 | $2,665 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $6,300 | $2,205 | $959 | $2,665 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $6,300 | $2,205 | $959 | $2,665 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $6,300 | $2,205 | $959 | $2,665 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $6,300 | $2,205 | $959 | $2,665 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $6,300 | $2,205 | $959 | $2,665 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $6,300 | $2,205 | $959 | $2,665 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $6,300 | $2,205 | $959 | $2,665 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $6,300 | $2,205 | $959 | $2,665 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $6,300 | $2,205 | $959 | $2,665 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $6,300 | $2,205 | $959 | $2,665 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $6,300 | $2,205 | $959 | $2,665 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $6,300 | $2,205 | $959 | $2,665 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $6,300 | $2,205 | $959 | $2,665 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $6,300 | $2,205 | $959 | $2,665 | 0 insurers |
| TIPPAH COUNTY HOSPITAL | MS | $2,229 | $2,229 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $3,724 | $2,234 | — | — | 0 insurers |
| HIGHPOINT HEALTH-TROUSDALE WITH ASCENSION SAINT | TN | $6,878 | $1,603 | — | — | 0 insurers |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH | TN | $6,878 | $1,603 | — | — | 0 insurers |
| HOLY FAMILY HOSPITAL | MA | $2,860 | $1,573 | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $5,969 | $2,280 | $3,581 | $4,716 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $5,969 | $2,280 | $840 | $5,969 | 0 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $6,688 | $2,300 | — | — | 0 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $6,688 | $2,300 | — | — | 0 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $6,688 | $2,300 | — | — | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $4,883 | $2,300 | $4,444 | $4,444 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $4,883 | $2,300 | $2,000 | $4,883 | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $5,915 | $1,538 | $710 | $12,376 | 0 insurers |
| MORGAN COUNTY ARH HOSPITAL | KY | $2,553 | $1,532 | — | — | 0 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $2,333 | $1,516 | — | — | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $5,848 | $2,339 | — | — | 0 insurers |
| MCKENZIE HEALTH SYSTEM | MI | $1,870 | $1,496 | — | — | 0 insurers |
| STILLWATER MEDICAL CENTER | OK | $2,970 | $2,376 | $1,485 | $5,757 | 0 insurers |
| STILLWATER MEDICAL - PERRY | OK | $2,970 | $2,376 | $1,485 | $5,757 | 0 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | $2,970 | $2,376 | $1,485 | $5,757 | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $2,230 | $1,450 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $2,230 | $1,450 | — | — | 0 insurers |
| DELTA COUNTY MEMORIAL HOSPITAL | CO | $4,000 | $2,400 | — | — | 0 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $5,400 | $1,437 | — | — | 0 insurers |
| POUDRE VALLEY HOSPITAL | CO | $2,022 | $1,415 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $2,646 | $1,411 | $1,985 | $2,514 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $2,646 | $1,411 | $1,580 | $7,980 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $8,240 | $2,439 | $6,674 | $6,674 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $8,240 | $2,439 | $2,000 | $6,674 | 0 insurers |
| CITIZENS MEDICAL CENTER | TX | $2,800 | $1,400 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $1,718 | $1,374 | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $7,060 | $2,471 | — | — | 0 insurers |
| BARAGA COUNTY MEMORIAL HOSPITAL | MI | $1,362 | $1,362 | — | — | 0 insurers |
| STARR REGIONAL MEDICAL CENTER ATHENS | TN | $6,899 | $1,352 | — | — | 0 insurers |
| SUSAN B ALLEN MEMORIAL HOSPITAL | KS | $3,837 | $2,494 | — | — | 0 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | $6,243 | $2,497 | $2,142 | $5,868 | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $2,217 | $1,330 | — | — | 0 insurers |
| ST LUKES HOSPITAL | MN | $4,500 | $2,520 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH DEVILS LAKE | ND | $6,000 | $2,520 | $4,320 | $5,700 | 0 insurers |
| CHI ST ALEXIUS HEALTH DEVILS LAKE | ND | $6,000 | $2,520 | $2,000 | $5,700 | 0 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $2,636 | $1,318 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $2,636 | $1,318 | — | — | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $3,291 | $1,316 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $3,291 | $1,316 | — | — | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $2,131 | $1,306 | — | — | 0 insurers |
