| STEVENS COMMUNITY MEDICAL CENTER | MN | $423 | $317 | — | — | 5 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $756 | $318 | $454 | $643 | 3 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $756 | $318 | $113 | $643 | 5 insurers |
| CHI HEALTH BERGAN MERCY | NE | $756 | $318 | $454 | $643 | 3 insurers |
| CHI HEALTH BERGAN MERCY | NE | $756 | $318 | $129 | $643 | 5 insurers |
| CHI HEALTH IMMANUEL | NE | $756 | $318 | $454 | $643 | 3 insurers |
| CHI HEALTH IMMANUEL | NE | $756 | $318 | $106 | $643 | 5 insurers |
| CHI HEALTH MIDLANDS | NE | $756 | $318 | $454 | $643 | 3 insurers |
| CHI HEALTH MIDLANDS | NE | $756 | $318 | $136 | $643 | 5 insurers |
| CHI HEALTH LAKESIDE | NE | $756 | $318 | $454 | $643 | 3 insurers |
| CHI HEALTH LAKESIDE | NE | $756 | $318 | $121 | $643 | 5 insurers |
| BAPTIST HEALTH - FORT SMITH | AR | $1,274 | $319 | — | — | 2 insurers |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | MN | $484 | $319 | — | — | 5 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | $445 | $312 | — | — | 5 insurers |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES | MN | $484 | $310 | — | — | 5 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $641 | $309 | $295 | $583 | 5 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $641 | $309 | $177 | $583 | 5 insurers |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER | MN | $484 | $325 | — | — | 5 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $515 | $309 | — | — | 5 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $363 | $308 | — | — | 5 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $362 | $308 | — | — | 5 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $362 | $308 | — | — | 3 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $362 | $308 | — | — | 2 insurers |
| MOSAIC MEDICAL CENTER - MARYVILLE | MO | $362 | $308 | — | — | 5 insurers |
| WARD MEMORIAL HOSPITAL | TX | $438 | $307 | — | — | 0 insurers |
| ST CROIX REGIONAL MEDICAL CENTER | WI | $601 | $331 | — | — | 5 insurers |
| ESSENTIA HEALTH VIRGINIA | MN | $484 | $304 | — | — | 5 insurers |
| SAINT JOSEPH HOSPITAL | KY | $641 | $302 | $269 | $583 | 5 insurers |
| SAINT JOSEPH HOSPITAL | KY | $641 | $302 | $151 | $583 | 5 insurers |
| ROSEBUD HEALTH CARE CENTER | MT | $301 | $301 | — | — | 5 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $772 | $300 | $84.92 | $633 | 5 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $772 | $300 | $84.92 | $824 | 5 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $710 | $300 | $426 | $603 | 5 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $710 | $300 | $135 | $497 | 5 insurers |
| KENNEDY KRIEGER INSTITUTE | MD | $373 | $298 | — | — | 0 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $481 | $337 | — | — | 3 insurers |
| THE QUEENS MEDICAL CENTER | HI | $481 | $337 | — | — | 3 insurers |
| SOUTH COUNTY HOSPITAL INC | RI | $562 | $337 | — | — | 3 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $867 | $338 | — | — | 0 insurers |
| SAN MATEO MEDICAL CENTER | CA | $681 | $340 | — | — | 0 insurers |
| SAN MATEO MEDICAL CENTER | CA | $681 | $340 | — | — | 0 insurers |
| FIRST CARE HEALTH CENTER | ND | $294 | $294 | — | — | 0 insurers |
| FIRST CARE HEALTH CENTER | ND | $294 | $294 | — | — | 2 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $556 | $341 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | $293 | $293 | — | — | 2 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | $293 | $293 | — | — | 2 insurers |
| BURKE MEDICAL CENTER | GA | $410 | $292 | — | — | 5 insurers |
| KALKASKA MEMORIAL HEALTH CENTER | MI | $405 | $344 | — | — | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $1,278 | $290 | $230 | $920 | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $1,278 | $290 | $212 | $920 | 5 insurers |
| HURON VALLEY-SINAI HOSPITAL | MI | $385 | $289 | $93 | $313 | 5 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $359 | $287 | — | — | 2 insurers |
| SOUTHWESTERN VERMONT MEDICAL CENTER | VT | $407 | $285 | — | — | 5 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $350 | $350 | — | — | 5 insurers |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER | AK | $540 | $351 | — | — | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $540 | $351 | — | — | 0 insurers |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER | OR | $540 | $351 | — | — | 0 insurers |
| PEACE HARBOR MEDICAL CENTER | OR | $540 | $351 | — | — | 0 insurers |
