| CLARKE COUNTY HOSPITAL | IA | $141 | $141 | — | — | 0 insurers |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $140 | $140 | — | — | 0 insurers |
| POTOMAC VALLEY HOSPITAL | WV | $288 | $144 | — | — | 0 insurers |
| BRAXTON COUNTY MEMORIAL HOSPITAL, INC | WV | $275 | $138 | — | — | 0 insurers |
| JACKSON COUNTY REGIONAL HEALTH CENTER | IA | $150 | $150 | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $398 | $152 | $239 | $314 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $398 | $152 | $75.62 | $314 | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $235 | $153 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $235 | $153 | — | — | 0 insurers |
| CHI ST VINCENT MORRILTON | AR | $600 | $153 | — | — | 0 insurers |
| CHI ST VINCENT MORRILTON | AR | $600 | $153 | $168 | $516 | 0 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $153 | $153 | — | — | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | $556 | $156 | — | — | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | $126 | $126 | — | — | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | $126 | $126 | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | $126 | $126 | — | — | 0 insurers |
| THOMAS HOSPITAL | AL | $250 | $125 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $250 | $125 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $250 | $125 | — | — | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $250 | $125 | — | — | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $250 | $125 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $250 | $125 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $250 | $125 | — | — | 0 insurers |
| JACKSON GENERAL HOSPITAL | WV | $250 | $125 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $250 | $125 | — | — | 0 insurers |
| BOCA RATON REGIONAL HOSPITAL | FL | $242 | $157 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $245 | $123 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $245 | $123 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $245 | $123 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $245 | $123 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $245 | $123 | — | — | 0 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $245 | $123 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $245 | $123 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $245 | $123 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $245 | $123 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $245 | $123 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $245 | $123 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $245 | $123 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $320 | $160 | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $320 | $160 | — | — | 0 insurers |
| AURORA MEDICAL CTR MANITOWOC COUNTY | WI | $320 | $160 | — | — | 0 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $320 | $160 | — | — | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $320 | $160 | — | — | 0 insurers |
| AURORA LAKELAND MEDICAL CENTER | WI | $320 | $160 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $320 | $160 | — | — | 0 insurers |
| WELLSPAN EVANGELICAL COMMUNITY HOSPITAL | PA | $147 | $118 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $142 | $114 | — | — | 0 insurers |
| GARFIELD COUNTY PUBLIC HOSPITAL DISTRICT #1 | WA | $142 | $114 | — | — | 0 insurers |
| CASCADE MEDICAL CENTER | WA | $142 | $114 | — | — | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $575 | $170 | $466 | $466 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $575 | $170 | $86.25 | $466 | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $200 | $109 | $154 | $196 | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $200 | $109 | $134 | $200 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $398 | $107 | $215 | $334 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $398 | $107 | $55.69 | $334 | 0 insurers |
| METHODIST HOSPITAL UNION COUNTY | KY | $158 | $103 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $412 | $102 | $218 | $337 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $412 | $102 | $7.23 | $337 | 0 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $141 | $98.88 | — | — | 0 insurers |
| THE GENERAL | LA | $141 | $98.88 | — | — | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $398 | $97.86 | $215 | $306 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $398 | $97.86 | $55.69 | $306 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $195 | $97.5 | — | — | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $195 | $97.5 | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $195 | $97.5 | — | — | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $202 | $97.38 | $92.92 | $184 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $202 | $97.38 | $55.74 | $184 | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $529 | $185 | — | — | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $529 | $185 | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $529 | $185 | — | — | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $202 | $95.16 | $184 | $184 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $202 | $95.16 | $47.45 | $184 | 0 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $412 | $94.35 | $218 | $337 | 0 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $412 | $94.35 | $7.23 | $337 | 0 insurers |
| ST MARY MEDICAL CENTER | CA | $412 | $94.35 | $218 | $337 | 0 insurers |
