| BRISTOL HOSPITAL | CT | $30,800 | $4,620 | — | — | 5 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $30,800 | $4,620 | — | — | 5 insurers |
| JOHNSTON HEALTH | NC | $30,800 | $4,620 | — | — | 5 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $30,800 | $4,620 | — | — | 5 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $30,800 | $4,620 | — | — | 5 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $30,800 | $4,620 | — | — | 5 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $30,800 | $4,620 | — | — | 5 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $30,800 | $4,620 | — | — | 5 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $30,800 | $4,620 | — | — | 5 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $30,800 | $4,620 | — | — | 5 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $30,800 | $4,620 | — | — | 5 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $30,800 | $4,620 | — | — | 5 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $30,800 | $4,620 | — | — | 5 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $30,800 | $4,620 | — | — | 5 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $30,800 | $4,620 | — | — | 5 insurers |
| LONESOME PINE HOSPITAL | VA | $30,800 | $4,620 | — | — | 5 insurers |
| DICKENSON COMMUNITY HOSPITAL | VA | $19,712 | $4,534 | — | — | 5 insurers |
| LEE COUNTY COMMUNITY HOSPITAL | VA | $19,712 | $4,534 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - WESTON | WI | $4,304 | $4,089 | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $11,340 | $3,969 | $1,728 | $4,800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $11,340 | $3,969 | $1,728 | $4,800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $11,340 | $3,969 | $1,728 | $4,800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $11,340 | $3,969 | $1,728 | $4,800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $11,340 | $3,969 | $1,728 | $4,800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $11,340 | $3,969 | $1,728 | $4,800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $11,340 | $3,969 | $1,728 | $4,800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $11,340 | $3,969 | $1,728 | $4,800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $11,340 | $3,969 | $1,728 | $4,800 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $11,340 | $3,969 | $1,728 | $4,800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $11,340 | $3,969 | $1,728 | $4,800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $11,340 | $3,969 | $1,728 | $4,800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $11,340 | $3,969 | $1,728 | $4,800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $11,340 | $3,969 | $1,728 | $4,800 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $11,340 | $3,969 | $1,728 | $4,800 | 3 insurers |
| MARSHFIELD MEDICAL CENTER - MINOCQUA | WI | $4,081 | $3,877 | — | — | 5 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $5,400 | $3,240 | $3,240 | 1 insurers |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | WI | $4,015 | $3,814 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - RICE LAKE | WI | $3,587 | $3,408 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER | WI | $3,587 | $3,408 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) | WI | $3,587 | $3,408 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - EAU CLAIRE | WI | $3,587 | $3,408 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE | WI | $3,587 | $3,408 | — | — | 5 insurers |
| FLAMBEAU HOSPITAL | WI | $3,587 | $3,408 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - RIVER REGION | WI | $3,408 | $3,238 | — | — | 5 insurers |
| WESTERLY HOSPITAL | RI | $21,600 | $7,776 | — | — | 5 insurers |
| RED BAY HOSPITAL | AL | $14,690 | $8,226 | — | — | 3 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $14,690 | $8,226 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $14,690 | $8,226 | — | — | 3 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $14,690 | $8,226 | — | — | 3 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $14,690 | $8,226 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $14,690 | $8,226 | — | — | 3 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $14,690 | $8,226 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $14,690 | $8,226 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $14,690 | $8,226 | — | — | 3 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $14,690 | $8,226 | — | — | 3 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $14,690 | $8,226 | — | — | 3 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $14,690 | $8,226 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $14,690 | $8,226 | — | — | 3 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $784 | $549 | — | — | 5 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $12,800 | $8,960 | $0 | $11,520 | 3 insurers |
