| UNM HOSPITAL | NM | $3,413 | $1,877 | — | — | 0 insurers |
| BAYLOR SCOTT AND WHITE ORTHOPEDIC AND SPINE HOSPI | TX | $3,120 | $1,872 | — | — | 0 insurers |
| BARNES JEWISH HOSPITAL | MO | $3,115 | $1,869 | $1,246 | $2,710 | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $3,761 | $1,881 | — | — | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $4,638 | $1,855 | — | — | 0 insurers |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. | TX | $3,700 | $1,850 | — | — | 0 insurers |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA | TN | $5,668 | $1,848 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $3,572 | $1,905 | $2,679 | $3,393 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $3,572 | $1,905 | $2,322 | $3,429 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $3,063 | $1,838 | $1,225 | $3,063 | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $3,848 | $1,924 | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $3,619 | $1,810 | — | — | 0 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $3,619 | $1,810 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $3,619 | $1,810 | — | — | 0 insurers |
| HSHS ST ELIZABETH'S HOSPITAL | IL | $2,700 | $1,944 | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $8,955 | $1,791 | — | — | 0 insurers |
| NORTON HOSPITALS, INC | KY | $8,955 | $1,791 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $2,975 | $1,785 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $3,569 | $1,785 | — | — | 0 insurers |
| ST NICHOLAS HOSPITAL | WI | $2,993 | $1,975 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $3,504 | $1,752 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $3,504 | $1,752 | — | — | 0 insurers |
| MARINERS HOSPITAL | FL | $2,650 | $1,723 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $3,225 | $2,032 | $2,258 | $3,128 | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $3,225 | $2,032 | $1,355 | $3,128 | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $2,847 | $1,708 | — | — | 0 insurers |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | MN | $2,574 | $1,699 | — | — | 0 insurers |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | MN | $2,573 | $1,698 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $1,988 | $1,689 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $2,800 | $1,680 | $1,120 | $2,453 | 0 insurers |
| NORTH CENTRAL SURGICAL CENTER LLP | TX | $2,800 | $1,680 | — | — | 0 insurers |
| STILLWATER MEDICAL CENTER | OK | $2,098 | $1,678 | $1,049 | $1,888 | 0 insurers |
| STILLWATER MEDICAL - PERRY | OK | $2,098 | $1,678 | $1,049 | $1,888 | 0 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | $2,098 | $1,678 | $1,049 | $1,888 | 0 insurers |
| MUNSON HEALTHCARE GRAYLING HOSPITAL | MI | $2,488 | $2,114 | — | — | 0 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $2,488 | $2,114 | — | — | 0 insurers |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | MI | $2,488 | $2,114 | — | — | 0 insurers |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | MI | $2,488 | $2,114 | — | — | 0 insurers |
| PAUL OLIVER MEMORIAL HOSPITAL | MI | $2,488 | $2,114 | — | — | 0 insurers |
| KALKASKA MEMORIAL HEALTH CENTER | MI | $2,488 | $2,114 | — | — | 0 insurers |
| MAGNOLIA REGIONAL HEALTH CENTER | MS | $6,229 | $2,118 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $2,648 | $2,118 | — | — | 0 insurers |
| COFFEE REGIONAL MEDICAL CENTER, INC | GA | $3,117 | $2,120 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $3,256 | $1,628 | — | — | 0 insurers |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | $6,143 | $2,150 | — | — | 0 insurers |
| BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH | TX | $2,665 | $1,599 | — | — | 0 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | $2,700 | $2,160 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER - MARYVILLE | MO | $1,862 | $1,582 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $14,481 | $2,172 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $14,481 | $2,172 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $2,100 | $1,575 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $2,100 | $1,575 | — | — | 0 insurers |
| LAKE HEALTH | OH | $2,100 | $1,575 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $2,100 | $1,575 | — | — | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $4,025 | $1,570 | — | — | 0 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $4,485 | $1,570 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $3,758 | $2,180 | $2,255 | $3,533 | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $3,758 | $2,180 | $1,654 | $3,533 | 0 insurers |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $2,182 | $2,182 | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $4,365 | $2,183 | — | — | 0 insurers |