| ST MARY MEDICAL CENTER | CA | $412 | $94.35 | $7.23 | $337 | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $313 | $188 | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $180 | $90 | — | — | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $180 | $90 | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $180 | $90 | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $180 | $90 | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $180 | $90 | — | — | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $229 | $89.29 | — | — | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $177 | $88.5 | — | — | 0 insurers |
| SOVAH HEALTH DANVILLE | VA | $489 | $196 | — | — | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $202 | $85.71 | $147 | $184 | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $202 | $85.71 | $35.64 | $184 | 0 insurers |
| SAINT JOSEPH EAST | KY | $202 | $81.14 | $184 | $184 | 0 insurers |
| SAINT JOSEPH EAST | KY | $202 | $81.14 | $49.37 | $184 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $202 | $81.14 | $184 | $184 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $202 | $81.14 | $49.37 | $184 | 0 insurers |
| University of Arkansas Medical Sciences | AR | $135 | $81 | — | — | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $200 | $77.8 | $22 | $164 | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $200 | $77.8 | $22 | $200 | 0 insurers |
| SAUNDERS MEDICAL CENTER | NE | $273 | $205 | — | — | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $202 | $74.03 | $184 | $184 | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $202 | $74.03 | $42.28 | $184 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $202 | $72.09 | $184 | $184 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $202 | $72.09 | $28.85 | $184 | 0 insurers |
| UCSF HEALTH SAINT FRANCIS HOSPITAL | CA | $101 | $70.88 | $47.9 | $101 | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $114 | $69.88 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $231 | $66.07 | $69.3 | $166 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $231 | $66.07 | $39.27 | $166 | 0 insurers |
| CONEMAUGH MINERS MEDICAL CENTER | PA | $543 | $217 | — | — | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $81.9 | $63.72 | $42.59 | $80.27 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $81.9 | $63.72 | $19.66 | $80.27 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $81.9 | $63.72 | $42.59 | $80.27 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $81.9 | $63.72 | $19.66 | $80.27 | 0 insurers |
| POUDRE VALLEY HOSPITAL | CO | $313 | $219 | — | — | 0 insurers |
| WELLSPAN WAYNESBORO HOSPITAL | PA | $78 | $62.4 | — | — | 0 insurers |
| WELLSPAN CHAMBERSBURG HOSPITAL | PA | $78 | $62.4 | — | — | 0 insurers |
| ST JOHNS REGIONAL MEDICAL CENTER | CA | $89 | $62.3 | $24.03 | $69.26 | 0 insurers |
| VALLEY PRESBYTERIAN HOSPITAL | CA | — | $221 | $6.19 | $188 | 0 insurers |
| NEW YORK-PRESBYTERIAN/QUEENS | NY | — | $221 | $6.19 | $208 | 0 insurers |
| NEW YORK-PRESBYTERIAN HOSPITAL | NY | — | $221 | $6.19 | $351 | 0 insurers |
| HUDSON VALLEY HOSPITAL CENTER | NY | — | $221 | $6.19 | $188 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $200 | $57.6 | $150 | $166 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $200 | $57.6 | $70 | $200 | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $219 | $56.2 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $219 | $56.2 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $219 | $55.67 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $219 | $55.67 | — | — | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $239 | $227 | — | — | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $200 | $54.8 | $22 | $184 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $200 | $54.8 | $22 | $200 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $200 | $54.8 | $22 | $166 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $200 | $54.8 | $22 | $200 | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $81.81 | $54.49 | $44.29 | $80.18 | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $81.81 | $54.49 | $21.17 | $80.18 | 0 insurers |
| ST MARYS HOSPITAL MEDICAL CTR | WI | $121 | $54.23 | — | — | 0 insurers |
| WELLSPAN YORK HOSPITAL | PA | $66 | $52.8 | — | — | 0 insurers |
| GETTYSBURG HOSPITAL | PA | $66 | $52.8 | — | — | 0 insurers |
| WELLSPAN GOOD SAMARITAN HOSPITAL | PA | $66 | $52.8 | — | — | 0 insurers |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL | PA | $66 | $52.8 | — | — | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $203 | $52.78 | $9.04 | $173 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $231 | $52.44 | $69.3 | $166 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $231 | $52.44 | $46.2 | $166 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $50 | $50 | — | — | 0 insurers |
| MEMORIAL HOSPITAL | IL | $529 | $238 | — | — | 0 insurers |
| WEIRTON MEDICAL CENTER, INC | WV | $477 | $239 | — | — | 0 insurers |
| CONEMAUGH NASON MEDICAL CENTER | PA | $597 | $239 | — | — | 0 insurers |
| CONEMAUGH MEYERSDALE MEDICAL CENTER | PA | $597 | $239 | — | — | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $690 | $242 | $345 | $345 | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $690 | $242 | $104 | $345 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $575 | $243 | $374 | $374 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $575 | $243 | $121 | $403 | 0 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | $360 | $252 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $644 | $258 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $644 | $258 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $644 | $258 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $644 | $258 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $644 | $258 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $644 | $258 | — | — | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $648 | $259 | — | — | 0 insurers |
