| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $5,562 | $1,646 | $4,505 | $4,505 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $5,562 | $1,646 | $834 | $4,505 | 0 insurers |
| HANCOCK COUNTY HEALTH SYSTEM | IA | $7,392 | $1,700 | — | — | 0 insurers |
| BRISTOL HOSPITAL | CT | $11,551 | $1,733 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $11,551 | $1,733 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $11,551 | $1,733 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $11,551 | $1,733 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $11,551 | $1,733 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $11,551 | $1,733 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $11,551 | $1,733 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $11,551 | $1,733 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $11,551 | $1,733 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $11,551 | $1,733 | — | — | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $1,620 | $1,539 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $1,907 | $1,526 | — | — | 0 insurers |
| SAINT JOSEPH EAST | KY | $4,435 | $1,781 | $4,036 | $4,036 | 0 insurers |
| SAINT JOSEPH EAST | KY | $4,435 | $1,781 | $1,350 | $4,378 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $4,435 | $1,781 | $4,036 | $4,036 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $4,435 | $1,781 | $1,350 | $4,378 | 0 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $2,555 | $1,789 | $0 | $2,300 | 0 insurers |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC | ID | $2,555 | $1,789 | $0 | $3,713 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $4,254 | $1,489 | $648 | $1,800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $4,254 | $1,489 | $648 | $1,800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $4,254 | $1,489 | $648 | $1,800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $4,254 | $1,489 | $648 | $1,800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $4,254 | $1,489 | $648 | $1,800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $4,254 | $1,489 | $648 | $1,800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $4,254 | $1,489 | $648 | $1,800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $4,254 | $1,489 | $648 | $1,800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $4,254 | $1,489 | $648 | $1,800 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $4,254 | $1,489 | $648 | $1,800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $4,254 | $1,489 | $648 | $1,800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $4,254 | $1,489 | $648 | $1,800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $4,254 | $1,489 | $648 | $1,800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $4,254 | $1,489 | $648 | $1,800 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $4,254 | $1,489 | $648 | $1,800 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $3,429 | $1,829 | $2,572 | $3,258 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $3,429 | $1,829 | $1,067 | $5,387 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $5,401 | $1,447 | $2,916 | $4,537 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $5,401 | $1,447 | $756 | $5,401 | 0 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $2,690 | $1,883 | — | — | 0 insurers |
| THE GENERAL | LA | $2,690 | $1,883 | — | — | 0 insurers |
| CARILION MEDICAL CENTER | VA | $3,871 | $1,355 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $3,871 | $1,355 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $3,871 | $1,355 | — | — | 0 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $3,871 | $1,355 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $3,871 | $1,355 | — | — | 0 insurers |
| CITIZENS MEDICAL CENTER | TX | $2,700 | $1,350 | — | — | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $5,401 | $1,329 | $2,916 | $4,159 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $5,401 | $1,329 | $756 | $5,401 | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $2,701 | $1,269 | — | — | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $3,375 | $2,025 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $3,375 | $2,025 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $2,025 | $1,215 | $1,215 | 0 insurers |
| BAXTER HEALTH | AR | $3,376 | $2,025 | — | — | 0 insurers |
| CARILION STONEWALL JACKSON HOSPITAL | VA | $3,376 | $2,026 | $776 | $3,241 | 0 insurers |
| ROME MEMORIAL HOSPITAL, INC | NY | $3,113 | $1,257 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $4,011 | $2,046 | — | — | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $4,435 | $2,089 | $4,036 | $4,036 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $4,435 | $2,089 | $1,350 | $4,378 | 0 insurers |
| NORTHFIELD HOSPITAL | MN | $2,785 | $1,165 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $3,882 | $2,329 | $1,350 | $3,300 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $5,562 | $2,353 | $3,615 | $3,615 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $5,562 | $2,353 | $881 | $3,893 | 0 insurers |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | $2,522 | $883 | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $2,498 | $874 | — | — | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $2,498 | $874 | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $2,498 | $874 | — | — | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,121 | $872 | $583 | $1,099 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,121 | $872 | $762 | $1,121 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,121 | $872 | $583 | $1,099 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,121 | $872 | $762 | $1,121 | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | $2,994 | $826 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $1,844 | $783 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $1,163 | $756 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $1,163 | $756 | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $2,498 | $749 | — | — | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $1,121 | $747 | $607 | $1,099 | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $1,121 | $747 | $688 | $1,121 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $5,670 | $2,551 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $1,844 | $739 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $1,844 | $739 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $1,844 | $739 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $1,844 | $739 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $1,844 | $739 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $1,844 | $739 | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $4,256 | $2,554 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $1,139 | $683 | — | — | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $1,121 | $655 | $628 | $1,099 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $1,121 | $655 | $549 | $1,121 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $1,121 | $655 | $628 | $1,099 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $1,121 | $655 | $549 | $1,121 | 0 insurers |