| PEACEHEALTH ST JOHN MEDICAL CENTER | WA | $540 | $351 | — | — | 0 insurers |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER | WA | $540 | $351 | — | — | 0 insurers |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER | WA | $540 | $351 | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $920 | $351 | $386 | $727 | 4 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $920 | $351 | $175 | $727 | 5 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $768 | $282 | $307 | $607 | 5 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $768 | $282 | $315 | $768 | 5 insurers |
| LIFECARE MEDICAL CENTER | MN | $319 | $281 | — | — | 5 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $400 | $280 | $0 | $360 | 4 insurers |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC | ID | $400 | $280 | $0 | $360 | 2 insurers |
| SIDNEY HEALTH CENTER | MT | $573 | $355 | — | — | 5 insurers |
| AIKEN REGIONAL MEDICAL CENTER | SC | $887 | $355 | — | — | 5 insurers |
| SWEETWATER HOSPITAL ASSOCIATION | TN | $887 | $355 | — | — | 5 insurers |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM | AL | $1,428 | $357 | — | — | 5 insurers |
| ESSENTIA HEALTH DULUTH | MN | $484 | $357 | — | — | 5 insurers |
| ESSENTIA HEALTH SANDSTONE | MN | $484 | $357 | — | — | 5 insurers |
| ESSENTIA HEALTH ADA | MN | $484 | $357 | — | — | 5 insurers |
| ESSENTIA HEALTH HOLY TRINITY HOSPITAL | MN | $484 | $357 | — | — | 5 insurers |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER | MN | $484 | $357 | — | — | 5 insurers |
| ESSENTIA HEALTH MOOSE LAKE | MN | $484 | $357 | — | — | 5 insurers |
| ESSENTIA HEALTH FOSSTON | MN | $484 | $357 | — | — | 5 insurers |
| ESSENTIA HEALTH DEER RIVER | MN | $484 | $357 | — | — | 5 insurers |
| ESSENTIA HEALTH | ND | $484 | $357 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL OF MICHIGAN | MI | $477 | $358 | — | — | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $599 | $359 | $71.84 | $1,311 | 5 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $599 | $359 | $71.84 | $1,311 | 5 insurers |
| BARNES JEWISH HOSPITAL | MO | $599 | $359 | $89.8 | $674 | 5 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $599 | $359 | $71.84 | $1,311 | 5 insurers |
| SHARE MEDICAL CENTER | OK | $420 | $273 | — | — | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | $362 | $362 | — | — | 5 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $362 | $362 | — | — | 4 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | $362 | $362 | — | — | 4 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | $362 | $362 | — | — | 5 insurers |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | IL | $362 | $362 | — | — | 5 insurers |
| CARLE RICHLAND MEMORIAL HOSPITAL | IL | $362 | $362 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $904 | $362 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $904 | $362 | — | — | 5 insurers |
| HOLY FAMILY MEMORIAL | WI | — | $362 | $3.31 | $645 | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $641 | $272 | $468 | $583 | 5 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $641 | $272 | $113 | $583 | 5 insurers |
| CHI HEALTH - MERCY CORNING | IA | $756 | $363 | $454 | $741 | 5 insurers |
| CHI HEALTH - MERCY CORNING | IA | $756 | $363 | $224 | $741 | 5 insurers |
| SAUK PRAIRIE HOSPITAL | WI | $495 | $271 | — | — | 2 insurers |
| SINAI-GRACE HOSPITAL | MI | $487 | $365 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $268 | $268 | — | — | 0 insurers |
| NIOBRARA VALLEY HOSPITAL | NE | $268 | $268 | — | — | 0 insurers |
| ST ANTHONY HOSPITAL | OR | $393 | $268 | $212 | $373 | 5 insurers |
| ST ANTHONY HOSPITAL | OR | $393 | $268 | $128 | $373 | 5 insurers |
| ST ANTHONY HOSPITAL | WA | $393 | $268 | $212 | $373 | 5 insurers |
| ST ANTHONY HOSPITAL | WA | $393 | $268 | $128 | $373 | 5 insurers |
| POUDRE VALLEY HOSPITAL | CO | $524 | $367 | — | — | 5 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $524 | $367 | — | — | 5 insurers |
| PETERSON REGIONAL MEDICAL CENTER | TX | $525 | $368 | — | — | 5 insurers |
| ALTRU HOSPITAL | ND | $433 | $264 | — | — | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $756 | $370 | $431 | $741 | 5 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $756 | $370 | $224 | $741 | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $1,278 | $262 | $230 | $920 | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $1,278 | $262 | $212 | $920 | 5 insurers |
| UH REGIONAL HOSPITALS | OH | $497 | $373 | — | — | 0 insurers |
| UH ST JOHN MEDICAL CENTER | OH | $497 | $373 | — | — | 0 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | $497 | $373 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | $497 | $373 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | $497 | $373 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $497 | $373 | — | — | 0 insurers |
| MCKENZIE HEALTH SYSTEM | MI | $466 | $373 | — | — | 1 insurers |
| SOUTH TEXAS HEALTH SYSTEM | TX | $653 | $261 | — | — | 5 insurers |
| SANFORD WORTHINGTON MEDICAL CENTER | MN | $470 | $376 | — | — | 5 insurers |