| BRIDGEPORT HOSPITAL | CT | $21,600 | $11,016 | — | — | 5 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $21,600 | $11,232 | — | — | 5 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $21,600 | $12,744 | — | — | 5 insurers |
| FLOYD CHEROKEE MEDICAL CENTER | AL | — | — | — | — | 1 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 5 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 5 insurers |
| ANDALUSIA HEALTH | AL | — | — | $3,600 | $4,680 | 5 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 3 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 5 insurers |
| RUSSELL MEDICAL CENTER | AL | — | — | — | — | 5 insurers |
| BALDWIN HEALTH | AL | — | — | — | — | 3 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | — | — | — | — | 5 insurers |
| VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS | AL | — | — | $3,240 | $4,680 | 5 insurers |
| EAMC - LANIER | AL | — | — | — | — | 5 insurers |
| EAMC - LANIER | AL | — | — | — | — | 5 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 5 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 5 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $3,600 | $35,456 | 5 insurers |
| TUCSON MEDICAL CENTER | AZ | — | — | — | — | 2 insurers |
| ST JOSEPH'S HOSPITAL | AZ | — | — | — | — | 5 insurers |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH TEMPE MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH DEER VALLEY MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| BENSON HOSPITAL | AZ | — | — | — | — | 1 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | — | — | — | — | 1 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 3 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 5 insurers |
| BRADLEY COUNTY MEDICAL CENTER | AR | — | — | — | — | 2 insurers |
| PENINSULA MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP | CA | — | — | — | — | 1 insurers |
| SUTTER AMADOR HOSPITAL | CA | — | — | — | — | 1 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 5 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS | CA | — | — | — | — | 1 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL | CA | — | — | — | — | 1 insurers |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | — | — | — | — | 2 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $2,880 | $10,332 | 5 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $2,808 | $4,833 | 5 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 5 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 1 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 5 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $2,880 | $10,332 | 5 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $3,600 | $3,600 | 1 insurers |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | CA | — | — | — | — | 1 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 1 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP | CA | — | — | — | — | 1 insurers |
| SUTTER TRACY COMMUNITY HOSPITAL | CA | — | — | — | — | 1 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | — | — | — | — | 5 insurers |
| NORTHBAY MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $2,880 | $10,332 | 5 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | — | — | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | — | — | — | — | 3 insurers |
| SUTTER COAST HOSPITAL | CA | — | — | — | — | 1 insurers |
| STANFORD HEALTH CARE | CA | — | — | $3,600 | $25,596 | 4 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 1 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $2,880 | $8,640 | 5 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $2,340 | $33,804 | 5 insurers |
| EDEN MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | — | — | — | — | 2 insurers |
| SUTTER AUBURN FAITH HOSPITAL | CA | — | — | — | — | 1 insurers |
| SUTTER DELTA MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| MEMORIAL HOSPITAL LOS BANOS | CA | — | — | — | — | 1 insurers |
| SUTTER DAVIS HOSPITAL | CA | — | — | — | — | 1 insurers |
| UCI HEALTH - LOS ALAMITOS | CA | — | — | $3,600 | $9,360 | 5 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $3,600 | $9,360 | 5 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $3,600 | $9,360 | 5 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $3,600 | $9,360 | 5 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 5 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $3,024 | $19,260 | 5 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $2,340 | $27,360 | 5 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 3 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $8,839 | $18,122 | 1 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 3 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $3,240 | $31,140 | 5 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 5 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | — | — | — | — | 5 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 1 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 5 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | — | — | — | — | 2 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 5 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 1 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 1 insurers |