| TRINITY ROCK ISLAND | IL | $3,376 | $2,701 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $3,376 | $2,701 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $3,376 | $2,701 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $3,376 | $2,701 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $3,376 | $2,701 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $3,376 | $2,701 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $3,376 | $2,701 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $3,376 | $2,701 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $3,376 | $2,701 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $3,376 | $2,701 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $3,376 | $2,701 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $3,376 | $2,701 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $3,376 | $2,701 | — | — | 0 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $820 | $574 | — | — | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,121 | $568 | $1,009 | $1,099 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,121 | $568 | $852 | $1,121 | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $1,350 | $540 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $1,350 | $540 | — | — | 0 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $814 | $529 | — | — | 0 insurers |
| BOCA RATON REGIONAL HOSPITAL | FL | $4,321 | $2,809 | — | — | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,121 | $480 | $706 | $1,099 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,121 | $480 | $561 | $3,479 | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $2,324 | $465 | — | — | 0 insurers |
| NORTON HOSPITALS, INC | KY | $2,324 | $465 | — | — | 0 insurers |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $2,833 | $2,833 | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,121 | $440 | $303 | $1,099 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,121 | $440 | $303 | $4,090 | 0 insurers |
| SEQUOIA HOSPITAL | CA | $1,121 | $408 | $482 | $18,346 | 0 insurers |
| SEQUOIA HOSPITAL | CA | $1,121 | $408 | $482 | $4,701 | 0 insurers |
| POUDRE VALLEY HOSPITAL | CO | $4,256 | $2,979 | — | — | 0 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $4,256 | $2,979 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $511 | $281 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $5,510 | $3,086 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $5,510 | $3,086 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $5,510 | $3,086 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $5,510 | $3,086 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $5,510 | $3,086 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $5,510 | $3,086 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $5,510 | $3,086 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $5,510 | $3,086 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $5,510 | $3,086 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $5,510 | $3,086 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $5,510 | $3,086 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $5,510 | $3,086 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $5,510 | $3,086 | — | — | 0 insurers |
| CASTLEVIEW HOSPITAL | UT | $5,621 | $3,091 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $1,688 | $169 | — | — | 0 insurers |
| THE NEBRASKA METHODIST HOSPITAL | NE | $294 | $106 | — | — | 0 insurers |
| THE NEBRASKA METHODIST HOSPITAL | NE | $294 | $106 | — | — | 0 insurers |
| METHODIST JENNIE EDMUNDSON | IA | $294 | $88.2 | — | — | 0 insurers |
| METHODIST JENNIE EDMUNDSON | IA | $294 | $88.2 | — | — | 0 insurers |
| METHODIST JENNIE EDMUNDSON | IA | $294 | $88.2 | — | — | 0 insurers |
| THOMAS HOSPITAL | AL | $6,585 | $3,293 | — | — | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $4,485 | $3,328 | $3,812 | $4,350 | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $4,485 | $3,328 | $1,350 | $4,350 | 0 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $7,617 | $3,808 | — | — | 0 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $7,617 | $3,808 | — | — | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $4,051 | — | — | 0 insurers |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | IL | $4,250 | $4,250 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $5,626 | $5,626 | — | — | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $5,671 | $5,671 | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $20,865 | $7,970 | $12,519 | $16,483 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $20,865 | $7,970 | $567 | $16,483 | 0 insurers |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL | NJ | $9,178 | $9,178 | — | — | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $19,500 | $13,650 | $567 | $15,366 | 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 | — | — | $1,350 | $1,755 | 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 | — | — | $1,215 | $1,755 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $1,350 | $1,350 | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $1,350 | $13,298 | 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 |
| 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 |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $1,215 | $2,025 | 0 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 0 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $1,350 | $1,350 | 0 insurers |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | CA | — | — | — | — | 0 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 0 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP | CA | — | — | — | — | 0 insurers |
| SUTTER TRACY COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| NORTHBAY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | — | — | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | — | — | — | — | 0 insurers |
| SUTTER COAST HOSPITAL | CA | — | — | — | — | 0 insurers |
| STANFORD HEALTH CARE | CA | — | — | $1,350 | $1,350 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $878 | $4,341 | 0 insurers |
| EDEN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SUTTER AUBURN FAITH HOSPITAL | CA | — | — | — | — | 0 insurers |