| DETROIT RECEIVING HOSPITAL | MI | $344 | $258 | — | — | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $322 | $258 | $208 | $322 | 5 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $322 | $258 | $208 | $322 | 5 insurers |
| SAINT JOSEPH EAST | KY | $641 | $258 | $269 | $583 | 5 insurers |
| SAINT JOSEPH EAST | KY | $641 | $258 | $157 | $583 | 5 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $641 | $258 | $269 | $583 | 5 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $641 | $258 | $157 | $583 | 5 insurers |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI | TX | $1,894 | $379 | $227 | $1,610 | 5 insurers |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI | TX | $1,894 | $379 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $634 | $380 | — | — | 5 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $403 | $254 | $282 | $390 | 5 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $403 | $254 | $169 | $390 | 5 insurers |
| REDINGTON FAIRVIEW GENERAL HOSPITAL | ME | $336 | $252 | — | — | 5 insurers |
| D W MCMILLAN MEMORIAL HOSPITAL | AL | $418 | $251 | — | — | 1 insurers |
| ATMORE COMMUNITY HOSPITAL | AL | $418 | $251 | — | — | 1 insurers |
| LONGMONT UNITED HOSPITAL | CO | $960 | $384 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $960 | $384 | — | — | 5 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $960 | $384 | — | — | 5 insurers |
| ST THOMAS MORE HOSPITAL | CO | $960 | $384 | — | — | 5 insurers |
| SAINT ANTHONY HOSPITAL | IL | $960 | $384 | — | — | 5 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $960 | $384 | — | — | 5 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | $960 | $384 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL-JORDAN VALLEY | UT | $960 | $384 | — | — | 5 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $710 | $248 | $156 | $710 | 5 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $710 | $248 | $156 | $710 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $710 | $248 | $156 | $710 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $710 | $248 | $156 | $710 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $710 | $248 | $156 | $710 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $710 | $248 | $156 | $710 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $710 | $248 | $156 | $710 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $710 | $248 | $156 | $710 | 5 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $553 | $387 | — | — | 2 insurers |
| BAPTIST HOSPITAL | FL | $596 | $387 | — | — | 5 insurers |
| SOUTH MIAMI HOSPITAL | FL | $596 | $387 | — | — | 5 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | $776 | $388 | — | — | 0 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | $776 | $388 | — | — | 0 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | $776 | $388 | — | — | 0 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | $776 | $388 | — | — | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | $776 | $388 | — | — | 0 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | $776 | $388 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $559 | $391 | — | — | 2 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $760 | $243 | $160 | $684 | 5 insurers |
| HARPER UNIVERSITY HOSPITAL | MI | $323 | $242 | $93 | $391 | 5 insurers |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN | NY | $393 | $393 | — | — | 5 insurers |
| SANFORD CANBY MEDICAL CENTER | MN | $493 | $394 | — | — | 5 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | $987 | $395 | $256 | $691 | 3 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $3,037 | $395 | — | — | 5 insurers |
| GREENE COUNTY HOSPITAL | AL | $427 | $239 | — | — | 5 insurers |
| GREENE COUNTY HOSPITAL | AL | $427 | $239 | — | — | 5 insurers |
| RED BAY HOSPITAL | AL | $427 | $239 | — | — | 3 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $427 | $239 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $427 | $239 | — | — | 3 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $427 | $239 | — | — | 3 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $427 | $239 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $427 | $239 | — | — | 3 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $427 | $239 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $427 | $239 | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $427 | $239 | — | — | 3 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $427 | $239 | — | — | 3 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $427 | $239 | — | — | 3 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $427 | $239 | — | — | 3 insurers |
| GREENE COUNTY MEDICAL CENTER | IA | $427 | $239 | — | — | 5 insurers |