| TEMECULA VALLEY HOSPITAL | CA | — | — | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 3 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 1 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $3,600 | $7,200 | 5 insurers |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO | CA | — | — | — | — | 3 insurers |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | CA | — | — | — | — | 5 insurers |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB | CA | — | — | $2,340 | $33,804 | 5 insurers |
| LONGMONT UNITED HOSPITAL | CO | — | — | — | — | 2 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 5 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 5 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $2,293 | $3,780 | 5 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 1 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 4 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $540 | $12,210 | 5 insurers |
| AdventHealth Porter | CO | — | — | $3,528 | $12,174 | 5 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $3,528 | $12,174 | 5 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 3 insurers |
| AdventHealth Littleton | CO | — | — | $3,528 | $12,174 | 5 insurers |
| AdventHealth Parker | CO | — | — | $3,528 | $12,174 | 5 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 1 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 3 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $3,528 | $12,174 | 5 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | — | — | — | — | 4 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | — | — | — | — | 3 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 3 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | — | — | — | — | 3 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 3 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $3,600 | $3,600 | 1 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 1 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | — | — | — | — | 5 insurers |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT | CT | — | — | — | — | 5 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $3,600 | $16,839 | 5 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $3,600 | $16,839 | 5 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | — | — | — | — | 4 insurers |
| ORLANDO HEALTH | FL | — | — | $2,160 | $11,520 | 5 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $3,600 | $9,540 | 5 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $3,420 | $7,864 | 5 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $3,600 | $4,896 | 5 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $2,160 | $11,520 | 5 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $2,160 | $11,520 | 5 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | — | — | — | — | 5 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $3,600 | $8,136 | 5 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $2,160 | $11,520 | 5 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $3,600 | $5,616 | 5 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $3,600 | $7,992 | 5 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 5 insurers |
| AdventHealth Carrollwood | FL | — | — | $3,600 | $7,992 | 5 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $3,600 | $3,600 | 1 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 1 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $2,160 | $7,020 | 5 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $3,600 | $9,540 | 5 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $3,600 | $5,544 | 5 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $3,600 | $5,616 | 5 insurers |
| BARTOW REGIONAL MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| MORTON PLANT HOSPITAL | FL | — | — | — | — | 5 insurers |
