| MARSHFIELD MEDICAL CENTER - RICE LAKE | WI | $221 | $210 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER | WI | $221 | $210 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) | WI | $221 | $210 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - WESTON | WI | $221 | $210 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - EAU CLAIRE | WI | $221 | $210 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - MINOCQUA | WI | $221 | $210 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - RIVER REGION | WI | $221 | $210 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE | WI | $221 | $210 | — | — | 5 insurers |
| FLAMBEAU HOSPITAL | WI | $221 | $210 | — | — | 5 insurers |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | WI | $221 | $210 | — | — | 5 insurers |
| PARKLAND HEALTH CENTER | MO | $336 | $202 | $66.93 | $294 | 5 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $322 | $193 | — | — | 5 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $590 | $237 | — | — | 5 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $590 | $237 | — | — | 4 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $590 | $237 | — | — | 4 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $590 | $237 | — | — | 5 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $590 | $237 | — | — | 4 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $590 | $237 | — | — | 4 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $279 | $181 | — | — | 5 insurers |
| GOSHEN HOSPITAL | IN | $257 | $180 | — | — | 0 insurers |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER | WA | $276 | $179 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $590 | $251 | — | — | 5 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | $591 | $251 | — | — | 3 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | $591 | $251 | — | — | 3 insurers |
| MILFORD REGIONAL MEDICAL CENTER | MA | $167 | $167 | — | — | 4 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $536 | $159 | $434 | $434 | 3 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $536 | $159 | $80.4 | $434 | 5 insurers |
| ST JOSEPH MEDICAL CENTER | WA | $926 | $128 | $77.35 | $926 | 5 insurers |
| DUNCAN REGIONAL HOSPITAL, INC | OK | $335 | $118 | $147 | $315 | 5 insurers |
| JEFFERSON COUNTY HOSPITAL | OK | $335 | $118 | $147 | $315 | 5 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $210 | $105 | — | — | 5 insurers |
| WETZEL COUNTY HOSPITAL | WV | $210 | $105 | — | — | 5 insurers |
| BARNESVILLE HOSPITAL ASSOCIATION, INC | OH | $200 | $100 | — | — | 1 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $200 | $100 | — | — | 5 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $200 | $100 | — | — | 5 insurers |
| BERKELEY MEDICAL CENTER | WV | $200 | $100 | — | — | 1 insurers |
| WEIRTON MEDICAL CENTER, INC | WV | $200 | $100 | — | — | 5 insurers |
| WHEELING HOSPITAL, INC | WV | $200 | $100 | — | — | 5 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $200 | $100 | — | — | 5 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $200 | $100 | — | — | 5 insurers |
| BRAXTON COUNTY MEMORIAL HOSPITAL, INC | WV | $200 | $100 | — | — | 0 insurers |
| POTOMAC VALLEY HOSPITAL | WV | $200 | $100 | — | — | 0 insurers |
| JACKSON GENERAL HOSPITAL | WV | $200 | $100 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $200 | $100 | — | — | 5 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $640 | $320 | — | — | 5 insurers |
| WEST BOCA MEDICAL CENTER | FL | $640 | $320 | — | — | 5 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $640 | $320 | — | — | 5 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $640 | $320 | — | — | 5 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $640 | $320 | — | — | 5 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $640 | $320 | — | — | 5 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $640 | $320 | — | — | 5 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $640 | $320 | — | — | 5 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $640 | $320 | — | — | 5 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $640 | $320 | — | — | 5 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $320 | $320 | — | — | 2 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $640 | $320 | — | — | 5 insurers |
| AURORA MEDICAL CTR MANITOWOC COUNTY | WI | $640 | $320 | — | — | 5 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $640 | $320 | — | — | 5 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $640 | $320 | — | — | 5 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $640 | $320 | — | — | 5 insurers |