| RANDOLPH HOSPITAL | NC | $1,325 | $265 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $644 | $274 | — | — | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $702 | $281 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $702 | $281 | — | — | 0 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $570 | $285 | — | — | 0 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $570 | $285 | — | — | 0 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $730 | $292 | — | — | 0 insurers |
| HSHS ST CLARE MEMORIAL HOSPITAL | WI | $449 | $296 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $605 | $302 | — | — | 0 insurers |
| GATEWAY REGIONAL MEDICAL CENTER | IL | — | $318 | — | — | 0 insurers |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL | IL | $343 | $343 | — | — | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $586 | $352 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $586 | $352 | — | — | 0 insurers |
| ASHLEY REGIONAL MEDICAL CENTER | UT | $664 | $365 | — | — | 0 insurers |
| OPELOUSAS GENERAL HEALTH SYSTEM | LA | $734 | $367 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $546 | $382 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $725 | $387 | $544 | $689 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $725 | $387 | $471 | $696 | 0 insurers |
| ST FRANCIS HOSPITAL | IL | $556 | $400 | — | — | 0 insurers |
| HSHS GOOD SHEPHERD HOSPITAL INC | IL | $556 | $400 | — | — | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $540 | $401 | $459 | $524 | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $540 | $401 | $30.13 | $524 | 0 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $718 | $431 | — | — | 0 insurers |
| HUGGINS HOSPITAL | NH | $887 | $444 | — | — | 0 insurers |
| MARIA PARHAM MEDICAL CENTER | NC | $1,135 | $454 | — | — | 0 insurers |
| ST JOHNS HOSPITAL | IL | $639 | $460 | — | — | 0 insurers |
| HSHS HOLY FAMILY HOSPITAL INC | IL | $639 | $460 | — | — | 0 insurers |
| ST JOSEPH'S HOSPITAL | IL | $639 | $460 | — | — | 0 insurers |
| ST VINCENT HOSPITAL | WI | $639 | $460 | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $1,605 | $482 | — | — | 0 insurers |
| LONGS PEAK HOSPITAL | CO | $1,605 | $562 | — | — | 0 insurers |
| BUNKIE GENERAL HOSPITAL | LA | $590 | $590 | — | — | 0 insurers |
| IBERIA MEDICAL CENTER | LA | $1,000 | $600 | — | — | 0 insurers |
| WHIDBEYHEALTH MEDICAL CENTER | WA | $884 | $884 | — | — | 0 insurers |
| LINCOLN HEALTH HOSPITAL | CO | $1,927 | $914 | — | — | 0 insurers |
| ROME MEMORIAL HOSPITAL, INC | NY | $2,375 | $959 | — | — | 0 insurers |
| PETERSON REGIONAL MEDICAL CENTER | TX | $1,375 | $963 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $1,180 | $1,003 | — | — | 0 insurers |
| DELTA MEMORIAL HOSPITAL | AR | $1,320 | $1,056 | — | — | 0 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | $2,131 | $1,066 | $12.91 | $2,067 | 0 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | $2,133 | $1,067 | $12.05 | $2,069 | 0 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | $2,133 | $1,067 | $12.05 | $2,069 | 0 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | $2,133 | $1,067 | $12.05 | $2,069 | 0 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | $2,133 | $1,067 | $12.05 | $2,069 | 0 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | $2,133 | $1,067 | $12.05 | $2,069 | 0 insurers |
| NOVANT PRINCE WILLIAM MEDICAL CENTER | VA | $2,133 | $1,067 | $12.05 | $2,069 | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $1,114 | $1,114 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $1,114 | $1,114 | — | — | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | GA | $1,607 | $1,125 | — | — | 0 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | $2,133 | $1,280 | $12.05 | $2,069 | 0 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | $2,133 | $1,280 | $12.05 | $2,069 | 0 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | $2,133 | $1,280 | $12.05 | $2,069 | 0 insurers |
| LAKE CUMBERLAND REGIONAL HOSPITAL | KY | $3,228 | $1,291 | — | — | 0 insurers |
| GOSHEN HOSPITAL | IN | $1,936 | $1,355 | — | — | 0 insurers |
| PENDER COMMUNITY HOSPITAL | NE | $3,041 | $1,368 | $780 | $2,950 | 0 insurers |
| FLOYD CHEROKEE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| ANDALUSIA HEALTH | AL | — | — | $12.05 | $15.66 | 0 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| RUSSELL MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| BALDWIN HEALTH | AL | — | — | — | — | 0 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | — | — | — | — | 0 insurers |
| VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS | AL | — | — | $10.85 | $15.66 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $12.05 | $119 | 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 |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | — | — | — | — | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| BRADLEY COUNTY MEDICAL CENTER | AR | — | — | — | — | 0 insurers |
| PENINSULA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP | CA | — | — | — | — | 0 insurers |
| SUTTER AMADOR HOSPITAL | CA | — | — | — | — | 0 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL | CA | — | — | — | — | 0 insurers |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | — | — | — | — | 0 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $12.05 | $34.58 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $10.6 | $16.15 | 0 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 0 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $12.05 | $34.58 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $12.05 | $12.05 | 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 | — | — | $12.05 | $34.58 | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | — | — | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | — | — | — | — | 0 insurers |