| NORTHSIDE HOSPITAL FORSYTH | GA | — | $1,562 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | OH | $2,400 | $1,560 | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $5,737 | $2,192 | $3,213 | $4,532 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $5,737 | $2,192 | $803 | $5,737 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $8,025 | $2,199 | $883 | $7,544 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $8,025 | $2,199 | $883 | $8,025 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $8,025 | $2,199 | $883 | $7,383 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $8,025 | $2,199 | $883 | $7,784 | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $4,399 | $2,199 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $10,322 | $1,548 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $3,090 | $1,545 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $3,090 | $1,545 | — | — | 0 insurers |
| COX MEDICAL CENTERS | MO | $6,125 | $1,544 | — | — | 0 insurers |
| COX MEDICAL CENTER BRANSON | MO | $6,125 | $1,544 | — | — | 0 insurers |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | TX | $6,321 | $2,212 | $1,201 | $5,689 | 0 insurers |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | TX | $6,321 | $2,212 | $1,201 | $5,689 | 0 insurers |
| FORT DUNCAN MEDICAL CENTER | TX | $3,833 | $1,533 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $4,466 | $2,233 | — | — | 0 insurers |
| UH REGIONAL HOSPITALS | OH | $2,985 | $2,239 | — | — | 0 insurers |
| UH ST JOHN MEDICAL CENTER | OH | $2,985 | $2,239 | — | — | 0 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | $2,985 | $2,239 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | $2,985 | $2,239 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | $2,985 | $2,239 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $6,615 | $1,502 | $1,985 | $4,763 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $6,615 | $1,502 | $1,985 | $4,763 | 0 insurers |
| AUBURN COMMUNITY HOSPITAL | NY | $3,633 | $1,500 | — | — | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | $2,250 | $2,250 | — | — | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | $2,250 | $2,250 | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | $2,250 | $2,250 | — | — | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $3,759 | $2,255 | $1,504 | $3,270 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $3,759 | $2,255 | $1,504 | $3,270 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $3,759 | $2,255 | $1,504 | $3,270 | 0 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $3,759 | $2,255 | $1,504 | $3,270 | 0 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $3,759 | $2,255 | $1,504 | $3,270 | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $5,661 | $2,264 | — | — | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $5,687 | $2,275 | — | — | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $5,687 | $2,275 | — | — | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $5,687 | $2,275 | — | — | 0 insurers |
| HAYWOOD REGIONAL MEDICAL CENTER | NC | $5,689 | $2,276 | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $2,941 | $1,470 | — | — | 0 insurers |
| BAYLOR MEDICAL CENTER AT TROPHY CLUB | TX | $2,450 | $1,470 | — | — | 0 insurers |
| CARILION STONEWALL JACKSON HOSPITAL | VA | $3,807 | $2,284 | $822 | $4,141 | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $5,680 | $1,457 | $1,420 | $2,329 | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $5,680 | $1,457 | $1,420 | $2,840 | 0 insurers |
| SAINT PETER'S UNIVERSITY HOSPITAL | NJ | $5,110 | $2,300 | — | — | 0 insurers |
| NORTHWEST TEXAS HOSPITAL | TX | $5,750 | $2,300 | — | — | 0 insurers |
| CHI ST VINCENT MORRILTON | AR | $5,680 | $1,447 | $1,420 | $1,420 | 0 insurers |
| CHI ST VINCENT MORRILTON | AR | $5,680 | $1,447 | $1,420 | $4,885 | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $5,680 | $1,444 | $1,420 | $2,329 | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $5,680 | $1,444 | $1,420 | $2,840 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $8,025 | $2,311 | $1,846 | $7,303 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $8,025 | $2,311 | $1,926 | $7,624 | 0 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $2,902 | $2,321 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $2,738 | $2,327 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $2,363 | $1,418 | $945 | $2,070 | 0 insurers |