| AURORA LAKELAND MEDICAL CENTER | WI | $640 | $320 | — | — | 5 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $640 | $320 | — | — | 5 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $640 | $320 | — | — | 5 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $640 | $320 | — | — | 5 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $640 | $320 | — | — | 5 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $640 | $320 | — | — | 5 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $640 | $320 | — | — | 5 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $640 | $320 | — | — | 5 insurers |
| AURORA MEDICAL CENTER | WI | $640 | $320 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $225 | $90 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $225 | $90 | — | — | 5 insurers |
| COX MEDICAL CENTERS | MO | $334 | $84.18 | — | — | 5 insurers |
| COX MEDICAL CENTER BRANSON | MO | $334 | $84.18 | — | — | 5 insurers |
| SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT | OK | $93.26 | $69.95 | — | — | 5 insurers |
| CARILION MEDICAL CENTER | VA | $181 | $63.35 | — | — | 5 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $181 | $63.35 | — | — | 5 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $181 | $63.35 | — | — | 5 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $181 | $63.35 | — | — | 5 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $181 | $63.35 | — | — | 5 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $164 | $54.12 | $16.4 | $139 | 5 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $387 | — | — | 1 insurers |
| MERCY MEDICAL CENTER | OH | $535 | $416 | $278 | $524 | 5 insurers |
| MERCY MEDICAL CENTER | OH | $535 | $416 | $128 | $524 | 5 insurers |
| WAYNE HOSPITAL | OH | $577 | $433 | — | — | 2 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $510 | $434 | — | — | 5 insurers |
| HSHS ST ELIZABETH'S HOSPITAL | IL | $650 | $468 | — | — | 5 insurers |
| WAYNE MEMORIAL HOSPITAL | GA | $1,000 | $700 | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $129 | $129 | 1 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $77.35 | $413 | 5 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $129 | $201 | 5 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $129 | $286 | 5 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 5 insurers |
| ST ANTHONYS HOSPITAL | FL | — | — | — | — | 5 insurers |
| AdventHealth Carrollwood | FL | — | — | $129 | $286 | 5 insurers |
| ST JOSEPHS HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $122 | $187 | 5 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $77.35 | $251 | 5 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $129 | $342 | 5 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $129 | $199 | 5 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $129 | $201 | 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 | — | — | $128 | $187 | 5 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 5 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $129 | $286 | 5 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $129 | $129 | 1 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $129 | $199 | 5 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $128 | $187 | 5 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $122 | $187 | 5 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $103 | $187 | 5 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $129 | $187 | 5 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $129 | $187 | 5 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $129 | $161 | 5 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $129 | $187 | 5 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $129 | $129 | 1 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $129 | $199 | 5 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $77.35 | $251 | 5 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $126 | $201 | 5 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $103 | $187 | 5 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $129 | $175 | 5 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $129 | $161 | 5 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $129 | $129 | 1 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $129 | $187 | 5 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $126 | $201 | 5 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $129 | $187 | 5 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $129 | $129 | 1 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $129 | $187 | 5 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $129 | $291 | 5 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $129 | $219 | 5 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $129 | $187 | 5 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 3 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $129 | $187 | 5 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $129 | $175 | 5 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $129 | $199 | 5 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $128 | $187 | 5 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 1 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $77.35 | $251 | 5 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $77.35 | $413 | 5 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $129 | $286 | 5 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $129 | $387 | 5 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $129 | $516 | 5 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $129 | $258 | 5 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $128 | $187 | 5 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 5 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $129 | $342 | 5 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 5 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $135 | $161 | 3 insurers |
| Memorial Satilla Health | GA | — | — | $129 | $135 | 5 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $129 | $135 | 4 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $129 | $135 | 4 insurers |
| NGMC BARROW, LLC | GA | — | — | $129 | $135 | 4 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $129 | $256 | 5 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 5 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 5 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $125 | $193 | 5 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $83.8 | $135 | 5 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $129 | $322 | 5 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $129 | $358 | 5 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 5 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 5 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $129 | $134 | 3 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $129 | $135 | 4 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $129 | $135 | 3 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 4 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 5 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $129 | $129 | 1 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $129 | $129 | 2 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 1 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $129 | $135 | 3 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $129 | $451 | 5 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $129 | $275 | 4 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $129 | $142 | 2 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $129 | $275 | 4 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $129 | $187 | 3 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 1 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $129 | $275 | 4 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 1 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $129 | $275 | 4 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $129 | $132 | 3 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 2 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $129 | $275 | 4 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $129 | $275 | 4 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $129 | $275 | 4 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $129 | $142 | 2 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $129 | $208 | 2 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 1 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $129 | $275 | 4 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $129 | $322 | 4 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $129 | $129 | 1 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 1 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $129 | $142 | 2 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $129 | $275 | 4 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $129 | $275 | 4 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $322 | $322 | 1 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $129 | $275 | 4 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $129 | $134 | 3 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $129 | $135 | 3 insurers |