| SUTTER COAST HOSPITAL | CA | — | — | — | — | 0 insurers |
| STANFORD HEALTH CARE | CA | — | — | $12.05 | $85.68 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $12.05 | $28.92 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $7.83 | $113 | 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 | — | — | $12.05 | $31.33 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $12.05 | $31.33 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $12.05 | $31.33 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $12.05 | $31.33 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $8.04 | $64.47 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $7.83 | $91.58 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $29.95 | $64.41 | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | — | — | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $10.84 | $104 | 0 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | — | — | — | — | 0 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 0 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 0 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | — | — | — | — | 0 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 0 insurers |
| TEMECULA VALLEY HOSPITAL | CA | — | — | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 0 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $12.05 | $24.1 | 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 | — | — | $7.83 | $113 | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | — | — | — | — | 0 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ST MARY-CORWIN HOSPITAL | CO | — | — | — | — | 0 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $12.05 | $57.24 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| AdventHealth Porter | CO | — | — | $11.81 | $26.22 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $11.81 | $26.22 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $11.81 | $26.22 | 0 insurers |
| AdventHealth Parker | CO | — | — | $11.81 | $26.22 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $11.81 | $26.22 | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 0 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $10.32 | $12.05 | 0 insurers |
| FAMILY HEALTH WEST HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 0 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $12.05 | $56.36 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $12.05 | $56.36 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $7.23 | $38.56 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $12.05 | $31.93 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $11.45 | $26.32 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $10.92 | $16.39 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $7.23 | $38.56 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $7.23 | $38.56 | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $12.05 | $27.23 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $7.23 | $38.56 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $10.92 | $18.8 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $12.05 | $26.75 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $12.05 | $26.75 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $90.73 | $92.64 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $7.23 | $23.5 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $12.05 | $31.93 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $10.92 | $18.56 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $12.05 | $12.05 | 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 | — | — | $11.93 | $18.08 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $12.05 | $26.75 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $10.92 | $15.06 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $10.92 | $18.56 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $12.05 | $12.05 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $90.73 | $92.64 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $9.64 | $17.47 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $10.92 | $17.47 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $95 | $97 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $12.05 | $12.05 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $10.92 | $15.06 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $10.92 | $17.47 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $11.93 | $25.31 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $10.92 | $18.56 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $7.23 | $23.5 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $10.92 | $18.8 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $9.64 | $17.47 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $10.92 | $16.39 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $10.92 | $15.06 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $12.05 | $12.05 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $10.92 | $17.47 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $10.92 | $18.8 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $10.92 | $17.47 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $12 | $27.23 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $10.92 | $17.47 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $11.15 | $27.23 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $12.05 | $12.05 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $10.92 | $17.47 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $10.92 | $17.47 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $10.92 | $16.39 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $10.92 | $18.56 | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $11.93 | $18.08 | 0 insurers |