| TOPS SURGICAL SPECIALTY HOSPITAL | TX | $4,050 | $1,418 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $15,557 | $2,333 | — | — | 0 insurers |
| COMMUNITY REGIONAL MEDICAL CENTER | CA | $3,891 | $2,334 | — | — | 0 insurers |
| COMMUNITY MEDICAL CENTER | MT | $3,891 | $2,334 | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | OH | $3,600 | $2,340 | — | — | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | $1,650 | $1,403 | — | — | 0 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | $1,650 | $1,403 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $4,006 | $1,402 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $4,275 | $2,351 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $4,275 | $2,351 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $2,940 | $2,352 | — | — | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $3,938 | $2,363 | $866 | $3,938 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $3,938 | $2,363 | $866 | $3,938 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $3,938 | $2,363 | $866 | $3,938 | 0 insurers |
| ALTON MEMORIAL HOSPITAL | IL | $3,938 | $2,363 | $866 | $3,938 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $3,938 | $2,363 | $866 | $3,938 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $3,938 | $2,363 | $866 | $3,938 | 0 insurers |
| PARKLAND HEALTH CENTER | MO | $3,938 | $2,363 | $1,575 | $3,938 | 0 insurers |
| PROGRESS WEST HOSPITAL | MO | $3,938 | $2,363 | $1,575 | $3,938 | 0 insurers |
| MISSOURI BAPTIST SULLIVAN HOSPITAL | MO | $3,938 | $2,363 | $866 | $3,938 | 0 insurers |
| OHIOHEALTH SHELBY HOSPITAL | OH | $2,130 | $1,385 | — | — | 0 insurers |
| MULTICARE GOOD SAMARITAN HOSPITAL | WA | $5,935 | $2,374 | — | — | 0 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $3,394 | $2,376 | — | — | 0 insurers |
| THE GENERAL | LA | $3,394 | $2,376 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $6,615 | $1,356 | $1,985 | $4,763 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $6,615 | $1,356 | $1,985 | $4,763 | 0 insurers |
| GREAT FALLS CLINIC HOSPITAL | MT | $2,398 | $2,398 | — | — | 0 insurers |
| HUTCHINSON HEALTH | MN | — | $1,343 | $0 | $1,489 | 0 insurers |
| COX BARTON COUNTY HOSPITAL | MO | $4,200 | $1,340 | — | — | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | $6,028 | $2,411 | — | — | 0 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | $1,905 | $1,334 | $1,524 | $1,524 | 0 insurers |
| MOSAIC MEDICAL CENTER - MARYVILLE | MO | $2,848 | $2,420 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $2,653 | $1,327 | — | — | 0 insurers |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. | TX | $2,646 | $1,323 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $4,059 | $2,435 | — | — | 0 insurers |
| CASTLEVIEW HOSPITAL | UT | $2,384 | $1,311 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $3,739 | $1,309 | $673 | $1,870 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $3,739 | $1,309 | $673 | $1,870 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $3,739 | $1,309 | $673 | $1,870 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $3,739 | $1,309 | $673 | $1,870 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $3,739 | $1,309 | $673 | $1,870 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $3,739 | $1,309 | $673 | $1,870 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $3,739 | $1,309 | $673 | $1,870 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $3,739 | $1,309 | $673 | $1,870 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $3,739 | $1,309 | $673 | $1,870 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $3,739 | $1,309 | $673 | $1,870 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $3,739 | $1,309 | $673 | $1,870 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $3,739 | $1,309 | $673 | $1,870 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $3,739 | $1,309 | $673 | $1,870 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $3,739 | $1,309 | $673 | $1,870 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $3,739 | $1,309 | $673 | $1,870 | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $3,052 | $1,297 | — | — | 0 insurers |
| CARILION MEDICAL CENTER | VA | $3,705 | $1,297 | — | — | 0 insurers |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | $3,684 | $1,289 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $3,618 | $1,266 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $3,618 | $1,266 | — | — | 0 insurers |
| CHARLESTON AREA MEDICAL CENTER | WV | $1,681 | $1,261 | — | — | 0 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $4,172 | $2,503 | — | — | 0 insurers |