| BRISTOL HOSPITAL | CT | $8,645 | $1,297 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $8,645 | $1,297 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $8,645 | $1,297 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $8,645 | $1,297 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $8,645 | $1,297 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $8,645 | $1,297 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $8,645 | $1,297 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $8,645 | $1,297 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $8,645 | $1,297 | — | — | 0 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $8,645 | $1,297 | — | — | 0 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $8,645 | $1,297 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $8,645 | $1,297 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $8,645 | $1,297 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $8,645 | $1,297 | — | — | 0 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $8,645 | $1,297 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $8,645 | $1,297 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $8,645 | $1,297 | — | — | 0 insurers |
| FROEDTERT SOUTH INC. | WI | $2,320 | $1,276 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $2,320 | $1,276 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $2,320 | $1,276 | — | — | 0 insurers |
| HANCOCK COUNTY HEALTH SYSTEM | IA | $5,533 | $1,273 | — | — | 0 insurers |
| DICKENSON COMMUNITY HOSPITAL | VA | $5,533 | $1,273 | — | — | 0 insurers |
| LEE COUNTY COMMUNITY HOSPITAL | VA | $5,533 | $1,273 | — | — | 0 insurers |
| COLQUITT REGIONAL MEDICAL CENTER | GA | $2,570 | $2,570 | — | — | 0 insurers |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY | OK | $2,570 | $2,570 | — | — | 0 insurers |
| MISSOURI DELTA MEDICAL CENTER | MO | $10,342 | $2,585 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $1,556 | $1,245 | — | — | 0 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $2,252 | $1,239 | — | — | 0 insurers |
| ST LUKE'S WARREN HOSPITAL | NJ | $3,135 | $2,602 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS | PA | $3,135 | $2,602 | — | — | 0 insurers |
| ST LUKES HOSPITAL BETHLEHEM | PA | $3,135 | $2,602 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS | PA | $3,135 | $2,602 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - EASTON CAMPUS | PA | $3,135 | $2,602 | — | — | 0 insurers |
| ST LUKE'S MINERS MEMORIAL HOSPITAL | PA | $3,135 | $2,602 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS | PA | $3,135 | $2,602 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - MONROE CAMPUS | PA | $3,135 | $2,602 | — | — | 0 insurers |
| GEISINGER ST. LUKE'S HOSPITAL | PA | $3,135 | $2,602 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - CARBON CAMPUS | PA | $3,135 | $2,602 | — | — | 0 insurers |
| MERCY GENERAL HOSPITAL | CA | $1,749 | $1,224 | $44.02 | $5,330 | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $3,058 | $1,223 | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $2,022 | $1,213 | — | — | 0 insurers |
| THOMAS HOSPITAL | AL | $2,400 | $1,200 | — | — | 0 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $2,400 | $1,200 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $2,400 | $1,200 | — | — | 0 insurers |
| BARNESVILLE HOSPITAL ASSOCIATION, INC | OH | $2,400 | $1,200 | — | — | 0 insurers |
| UNIONTOWN HOSPITAL | PA | $2,400 | $1,200 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $2,400 | $1,200 | — | — | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $2,400 | $1,200 | — | — | 0 insurers |
| BERKELEY MEDICAL CENTER | WV | $2,400 | $1,200 | — | — | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $2,400 | $1,200 | — | — | 0 insurers |
| WEIRTON MEDICAL CENTER, INC | WV | $2,400 | $1,200 | — | — | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $2,400 | $1,200 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $2,400 | $1,200 | — | — | 0 insurers |
| WETZEL COUNTY HOSPITAL | WV | $2,400 | $1,200 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $2,400 | $1,200 | — | — | 0 insurers |
| BRAXTON COUNTY MEMORIAL HOSPITAL, INC | WV | $2,400 | $1,200 | — | — | 0 insurers |
| POTOMAC VALLEY HOSPITAL | WV | $2,400 | $1,200 | — | — | 0 insurers |
| JACKSON GENERAL HOSPITAL | WV | $2,400 | $1,200 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $2,400 | $1,200 | — | — | 0 insurers |
| IBERIA MEDICAL CENTER | LA | $1,994 | $1,196 | — | — | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $2,931 | $1,172 | — | — | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $2,931 | $1,172 | — | — | 0 insurers |
| HARRISON MEMORIAL HOSPITAL | KY | $3,817 | $2,672 | — | — | 0 insurers |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $1,150 | $1,150 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $2,290 | $1,145 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $2,290 | $1,145 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $2,290 | $1,145 | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $2,290 | $1,145 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $2,290 | $1,145 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $2,290 | $1,145 | — | — | 0 insurers |
