| PARKLAND HEALTH CENTER | MO | $1,954 | $1,172 | $775 | $3,400 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,500 | $1,167 | $780 | $1,470 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,500 | $1,167 | $543 | $1,470 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,500 | $1,167 | $780 | $1,470 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,500 | $1,167 | $543 | $1,470 | 0 insurers |
| UNM HOSPITAL | NM | $2,159 | $1,187 | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | $1,140 | — | — | 0 insurers |
| THOMAS HOSPITAL | AL | $2,268 | $1,134 | — | — | 0 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $2,268 | $1,134 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $2,268 | $1,134 | — | — | 0 insurers |
| BARNESVILLE HOSPITAL ASSOCIATION, INC | OH | $2,268 | $1,134 | — | — | 0 insurers |
| UNIONTOWN HOSPITAL | PA | $2,268 | $1,134 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $2,268 | $1,134 | — | — | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $2,268 | $1,134 | — | — | 0 insurers |
| BERKELEY MEDICAL CENTER | WV | $2,268 | $1,134 | — | — | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $2,268 | $1,134 | — | — | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $2,268 | $1,134 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $2,268 | $1,134 | — | — | 0 insurers |
| WETZEL COUNTY HOSPITAL | WV | $2,268 | $1,134 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $2,268 | $1,134 | — | — | 0 insurers |
| BRAXTON COUNTY MEMORIAL HOSPITAL, INC | WV | $2,268 | $1,134 | — | — | 0 insurers |
| POTOMAC VALLEY HOSPITAL | WV | $2,268 | $1,134 | — | — | 0 insurers |
| JACKSON GENERAL HOSPITAL | WV | $2,268 | $1,134 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $2,268 | $1,134 | — | — | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $3,028 | $1,211 | — | — | 0 insurers |
| CARILION STONEWALL JACKSON HOSPITAL | VA | $1,887 | $1,132 | $434 | $1,812 | 0 insurers |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER | WA | $1,900 | $1,235 | — | — | 0 insurers |
| PEACE HARBOR MEDICAL CENTER | OR | $1,682 | $1,093 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $2,490 | $1,270 | — | — | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $3,260 | $1,271 | — | — | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $5,216 | $1,283 | $2,817 | $4,016 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $5,216 | $1,283 | $696 | $4,016 | 0 insurers |
| NORTH VISTA HOSPITAL | NV | $2,363 | $1,303 | $453 | $2,363 | 0 insurers |
| KNAPP MEDICAL CENTER | TX | $8,621 | $1,303 | $50 | $8,449 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | WA | $2,707 | $1,303 | $461 | $2,707 | 0 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $1,699 | $1,019 | $775 | $3,400 | 0 insurers |
| CONEMAUGH MINERS MEDICAL CENTER | PA | $2,528 | $1,011 | — | — | 0 insurers |
| UP HEALTH SYSTEM PORTAGE | MI | $1,627 | $976 | — | — | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $1,019 | $968 | — | — | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $5,216 | $1,398 | $2,817 | $4,381 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $5,216 | $1,398 | $407 | $4,381 | 0 insurers |
| University of Arkansas Medical Sciences | AR | $2,335 | $1,401 | — | — | 0 insurers |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER | AK | $2,200 | $1,430 | — | — | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $2,412 | $1,447 | $1,170 | $2,789 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $2,412 | $1,447 | $1,170 | $2,789 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $2,412 | $1,447 | $1,170 | $2,789 | 0 insurers |
| ALTON MEMORIAL HOSPITAL | IL | $2,412 | $1,447 | $1,170 | $2,789 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $2,412 | $1,447 | $1,170 | $2,789 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $2,412 | $1,447 | $1,170 | $2,789 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $2,412 | $1,447 | $1,170 | $2,789 | 0 insurers |
| PROGRESS WEST HOSPITAL | MO | $2,412 | $1,447 | $775 | $3,400 | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $3,656 | $1,466 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $3,656 | $1,466 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $3,656 | $1,466 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $3,656 | $1,466 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $3,656 | $1,466 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $3,656 | $1,466 | — | — | 0 insurers |
| WESTERLY HOSPITAL | RI | $4,074 | $1,467 | — | — | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $1,500 | $876 | $840 | $1,470 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $1,500 | $876 | $543 | $1,470 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $1,500 | $876 | $840 | $1,470 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $1,500 | $876 | $543 | $1,470 | 0 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $1,476 | $1,476 | — | — | 0 insurers |
| ST JOHNS HOSPITAL | IL | $2,056 | $1,480 | — | — | 0 insurers |
| HSHS HOLY FAMILY HOSPITAL INC | IL | $2,056 | $1,480 | — | — | 0 insurers |
| HSHS ST ELIZABETH'S HOSPITAL | IL | $2,056 | $1,480 | — | — | 0 insurers |
| ST JOSEPH'S HOSPITAL | IL | $2,056 | $1,480 | — | — | 0 insurers |
| ST VINCENT HOSPITAL | WI | $2,056 | $1,480 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $1,852 | $1,482 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $1,852 | $1,482 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $1,852 | $1,482 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $1,852 | $1,482 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $1,852 | $1,482 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $1,852 | $1,482 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $1,852 | $1,482 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $1,852 | $1,482 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $1,852 | $1,482 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $1,852 | $1,482 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,852 | $1,482 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $1,852 | $1,482 | — | — | 0 insurers |
| CATHOLIC MEDICAL CENTER | NH | $1,531 | $1,531 | $173 | $1,105 | 0 insurers |