| UNION HOSPITAL INC | IN | — | — | $129 | $358 | 5 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 4 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $129 | $318 | 5 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | — | — | — | — | 4 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | — | — | — | — | 4 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | — | — | — | — | 4 insurers |
| UCHICAGO MEDICINE NORTHWEST INDIANA | IN | — | — | $129 | $142 | 2 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $129 | $193 | 5 insurers |
| LAWRENCE GENERAL HOSPITAL | MA | — | — | — | — | 5 insurers |
| LAWRENCE GENERAL HOSPITAL | MA | — | — | — | — | 5 insurers |
| SAINT ANNE'S HOSPITAL | MA | — | — | — | — | 5 insurers |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH | MA | — | — | $129 | $129 | 1 insurers |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL | MA | — | — | — | — | 5 insurers |
| BETH ISRAEL DEACONESS MEDICAL CENTER | MA | — | — | $129 | $129 | 1 insurers |
| SOUTH SHORE HOSPITAL | MA | — | — | $129 | $129 | 1 insurers |
| COREWELL HEALTH ZEELAND HOSPITAL | MI | — | — | — | — | 4 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 | — | — | — | — | 4 insurers |
| COREWELL HEALTH LUDINGTON HOSPITAL | MI | — | — | — | — | 4 insurers |
| BEAUMONT HOSPITAL ROYAL OAK | MI | — | — | — | — | 5 insurers |
| COREWELL HEALTH WAYNE HOSPITAL | MI | — | — | — | — | 5 insurers |
| COREWELL HEALTH TRENTON HOSPITAL | MI | — | — | — | — | 5 insurers |
| OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP | MI | — | — | $129 | $275 | 4 insurers |
| COREWELL HEALTH PENNOCK HOSPITAL | MI | — | — | — | — | 4 insurers |
| ALOMERE HEALTH | MN | — | — | — | — | 3 insurers |
| WINONA HEALTH SERVICES | MN | — | — | — | — | 1 insurers |
| NORTH VALLEY HEALTH CENTER | MN | — | — | $129 | $386 | 5 insurers |
| TISHOMINGO HEALTH SERVICES INC | MS | — | — | $129 | $387 | 5 insurers |
| NORTH MISSISSIPPI MEDICAL CENTER-GILMORE AMORY | MS | — | — | $129 | $387 | 5 insurers |
| GEORGE REGIONAL HEALTH SYSTEM | MS | — | — | $129 | $322 | 5 insurers |
| ALLIANCE HEALTH CENTER | MS | — | — | $77.35 | $258 | 4 insurers |
| PONTOTOC HEALTH SERVICE INC CAH | MS | — | — | $129 | $387 | 5 insurers |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY | MO | — | — | $128 | $232 | 5 insurers |
| BOONE HOSPITAL CENTER | MO | — | — | $129 | $239 | 5 insurers |
| SSM ST CLARE HEALTH CENTER | MO | — | — | $129 | $155 | 5 insurers |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS | MO | — | — | $129 | $155 | 5 insurers |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS | MO | — | — | $129 | $155 | 5 insurers |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL | MO | — | — | $126 | $155 | 5 insurers |
| SAINT FRANCIS MEDICAL CENTER | MO | — | — | $110 | $226 | 4 insurers |
| LEE'S SUMMIT MEDICAL CENTER | MO | — | — | $129 | $129 | 1 insurers |
| GARNET HEALTH MEDICAL CENTER CATSKILLS | NY | — | — | — | — | 4 insurers |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE | NC | — | — | $129 | $155 | 5 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | — | — | $129 | $258 | 5 insurers |
| ADVENTHEALTH HENDERSONVILLE | NC | — | — | $125 | $387 | 5 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | — | — | $129 | $258 | 5 insurers |
| WAKEMED, RALEIGH CAMPUS | NC | — | — | — | — | 3 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | — | — | $129 | $258 | 5 insurers |
| THE MCDOWELL HOSPITAL | NC | — | — | $129 | $180 | 5 insurers |
| SENTARA ALBEMARLE MEDICAL CENTER | NC | — | — | — | — | 2 insurers |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER | NC | — | — | $126 | $311 | 5 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | — | — | $129 | $258 | 5 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | — | — | $138 | $311 | 5 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | — | — | $129 | $258 | 5 insurers |
| WAKEMED, CARY HOSPITAL | NC | — | — | — | — | 3 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | — | — | $129 | $258 | 5 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | — | — | $129 | $258 | 5 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | — | — | $129 | $258 | 5 insurers |
| ANGEL MEDICAL CENTER | NC | — | — | $155 | $155 | 2 insurers |
| BLUE RIDGE REGIONAL HOSPITAL | NC | — | — | $129 | $155 | 5 insurers |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC | OH | — | — | $129 | $371 | 5 insurers |
| RIVERSIDE METHODIST HOSPITAL | OH | — | — | $129 | $129 | 1 insurers |
| LIMA MEMORIAL HEALTH SYSTEM | OH | — | — | $129 | $593 | 5 insurers |
