| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $590 | $237 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $590 | $237 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $590 | $237 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $590 | $237 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $590 | $237 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $400 | $232 | $240 | $376 | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $400 | $232 | $176 | $376 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $536 | $227 | $348 | $348 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $536 | $227 | $113 | $375 | 0 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | $591 | $251 | — | — | 0 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | $591 | $251 | — | — | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $332 | $258 | $172 | $325 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $332 | $258 | $79.6 | $325 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $332 | $258 | $172 | $325 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $332 | $258 | $79.6 | $325 | 0 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $451 | $271 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER | MO | $336 | $202 | $34.44 | $292 | 0 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $336 | $202 | $34.44 | $292 | 0 insurers |
| MISSOURI BAPTIST SULLIVAN HOSPITAL | MO | $336 | $202 | $17.75 | $292 | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $310 | $202 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | $277 | $277 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | $277 | $277 | — | — | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $332 | $194 | $186 | $325 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $332 | $194 | $186 | $325 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $332 | $194 | $186 | $325 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $332 | $194 | $186 | $325 | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $322 | $193 | — | — | 0 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $281 | $281 | — | — | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $277 | $180 | — | — | 0 insurers |
| GOSHEN HOSPITAL | IN | $257 | $180 | — | — | 0 insurers |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER | WA | $268 | $174 | — | — | 0 insurers |
| FROEDTERT COMMUNITY HOSPITAL | WI | $546 | $300 | — | — | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $536 | $172 | $113 | $482 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $332 | $168 | $299 | $325 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $332 | $168 | $133 | $332 | 0 insurers |
| MILFORD REGIONAL MEDICAL CENTER | MA | $167 | $167 | — | — | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $536 | $166 | $113 | $482 | 0 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $536 | $166 | $113 | $482 | 0 insurers |
| ROANE MEDICAL CENTER | TN | $536 | $166 | $113 | $482 | 0 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $536 | $166 | $113 | $482 | 0 insurers |
| LECONTE MEDICAL CENTER | TN | $536 | $166 | $113 | $482 | 0 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $536 | $166 | $113 | $482 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $1,500 | $308 | $450 | $1,080 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $1,500 | $308 | $300 | $1,080 | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $625 | $313 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $625 | $313 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $625 | $313 | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $625 | $313 | — | — | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $625 | $313 | — | — | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $625 | $313 | — | — | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $625 | $313 | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $625 | $313 | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $625 | $313 | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $625 | $313 | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $625 | $313 | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $625 | $313 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $625 | $313 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $625 | $313 | — | — | 0 insurers |
| AURORA MEDICAL CTR MANITOWOC COUNTY | WI | $625 | $313 | — | — | 0 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $625 | $313 | — | — | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $625 | $313 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $625 | $313 | — | — | 0 insurers |
| AURORA LAKELAND MEDICAL CENTER | WI | $625 | $313 | — | — | 0 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $625 | $313 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $625 | $313 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $625 | $313 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $625 | $313 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $625 | $313 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $625 | $313 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $625 | $313 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $625 | $313 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $400 | $160 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $400 | $160 | — | — | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $536 | $159 | $434 | $434 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $536 | $159 | $80.4 | $434 | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $320 | $320 | — | — | 0 insurers |
| FAUQUIER HOSPITAL | VA | $379 | $152 | — | — | 0 insurers |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER | AK | $495 | $322 | — | — | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $1,327 | $326 | $716 | $1,022 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $1,327 | $326 | $186 | $1,022 | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $362 | $141 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $1,500 | $341 | $450 | $1,080 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $1,500 | $341 | $300 | $1,080 | 0 insurers |
| BAPTIST HEALTH - FORT SMITH | AR | $518 | $129 | — | — | 0 insurers |