| AURORA MEDICAL CTR MANITOWOC COUNTY | WI | $2,290 | $1,145 | — | — | 0 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $2,290 | $1,145 | — | — | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $2,290 | $1,145 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $2,290 | $1,145 | — | — | 0 insurers |
| AURORA LAKELAND MEDICAL CENTER | WI | $2,290 | $1,145 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $2,290 | $1,145 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $2,290 | $1,145 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $2,290 | $1,145 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $2,290 | $1,145 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $2,290 | $1,145 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $2,290 | $1,145 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $2,290 | $1,145 | — | — | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $2,633 | $1,053 | — | — | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $2,633 | $1,053 | — | — | 0 insurers |
| FROEDTERT COMMUNITY HOSPITAL | WI | $1,914 | $1,053 | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $2,894 | $1,013 | — | — | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $2,894 | $1,013 | — | — | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $1,749 | $953 | $1,347 | $1,714 | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $1,749 | $953 | $1,172 | $1,749 | 0 insurers |
| LAKE CUMBERLAND REGIONAL HOSPITAL | KY | $2,351 | $941 | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $1,880 | $940 | — | — | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $1,880 | $940 | — | — | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $1,880 | $940 | — | — | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $1,880 | $940 | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $1,880 | $940 | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $1,880 | $940 | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $1,880 | $940 | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $1,880 | $940 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,867 | $933 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $4,890 | $2,934 | $761 | $5,001 | 0 insurers |
| COOPER UNIVERSITY HOSPITAL | NJ | $882 | $882 | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $2,894 | $868 | — | — | 0 insurers |
| REDINGTON FAIRVIEW GENERAL HOSPITAL | ME | $1,148 | $861 | — | — | 0 insurers |
| SEVIER COUNTY MEDICAL CENTER | AR | $5,000 | $3,000 | — | — | 0 insurers |
| GOOD SAMARITAN HOSPITAL | CA | $2,560 | $3,000 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $5,000 | $3,000 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $3,000 | $1,800 | $1,800 | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $5,001 | $3,001 | $770 | $5,001 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $5,001 | $3,001 | $770 | $5,001 | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $5,001 | $3,001 | $770 | $5,001 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $5,001 | $3,001 | $770 | $5,001 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $5,001 | $3,001 | $770 | $5,001 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $5,001 | $3,001 | $770 | $5,001 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $5,001 | $3,001 | $770 | $5,001 | 0 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $5,001 | $3,001 | $770 | $5,001 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $5,001 | $3,001 | $1,462 | $6,280 | 0 insurers |
| PROGRESS WEST HOSPITAL | MO | $5,001 | $3,001 | $761 | $5,001 | 0 insurers |
| CARILION STONEWALL JACKSON HOSPITAL | VA | $5,001 | $3,001 | $1,150 | $4,801 | 0 insurers |
| RANDOLPH HOSPITAL | NC | $4,135 | $827 | — | — | 0 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $7,570 | $3,028 | — | — | 0 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $7,570 | $3,028 | — | — | 0 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $7,570 | $3,028 | — | — | 0 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $7,570 | $3,028 | — | — | 0 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $7,570 | $3,028 | — | — | 0 insurers |
| HENDERSON HOSPITAL | NV | $7,570 | $3,028 | — | — | 0 insurers |
| WEST HENDERSON HOSPITAL | NV | $7,570 | $3,028 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $5,940 | $3,029 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $2,000 | $800 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $2,000 | $800 | — | — | 0 insurers |
| CALDWELL MEDICAL CENTER | KY | $1,052 | $789 | — | — | 0 insurers |
| NEW YORK-PRESBYTERIAN HOSPITAL | NY | — | $773 | $587 | $2,686 | 0 insurers |