| GREENE COUNTY MEDICAL CENTER | IA | $427 | $239 | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $427 | $239 | — | — | 3 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $659 | $395 | $122 | $1,529 | 5 insurers |
| MISSOURI BAPTIST SULLIVAN HOSPITAL | MO | $659 | $395 | $71.84 | $1,311 | 5 insurers |
| CHI ST ALEXIUS HEALTH TURTLE LAKE | ND | $334 | $237 | $237 | $317 | 5 insurers |
| CHI ST ALEXIUS HEALTH TURTLE LAKE | ND | $334 | $237 | $237 | $331 | 5 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $760 | $236 | $160 | $684 | 5 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $760 | $236 | $160 | $684 | 5 insurers |
| ROANE MEDICAL CENTER | TN | $760 | $236 | $160 | $684 | 5 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $760 | $236 | $160 | $684 | 5 insurers |
| LECONTE MEDICAL CENTER | TN | $760 | $236 | $160 | $684 | 5 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $760 | $236 | $160 | $684 | 5 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $641 | $235 | $583 | $583 | 1 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $641 | $235 | $134 | $583 | 5 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $800 | $400 | — | — | 4 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $403 | $233 | $242 | $378 | 5 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $403 | $233 | $177 | $378 | 5 insurers |
| GLENCOE REGIONAL HEALTH | MN | $233 | $233 | — | — | 2 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $290 | $232 | — | — | 4 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $1,011 | $404 | — | — | 5 insurers |
| GUTHRIE COUNTY HOSPITAL | IA | $405 | $405 | — | — | 4 insurers |
| GREATER BALTIMORE MEDICAL CENTER | MD | $405 | $405 | — | — | 5 insurers |
| JOHNSON MEMORIAL HOSPITAL | MN | $270 | $229 | — | — | 0 insurers |
| BARNESVILLE HOSPITAL ASSOCIATION, INC | OH | $458 | $229 | — | — | 2 insurers |
| BERKELEY MEDICAL CENTER | WV | $458 | $229 | — | — | 2 insurers |
| BRAXTON COUNTY MEMORIAL HOSPITAL, INC | WV | $458 | $229 | — | — | 1 insurers |
| POTOMAC VALLEY HOSPITAL | WV | $458 | $229 | — | — | 1 insurers |
| JACKSON GENERAL HOSPITAL | WV | $458 | $229 | — | — | 1 insurers |
| SAINT JOSEPH LONDON | KY | $641 | $229 | $583 | $583 | 1 insurers |
| SAINT JOSEPH LONDON | KY | $641 | $229 | $91.56 | $583 | 5 insurers |
| HAWARDEN REGIONAL HEALTHCARE | IA | $268 | $228 | — | — | 2 insurers |
| STORY COUNTY HOSPITAL | IA | $285 | $228 | — | — | 5 insurers |
| STORY COUNTY HOSPITAL | IA | $285 | $228 | — | — | 5 insurers |
| PARKWEST MEDICAL CENTER | TN | $760 | $228 | $160 | $684 | 5 insurers |
| PARKLAND HEALTH CENTER | MO | $678 | $407 | $122 | $1,529 | 5 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $324 | $227 | — | — | 5 insurers |
| DAHL MEMORIAL HEALTHCARE ASSOCIATION INC | MT | $410 | $410 | — | — | 3 insurers |
| HOLY FAMILY HOSPITAL | MA | $748 | $411 | — | — | 5 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $748 | $411 | — | — | 5 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $748 | $411 | — | — | 3 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $748 | $411 | — | — | 3 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $772 | $222 | $579 | $641 | 4 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $772 | $222 | $184 | $824 | 5 insurers |
| SANFORD USD MEDICAL CENTER | SD | $516 | $413 | — | — | 4 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $2,213 | $221 | — | — | 5 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $2,213 | $221 | — | — | 5 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $392 | $215 | — | — | 4 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $1,639 | $421 | $819 | $819 | 3 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $1,639 | $421 | $227 | $819 | 5 insurers |
| DEACONESS HOSPITAL INC | IN | $267 | $214 | $213 | $213 | 1 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $772 | $212 | $84.92 | $641 | 5 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $772 | $212 | $84.92 | $824 | 5 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $710 | $210 | $426 | $575 | 5 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $710 | $210 | $106 | $575 | 5 insurers |
| TRINITY ROCK ISLAND | IL | $262 | $210 | — | — | 1 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $262 | $210 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $262 | $210 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $262 | $210 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $262 | $210 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $262 | $210 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $262 | $210 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $262 | $210 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $262 | $210 | — | — | 1 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $262 | $210 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $262 | $210 | — | — | 1 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $262 | $210 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $262 | $210 | — | — | 1 insurers |