| TAMPA GENERAL HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA AVENTURA HOSPITAL | FL | — | — | $72.24 | $73.76 | 3 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 5 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $3,600 | $7,992 | 5 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $3,600 | $4,500 | 5 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $3,600 | $5,544 | 5 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $3,600 | $3,600 | 1 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $3,600 | $3,600 | 1 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $2,880 | $5,220 | 5 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $3,600 | $5,220 | 5 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $72.84 | $74.37 | 3 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $3,600 | $5,220 | 5 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $3,600 | $4,500 | 5 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $3,600 | $5,220 | 5 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $3,564 | $7,560 | 5 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $3,600 | $5,544 | 5 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $2,160 | $7,020 | 5 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $3,528 | $5,616 | 5 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $2,880 | $5,220 | 5 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 3 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $3,600 | $4,896 | 5 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $3,600 | $4,500 | 5 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $3,600 | $5,544 | 5 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $3,600 | $5,220 | 5 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $3,528 | $5,616 | 5 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $3,600 | $5,220 | 5 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $69.03 | $70.48 | 3 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $3,600 | $5,220 | 5 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $62.35 | $63.66 | 3 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $3,600 | $6,120 | 5 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $3,600 | $5,220 | 5 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 3 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $3,600 | $5,220 | 5 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $3,600 | $4,896 | 5 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $3,600 | $5,544 | 5 insurers |
| WEST BOCA MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $3,564 | $5,400 | 5 insurers |
| WELLINGTON REGIONAL MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $2,160 | $7,020 | 5 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $2,160 | $11,520 | 5 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $3,600 | $7,992 | 5 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $3,600 | $10,800 | 5 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $3,600 | $14,400 | 5 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $3,600 | $7,200 | 5 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 4 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $3,564 | $5,400 | 5 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 5 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $3,600 | $9,540 | 5 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 5 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 5 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $3,780 | $4,500 | 3 insurers |
| Memorial Satilla Health | GA | — | — | $3,240 | $4,320 | 5 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $1,812 | $5,850 | 5 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $1,812 | $5,850 | 5 insurers |
| NGMC BARROW, LLC | GA | — | — | $1,812 | $5,850 | 5 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $3,600 | $9,000 | 5 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 5 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC | GA | — | — | — | — | 5 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $3,366 | $4,248 | 5 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $2,340 | $4,320 | 5 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $3,600 | $9,000 | 5 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 1 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $2,952 | $10,008 | 5 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 5 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 5 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $3,600 | $3,744 | 3 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $1,812 | $5,850 | 5 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $3,407 | $3,407 | 1 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 1 insurers |
| ARCHBOLD BROOKS | GA | — | — | $1,880 | $4,824 | 5 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 5 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $3,600 | $3,780 | 4 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 5 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $3,600 | $13,644 | 4 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $3,600 | $3,600 | 2 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 1 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 5 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | — | — | — | — | 3 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $3,600 | $3,780 | 3 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 5 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $3,600 | $12,600 | 5 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $3,600 | $7,668 | 4 