| ST JOSEPH MEDICAL CENTER | WA | $803 | $128 | $77.35 | $803 | 0 insurers |
| HOLY FAMILY HOSPITAL | MA | $642 | $353 | — | — | 0 insurers |
| FROEDTERT SOUTH INC. | WI | $642 | $353 | — | — | 0 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $642 | $353 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $642 | $353 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $642 | $353 | — | — | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $1,327 | $356 | $716 | $1,114 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $1,327 | $356 | $186 | $1,114 | 0 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | $335 | $118 | $147 | $315 | 0 insurers |
| DUNCAN REGIONAL HOSPITAL, INC | OK | $335 | $118 | $147 | $315 | 0 insurers |
| JEFFERSON COUNTY HOSPITAL | OK | $335 | $118 | $147 | $315 | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $116 | $116 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA | AR | $443 | $111 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $1,102 | $110 | — | — | 0 insurers |
| ELMORE COMMUNITY HOSPITAL | AL | $271 | $108 | — | — | 0 insurers |
| WETZEL COUNTY HOSPITAL | WV | $210 | $105 | — | — | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $200 | $100 | — | — | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $200 | $100 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $200 | $100 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $200 | $100 | — | — | 0 insurers |
| BRAXTON COUNTY MEMORIAL HOSPITAL, INC | WV | $200 | $100 | — | — | 0 insurers |
| JACKSON GENERAL HOSPITAL | WV | $200 | $100 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $200 | $100 | — | — | 0 insurers |
| STEPHENS MEMORIAL HOSPITAL | TX | $95.8 | $95.8 | — | — | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $332 | $92.54 | $265 | $289 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $332 | $92.54 | $46.44 | $332 | 0 insurers |
| IBERIA MEDICAL CENTER | LA | $150 | $90 | — | — | 0 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $263 | $86.79 | $26.3 | $224 | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $387 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $138 | $82.8 | $34.44 | $292 | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | $80.35 | $80.35 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-DREW COUNTY | AR | $309 | $77.22 | — | — | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | $275 | $77 | — | — | 0 insurers |
| COX BARTON COUNTY HOSPITAL | MO | $238 | $76.01 | — | — | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | $187 | $74.8 | $150 | $159 | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK | AR | $292 | $72.88 | — | — | 0 insurers |
| COX MONETT HOSPITAL | MO | $238 | $72.67 | — | — | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $149 | $71.83 | $68.54 | $136 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $149 | $71.83 | $41.11 | $136 | 0 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | $71.5 | $71.5 | — | — | 0 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | $71.5 | $71.5 | — | — | 0 insurers |
| LINCOLNHEALTH | ME | $71.5 | $71.5 | — | — | 0 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | $71.5 | $71.5 | — | — | 0 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | $71.5 | $71.5 | — | — | 0 insurers |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | $71.5 | $71.5 | — | — | 0 insurers |
| MEMORIAL HOSPITAL, THE | NH | $71.5 | $71.5 | — | — | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $149 | $70.2 | $136 | $136 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $149 | $70.2 | $35.01 | $136 | 0 insurers |
| SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT | OK | $93.26 | $69.95 | — | — | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $263 | $68.38 | $31.56 | $263 | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | AR | $260 | $64.91 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $80.35 | $64.28 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $80.35 | $64.28 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $80.35 | $64.28 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $80.35 | $64.28 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $80.35 | $64.28 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $80.35 | $64.28 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $80.35 | $64.28 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $80.35 | $64.28 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $80.35 | $64.28 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $80.35 | $64.28 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $80.35 | $64.28 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $80.35 | $64.28 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $80.35 | $64.28 | — | — | 0 insurers |
| CARILION MEDICAL CENTER | VA | $181 | $63.35 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $181 | $63.35 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $181 | $63.35 | — | — | 0 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $181 | $63.35 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $181 | $63.35 | — | — | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $149 | $63.22 | $109 | $136 | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $149 | $63.22 | $26.29 | $136 | 0 insurers |
| COX MEDICAL CENTERS | MO | $238 | $60.04 | — | — | 0 insurers |
| COX MEDICAL CENTER BRANSON | MO | $238 | $60.04 | — | — | 0 insurers |
| SAINT JOSEPH EAST | KY | $149 | $59.85 | $136 | $136 | 0 insurers |
| SAINT JOSEPH EAST | KY | $149 | $59.85 | $36.42 | $136 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $149 | $59.85 | $136 | $136 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $149 | $59.85 | $36.42 | $136 | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER- CONWAY | AR | $231 | $57.72 | — | — | 0 insurers |
| CHICOT MEMORIAL MEDICAL CENTER | AR | $55 | $55 | — | — | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $150 | $54.98 | $137 | $137 | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $150 | $54.98 | $31.4 | $137 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $153 | $54.6 | $139 | $139 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $153 | $54.6 | $21.85 | $139 | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $104 | $53.88 | — | — | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $1,599 | $50.18 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $1,500 | $429 | $450 | $1,080 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $1,500 | $429 | $255 | $1,080 | 0 insurers |