| WELLINGTON REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $7.23 | $23.5 | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $7.23 | $38.56 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $12.05 | $26.75 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $10.92 | $36.15 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $10.92 | $48.2 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $10.92 | $24.1 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $11.93 | $18.08 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $12.05 | $31.93 | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $12.65 | $15.06 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $10.32 | $14.46 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $6.06 | $19.58 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $6.06 | $19.58 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $6.06 | $19.58 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $12.05 | $30.13 | 0 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC | GA | — | — | — | — | 0 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $11.27 | $14.22 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $12.05 | $14.22 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $12.05 | $30.12 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $9.88 | $33.5 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $12.05 | $12.53 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $6.06 | $19.58 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | — | — | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $6.29 | $16.15 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $7.23 | $25.85 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $12.05 | $12.65 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $12.05 | $35.17 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $12.05 | $12.05 | 0 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $12.05 | $12.65 | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $12.05 | $42.18 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $12.05 | $25.67 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $10.85 | $101 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $12.05 | $25.67 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $12.05 | $123 | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $12.05 | $25.67 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $12.05 | $25.67 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $12.05 | $12.29 | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $12.05 | $25.67 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $12.05 | $25.67 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $12.05 | $25.67 | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $10.85 | $101 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $12.05 | $20.42 | 0 insurers |
| EDWARD HOSPITAL | IL | — | — | $12.05 | $20.42 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $12.05 | $25.67 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $12.05 | $84.35 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $12.05 | $35.17 | 0 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $10.85 | $101 | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $12.05 | $25.67 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $12.05 | $25.67 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $12.05 | $45.99 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $12.05 | $25.67 | 0 insurers |
| LAWRENCE COUNTY MEMORIAL HOSPITAL | IL | $1,852 | — | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $12.05 | $12.53 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $12.05 | $12.65 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $12.05 | $33.5 | 0 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 0 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | $9.98 | $12.91 | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $4.82 | $29.76 | 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 | — | — | $10.85 | $101 | 0 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 0 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $12.05 | $12.05 | 0 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | — | — | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | — | — | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | — | — | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 0 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $7.23 | $33.78 | 0 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $5.06 | $23.54 | 0 insurers |
| HUTCHINSON REGIONAL MEDICAL CENTER INC | KS | — | — | — | — | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | — | — | — | — | 0 insurers |
| ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. | KS | — | — | — | — | 0 insurers |
| WESLEY MEDICAL CENTER | KS | — | — | $12.05 | $12.05 | 0 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | — | — | — | — | 0 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $5.06 | $87.48 | 0 insurers |
| WAMEGO HEALTH CENTER | KS | — | — | — | — | 0 insurers |
| COMMUNITY MEMORIAL HEALTHCARE, INC. | KS | — | — | $11.57 | $12.05 | 0 insurers |
| HANOVER HOSPITAL | KS | — | — | $10.49 | $54.32 | 0 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | $7.83 | $12.2 | 0 insurers |
| BOB WILSON MEMORIAL HOSPITAL | KS | — | — | — | — | 0 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $4.82 | $29.76 | 0 insurers |
| UOFL HEALTH - SHELBYVILLE HOSPITAL | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH EDGEWOOD | KY | — | — | $4.82 | $29.76 | 0 insurers |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH FLORENCE | KY | — | — | $4.82 | $29.76 | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | — | — | — | — | 0 insurers |