| AdventHealth Palm Coast | FL | $1,397 | $768 | $248 | $4,700 | 0 insurers |
| Memorial Satilla Health | GA | $754 | $754 | $1,800 | $2,400 | 0 insurers |
| CHI OAKES HOSPITAL | ND | $6,000 | $3,120 | $4,380 | $5,820 | 0 insurers |
| CHI OAKES HOSPITAL | ND | $6,000 | $3,120 | $2,000 | $5,820 | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $3,287 | $3,123 | — | — | 0 insurers |
| SINAI-GRACE HOSPITAL | MI | $953 | $715 | — | — | 0 insurers |
| DETROIT RECEIVING HOSPITAL | MI | $953 | $715 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL OF MICHIGAN | MI | $953 | $715 | — | — | 0 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $4,491 | $3,144 | — | — | 0 insurers |
| THE GENERAL | LA | $4,491 | $3,144 | — | — | 0 insurers |
| SAINT FRANCIS BARTLETT MEDICAL CENTER | TN | $4,192 | $3,144 | — | — | 0 insurers |
| AMBERWELL ATCHISON ASSOCIATION | KS | $981 | $687 | $40 | — | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $1,749 | $680 | $192 | $1,434 | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $1,749 | $680 | $192 | $5,906 | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $2,104 | $673 | $900 | $4,309 | 0 insurers |
| RALEIGH GENERAL HOSPITAL | WV | $1,650 | $660 | — | — | 0 insurers |
| CASTLEVIEW HOSPITAL | UT | $1,189 | $654 | — | — | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $2,104 | $652 | $900 | $4,309 | 0 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $2,104 | $652 | $900 | $4,309 | 0 insurers |
| ROANE MEDICAL CENTER | TN | $2,104 | $652 | $900 | $4,309 | 0 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $2,104 | $652 | $900 | $4,309 | 0 insurers |
| LECONTE MEDICAL CENTER | TN | $2,104 | $652 | $900 | $4,309 | 0 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $2,104 | $652 | $900 | $4,309 | 0 insurers |
| HIGHLAND HILLS MEDICAL CENTER | MS | $1,274 | $637 | — | — | 0 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | $2,857 | $629 | — | — | 0 insurers |
| SOUTH COUNTY HOSPITAL INC | RI | $5,391 | $3,235 | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $3,000 | $600 | — | — | 0 insurers |
| NORTON HOSPITALS, INC | KY | $3,000 | $600 | — | — | 0 insurers |
| CONEMAUGH NASON MEDICAL CENTER | PA | $8,126 | $3,250 | — | — | 0 insurers |
| CONEMAUGH MEYERSDALE MEDICAL CENTER | PA | $8,126 | $3,250 | — | — | 0 insurers |
| EMANUEL MEDICAL CENTER | GA | $8,192 | $3,277 | — | — | 0 insurers |
| DLP SWAIN COUNTY HOSPITAL LLC | NC | $8,192 | $3,277 | — | — | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | $2,000 | $560 | — | — | 0 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | $790 | $553 | $26.65 | $25,560 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $1,930 | $552 | $579 | $1,390 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $1,930 | $552 | $328 | $1,969 | 0 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | $5,500 | $3,300 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $975 | $536 | — | — | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $1,749 | $504 | $1,312 | $1,452 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $1,749 | $504 | $612 | $5,906 | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $750 | $500 | $406 | $735 | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $750 | $500 | $460 | $750 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $1,749 | $479 | $192 | $1,609 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $1,749 | $479 | $192 | $1,749 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $1,749 | $479 | $192 | $1,452 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $1,749 | $479 | $192 | $5,906 | 0 insurers |
| HILLS & DALES GENERAL HOSPITAL | MI | $2,000 | $460 | — | — | 0 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $642 | $449 | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | $440 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $1,930 | $438 | $579 | $1,390 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $1,930 | $438 | $579 | $1,969 | 0 insurers |
| MERCY MEDICAL CENTER | CA | $582 | $408 | $25.95 | $582 | 0 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $5,213 | $3,441 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $1,930 | $396 | $579 | $1,390 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $1,930 | $396 | $579 | $1,969 | 0 insurers |
| SHERIDAN COUNTY HOSPITAL | KS | $3,461 | $3,461 | — | — | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $8,240 | $3,486 | $5,356 | $5,356 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $8,240 | $3,486 | $1,306 | $5,768 | 0 insurers |