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $3,240 | $29,749 | 5 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $3,600 | $7,668 | 4 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $3,600 | $36,257 | 5 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 1 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $3,600 | $7,668 | 4 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 3 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $3,600 | $7,668 | 4 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $3,600 | $3,672 | 3 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 2 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | — | — | — | — | 5 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $3,600 | $7,668 | 4 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $3,600 | $7,668 | 4 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $3,600 | $7,668 | 4 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 2 insurers |
| MEMORIAL HOSPITAL | IL | — | — | — | — | 5 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $3,240 | $29,749 | 5 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $3,600 | $7,920 | 5 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | — | — | — | — | 2 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 1 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | — | — | — | — | 1 insurers |
| EDWARD HOSPITAL | IL | — | — | $3,600 | $7,920 | 5 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $3,600 | $7,668 | 4 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $3,600 | $25,200 | 5 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $3,600 | $13,644 | 4 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 5 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | — | — | — | — | 2 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | — | — | — | — | 3 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | — | — | — | — | 4 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $3,240 | $29,749 | 5 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 5 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $3,600 | $7,668 | 4 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $3,600 | $7,668 | 4 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $3,600 | $13,665 | 4 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $3,600 | $7,668 | 4 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $3,600 | $3,744 | 3 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $3,600 | $3,780 | 4 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 5 insurers |
| UNION HOSPITAL INC | IN | — | — | $3,600 | $10,008 | 5 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 5 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 5 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | — | — | — | — | 2 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 5 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | $2,979 | $3,856 | 5 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $1,440 | $8,892 | 5 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | — | — | — | — | 5 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | — | — | — | — | 5 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | — | — | — | — | 5 insurers |
| UCHICAGO MEDICINE NORTHWEST INDIANA | IN | — | — | $3,240 | $29,749 | 5 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 5 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 2 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $3,060 | $8,503 | 5 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 2 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | — | — | — | — | 1 insurers |
| LAWRENCE GENERAL HOSPITAL | MA | — | — | — | — | 5 insurers |
| LAWRENCE GENERAL HOSPITAL | MA | — | — | — | — | 5 insurers |
| SAINT ANNE'S HOSPITAL | MA | — | — | — | — | 5 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | — | — | — | — | 5 insurers |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH | MA | — | — | $3,600 | $9,720 | 5 insurers |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL | MA | — | — | — | — | 5 insurers |
| HOLY FAMILY HOSPITAL | MA | — | — | — | — | 3 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM | MA | — | — | $3,600 | $10,404 | 2 insurers |
| BETH ISRAEL DEACONESS MEDICAL CENTER | MA | — | — | $3,600 | $10,512 | 4 insurers |
| HEYWOOD HOSPITAL - | MA | — | — | $3,600 | $15,300 | 5 insurers |
| SOUTH SHORE HOSPITAL | MA | — | — | $3,600 | $9,329 | 5 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON | MA | — | — | $2,160 | $3,600 | 3 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | — | — | $4,500 | $15,300 | 4 insurers |
| COREWELL HEALTH ZEELAND HOSPITAL | MI | — | — | — | — | 5 insurers |
| LAKELAND HOSPITAL, ST JOSEPH | MI | — | — | — | — | 3 insurers |
| SPECTRUM HEALTH | MI | — | — | — | — | 5 insurers |
| COREWELL HEALTH WATERVLIET HOSPITAL | MI | — | — | — | — | 2 insurers |