| MISSOURI DELTA MEDICAL CENTER | MO | $6,191 | $1,548 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $3,656 | $1,554 | — | — | 0 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $1,928 | $771 | — | — | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,500 | $761 | $1,350 | $1,470 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,500 | $761 | $543 | $1,500 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $2,139 | $749 | $326 | $905 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $2,139 | $749 | $326 | $905 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $2,139 | $749 | $326 | $905 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $2,139 | $749 | $326 | $905 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $2,139 | $749 | $326 | $905 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $2,139 | $749 | $326 | $905 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $2,139 | $749 | $326 | $905 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $2,139 | $749 | $326 | $905 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $2,139 | $749 | $326 | $905 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $2,139 | $749 | $326 | $905 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $2,139 | $749 | $326 | $905 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $2,139 | $749 | $326 | $905 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $2,139 | $749 | $326 | $905 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $2,139 | $749 | $326 | $905 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $2,139 | $749 | $326 | $905 | 0 insurers |
| ALTRU HOSPITAL | ND | $2,627 | $1,602 | — | — | 0 insurers |
| BRISTOL HOSPITAL | CT | $4,880 | $732 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $4,880 | $732 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $4,880 | $732 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $4,880 | $732 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $4,880 | $732 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $4,880 | $732 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $4,880 | $732 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $4,880 | $732 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $4,880 | $732 | — | — | 0 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $4,880 | $732 | — | — | 0 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $4,880 | $732 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $4,880 | $732 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $4,880 | $732 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $4,880 | $732 | — | — | 0 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $4,880 | $732 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $4,880 | $732 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $4,880 | $732 | — | — | 0 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | $3,293 | $724 | — | — | 0 insurers |
| HANCOCK COUNTY HEALTH SYSTEM | IA | $3,123 | $718 | — | — | 0 insurers |
| DICKENSON COMMUNITY HOSPITAL | VA | $3,123 | $718 | — | — | 0 insurers |
| LEE COUNTY COMMUNITY HOSPITAL | VA | $3,123 | $718 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $815 | $652 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $815 | $652 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $815 | $652 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $815 | $652 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $815 | $652 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $815 | $652 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $815 | $652 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $815 | $652 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $815 | $652 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $815 | $652 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $815 | $652 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $815 | $652 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $815 | $652 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL | IL | $2,364 | $1,702 | — | — | 0 insurers |
| HSHS GOOD SHEPHERD HOSPITAL INC | IL | $2,364 | $1,702 | — | — | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,500 | $642 | $945 | $1,470 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,500 | $642 | $543 | $1,750 | 0 insurers |
| MEMORIAL MEDICAL CENTER | NM | $2,913 | $1,748 | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,500 | $588 | $405 | $1,470 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,500 | $588 | $405 | $2,057 | 0 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $820 | $574 | — | — | 0 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $4,500 | $1,800 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $3,220 | $1,803 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $3,220 | $1,803 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $3,220 | $1,803 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $3,220 | $1,803 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $3,220 | $1,803 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $3,220 | $1,803 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $3,220 | $1,803 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $3,220 | $1,803 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $3,220 | $1,803 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $3,220 | $1,803 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $3,220 | $1,803 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $3,220 | $1,803 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $3,220 | $1,803 | — | — | 0 insurers |
| BEEBE MEDICAL CENTER | DE | $2,144 | $1,822 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $1,304 | $522 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $1,304 | $522 | — | — | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $2,605 | $1,824 | $391 | $4,046 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $1,500 | $419 | $1,200 | $1,305 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $1,500 | $419 | $375 | $2,716 | 0 insurers |
| RANDOLPH HOSPITAL | NC | $2,079 | $416 | — | — | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $1,019 | $408 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $1,956 | $611 | $611 | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $2,521 | $2,017 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $3,182 | $318 | — | — | 0 insurers |
| UCSF HEALTH ST. MARY'S HOSPITAL | CA | $388 | $272 | $233 | $2,963 | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $4,074 | $2,078 | — | — | 0 insurers |
| UCSF HEALTH SAINT FRANCIS HOSPITAL | CA | $333 | $233 | $200 | $2,963 | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $4,074 | $2,119 | — | — | 0 insurers |
| MUNSON HEALTHCARE GRAYLING HOSPITAL | MI | $2,500 | $2,125 | — | — | 0 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $2,500 | $2,125 | — | — | 0 insurers |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | MI | $2,500 | $2,125 | — | — | 0 insurers |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | MI | $2,500 | $2,125 | — | — | 0 insurers |
| PAUL OLIVER MEMORIAL HOSPITAL | MI | $2,500 | $2,125 | — | — | 0 insurers |