| UP HEALTH SYSTEM PORTAGE | MI | $567 | $340 | — | — | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $790 | $340 | $553 | $790 | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $790 | $340 | $198 | $10,000 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $790 | $309 | $474 | $790 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $790 | $309 | $435 | $10,000 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $720 | $308 | $454 | $706 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $720 | $308 | $360 | $5,153 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $720 | $282 | $194 | $706 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $720 | $282 | $194 | $6,058 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $790 | $263 | $237 | $648 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $790 | $263 | $237 | $10,000 | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $790 | $258 | $442 | $632 | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $790 | $258 | $198 | $10,000 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $790 | $258 | $442 | $632 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $790 | $258 | $198 | $10,000 | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $627 | $252 | — | — | 0 insurers |
| MARIA PARHAM MEDICAL CENTER | NC | $597 | $239 | — | — | 0 insurers |
| TMC- BONHAM HOSPITAL | TX | $740 | $222 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $352 | $211 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $481 | $193 | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | $288 | $188 | $4,911 | $32,169 | 0 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $409 | $163 | — | — | 0 insurers |
| OSWEGO HOSPITAL | NY | $212 | $159 | — | — | 0 insurers |
| ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER | NE | $155 | $148 | — | — | 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 |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $307 | $113 | $215 | $243 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $307 | $113 | $154 | $5,747 | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $246 | $105 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $246 | $98.8 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $246 | $98.8 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $246 | $98.8 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $246 | $98.8 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $6,000 | $3,780 | $4,200 | $5,820 | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $6,000 | $3,780 | $2,000 | $5,820 | 0 insurers |
| SOVAH HEALTH DANVILLE | VA | $9,610 | $3,844 | — | — | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | GA | $5,513 | $3,859 | — | — | 0 insurers |
| RUTHERFORD REGIONAL MEDICAL CENTER | NC | $9,659 | $3,864 | — | — | 0 insurers |
| ROME MEMORIAL HOSPITAL, INC | NY | $9,699 | $3,915 | — | — | 0 insurers |
| MEMORIAL MEDICAL CENTER | NM | $6,626 | $3,976 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $5,000 | $4,000 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $5,000 | $4,000 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $5,000 | $4,000 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $5,000 | $4,000 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $5,000 | $4,000 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $5,000 | $4,000 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $5,000 | $4,000 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $5,000 | $4,000 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $5,000 | $4,000 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $5,000 | $4,000 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $5,000 | $4,000 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $5,000 | $4,000 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $5,000 | $4,000 | — | — | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $6,678 | $4,007 | — | — | 0 insurers |
| JACKSON PURCHASE MEDICAL CENTER | KY | $10,063 | $4,025 | — | — | 0 insurers |
| WESTERLY HOSPITAL | RI | $11,437 | $4,117 | — | — | 0 insurers |
| BARNES-KASSON COUNTY HOSPITAL | PA | $6,000 | $4,200 | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | $4,229 | $4,229 | — | — | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $10,766 | $4,306 | — | — | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $6,290 | $4,403 | $840 | $10,725 | 0 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $5,250 | $4,463 | — | — | 0 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $13,600 | $4,488 | $1,000 | $11,560 | 0 insurers |
| COLUMBUS REGIONAL HOSPITAL | IN | $6,000 | $4,500 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $5,350 | $4,548 | — | — | 0 insurers |
| BELLEVUE HOSPITAL CENTER | NY | — | $4,566 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $8,160 | $4,570 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $8,160 | $4,570 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $8,160 | $4,570 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $8,160 | $4,570 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $8,160 | $4,570 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $8,160 | $4,570 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $8,160 | $4,570 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $8,160 | $4,570 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $8,160 | $4,570 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $8,160 | $4,570 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $8,160 | $4,570 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $8,160 | $4,570 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $8,160 | $4,570 | — | — | 0 insurers |