| POUDRE VALLEY HOSPITAL | CO | $1,779 | $1,246 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $3,052 | $1,224 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $3,052 | $1,224 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $3,052 | $1,224 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $3,052 | $1,224 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $3,052 | $1,224 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $3,052 | $1,224 | — | — | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $2,445 | $1,223 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $2,445 | $1,223 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $2,445 | $1,223 | — | — | 0 insurers |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL | PA | $3,163 | $2,530 | — | — | 0 insurers |
| SOUTH TEXAS HEALTH SYSTEM | TX | $3,010 | $1,204 | — | — | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $1,200 | $1,200 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $25,650 | $2,565 | — | — | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $2,959 | $1,184 | — | — | 0 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $1,688 | $1,181 | $0 | $1,688 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $5,730 | $2,579 | — | — | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $1,360 | $1,156 | $1,227 | $1,333 | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $1,360 | $1,156 | $291 | $1,540 | 0 insurers |
| ROME MEMORIAL HOSPITAL, INC | NY | $2,863 | $1,156 | — | — | 0 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $1,643 | $1,150 | — | — | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $1,360 | $1,142 | $1,227 | $1,333 | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $1,360 | $1,142 | $830 | $1,842 | 0 insurers |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM | AL | $4,567 | $1,142 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | $3,285 | $2,628 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $6,570 | $2,628 | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $7,516 | $2,631 | — | — | 0 insurers |
| BALDWIN HEALTH | AL | $2,145 | $1,115 | — | — | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $2,145 | $1,115 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $2,145 | $1,115 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $2,145 | $1,115 | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $2,145 | $1,115 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $2,145 | $1,115 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $5,269 | $2,635 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH TURTLE LAKE | ND | $1,550 | $1,101 | $1,101 | $1,473 | 0 insurers |
| CHI ST ALEXIUS HEALTH TURTLE LAKE | ND | $1,550 | $1,101 | $1,101 | $1,535 | 0 insurers |
| HIGHPOINT HEALTH-TROUSDALE WITH ASCENSION SAINT | TN | $4,705 | $1,096 | — | — | 0 insurers |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH | TN | $4,705 | $1,096 | — | — | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $5,310 | $2,655 | — | — | 0 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $1,656 | $1,076 | — | — | 0 insurers |
| WELLSPAN CHAMBERSBURG HOSPITAL | PA | $1,312 | $1,049 | — | — | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $6,807 | $2,723 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $6,807 | $2,723 | — | — | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $1,672 | $1,025 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $3,910 | $2,737 | — | — | 0 insurers |
| BEEBE MEDICAL CENTER | DE | $1,183 | $1,006 | — | — | 0 insurers |
| LUBBOCK HEART HOSPITAL LP | TX | $2,748 | $2,748 | — | — | 0 insurers |
| UNION GENERAL HOSPITAL | GA | $2,000 | $1,000 | — | — | 0 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $6,878 | $2,751 | — | — | 0 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $6,878 | $2,751 | — | — | 0 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $6,878 | $2,751 | — | — | 0 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $6,878 | $2,751 | — | — | 0 insurers |
| HENDERSON HOSPITAL | NV | $6,878 | $2,751 | — | — | 0 insurers |
| WEST HENDERSON HOSPITAL | NV | $6,878 | $2,751 | — | — | 0 insurers |
| PETERSON REGIONAL MEDICAL CENTER | TX | $3,938 | $2,757 | — | — | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $2,817 | $986 | $620 | $2,113 | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $2,817 | $986 | $592 | $2,113 | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $2,465 | $986 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $2,465 | $986 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $5,175 | $983 | — | — | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,246 | $969 | $312 | $1,221 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,246 | $969 | $274 | $1,221 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,246 | $969 | $312 | $1,221 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,246 | $969 | $274 | $1,221 | 0 insurers |