| KALKASKA MEMORIAL HEALTH CENTER | MI | $2,500 | $2,125 | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $879 | $176 | — | — | 0 insurers |
| NORTON HOSPITALS, INC | KY | $879 | $176 | — | — | 0 insurers |
| COAL COUNTY GENERAL HOSPITAL, INC. | OK | $2,980 | $2,235 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - RICE LAKE | WI | $105 | $99.75 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER | WI | $105 | $99.75 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) | WI | $105 | $99.75 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - WESTON | WI | $105 | $99.75 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - EAU CLAIRE | WI | $105 | $99.75 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - MINOCQUA | WI | $105 | $99.75 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - RIVER REGION | WI | $105 | $99.75 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE | WI | $105 | $99.75 | — | — | 0 insurers |
| FLAMBEAU HOSPITAL | WI | $105 | $99.75 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | WI | $105 | $99.75 | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | $2,261 | $2,261 | — | — | 0 insurers |
| PHILLIPS COUNTY HOSPITAL | KS | $2,615 | $2,354 | — | — | 0 insurers |
| PHILLIPS COUNTY HOSPITAL - CAH | MT | $2,615 | $2,354 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $4,000 | $2,400 | $775 | $3,400 | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $4,074 | $2,404 | — | — | 0 insurers |
| CONEMAUGH NASON MEDICAL CENTER | PA | $6,257 | $2,503 | — | — | 0 insurers |
| CONEMAUGH MEYERSDALE MEDICAL CENTER | PA | $6,257 | $2,503 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $4,775 | $2,770 | $2,865 | $4,489 | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $4,775 | $2,770 | $1,304 | $4,489 | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $5,630 | $2,815 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $5,630 | $2,815 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $5,630 | $2,815 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $5,630 | $2,815 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $5,630 | $2,815 | — | — | 0 insurers |
| AURORA MEDICAL CTR MANITOWOC COUNTY | WI | $5,630 | $2,815 | — | — | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $5,630 | $2,815 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $5,630 | $2,815 | — | — | 0 insurers |
| AURORA LAKELAND MEDICAL CENTER | WI | $5,630 | $2,815 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $5,630 | $2,815 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $5,630 | $2,815 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $5,630 | $2,815 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $5,630 | $2,815 | — | — | 0 insurers |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | IL | $2,850 | $2,850 | — | — | 0 insurers |
| THREE RIVERS HOSPITAL | WA | $3,398 | $3,398 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $3,705 | $3,705 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $3,705 | $3,705 | — | — | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | $1,281 | $3,912 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $3,960 | $3,960 | — | — | 0 insurers |
| ST MARYS HOSPITAL MEDICAL CTR | WI | $10,500 | $4,725 | — | — | 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 | — | — | $1,304 | $1,695 | 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 | — | — | $611 | $1,695 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $679 | $679 | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $1,304 | $6,688 | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| ST JOSEPH'S HOSPITAL | AZ | — | — | — | — | 0 insurers |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH TEMPE MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH DEER VALLEY MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| BENSON HOSPITAL | AZ | — | — | — | — | 0 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | — | — | — | — | 0 insurers |
| 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 | — | — | $543 | $3,742 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $598 | $1,747 | 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 |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $543 | $3,742 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $1,304 | $1,304 | 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 |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $543 | $3,742 | 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 | — | — | $1,304 | $1,304 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $543 | $3,129 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $611 | $4,192 | 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 | — | — | $1,304 | $3,390 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $1,304 | $3,390 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $1,304 | $3,390 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $1,304 | $3,390 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $1,016 | $6,976 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $611 | $4,745 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $1,667 | $6,091 | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | — | — | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $611 | $3,657 | 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 | — | — | $1,304 | $2,608 | 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 | — | — | $611 | $3,702 | 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 | — | — | $679 | $3,225 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 0 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $102 | $2,303 | 0 insurers |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| AdventHealth Porter | CO | — | — | $1,019 | $2,412 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $1,019 | $2,412 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $1,019 | $2,412 | 0 insurers |