| COREWELL HEALTH BIG RAPIDS HOSPITAL | MI | — | — | — | — | 5 insurers |
| HARPER UNIVERSITY HOSPITAL | MI | — | — | $93 | $4,889 | 5 insurers |
| COREWELL HEALTH LUDINGTON HOSPITAL | MI | — | — | — | — | 5 insurers |
| BEAUMONT HOSPITAL ROYAL OAK | MI | — | — | — | — | 5 insurers |
| COREWELL HEALTH WAYNE HOSPITAL | MI | — | — | — | — | 5 insurers |
| COREWELL HEALTH TRENTON HOSPITAL | MI | — | — | — | — | 5 insurers |
| HURON VALLEY-SINAI HOSPITAL | MI | — | — | $93 | $4,889 | 5 insurers |
| COREWELL HEALTH REED CITY HOSPITAL | MI | — | — | — | — | 1 insurers |
| OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP | MI | — | — | $3,600 | $7,668 | 4 insurers |
| COREWELL HEALTH GERBER HOSPITAL | MI | — | — | — | — | 1 insurers |
| COREWELL HEALTH PENNOCK HOSPITAL | MI | — | — | — | — | 5 insurers |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | MN | — | — | — | — | 3 insurers |
| ESSENTIA HEALTH DULUTH | MN | — | — | — | — | 2 insurers |
| SANFORD WORTHINGTON MEDICAL CENTER | MN | — | — | — | — | 5 insurers |
| ALOMERE HEALTH | MN | — | — | — | — | 5 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | — | — | — | — | 2 insurers |
| WINONA HEALTH SERVICES | MN | — | — | — | — | 1 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | — | — | — | — | 2 insurers |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER | MN | — | — | — | — | 5 insurers |
| ESSENTIA HEALTH VIRGINIA | MN | — | — | — | — | 3 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | — | — | — | — | 1 insurers |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES | MN | — | — | — | — | 4 insurers |
| MAHNOMEN HEALTH CENTER | MN | — | — | — | — | 3 insurers |
| ESSENTIA HEALTH SANDSTONE | MN | — | — | — | — | 2 insurers |
| ESSENTIA HEALTH ADA | MN | — | — | — | — | 2 insurers |
| ESSENTIA HEALTH HOLY TRINITY HOSPITAL | MN | — | — | — | — | 2 insurers |
| NORTH VALLEY HEALTH CENTER | MN | — | — | $3,600 | $10,768 | 5 insurers |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER | MN | — | — | — | — | 2 insurers |
| ESSENTIA HEALTH MOOSE LAKE | MN | — | — | — | — | 5 insurers |
| ESSENTIA HEALTH FOSSTON | MN | — | — | — | — | 2 insurers |
| ESSENTIA HEALTH DEER RIVER | MN | — | — | — | — | 2 insurers |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL | MN | — | — | — | — | 2 insurers |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL | MN | — | — | — | — | 5 insurers |
| TISHOMINGO HEALTH SERVICES INC | MS | — | — | $3,600 | $10,800 | 5 insurers |
| NORTH MISSISSIPPI MEDICAL CENTER-GILMORE AMORY | MS | — | — | $3,600 | $10,800 | 5 insurers |
| GEORGE REGIONAL HEALTH SYSTEM | MS | — | — | $3,600 | $16,237 | 5 insurers |
| ALLIANCE HEALTH CENTER | MS | — | — | $1,512 | $7,200 | 5 insurers |
| PONTOTOC HEALTH SERVICE INC CAH | MS | — | — | $3,600 | $10,800 | 5 insurers |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY | MO | — | — | $3,240 | $16,118 | 5 insurers |
| NORTHEAST REGIONAL MEDICAL CENTER | MO | — | — | — | — | 5 insurers |
| BOONE HOSPITAL CENTER | MO | — | — | $3,600 | $6,660 | 5 insurers |
| SSM ST CLARE HEALTH CENTER | MO | — | — | $3,600 | $20,722 | 5 insurers |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS | MO | — | — | $3,600 | $20,722 | 5 insurers |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS | MO | — | — | $3,600 | $20,722 | 5 insurers |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL | MO | — | — | $3,528 | $14,851 | 5 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | — | — | — | — | 5 insurers |
| SAINT FRANCIS MEDICAL CENTER | MO | — | — | $3,071 | $6,300 | 4 insurers |
| LEE'S SUMMIT MEDICAL CENTER | MO | — | — | $3,060 | $8,352 | 5 insurers |
| CUBA MEMORIAL HOSPITAL, INC | NY | — | — | $2,375 | $4,990 | 5 insurers |
| GARNET HEALTH MEDICAL CENTER CATSKILLS | NY | — | — | — | — | 5 insurers |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE | NC | — | — | $3,407 | $4,320 | 5 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | — | — | $3,600 | $7,200 | 5 insurers |
| ADVENTHEALTH HENDERSONVILLE | NC | — | — | $1,620 | $14,400 | 5 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | — | — | $3,600 | $7,200 | 5 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | — | — | — | — | 3 insurers |
| WAKEMED, RALEIGH CAMPUS | NC | — | — | — | — | 5 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | — | — | $3,600 | $7,200 | 5 insurers |
| THE MCDOWELL HOSPITAL | NC | — | — | $3,407 | $5,040 | 5 insurers |
| SENTARA ALBEMARLE MEDICAL CENTER | NC | — | — | — | — | 2 insurers |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER | NC | — | — | $3,528 | $8,675 | 5 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | — | — | $3,600 | $7,200 | 5 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | — | — | $3,856 | $8,675 | 5 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | — | — | $3,600 | $7,200 | 5 insurers |