| OHIOHEALTH O'BLENESS HOSPITAL | OH | — | — | $129 | $130 | 2 insurers |
| GRANT MEDICAL CENTER | OH | — | — | $129 | $129 | 1 insurers |
| UNIVERSITY OF TOLEDO MEDICAL CENTER | OH | — | — | — | — | 3 insurers |
| MIAMI VALLEY HOSPITAL | OH | — | — | $129 | $386 | 5 insurers |
| FISHER-TITUS HOSPITAL | OH | — | — | — | — | 5 insurers |
| VAN WERT COUNTY HOSPITAL | OH | — | — | $129 | $132 | 3 insurers |
| ATRIUM MEDICAL CENTER | OH | — | — | $129 | $393 | 5 insurers |
| AULTMAN HOSPITAL | OH | — | — | $77.35 | $258 | 5 insurers |
| OHIOHEALTH MANSFIELD HOSPITAL | OH | — | — | $129 | $134 | 3 insurers |
| ALLIANCE COMMUNITY HOSPITAL | OH | — | — | $77.35 | $258 | 4 insurers |
| BERGER HOSPITAL | OH | — | — | $129 | $129 | 1 insurers |
| UPPER VALLEY MEDICAL CENTER | OH | — | — | $103 | $398 | 5 insurers |
| MADISON HEALTH | OH | — | — | — | — | 5 insurers |
| MARY RUTAN HOSPITAL | OH | — | — | $129 | $419 | 4 insurers |
| DUBLIN METHODIST HOSPITAL | OH | — | — | $129 | $129 | 1 insurers |
| WEST CHESTER HOSPITAL | OH | — | — | $129 | $366 | 5 insurers |
| AULTMAN ORRVILLE HOSPITAL | OH | — | — | $77.35 | $258 | 2 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 |
| MCALESTER REGIONAL HEALTH CENTER | OK | — | — | — | — | 0 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY | OK | — | — | $129 | $322 | 5 insurers |
| STILLWATER MEDICAL CENTER | OK | — | — | — | — | 0 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST | OK | — | — | $129 | $282 | 5 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE | OK | — | — | $129 | $251 | 5 insurers |
| SUMMIT MEDICAL CENTER, LLC | OK | — | — | $116 | $387 | 5 insurers |
| STILLWATER MEDICAL - PERRY | OK | — | — | — | — | 0 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | — | — | — | — | 0 insurers |
| LEGACY EMANUEL MEDICAL CENTER | OR | — | — | $129 | $499 | 5 insurers |
| LEGACY GOOD SAMARITAN MEDICAL CENTER | OR | — | — | $129 | $499 | 5 insurers |
| PARKRIDGE MEDICAL CENTER | TN | — | — | $129 | $129 | 3 insurers |
| TRISTAR CENTENNIAL MEDICAL CENTER | TN | — | — | $129 | $129 | 3 insurers |
| PARKWEST MEDICAL CENTER | TN | — | — | — | — | 0 insurers |
| SAINT FRANCIS BARTLETT MEDICAL CENTER | TN | — | — | — | — | 5 insurers |
| TRISTAR ASHLAND CITY MEDICAL CENTER | TN | — | — | $129 | $387 | 5 insurers |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER | TX | — | — | — | — | 0 insurers |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. | TX | — | — | — | — | 4 insurers |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI | TX | — | — | $85.04 | $110 | 5 insurers |
| MEMORIAL HERMANN - TEXAS MEDICAL CENTER | TX | — | — | — | — | 5 insurers |
| CHRISTUS SPOHN HOSPITAL BEEVILLE | TX | — | — | $96.84 | $125 | 5 insurers |
| MIDLAND MEMORIAL HOSPITAL | TX | — | — | — | — | 5 insurers |
| CHRISTUS SPOHN HOSPITAL KLEBERG | TX | — | — | $99.49 | $128 | 5 insurers |
| MEMORIAL HERMANN HOSPITAL SYSTEM | TX | — | — | — | — | 5 insurers |
| WADLEY REGIONAL MEDICAL CENTER | TX | — | — | $0.01 | $0.01 | 2 insurers |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS | TX | — | — | $94.67 | $137 | 5 insurers |
| CHRISTUS SANTA ROSA MEDICAL CENTER | TX | — | — | $61.91 | $89.37 | 5 insurers |
| CHRISTUS SANTA ROSA HOSPITAL-SAN MARCOS | TX | — | — | $145 | $145 | 1 insurers |
| ST DAVID'S MEDICAL CENTER | TX | — | — | $11.86 | $395 | 5 insurers |
| CHRISTUS JASPER MEMORIAL HOSPITAL | TX | — | — | $0.01 | $0.01 | 2 insurers |
| HILL COUNTRY MEMORIAL HOSPITAL | TX | — | — | $11.86 | $208 | 5 insurers |
| MEMORIAL HERMANN MEMORIAL CITY HOSPITAL | TX | — | — | — | — | 5 insurers |
| DOCTORS HOSPITAL OF LAREDO | TX | — | — | $125 | $155 | 5 insurers |
| MEMORIAL HERMANN NORTHEAST HOSPITAL | TX | — | — | — | — | 5 insurers |
| HOUSTON METHODIST CLEAR LAKE HOSPITAL | TX | — | — | $39.51 | $258 | 5 insurers |
| TOPS SURGICAL SPECIALTY HOSPITAL | TX | — | — | $0.5 | $4,848 | 5 insurers |
| CHRISTUS ST MICHAEL HEALTH SYSTEM | TX | — | — | $114 | $147 | 5 insurers |
| TEXAS ORTHOPEDIC HOSPITAL | TX | — | — | $11.62 | $373 | 5 insurers |
| HOUSTON METHODIST SUGARLAND HOSPITAL | TX | — | — | $100 | $258 | 5 insurers |
| CHRISTUS SPOHN HOSPITAL ALICE | TX | — | — | $95.88 | $124 | 5 insurers |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL | TX | — | — | $100 | $258 | 5 insurers |
| MEMORIAL HERMANN KATY HOSPITAL | TX | — | — | — | — | 5 insurers |
| MEMORIAL HERMANN SUGAR LAND HOSPITAL | TX | — | — | — | — | 5 insurers |
| SUGAR LAND SURGICAL HOSPITAL LLP | TX | — | — | — | — | 5 insurers |
| BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH | TX | — | — | $0.47 | $8,427 | 5 insurers |