| AdventHealth Parker | CO | — | — | $1,019 | $2,412 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $1,019 | $2,412 | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 0 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $1,278 | $3,169 | 0 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 0 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $1,304 | $6,099 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $1,304 | $6,099 | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | — | — | — | — | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $679 | $4,173 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $1,304 | $3,455 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $1,239 | $2,848 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $1,304 | $1,773 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $679 | $4,173 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $679 | $4,173 | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $1,304 | $2,947 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $679 | $4,173 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $1,304 | $2,034 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $1,304 | $2,895 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $1,304 | $2,895 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $110 | $113 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $679 | $2,543 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $1,304 | $3,455 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $1,304 | $2,008 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $1,304 | $2,034 | 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 | — | — | $115 | $117 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $1,304 | $2,895 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $1,304 | $1,630 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $679 | $679 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $115 | $117 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $110 | $113 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $1,043 | $1,891 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $679 | $679 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $1,291 | $1,956 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $1,304 | $1,891 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $1,304 | $1,630 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $1,304 | $1,891 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $1,291 | $2,738 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $1,304 | $2,008 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $679 | $2,543 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $1,278 | $2,034 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $1,043 | $1,891 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $1,304 | $1,773 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $1,304 | $1,630 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $1,304 | $2,008 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $1,304 | $1,891 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $1,278 | $2,034 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $1,304 | $1,891 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $1,304 | $2,947 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $1,304 | $1,891 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $1,304 | $2,947 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $97.81 | $103 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $679 | $679 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $1,304 | $1,891 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $1,304 | $1,773 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $1,304 | $2,008 | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $1,291 | $1,956 | 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 | — | — | $679 | $2,543 | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $679 | $4,173 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $1,304 | $2,895 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $1,304 | $3,912 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $1,304 | $5,216 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $1,304 | $2,608 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $1,291 | $1,956 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $1,304 | $3,455 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $1,369 | $1,630 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $611 | $1,369 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $342 | $2,192 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $342 | $2,192 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $342 | $2,192 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $679 | $2,584 | 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 | — | — | $611 | $1,956 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $713 | $1,369 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $1,304 | $3,260 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $557 | $3,625 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $1,304 | $1,356 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $342 | $2,192 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $643 | $643 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $374 | $1,747 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $978 | $1,723 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $679 | $1,369 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $1,304 | $1,982 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $1,304 | $1,304 | 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 | — | — | $1,304 | $1,369 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $742 | $4,564 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $742 | $2,777 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $611 | $5,612 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $742 | $2,777 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $1,304 | $6,840 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $742 | $2,777 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $742 | $2,777 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $1,304 | $1,330 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $742 | $2,777 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $742 | $2,777 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $742 | $2,777 | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $611 | $5,612 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $905 | $2,101 | 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 | — | — | $905 | $2,101 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $742 | $2,777 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $699 | $9,128 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $1,304 | $1,982 | 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 | — | — | $611 | $5,612 | 0 insurers |
| CARLE EUREKA HOSPITAL | IL | — | — | — | — | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $742 | $2,777 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $742 | $2,777 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $679 | $3,260 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $742 | $2,777 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $1,304 | $1,356 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $679 | $1,369 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $1,304 | $3,625 | 0 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 0 insurers |