| LEGENT ORTHOPEDIC + SPINE | TX | $1,910 | $955 | — | — | 0 insurers |
| LEGENT ORTHOPEDIC HOSPITAL | TX | $1,910 | $955 | — | — | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $1,550 | $946 | $760 | $1,442 | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $1,550 | $946 | $326 | $1,442 | 0 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | $2,341 | $936 | $1,873 | $2,201 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $1,940 | $935 | $892 | $1,765 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $1,940 | $935 | $535 | $1,765 | 0 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | $7,054 | $2,822 | — | — | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $2,155 | $927 | $431 | $2,155 | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $2,155 | $927 | $431 | $1,724 | 0 insurers |
| ST JOHNS REGIONAL MEDICAL CENTER | CA | $1,316 | $921 | $316 | $1,296 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $1,550 | $915 | $853 | $1,457 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $1,550 | $915 | $357 | $1,457 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $1,550 | $915 | $853 | $1,457 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $1,550 | $915 | $357 | $1,457 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,940 | $914 | $776 | $1,765 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,940 | $914 | $456 | $1,765 | 0 insurers |
| UCSF HEALTH ST. MARY'S HOSPITAL | CA | $1,296 | $907 | $285 | $1,296 | 0 insurers |
| ST LUKES HOSPITAL | MN | $5,115 | $2,864 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $5,729 | $2,865 | — | — | 0 insurers |
| HIGHLAND HILLS MEDICAL CENTER | MS | $1,769 | $885 | — | — | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $3,142 | $877 | $628 | $2,796 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $3,142 | $877 | $723 | $3,142 | 0 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $3,855 | $2,891 | — | — | 0 insurers |
| METHODIST HOSPITAL UNION COUNTY | KY | $1,313 | $853 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $7,242 | $2,897 | — | — | 0 insurers |
| WETZEL COUNTY HOSPITAL | WV | $1,690 | $845 | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $2,155 | $843 | $453 | $2,155 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $2,155 | $843 | $453 | $2,155 | 0 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $1,050 | $840 | — | — | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $1,940 | $823 | $1,416 | $1,765 | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $1,940 | $823 | $342 | $1,765 | 0 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $1,640 | $820 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $1,640 | $820 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $2,340 | $819 | $433 | $1,170 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $2,340 | $819 | $433 | $1,170 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $2,340 | $819 | $433 | $1,170 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $2,340 | $819 | $433 | $1,170 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $2,340 | $819 | $433 | $1,170 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $2,340 | $819 | $433 | $1,170 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $2,340 | $819 | $433 | $1,170 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $2,340 | $819 | $433 | $1,170 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $2,340 | $819 | $433 | $1,170 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $2,340 | $819 | $433 | $1,170 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $6,517 | $2,933 | — | — | 0 insurers |
| UCSF HEALTH SAINT FRANCIS HOSPITAL | CA | $1,163 | $814 | $291 | $1,163 | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $1,350 | $810 | — | — | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $1,655 | $803 | $348 | $1,307 | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $1,655 | $803 | $348 | $1,622 | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $4,912 | $2,947 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $1,550 | $791 | $1,147 | $1,395 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $1,550 | $791 | $1,147 | $1,395 | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $5,922 | $2,961 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $5,922 | $2,961 | — | — | 0 insurers |
| SAINT JOSEPH EAST | KY | $1,940 | $779 | $776 | $1,765 | 0 insurers |