| BAYLOR MEDICAL CENTER AT TROPHY CLUB | TX | — | — | $0.47 | $8,427 | 5 insurers |
| LAVACA MEDICAL CENTER | TX | — | — | — | — | 1 insurers |
| CHRISTUS MOTHER FRANCES HOSPITAL- WINNSBORO | TX | — | — | $74.2 | $106 | 5 insurers |
| UVALDE MEMORIAL HOSPITAL | TX | $410 | — | — | — | 0 insurers |
| CHILDREN'S HOSPITAL OF SAN ANTONIO | TX | — | — | $0.01 | $0.01 | 2 insurers |
| MCKAY-DEE HOSPITAL | UT | — | — | — | — | 5 insurers |
| CEDAR CITY HOSPITAL | UT | — | — | — | — | 5 insurers |
| AMERICAN FORK HOSPITAL | UT | — | — | — | — | 5 insurers |
| SEVIER VALLEY HOSPITAL | UT | — | — | — | — | 5 insurers |
| BEAR RIVER VALLEY HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL | UT | — | — | — | — | 5 insurers |
| PARK CITY HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL | UT | — | — | — | — | 5 insurers |
| PRIMARY CHILDREN'S HOSPITAL | UT | — | — | — | — | 5 insurers |
| SENTARA RMH MEDICAL CENTER | VA | — | — | — | — | 4 insurers |
| SENTARA NORFOLK GENERAL HOSPITAL | VA | — | — | — | — | 4 insurers |
| SENTARA HALIFAX REGIONAL HOSPITAL | VA | — | — | — | — | 5 insurers |
| SENTARA OBICI HOSPITAL | VA | — | — | — | — | 4 insurers |
| NOVANT PRINCE WILLIAM MEDICAL CENTER | VA | — | — | $129 | $258 | 5 insurers |
| SENTARA LEIGH HOSPITAL | VA | — | — | — | — | 4 insurers |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL | VA | — | — | — | — | 4 insurers |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER | VA | — | — | — | — | 4 insurers |
| SENTARA MARTHA JEFFERSON HOSPITAL | VA | — | — | — | — | 4 insurers |
| SENTARA CAREPLEX HOSPITAL | VA | — | — | — | — | 4 insurers |
| HIRAM W DAVIS MEDICAL CENTER | VA | — | — | $129 | $138 | 5 insurers |
| CJW MEDICAL CENTER | VA | — | — | $129 | $322 | 5 insurers |
| SENTARA NORTHERN VIRGINIA MEDICAL CENTER | VA | — | — | — | — | 4 insurers |
| HENRICO DOCTORS' HOSPITAL | VA | — | — | $129 | $322 | 5 insurers |
| SENTARA PRINCESS ANNE HOSPITAL | VA | — | — | — | — | 4 insurers |
| STONESPRINGS HOSPITAL CENTER | VA | — | — | $129 | $138 | 5 insurers |
| PAGE MEMORIAL HOSPITAL, INC | VA | — | — | — | — | 5 insurers |
| OVERLAKE HOSPITAL MEDICAL CENTER | WA | — | — | $129 | $339 | 5 insurers |
| LEGACY SALMON CREEK MEDICAL CENTER | WA | — | — | $133 | $258 | 5 insurers |
| SKYLINE HOSPITAL | WA | — | — | $92.82 | $387 | 5 insurers |
| ST MARYS MEDICAL CENTER | WV | — | — | — | — | 1 insurers |
| CABELL HUNTINGTON HOSPITAL, INC | WV | — | — | — | — | 1 insurers |
| SSM HEALTH ST CLARE HOSPITAL - BARABOO | WI | — | — | $96.69 | $129 | 2 insurers |
| SSM HEALTH ST MARY'S HOSPITAL - MADISON | WI | — | — | $96.69 | $129 | 2 insurers |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC | WI | — | — | $96.69 | $249 | 4 insurers |
| WATERTOWN MEMORIAL HOSPITAL | WI | — | — | $129 | $580 | 2 insurers |
| SSM HEALTH ST MARY'S HOSPITAL - JANESVILLE | WI | — | — | $96.69 | $129 | 2 insurers |
| UPLAND HILLS HEALTH | WI | — | — | — | — | 3 insurers |
| CHILDRENS HOSPITAL OF WISCONSIN | WI | — | — | — | — | 1 insurers |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY | WI | — | — | — | — | 1 insurers |
| EVANSTON REGIONAL HOSPITAL | WY | — | — | $129 | $129 | 1 insurers |
| NORTH CENTRAL SURGICAL CENTER LLP | TX | — | — | $0.47 | $8,427 | 5 insurers |
| BAYLOR SCOTT AND WHITE ORTHOPEDIC AND SPINE HOSPI | TX | — | — | $0.47 | $8,427 | 5 insurers |
| HOUSTON METHODIST WEST HOSPITAL | TX | — | — | $100 | $516 | 5 insurers |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL | TX | — | — | $100 | $258 | 5 insurers |
| HOUSTON METHODIST CYPRESS HOSPITAL | TX | — | — | $100 | $258 | 5 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $71 | $42.6⚠ check | $17.75 | $292 | 5 insurers |
| ALTON MEMORIAL HOSPITAL | IL | $71 | $42.6⚠ check | $17.75 | $292 | 5 insurers |
| MEMORIAL HOSPITAL | IL | $71 | $42.6⚠ check | $17.75 | $292 | 5 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $71 | $42.6⚠ check | $17.75 | $292 | 5 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $71 | $42.6⚠ check | $17.75 | $292 | 5 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $71 | $42.6⚠ check | $17.75 | $292 | 5 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $71 | $42.6⚠ check | $17.75 | $292 | 5 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $71 | $42.6⚠ check | $28.75 | $155 | 5 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $34 | $19.04⚠ check | — | — | 3 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $34 | $19.04⚠ check | — | — | 3 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $154 | $15.4⚠ check | — | — | 5 insurers |