| CENTRAL VERMONT MEDICAL CENTER | VT | $207 | $207 | — | — | 5 insurers |
| TRINITY MUSCATINE | IA | $535 | $428 | — | — | 5 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $535 | $428 | — | — | 5 insurers |
| ST LUKES HOSPITAL | IA | $535 | $428 | — | — | 5 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $535 | $428 | — | — | 5 insurers |
| FINLEY HOSPITAL | IA | $535 | $428 | — | — | 2 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $535 | $428 | — | — | 5 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $535 | $428 | — | — | 5 insurers |
| ST MARY-CORWIN HOSPITAL | CO | $1,071 | $428 | — | — | 5 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | $1,071 | $428 | — | — | 5 insurers |
| BOB WILSON MEMORIAL HOSPITAL | KS | $1,071 | $428 | — | — | 5 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $1,072 | $429 | — | — | 4 insurers |
| PAUL OLIVER MEMORIAL HOSPITAL | MI | $505 | $429 | — | — | 3 insurers |
| BRIDGEPORT HOSPITAL | CT | $842 | $429 | — | — | 5 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $334 | $204 | $164 | $311 | 5 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $334 | $204 | $70.14 | $469 | 5 insurers |
| ADVENTHEALTH WATERMAN | FL | $784 | $431 | $68.94 | $705 | 5 insurers |
| SIOUX CENTER HEALTH | IA | $206 | $200 | — | — | 5 insurers |
| SIOUX CENTER HEALTH | IA | $206 | $200 | — | — | 5 insurers |
| MCKENZIE HEALTH SYSTEM | MI | $249 | $199 | — | — | 5 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | $466 | $198 | — | — | 5 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $334 | $197 | $184 | $314 | 5 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $334 | $197 | $76.82 | $469 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $334 | $197 | $184 | $314 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $334 | $197 | $76.82 | $469 | 5 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $842 | $438 | — | — | 5 insurers |
| ELLIS HOSPITAL | NY | $392 | $196 | — | — | 2 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $461 | $196 | — | — | 5 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $878 | $439 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $878 | $439 | — | — | 0 insurers |
| REDINGTON FAIRVIEW GENERAL HOSPITAL | ME | $260 | $195 | — | — | 5 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $869 | $441 | $695 | $852 | 5 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $869 | $441 | $241 | $852 | 5 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $737 | $442 | $122 | $1,529 | 5 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $553 | $442 | — | — | 2 insurers |
| ST LUKES HOSPITAL | MN | $339 | $190 | — | — | 5 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $466 | $187 | — | — | 5 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $466 | $187 | — | — | 5 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $466 | $187 | — | — | 5 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $466 | $187 | — | — | 5 insurers |
| HARBOR BEACH COMMUNITY HOSPITAL | MI | $247 | $185 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $562 | $449 | — | — | 1 insurers |
| TRINITY - BETTENDORF | IA | $562 | $449 | — | — | 2 insurers |
| VALLEY MEDICAL CENTER | WA | $264 | $185 | $48.2 | $389 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $627 | $184 | $163 | $514 | 4 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $627 | $184 | $163 | $877 | 5 insurers |
| BAXTER HEALTH | AR | $307 | $184 | — | — | 2 insurers |
| BROADLAWNS MEDICAL CENTER | IA | $453 | $453 | — | — | 5 insurers |
| REGIONAL MEDICAL CENTER | IA | $218 | $174 | — | — | 1 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $213 | $170 | — | — | 2 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $1,162 | $465 | — | — | 5 insurers |
| HIAWATHA COMMUNITY HOSPITAL | KS | $259 | $168 | $93.24 | $274 | 5 insurers |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | MI | $550 | $468 | — | — | 3 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $334 | $167 | $207 | $267 | 3 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $334 | $167 | $76.82 | $469 | 5 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | $236 | $165 | $189 | $215 | 3 insurers |
| AMBERWELL ATCHISON ASSOCIATION | KS | $235 | $165 | $176 | — | 1 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $555 | $472 | — | — | 3 insurers |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | MI | $555 | $472 | — | — | 3 insurers |