| SAINT JOSEPH EAST | KY | $1,940 | $779 | $474 | $1,765 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,940 | $779 | $776 | $1,765 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,940 | $779 | $474 | $1,765 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $1,550 | $775 | $961 | $1,240 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $1,550 | $775 | $357 | $1,318 | 0 insurers |
| USC ARCADIA HOSPITAL | CA | $8,500 | $2,975 | — | — | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $5,963 | $2,981 | — | — | 0 insurers |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE | TN | $11,985 | $2,984 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $1,529 | $765 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $1,529 | $765 | — | — | 0 insurers |
| JACKSON PURCHASE MEDICAL CENTER | KY | $7,488 | $2,995 | — | — | 0 insurers |
| SAN MATEO MEDICAL CENTER | CA | $1,500 | $750 | — | — | 0 insurers |
| SAN MATEO MEDICAL CENTER | CA | $1,500 | $750 | — | — | 0 insurers |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS | NY | $3,000 | $3,000 | — | — | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $1,496 | $748 | — | — | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,715 | $734 | $858 | $1,681 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,715 | $734 | $394 | $1,681 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $12,297 | $3,025 | $4,796 | $9,469 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $12,297 | $3,025 | $1,722 | $9,469 | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $4,659 | $3,028 | — | — | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $2,155 | $718 | $431 | $1,767 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $2,155 | $718 | $431 | $1,832 | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $1,550 | $713 | $1,101 | $1,163 | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $1,550 | $713 | $372 | $1,271 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $1,550 | $713 | $1,101 | $1,163 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $1,550 | $713 | $372 | $1,271 | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $1,940 | $711 | $1,765 | $1,765 | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $1,940 | $711 | $406 | $1,765 | 0 insurers |
| ST JOHN'S RIVERSIDE HOSPITAL | NY | $827 | $703 | — | — | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $2,155 | $703 | $431 | $2,133 | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $2,155 | $703 | $40 | $1,724 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $2,155 | $703 | $431 | $2,133 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $2,155 | $703 | $40 | $1,724 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $1,800 | $702 | $504 | $1,800 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $1,940 | $692 | $1,765 | $1,765 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $1,940 | $692 | $277 | $1,765 | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | $2,468 | $691 | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,715 | $672 | $326 | $1,681 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,715 | $672 | $326 | $1,681 | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $1,360 | $666 | $775 | $1,333 | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $1,360 | $666 | $476 | $1,333 | 0 insurers |
| DOMINICAN HOSPITAL | CA | $1,460 | $657 | $818 | $1,460 | 0 insurers |
| DOMINICAN HOSPITAL | CA | $1,460 | $657 | $321 | $1,343 | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $1,360 | $653 | $816 | $1,333 | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $1,360 | $653 | $585 | $1,333 | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,295 | $648 | — | — | 0 insurers |
| STARR REGIONAL MEDICAL CENTER ATHENS | TN | $15,540 | $3,108 | — | — | 0 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $4,448 | $3,114 | — | — | 0 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $4,455 | $3,119 | — | — | 0 insurers |
| THE QUEENS MEDICAL CENTER | HI | $4,455 | $3,119 | — | — | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $8,025 | $3,122 | $883 | $7,704 | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $8,025 | $3,122 | $883 | $7,945 | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | PA | $3,914 | $3,131 | $0 | $3,131 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $1,024 | $598 | $215 | $1,004 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $1,024 | $598 | $215 | $1,004 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $1,024 | $598 | $215 | $1,004 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $1,024 | $598 | $215 | $1,004 | 0 insurers |