| THOMAS HOSPITAL | AL | $862 | $431 | — | — | 0 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $862 | $431 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $862 | $431 | — | — | 0 insurers |
| BARNESVILLE HOSPITAL ASSOCIATION, INC | OH | $862 | $431 | — | — | 0 insurers |
| UNIONTOWN HOSPITAL | PA | $862 | $431 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $862 | $431 | — | — | 0 insurers |
| BERKELEY MEDICAL CENTER | WV | $862 | $431 | — | — | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $862 | $431 | — | — | 0 insurers |
| WEIRTON MEDICAL CENTER, INC | WV | $862 | $431 | — | — | 0 insurers |
| POTOMAC VALLEY HOSPITAL | WV | $862 | $431 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $1,077 | $432 | — | — | 0 insurers |
| WAYNE HOSPITAL | OH | $577 | $433 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $510 | $434 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $644 | $451 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $1,077 | $458 | — | — | 0 insurers |
| HSHS ST ELIZABETH'S HOSPITAL | IL | $650 | $468 | — | — | 0 insurers |
| BEEBE MEDICAL CENTER | DE | $615 | $523 | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $1,907 | $572 | — | — | 0 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $1,161 | $580 | — | — | 0 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $1,161 | $580 | — | — | 0 insurers |
| HAVASU REGIONAL MEDICAL CENTER | AZ | $1,000 | $600 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,210 | $605 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | GA | $1,210 | $605 | — | — | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | $1,210 | $605 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | $1,210 | $605 | — | — | 0 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $1,210 | $605 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $1,210 | $605 | — | — | 0 insurers |
| WILKES REGIONAL MEDICAL CENTER | NC | $1,210 | $605 | — | — | 0 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $956 | $621 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER | GA | $1,264 | $632 | — | — | 0 insurers |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | $1,808 | $633 | — | — | 0 insurers |
| FLOYD CHEROKEE MEDICAL CENTER | AL | $1,289 | $645 | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $1,907 | $667 | — | — | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $1,907 | $667 | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $1,907 | $667 | — | — | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | GA | $1,000 | $700 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,421 | $725 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,421 | $725 | — | — | 0 insurers |
| WELLSPAN YORK HOSPITAL | PA | $1,042 | $834 | — | — | 0 insurers |
| WELLSPAN WAYNESBORO HOSPITAL | PA | $1,042 | $834 | — | — | 0 insurers |
| WELLSPAN CHAMBERSBURG HOSPITAL | PA | $1,042 | $834 | — | — | 0 insurers |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL | PA | $1,042 | $834 | — | — | 0 insurers |
| MEMORIAL HOSPITAL | IL | $1,907 | $858 | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $1,445 | $867 | — | — | 0 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $1,445 | $1,011 | — | — | 0 insurers |
| MUNSON HEALTHCARE GRAYLING HOSPITAL | MI | $1,305 | $1,110 | — | — | 0 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $1,305 | $1,110 | — | — | 0 insurers |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | MI | $1,305 | $1,110 | — | — | 0 insurers |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | MI | $1,305 | $1,110 | — | — | 0 insurers |
| PAUL OLIVER MEMORIAL HOSPITAL | MI | $1,305 | $1,110 | — | — | 0 insurers |
| KALKASKA MEMORIAL HEALTH CENTER | MI | $1,305 | $1,110 | — | — | 0 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $5,300 | $3,710 | — | — | 0 insurers |
| ANDALUSIA HEALTH | AL | — | — | $129 | $168 | 0 insurers |
| RUSSELL MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | — | — | — | — | 0 insurers |
| VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS | AL | — | — | $129 | $168 | 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 |
| 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 |
| 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 |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $129 | $370 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $125 | $155 | 0 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $129 | $370 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $129 | $129 | 0 insurers |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | CA | — | — | — | — | 0 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 0 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP | CA | — | — | — | — | 0 insurers |
| SUTTER TRACY COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| NORTHBAY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $129 | $370 | 0 insurers |
| SUTTER COAST HOSPITAL | CA | — | — | — | — | 0 insurers |
| STANFORD HEALTH CARE | CA | — | — | $129 | $129 | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $129 | $129 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $83.8 | $414 | 0 insurers |
| EDEN 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 | — | — | $129 | $335 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $129 | $335 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $129 | $335 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $129 | $335 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $45.77 | $690 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $83.8 | $469 | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $116 | $352 | 0 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 0 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 0 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $129 | $258 | 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 | — | — | $83.8 | $366 | 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 |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $110 | $135 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| AdventHealth Porter | CO | — | — | $126 | $239 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $126 | $239 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $126 | $239 | 0 insurers |