| MUNSON HEALTHCARE GRAYLING HOSPITAL | MI | $560 | $476 | — | — | 4 insurers |
| HUGGINS HOSPITAL | NH | $313 | $157 | — | — | 3 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $332 | $156 | — | — | 2 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $820 | $156 | — | — | 5 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $820 | $156 | — | — | 5 insurers |
| KAHUKU MEDICAL CENTER | HI | $238 | $155 | — | — | 5 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $515 | $154 | — | — | 5 insurers |
| CHI ST ALEXIUS HEALTH | ND | $302 | $154 | $224 | $272 | 3 insurers |
| CHI ST ALEXIUS HEALTH | ND | $302 | $154 | $224 | $272 | 5 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $334 | $154 | $237 | $250 | 2 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $334 | $154 | $80.16 | $469 | 5 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $334 | $154 | $237 | $250 | 2 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $334 | $154 | $80.16 | $469 | 5 insurers |
| THOMAS HOSPITAL | AL | $306 | $153 | — | — | 1 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $306 | $153 | — | — | 3 insurers |
| UNITED MEDICAL CENTER | DC | $306 | $153 | — | — | 1 insurers |
| UNIONTOWN HOSPITAL | PA | $306 | $153 | — | — | 5 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $306 | $153 | — | — | 4 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $306 | $153 | — | — | 1 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $306 | $153 | — | — | 3 insurers |
| WEIRTON MEDICAL CENTER, INC | WV | $306 | $153 | — | — | 5 insurers |
| WHEELING HOSPITAL, INC | WV | $306 | $153 | — | — | 3 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $306 | $153 | — | — | 1 insurers |
| WETZEL COUNTY HOSPITAL | WV | $306 | $153 | — | — | 1 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $306 | $153 | — | — | 1 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $306 | $153 | — | — | 1 insurers |
| CAMPBELL COUNTY HEALTH | WY | $153 | $153 | — | — | 0 insurers |
| CODY REGIONAL HEALTH | WY | $180 | $153 | — | — | 5 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | $251 | $151 | — | — | 4 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $292 | $146 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $292 | $146 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $292 | $146 | — | — | 0 insurers |
| HOULTON REGIONAL HOSPITAL | ME | $516 | $490 | — | — | 5 insurers |
| AdventHealth Palm Coast | FL | $260 | $143 | $57.62 | $234 | 5 insurers |
| MARION GENERAL HOSPITAL | MS | $237 | $142 | — | — | 2 insurers |
| OCHSNER CHOCTAW GENERAL | AL | $185 | $141 | — | — | 5 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $842 | $497 | — | — | 5 insurers |
| ADVENTHEALTH DELAND | FL | $241 | $133 | $53.51 | $217 | 5 insurers |
| CARILION MEDICAL CENTER | VA | $1,441 | $504 | — | — | 5 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $1,441 | $504 | — | — | 5 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $1,441 | $504 | — | — | 5 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $1,441 | $504 | — | — | 5 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $1,441 | $504 | — | — | 5 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $382 | $130 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | AR | $519 | $130 | — | — | 2 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $370 | $130 | — | — | 5 insurers |
| HOSPITAL GENERAL DE CASTANER | PR | $161 | $129 | — | — | 1 insurers |
| OCHSNER STENNIS MEMORIAL HOSPITAL | MS | $185 | $128 | — | — | 5 insurers |
| HAZARD ARH REGIONAL MEDICAL CENTER | KY | $846 | $508 | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $360 | $126 | $64.8 | $180 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $360 | $126 | $64.8 | $180 | 3 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $360 | $126 | $64.8 | $180 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $360 | $126 | $64.8 | $180 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $360 | $126 | $64.8 | $180 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $360 | $126 | $64.8 | $180 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $360 | $126 | $64.8 | $180 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $360 | $126 | $64.8 | $180 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $360 | $126 | $64.8 | $180 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $360 | $126 | $64.8 | $180 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $360 | $126 | $64.8 | $180 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $360 | $126 | $64.8 | $180 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $360 | $126 | $64.8 | $180 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $360 | $126 | $64.8 | $180 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $360 | $126 | $64.8 | $180 | 3 insurers |