| DEACONESS HOSPITAL INC | IN | $3,942 | $3,154 | — | — | 0 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $3,715 | $3,158 | — | — | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $7,900 | $3,160 | — | — | 0 insurers |
| WELLINGTON REGIONAL MEDICAL CENTER | FL | $784 | $588 | — | — | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $18,140 | $3,175 | $3,628 | $18,140 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $18,140 | $3,175 | $3,991 | $15,419 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $18,140 | $3,175 | $3,628 | $18,140 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $18,140 | $3,175 | $3,991 | $16,326 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $18,140 | $3,175 | $3,628 | $18,140 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $18,140 | $3,175 | $2,311 | $16,326 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $18,140 | $3,175 | $3,628 | $18,140 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $18,140 | $3,175 | $3,991 | $20,135 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $1,360 | $571 | $816 | $1,156 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $1,360 | $571 | $204 | $1,156 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $1,360 | $571 | $816 | $1,156 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $1,360 | $571 | $231 | $1,156 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $1,360 | $571 | $816 | $1,156 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $1,360 | $571 | $190 | $1,156 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $1,360 | $571 | $816 | $1,156 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $1,360 | $571 | $245 | $1,156 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $1,360 | $571 | $816 | $1,156 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $1,360 | $571 | $218 | $1,156 | 0 insurers |
| SEQUOIA HOSPITAL | CA | $1,551 | $565 | $341 | $1,411 | 0 insurers |
| SEQUOIA HOSPITAL | CA | $1,551 | $565 | $27.5 | $1,551 | 0 insurers |
| COX MONETT HOSPITAL | MO | $1,815 | $554 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | AR | $2,156 | $539 | — | — | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,465 | $538 | $366 | $1,465 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,465 | $538 | $366 | $1,362 | 0 insurers |
| MEMORIAL HOSPITAL | TX | $1,058 | $529 | $0 | $1,002 | 0 insurers |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | TX | $1,058 | $529 | $0 | $1,002 | 0 insurers |
| MEMORIAL HOSPITAL | TX | $1,058 | $529 | $0 | $1,002 | 0 insurers |
| MEMORIAL HOSPITAL | TX | $1,058 | $529 | $0 | $1,002 | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $10,400 | $3,224 | $2,184 | $9,360 | 0 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $10,400 | $3,224 | $2,184 | $9,360 | 0 insurers |
| ROANE MEDICAL CENTER | TN | $10,400 | $3,224 | $2,184 | $9,360 | 0 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $10,400 | $3,224 | $2,184 | $9,360 | 0 insurers |
| LECONTE MEDICAL CENTER | TN | $10,400 | $3,224 | $2,184 | $9,360 | 0 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $10,400 | $3,224 | $2,184 | $9,360 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,024 | $519 | $225 | $1,024 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,024 | $519 | $225 | $1,004 | 0 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $2,723 | $517 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | GA | $1,000 | $500 | — | — | 0 insurers |
| ALLEGHANY MEMORIAL HOSPITAL | NC | $1,000 | $500 | — | — | 0 insurers |
| WILKES REGIONAL MEDICAL CENTER | NC | $975 | $488 | — | — | 0 insurers |
| MERCY HOSPITAL | CA | $8,173 | $3,269 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $8,173 | $3,269 | — | — | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $12,297 | $3,296 | $4,796 | $10,329 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $12,297 | $3,296 | $1,722 | $10,329 | 0 insurers |
| KELL WEST REGIONAL HOSPITAL | TX | $2,713 | $448 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $8,260 | $3,304 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $6,625 | $3,313 | — | — | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $10,400 | $3,328 | $2,184 | $9,360 | 0 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $990 | $416 | — | — | 0 insurers |
| SOUTH CENTRAL HEALTH | ND | $990 | $416 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER | GA | $825 | $413 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | CA | $586 | $410 | $147 | $663 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | $800 | $400 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | $800 | $400 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER BEACHES | FL | $2,100 | $399 | — | — | 0 insurers |