| SUTTER DELTA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL LOS BANOS | CA | — | — | — | — | 0 insurers |
| SUTTER DAVIS HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - LOS ALAMITOS | CA | — | — | $1,350 | $3,510 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $1,350 | $3,510 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $1,350 | $3,510 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $1,350 | $3,510 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $1,350 | $7,224 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $878 | $4,914 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $3,315 | $30,586 | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | — | — | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $1,215 | $3,786 | 0 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | — | — | — | — | 0 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 0 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 0 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | — | — | — | — | 0 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 0 insurers |
| TEMECULA VALLEY HOSPITAL | CA | — | — | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 0 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $1,350 | $2,700 | 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 | — | — | $878 | $3,834 | 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 | — | — | $860 | $1,418 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $203 | $4,579 | 0 insurers |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| AdventHealth Porter | CO | — | — | $1,323 | $4,567 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $1,323 | $4,567 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $1,323 | $4,567 | 0 insurers |
| AdventHealth Parker | CO | — | — | $1,323 | $4,567 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $1,323 | $4,567 | 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 | — | — | $1,350 | $6,316 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $1,350 | $6,316 | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | — | — | — | — | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $810 | $4,321 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $1,350 | $3,578 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $1,283 | $2,949 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $1,350 | $1,836 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $810 | $4,321 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $810 | $4,321 | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $1,350 | $3,051 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $810 | $4,321 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $1,350 | $2,106 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $1,350 | $2,997 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $1,350 | $2,997 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $110 | $113 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $810 | $2,633 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $1,350 | $3,578 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $1,350 | $2,079 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $1,350 | $2,106 | 0 insurers |
| BARTOW REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MORTON PLANT HOSPITAL | FL | — | — | — | — | 0 insurers |
| TAMPA GENERAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA AVENTURA HOSPITAL | FL | — | — | $1,337 | $2,025 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $1,350 | $2,997 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $1,350 | $1,688 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $1,350 | $2,079 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $1,337 | $2,025 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $110 | $113 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $1,080 | $1,958 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $1,350 | $1,958 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $116 | $118 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $1,350 | $1,958 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $1,350 | $1,688 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $1,350 | $1,958 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $1,337 | $2,835 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $1,350 | $2,079 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $810 | $2,633 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $1,323 | $2,106 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $1,080 | $1,958 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $1,350 | $1,836 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $1,350 | $1,688 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $1,350 | $2,079 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $1,350 | $1,958 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $1,323 | $2,106 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $107 | $109 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $1,350 | $3,051 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $1,350 | $1,958 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $98.94 | $101 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $1,350 | $2,295 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $1,350 | $1,350 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $1,350 | $1,958 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $1,350 | $1,836 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $1,350 | $2,079 | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $110 | $113 | 0 insurers |
| WELLINGTON REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $810 | $2,633 | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $810 | $4,321 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $1,350 | $2,997 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $1,350 | $4,051 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $1,350 | $5,401 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $1,350 | $2,700 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $1,337 | $2,025 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $1,350 | $3,578 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $1,418 | $1,688 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $1,215 | $1,620 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $564 | $2,194 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $564 | $2,194 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $564 | $2,194 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $1,350 | $3,375 | 0 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC | GA | — | — | — | — | 0 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $1,215 | $2,025 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $878 | $1,620 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $1,350 | $3,375 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $1,107 | $3,754 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $1,350 | $1,404 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $564 | $2,194 | 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 | — | — | $705 | $1,809 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $1,013 | $2,430 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $1,350 | $1,418 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $1,350 | $3,940 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $1,350 | $1,350 | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 0 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | — | — | — | — | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $1,350 | $1,418 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $1,328 | $4,726 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $1,328 | $2,876 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $1,215 | $11,157 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $1,328 | $2,876 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $1,350 | $13,598 | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $1,328 | $2,876 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $1,328 | $2,876 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $1,350 | $1,377 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $1,328 | $2,876 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $1,328 | $2,876 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $1,328 | $2,876 | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $1,215 | $11,157 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $1,350 | $2,287 | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | — | — | — | — | 0 insurers |
| EDWARD HOSPITAL | IL | — | — | $1,350 | $2,287 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $1,328 | $2,876 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $1,350 | $9,451 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $1,350 | $3,940 | 0 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS | IL | — | — | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $1,215 | $11,157 | 0 insurers |
| CARLE EUREKA HOSPITAL | IL | — | — | — | — | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $1,328 | $2,876 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $1,328 | $2,876 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $1,350 | $5,125 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $1,328 | $2,876 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $1,350 | $1,404 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $1,350 | $1,418 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $1,350 | $3,754 | 0 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 0 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | $1,117 | $1,446 | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $689 | $3,335 | 0 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE NORTHWEST INDIANA | IN | — | — | $1,215 | $11,157 | 0 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 0 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $1,350 | $3,189 | 0 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | — | — | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | — | — | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | — | — | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | — | — | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | — | — | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | — | — | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | — | — | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 0 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $359 | $810 | 0 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $567 | $2,295 | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | — | — | — | — | 0 insurers |
| ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. | KS | — | — | — | — | 0 insurers |
| WESLEY MEDICAL CENTER | KS | — | — | $1,350 | $3,189 | 0 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | — | — | — | — | 0 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $567 | $9,802 | 0 insurers |
| WAMEGO HEALTH CENTER | KS | — | — | — | — | 0 insurers |
| COMMUNITY MEMORIAL HEALTHCARE, INC. | KS | — | — | $1,270 | $1,350 | 0 insurers |
| HANOVER HOSPITAL | KS | — | — | $1,350 | $6,090 | 0 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | $1,368 | $1,368 | 0 insurers |
| BOB WILSON MEMORIAL HOSPITAL | KS | — | — | — | — | 0 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $689 | $3,335 | 0 insurers |
| UOFL HEALTH - SHELBYVILLE HOSPITAL | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH EDGEWOOD | KY | — | — | $689 | $3,335 | 0 insurers |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH FLORENCE | KY | — | — | $689 | $3,335 | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | — | — | — | — | 0 insurers |
| UNIVERSITY OF KENTUCKY HOSPITAL | KY | — | — | $1,350 | $3,375 | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | — | — | — | — | 0 insurers |
| GEORGETOWN COMMUNITY HOSPITAL | KY | — | — | $1,134 | $11,647 | 0 insurers |
| TRISTAR GREENVIEW REGIONAL HOSPITAL | KY | — | — | $1,350 | $1,782 | 0 insurers |
| FRANKFORT REGIONAL MEDICAL CENTER | KY | — | — | $1,350 | $1,883 | 0 insurers |
| THREE RIVERS MEDICAL CENTER | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH GRANT | KY | — | — | $689 | $3,335 | 0 insurers |
| OPELOUSAS GENERAL HEALTH SYSTEM | LA | — | — | — | — | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | — | — | $1,323 | $8,355 | 0 insurers |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL | LA | — | — | $1,323 | $7,899 | 0 insurers |
| CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM | LA | — | — | $1,323 | $5,392 | 0 insurers |
| BYRD REGIONAL HOSPITAL | LA | — | — | $1,323 | $4,949 | 0 insurers |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL | LA | — | — | $1,323 | $7,899 | 0 insurers |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL | LA | — | — | $675 | $3,740 | 0 insurers |
| ST JAMES PARISH HOSPITAL | LA | — | — | — | — | 0 insurers |
| CHRISTUS COUSHATTA HEALTH CARE CENTER | LA | — | — | $1,350 | $4,262 | 0 insurers |
| NORTHERN LIGHT MERCY HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT A R GOULD HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT MAINE COAST HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT C A DEAN HOSPITAL | ME | — | — | — | — | 0 insurers |
| LINCOLNHEALTH | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT MAYO HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL | ME | — | — | — | — | 0 insurers |