| WAKEMED, CARY HOSPITAL | NC | — | — | — | — | 5 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | — | — | $3,600 | $7,200 | 5 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | — | — | $3,600 | $7,200 | 5 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | — | — | $3,600 | $7,200 | 5 insurers |
| HIGHLANDS CASHIERS HOSPITAL | NC | — | — | $3,407 | $3,407 | 1 insurers |
| ANGEL MEDICAL CENTER | NC | — | — | $1,620 | $4,320 | 4 insurers |
| BLUE RIDGE REGIONAL HOSPITAL | NC | — | — | $3,407 | $4,320 | 5 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | — | — | — | — | 1 insurers |
| ESSENTIA HEALTH | ND | — | — | — | — | 2 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | — | — | — | — | 5 insurers |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC | OH | — | — | $3,600 | $10,368 | 5 insurers |
| RIVERSIDE METHODIST HOSPITAL | OH | — | — | $3,600 | $13,500 | 3 insurers |
| LIMA MEMORIAL HEALTH SYSTEM | OH | — | — | $3,600 | $16,552 | 5 insurers |
| OHIOHEALTH O'BLENESS HOSPITAL | OH | — | — | $3,600 | $3,636 | 2 insurers |
| GRANT MEDICAL CENTER | OH | — | — | $3,600 | $13,500 | 3 insurers |
| KETTERING HEALTH GREENE MEMORIAL | OH | — | — | $1,440 | $10,260 | 5 insurers |
| UNIVERSITY OF TOLEDO MEDICAL CENTER | OH | — | — | — | — | 5 insurers |
| MIAMI VALLEY HOSPITAL | OH | — | — | $3,600 | $10,768 | 5 insurers |
| FISHER-TITUS HOSPITAL | OH | — | — | — | — | 5 insurers |
| FISHER-TITUS HOSPITAL | OH | — | — | — | — | 1 insurers |
| VAN WERT COUNTY HOSPITAL | OH | — | — | $3,600 | $3,672 | 3 insurers |
| UH REGIONAL HOSPITALS | OH | — | — | — | — | 1 insurers |
| ATRIUM MEDICAL CENTER | OH | — | — | $3,600 | $10,986 | 5 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| AULTMAN HOSPITAL | OH | — | — | $2,160 | $7,200 | 5 insurers |
| OHIOHEALTH MANSFIELD HOSPITAL | OH | — | — | $3,600 | $3,744 | 3 insurers |
| UH ST JOHN MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| ALLIANCE COMMUNITY HOSPITAL | OH | — | — | $1,512 | $7,200 | 5 insurers |
| FORT HAMILTON HUGHES MEMORIAL HOSPITAL | OH | — | — | $1,440 | $10,260 | 5 insurers |
| KETTERING HEALTH DAYTON | OH | — | — | $1,440 | $10,260 | 5 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| BERGER HOSPITAL | OH | — | — | $3,600 | $7,488 | 2 insurers |
| UPPER VALLEY MEDICAL CENTER | OH | — | — | $2,880 | $11,115 | 5 insurers |
| MADISON HEALTH | OH | — | — | — | — | 5 insurers |
| MARY RUTAN HOSPITAL | OH | — | — | $3,600 | $11,700 | 5 insurers |
| DUBLIN METHODIST HOSPITAL | OH | — | — | $3,600 | $13,500 | 3 insurers |
| WEST CHESTER HOSPITAL | OH | — | — | $3,600 | $10,224 | 5 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| SOIN MEDICAL CENTER | OH | — | — | $1,440 | $10,260 | 5 insurers |
| AULTMAN ORRVILLE HOSPITAL | OH | — | — | $1,440 | $7,200 | 5 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | — | — | — | — | 1 insurers |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB | OH | — | — | — | — | 5 insurers |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC | OH | — | — | — | — | 5 insurers |
| NORMAN REGIONAL | OK | — | — | — | — | 5 insurers |
| DUNCAN REGIONAL HOSPITAL, INC | OK | — | — | $1,473 | $2,160 | 5 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | — | — | $3,856 | $6,747 | 5 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY | OK | — | — | $3,240 | $9,000 | 5 insurers |
| STILLWATER MEDICAL CENTER | OK | — | — | $3,856 | $10,362 | 5 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST | OK | — | — | $3,600 | $7,884 | 5 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE | OK | — | — | $3,600 | $7,020 | 5 insurers |
| SUMMIT MEDICAL CENTER, LLC | OK | — | — | $1,620 | $14,400 | 5 insurers |
| STILLWATER MEDICAL - PERRY | OK | — | — | $3,856 | $10,362 | 5 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | — | — | $3,856 | $10,362 | 5 insurers |
| JEFFERSON COUNTY HOSPITAL | OK | — | — | $1,473 | $2,160 | 5 insurers |
| LEGACY EMANUEL MEDICAL CENTER | OR | — | — | $3,600 | $13,923 | 5 insurers |
| LEGACY GOOD SAMARITAN MEDICAL CENTER | OR | — | — | $3,600 | $13,923 | 5 insurers |
| LEGACY MOUNT HOOD MEDICAL CENTER | OR | — | — | $3,600 | $13,923 | 5 insurers |
| LEGACY SILVERTON MEDICAL CENTER | OR | — | — | $3,600 | $7,200 | 4 insurers |
| SALEM HOSPITAL | OR | — | — | $8,640 | $9,000 | 2 insurers |
| LEGACY MERIDIAN PARK MEDICAL CENTER | OR | — | — | $3,600 | $13,923 | 5 insurers |
| BAY AREA HOSPITAL | OR | — | — | $3,600 | $3,600 | 2 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | — | — | — | — | 3 insurers |
| SALEM HEALTH WEST VALLEY HOSPITAL | OR | — | — | $8,640 | $9,000 | 2 insurers |
| GOOD SHEPHERD MEDICAL CENTER | OR | — | — | — | — | 2 insurers |
| GOOD SHEPHERD MEDICAL CENTER | OR | — | — | — | — | 4 insurers |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET | PA | — | — | $1,800 | $20,993 | 5 insurers |