| OCHSNER WATKINS HOSPITAL | MS | $185 | $124 | — | — | 5 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $2,702 | $513 | — | — | 5 insurers |
| OCHSNER SCOTT REGIONAL | MS | $185 | $117 | — | — | 5 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $1,560 | $519 | $312 | $1,279 | 5 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $1,560 | $519 | $284 | $1,326 | 5 insurers |
| JENNIE STUART MEDICAL CENTER | KY | $370 | $115 | — | — | 1 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $176 | $114 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $223 | $114 | — | — | 4 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $223 | $114 | — | — | 5 insurers |
| Adventhealth Zephyrhills | FL | $869 | $521 | $68.94 | $2,121 | 5 insurers |
| ADVENTHEALTH TAMPA | FL | $869 | $521 | $11.76 | $782 | 5 insurers |
| OCHSNER LAIRD HOSPITAL | MS | $185 | $113 | — | — | 5 insurers |
| NORTHERN INYO HOSPITAL | CA | — | $113 | $68.8 | $159 | 5 insurers |
| SAN JUAN HOSPITAL | UT | $158 | $111 | — | — | 5 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $1,955 | $524 | $762 | $1,642 | 3 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $1,955 | $524 | $229 | $1,642 | 5 insurers |
| STARR REGIONAL MEDICAL CENTER ATHENS | TN | $2,690 | $527 | — | — | 0 insurers |
| COX MONETT HOSPITAL | MO | $341 | $104 | — | — | 2 insurers |
| COQUILLE VALLEY HOSPITAL | OR | — | $532 | $293 | $532 | 5 insurers |
| MERCY HOSPITAL | CA | $1,338 | $535 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $1,338 | $535 | — | — | 5 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $1,338 | $535 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $1,338 | $535 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $1,338 | $535 | — | — | 5 insurers |
| JEFFERSON HEALTHCARE | WA | — | $98.12 | — | — | 0 insurers |
| DOCTORS HOSPITAL | OH | $831 | $540 | — | — | 0 insurers |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS | NY | $540 | $540 | — | — | 0 insurers |
| GARNET HEALTH MEDICAL CENTER | NY | $488 | $90.19 | — | — | 0 insurers |
| GARNET HEALTH MEDICAL CENTER CATSKILLS | NY | $488 | $90.19 | — | — | 0 insurers |
| GARNET HEALTH MEDICAL CENTER CATSKILLS | NY | $488 | $90.19 | — | — | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | $321 | $88.5 | — | — | 5 insurers |
| CHESHIRE MEDICAL CENTER | NH | $321 | $88.5 | — | — | 5 insurers |
| COX MEDICAL CENTERS | MO | $341 | $85.88 | — | — | 2 insurers |
| COX MEDICAL CENTER BRANSON | MO | $341 | $85.88 | — | — | 2 insurers |
| ADVENTHEALTH FISH MEMORIAL | FL | $151 | $83.32 | $34.49 | $136 | 5 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $112 | $78.61 | — | — | 5 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $189 | $75.72 | — | — | 5 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $189 | $75.72 | — | — | 5 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $175 | $73.5 | — | — | 2 insurers |
| SOUTH CENTRAL HEALTH | ND | $175 | $73.5 | — | — | 2 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $801 | $561 | — | — | 5 insurers |
| GRADY GENERAL HOSPITAL | GA | — | $566 | — | — | 5 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | $108 | $64.8 | — | — | 5 insurers |
| OCHSNER RUSH HOSPITAL | MS | $185 | $57.35 | — | — | 5 insurers |
| ADVENTHEALTH SEBRING | FL | $968 | $581 | $68.94 | $871 | 5 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $875 | $583 | $473 | $857 | 5 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $875 | $583 | $226 | $857 | 5 insurers |
| BRYN MAWR HOSPITAL | PA | $1,462 | $585 | — | — | 0 insurers |
| PAOLI HOSPITAL | PA | $1,462 | $585 | — | — | 0 insurers |
| MAIN LINE HOSPITAL LANKENAU | PA | $1,462 | $585 | — | — | 0 insurers |
| RIDDLE MEMORIAL HOSPITAL | PA | $1,462 | $585 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $1,171 | $585 | — | — | 5 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $1,171 | $585 | — | — | 5 insurers |
| FAULKTON AREA MEDICAL CENTER | SD | $653 | $588 | — | — | 1 insurers |
| GOSHEN HOSPITAL | IN | $869 | $608 | — | — | 5 insurers |
| RHODE ISLAND HOSPITAL | RI | $612 | $612 | — | — | 0 insurers |
| MEMORIAL HOSPITAL SWEETWATER COUNTY | WY | $634 | $634 | — | — | 5 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $756 | $635 | $682 | $741 | 5 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $756 | $635 | $461 | $1,024 | 5 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $848 | $636 | — | — | 0 insurers |
| LAKE HEALTH | OH | $848 | $636 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $848 | $636 | — | — | 2 insurers |
| JACKSON COUNTY REGIONAL HEALTH CENTER | IA | $642 | $642 | — | — | 5 insurers |