| AdventHealth Parker | CO | — | — | $126 | $239 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $126 | $239 | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 0 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $11.74 | $313 | 0 insurers |
| FAMILY HEALTH WEST HOSPITAL | CO | — | — | — | — | 0 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $129 | $603 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $129 | $603 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $77.35 | $413 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $129 | $342 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $122 | $282 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $129 | $175 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $77.35 | $413 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $77.35 | $413 | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $129 | $291 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $77.35 | $413 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $129 | $201 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $129 | $286 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| ST ANTHONYS HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $129 | $286 | 0 insurers |
| ST JOSEPHS HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $122 | $187 | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $77.35 | $251 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $129 | $342 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $129 | $199 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $129 | $201 | 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 | — | — | $128 | $187 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $129 | $286 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $129 | $161 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $129 | $199 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $128 | $187 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $122 | $187 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $103 | $187 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $129 | $187 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $128 | $187 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $129 | $187 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $129 | $161 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $129 | $187 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $129 | $129 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $129 | $199 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $77.35 | $251 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $126 | $201 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $103 | $187 | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $129 | $175 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $129 | $161 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $129 | $199 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $129 | $187 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $126 | $201 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $129 | $187 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $129 | $291 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $129 | $187 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $129 | $291 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $129 | $219 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $129 | $187 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $129 | $187 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $129 | $175 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $129 | $129 | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $128 | $187 | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $77.35 | $251 | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $77.35 | $413 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $129 | $286 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $129 | $387 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $129 | $516 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $129 | $258 | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $128 | $187 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $129 | $342 | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $135 | $161 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $129 | $135 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $129 | $135 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $129 | $135 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $129 | $135 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $129 | $256 | 0 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 0 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $125 | $193 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $83.8 | $135 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $129 | $322 | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $129 | $358 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $129 | $134 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $129 | $135 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $129 | $135 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $129 | $129 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $129 | $129 | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $129 | $135 | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $129 | $451 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $129 | $275 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $129 | $142 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $129 | $275 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $129 | $187 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $129 | $275 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $129 | $275 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $129 | $132 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $129 | $275 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $129 | $275 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $129 | $275 | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $129 | $142 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $129 | $208 | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $129 | $275 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $129 | $322 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $129 | $129 | 0 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $129 | $142 | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $129 | $275 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $129 | $275 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $322 | $322 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $129 | $275 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $129 | $134 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $129 | $135 | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $129 | $358 | 0 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $129 | $318 | 0 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE NORTHWEST INDIANA | IN | — | — | $129 | $142 | 0 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $129 | $193 | 0 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $129 | $219 | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | — | — | — | — | 0 insurers |
| STORMONT VAIL HEALTH FLINT HILLS, LLC | KS | $1,248 | — | — | — | 0 insurers |
| STORMONT VAIL HOSPITAL | KS | $1,248 | — | — | — | 0 insurers |
| WESLEY MEDICAL CENTER | KS | — | — | $129 | $193 | 0 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | — | — | — | — | 0 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $129 | $936 | 0 insurers |
| COMMUNITY MEMORIAL HEALTHCARE, INC. | KS | — | — | $129 | $129 | 0 insurers |
| HANOVER HOSPITAL | KS | — | — | $129 | $322 | 0 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | — | — | 0 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $129 | $318 | 0 insurers |
| ST ELIZABETH EDGEWOOD | KY | — | — | $129 | $318 | 0 insurers |
| ST ELIZABETH FLORENCE | KY | — | — | $129 | $318 | 0 insurers |
| UNIVERSITY OF KENTUCKY HOSPITAL | KY | — | — | $45.77 | $322 | 0 insurers |
| GEORGETOWN COMMUNITY HOSPITAL | KY | — | — | $11.86 | $395 | 0 insurers |
| FRANKFORT REGIONAL MEDICAL CENTER | KY | — | — | $129 | $148 | 0 insurers |
| ST ELIZABETH GRANT | KY | — | — | $129 | $318 | 0 insurers |
| OPELOUSAS GENERAL HEALTH SYSTEM | LA | — | — | — | — | 0 insurers |
| CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM | LA | — | — | — | — | 0 insurers |
| BYRD REGIONAL HOSPITAL | LA | — | — | $126 | $339 | 0 insurers |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL | LA | — | — | — | — | 0 insurers |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL | LA | — | — | $0.01 | $0.01 | 0 insurers |
| LAWRENCE GENERAL HOSPITAL | MA | — | — | — | — | 0 insurers |
| LAWRENCE GENERAL HOSPITAL | MA | — | — | — | — | 0 insurers |
| SAINT ANNE'S HOSPITAL | MA | — | — | — | — | 0 insurers |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH | MA | — | — | $129 | $129 | 0 insurers |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL | MA | — | — | — | — | 0 insurers |
| BETH ISRAEL DEACONESS MEDICAL CENTER | MA | — | — | $129 | $129 | 0 insurers |
| SOUTH SHORE HOSPITAL | MA | — | — | $129 | $129 | 0 insurers |
| COREWELL HEALTH ZEELAND HOSPITAL | MI | — | — | — | — | 0 insurers |
| LAKELAND HOSPITAL, ST JOSEPH | MI | — | — | — | — | 0 insurers |
| SPECTRUM HEALTH | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH WATERVLIET HOSPITAL | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH BIG RAPIDS HOSPITAL | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH LUDINGTON HOSPITAL | MI | — | — | — | — | 0 insurers |
| BEAUMONT HOSPITAL ROYAL OAK | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH WAYNE HOSPITAL | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH TRENTON HOSPITAL | MI | — | — | — | — | 0 insurers |
| OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP | MI | — | — | $129 | $275 | 0 insurers |
| COREWELL HEALTH PENNOCK HOSPITAL | MI | — | — | — | — | 0 insurers |
| ALOMERE HEALTH | MN | — | — | — | — | 0 insurers |
| WINONA HEALTH SERVICES | MN | — | — | — | — | 0 insurers |
| NORTH VALLEY HEALTH CENTER | MN | — | — | $129 | $386 | 0 insurers |
| TISHOMINGO HEALTH SERVICES INC | MS | — | — | $129 | $387 | 0 insurers |
| NORTH MISSISSIPPI MEDICAL CENTER-GILMORE AMORY | MS | — | — | $129 | $387 | 0 insurers |
| GEORGE REGIONAL HEALTH SYSTEM | MS | — | — | $129 | $322 | 0 insurers |
| ALLIANCE HEALTH CENTER | MS | — | — | $77.35 | $258 | 0 insurers |
| PONTOTOC HEALTH SERVICE INC CAH | MS | — | — | $129 | $387 | 0 insurers |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY | MO | — | — | $128 | $232 | 0 insurers |
| BOONE HOSPITAL CENTER | MO | — | — | $129 | $239 | 0 insurers |
| SSM ST CLARE HEALTH CENTER | MO | — | — | $129 | $155 | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS | MO | — | — | $129 | $155 | 0 insurers |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS | MO | — | — | $129 | $155 | 0 insurers |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL | MO | — | — | $126 | $155 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | MO | — | — | $110 | $226 | 0 insurers |
| LEE'S SUMMIT MEDICAL CENTER | MO | — | — | $128 | $196 | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | — | — | — | — | 0 insurers |
| PRAIRIE COMMUNITY CAH | MT | — | — | — | — | 0 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | — | — | — | — | 0 insurers |
| PENDER COMMUNITY HOSPITAL | NE | — | — | — | — | 0 insurers |
| CARSON VALLEY HEALTH | NV | — | — | — | — | 0 insurers |
| ELLIOT HOSPITAL | NH | — | — | $129 | $737 | 0 insurers |
| FRISBIE MEMORIAL HOSPITAL | NH | — | — | $129 | $230 | 0 insurers |
| CATHOLIC MEDICAL CENTER | NH | — | — | $165 | $518 | 0 insurers |
| PRESBYTERIAN ESPANOLA HOSPITAL | NM | — | — | — | — | 0 insurers |
| PRESBYTERIAN HOSPITAL | NM | — | — | — | — | 0 insurers |
| PRESBYTERIAN SANTA FE MEDICAL CENTER | NM | — | — | — | — | 0 insurers |
| GARNET HEALTH MEDICAL CENTER | NY | — | — | — | — | 0 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | $3,327 | — | — | — | 0 insurers |
| WHITE PLAINS HOSPITAL CENTER | NY | $983 | — | — | — | 0 insurers |
| GARNET HEALTH MEDICAL CENTER CATSKILLS | NY | — | — | — | — | 0 insurers |