| CHI ST. VINCENT HOSPITAL HOT SPRINGS | AR | $6,180 | $4,635 | — | — | 0 insurers |
| SAN ANTONIO REGIONAL HOSPITAL | CA | $6,180 | $4,635 | — | — | 0 insurers |
| CAPE CORAL HOSPITAL | FL | $6,180 | $4,635 | — | — | 0 insurers |
| ROUND ROCK MEDICAL CENTER | TX | $6,180 | $4,635 | — | — | 0 insurers |
| PAINTSVILLE ARH HOSPITAL | KY | $8,516 | $5,110 | — | — | 0 insurers |
| NORTHFIELD HOSPITAL | MN | $12,231 | $5,113 | — | — | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $6,525 | $5,220 | $1,655 | $6,525 | 0 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $6,525 | $5,220 | $1,655 | $6,525 | 0 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $8,141 | $5,699 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $11,437 | $5,833 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $11,437 | $5,947 | — | — | 0 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | $6,038 | $6,038 | $3,974 | $8,500 | 0 insurers |
| HEYWOOD HOSPITAL - | MA | $6,249 | $6,249 | $2,000 | $8,500 | 0 insurers |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | IL | $6,270 | $6,270 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $6,682 | $6,682 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $6,682 | $6,682 | — | — | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $11,437 | $6,748 | — | — | 0 insurers |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL | NJ | $6,972 | $6,972 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $7,061 | $7,061 | — | — | 0 insurers |
| HELEN KELLER HOSPITAL | AL | $7,478 | $7,478 | — | — | 0 insurers |
| HUNTSVILLE HOSPITAL | AL | $7,478 | $7,478 | — | — | 0 insurers |
| ATHENS LIMESTONE HOSPITAL | AL | $7,478 | $7,478 | — | — | 0 insurers |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS | AL | $7,478 | $7,478 | — | — | 0 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $19,407 | $7,763 | — | — | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | $8,000 | $8,000 | — | — | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | $8,000 | $8,000 | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | $8,000 | $8,000 | — | — | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $8,400 | $8,400 | — | — | 0 insurers |
| FAIRVIEW PARK HOSPITAL | GA | $8,483 | $8,483 | $1,800 | $3,000 | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | PA | $10,878 | $8,702 | $0 | $8,702 | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $15,190 | $8,810 | $9,114 | $14,279 | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $15,190 | $8,810 | $2,000 | $14,279 | 0 insurers |
| TRISTAR SUMMIT MEDICAL CENTER | TN | $9,158 | $9,158 | — | — | 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 | — | — | $2,000 | $2,600 | 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 | — | — | $1,800 | $2,600 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $2,000 | $2,000 | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $2,000 | $19,698 | 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 | $2,971 | — | — | — | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| BRADLEY COUNTY MEDICAL CENTER | AR | — | — | — | — | 0 insurers |
| PENINSULA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP | CA | — | — | — | — | 0 insurers |
| SUTTER AMADOR HOSPITAL | CA | — | — | — | — | 0 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL | CA | — | — | — | — | 0 insurers |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | — | — | — | — | 0 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $2,000 | $5,740 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $1,800 | $3,000 | 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 | — | — | $2,000 | $5,740 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $2,000 | $2,000 | 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 | — | — | $2,000 | $5,740 | 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 | — | — | $2,000 | $2,000 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $2,000 | $4,800 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $1,300 | $6,430 | 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 | — | — | $2,000 | $5,200 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $2,000 | $5,200 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $2,000 | $5,200 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $2,000 | $5,200 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $2,000 | $10,700 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $1,300 | $7,279 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $1,800 | $5,609 | 0 insurers |