| CHI HEALTH SCHUYLER | NE | $756 | $643 | $682 | $741 | 5 insurers |
| CHI HEALTH SCHUYLER | NE | $756 | $643 | $162 | $856 | 5 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $920 | $644 | $39 | $920 | 5 insurers |
| MERCY GENERAL HOSPITAL | CA | $920 | $644 | $195 | $782 | 5 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $656 | $656 | — | — | 2 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $955 | $668 | — | — | 5 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $896 | $672 | — | — | 0 insurers |
| SAINT FRANCIS BARTLETT MEDICAL CENTER | TN | $912 | $684 | — | — | 2 insurers |
| ADVENTHEALTH SHAWNEE MISSION | KS | $1,411 | $705 | — | — | 5 insurers |
| ALAMEDA HOSPITAL | CA | $1,454 | $727 | $581 | $1,090 | 4 insurers |
| HIGHLAND HOSPITAL | CA | $1,454 | $727 | $581 | $1,090 | 4 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $1,148 | $746 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $1,148 | $746 | — | — | 5 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | $751 | $751 | $157 | $165 | 3 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $1,560 | $757 | $390 | $1,232 | 5 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $1,560 | $757 | $164 | $1,560 | 5 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $761 | $761 | — | — | 5 insurers |
| SAINT PETER'S UNIVERSITY HOSPITAL | NJ | $781 | $781 | — | — | 5 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | $805 | $805 | $147 | $155 | 3 insurers |
| FRANKLIN COUNTY MEMORIAL HOSPITAL | NE | $813 | $813 | — | — | 5 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $1,376 | $825 | — | — | 0 insurers |
| SEQUOIA HOSPITAL | CA | $2,277 | $829 | $501 | $1,867 | 5 insurers |
| SEQUOIA HOSPITAL | CA | $2,277 | $829 | $241 | $1,867 | 5 insurers |
| IVINSON MEMORIAL HOSPITAL | WY | $839 | $839 | — | — | 5 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $860 | $860 | — | — | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | $2,784 | $863 | — | — | 4 insurers |
| MOLOKAI GENERAL HOSPITAL | HI | $1,276 | $893 | — | — | 1 insurers |
| BARNES-KASSON COUNTY HOSPITAL | PA | $1,280 | $896 | — | — | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $2,272 | $909 | — | — | 5 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $2,272 | $909 | — | — | 5 insurers |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | GA | $1,880 | $940 | — | — | 3 insurers |
| NAVICENT HEALTH BALDWIN | GA | $1,880 | $940 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | $1,880 | $940 | — | — | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $2,943 | $959 | $471 | $2,354 | 5 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $2,943 | $959 | $185 | $2,354 | 5 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $2,943 | $959 | $471 | $2,354 | 5 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $2,943 | $959 | $185 | $2,354 | 5 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $2,513 | $983 | $528 | $2,513 | 5 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $2,513 | $983 | $244 | $2,513 | 5 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $3,160 | $1,043 | $257 | $2,686 | 5 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $3,160 | $1,043 | — | — | 0 insurers |
| WAYNE COUNTY HOSPITAL | IA | $1,610 | $1,047 | — | — | 5 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $2,133 | $1,067 | — | — | 5 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $2,133 | $1,067 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTERS | AL | $1,134 | $1,134 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | CA | $1,134 | $1,134 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | TN | $1,134 | $1,134 | — | — | 5 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $1,549 | $1,149 | $1,317 | $1,503 | 5 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $1,549 | $1,149 | $229 | $1,503 | 5 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $2,806 | $1,207 | $561 | $2,806 | 5 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $2,806 | $1,207 | $166 | $2,806 | 5 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | $1,553 | $1,242 | — | — | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | $1,350 | $1,350 | $147 | $155 | 3 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $1,992 | $1,394 | — | — | 5 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $1,992 | $1,394 | — | — | 5 insurers |
| ADVENTHEALTH DADE CITY | FL | $2,353 | $1,412 | $68.94 | $2,118 | 5 insurers |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL | NJ | $1,436 | $1,436 | — | — | 5 insurers |
| ALLEGHANY MEMORIAL HOSPITAL | NC | $2,941 | $1,471 | — | — | 2 insurers |
| ADVENTHEALTH OCALA | FL | $2,519 | $1,511 | — | — | 5 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $1,550 | $1,550 | — | — | 5 insurers |