| BAXTER HEALTH | AR | $5,625 | $3,375 | — | — | 0 insurers |
| ST CLARE HOSPITAL | WA | $11,713 | $3,376 | $6,442 | $8,784 | 0 insurers |
| ST CLARE HOSPITAL | WA | $11,713 | $3,376 | $5,856 | $8,784 | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $1,042 | $365 | $146 | $1,625 | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $1,042 | $365 | $125 | $625 | 0 insurers |
| FLOYD CHEROKEE MEDICAL CENTER | AL | $725 | $363 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER | GA | $725 | $363 | — | — | 0 insurers |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER | NY | $894 | $358 | — | — | 0 insurers |
| METROPOLITAN HOSPITAL CENTER | NY | $894 | $358 | — | — | 0 insurers |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER | NY | $894 | $358 | — | — | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $1,172 | $345 | $305 | $1,172 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $1,172 | $345 | $305 | $1,160 | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | $3,440 | $3,440 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | $3,440 | $3,440 | — | — | 0 insurers |
| PARKWEST MEDICAL CENTER | TN | $11,475 | $3,443 | $2,410 | $10,328 | 0 insurers |
| ASHLEY REGIONAL MEDICAL CENTER | UT | $6,261 | $3,444 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $6,897 | $3,449 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $6,897 | $3,449 | — | — | 0 insurers |
| PHYSICIANS CENTRE,THE | TX | $3,449 | $3,449 | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | $3,452 | $3,452 | — | — | 0 insurers |
| QUEENS HOSPITAL CENTER | NY | $625 | $250 | — | — | 0 insurers |
| SOUTH COUNTY HOSPITAL INC | RI | $5,836 | $3,502 | — | — | 0 insurers |
| AdventHealth Palm Coast | FL | $409 | $225 | $0 | $368 | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $11,713 | $3,562 | $6,442 | $8,784 | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $11,713 | $3,562 | $5,856 | $8,784 | 0 insurers |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | GA | $322 | $161 | — | — | 0 insurers |
| FAYETTE MEDICAL CENTER | AL | $3,590 | $3,590 | $3,590 | $3,590 | 0 insurers |
| GRADY GENERAL HOSPITAL | GA | — | $157 | — | — | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $3,600 | $3,600 | — | — | 0 insurers |
| JACOBI MEDICAL CENTER | NY | $356 | $143 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $9,067 | $3,627 | — | — | 0 insurers |
| ARKANSAS METHODIST MEDICAL CENTER | AR | $243 | $122 | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $7,257 | $3,629 | — | — | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | $9,092 | $3,637 | — | — | 0 insurers |
| LAKE CUMBERLAND REGIONAL HOSPITAL | KY | $9,178 | $3,671 | — | — | 0 insurers |
| POUDRE VALLEY HOSPITAL | CO | $5,338 | $3,737 | — | — | 0 insurers |
| THOMAS HOSPITAL | AL | $7,523 | $3,761 | — | — | 0 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $6,300 | $3,780 | — | — | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | $9,776 | $3,910 | — | — | 0 insurers |
| BROADLAWNS MEDICAL CENTER | IA | $3,921 | $3,921 | — | — | 0 insurers |
| SANFORD USD MEDICAL CENTER | SD | $4,928 | $3,942 | — | — | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $5,737 | $4,016 | $772 | $4,706 | 0 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $7,408 | $4,074 | — | — | 0 insurers |
| VALLEY VIEW MEDICAL CENTER | AZ | $6,824 | $4,094 | — | — | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $7,526 | $4,102 | $1,882 | $7,375 | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $7,526 | $4,102 | $1,882 | $7,375 | 0 insurers |
| SINAI-GRACE HOSPITAL | MI | $5,581 | $4,186 | — | — | 0 insurers |
| ALAMEDA HOSPITAL | CA | $8,500 | $4,250 | $3,060 | $6,375 | 0 insurers |
| HIGHLAND HOSPITAL | CA | $8,500 | $4,250 | $3,060 | $6,375 | 0 insurers |
| GOSHEN HOSPITAL | IN | $6,085 | $4,260 | — | — | 0 insurers |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI | TN | $14,547 | $4,262 | — | — | 0 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $10,714 | $4,286 | — | — | 0 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | $6,724 | $4,371 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $6,250 | $4,375 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $6,250 | $4,375 | — | — | 0 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $7,391 | $4,435 | — | — | 0 insurers |
| RALEIGH GENERAL HOSPITAL | WV | $11,190 | $4,476 | — | — | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | GA | $6,547 | $4,583 | — | — | 0 insurers |
| SGMC HEALTH | GA | $6,129 | $4,597 | — | — | 0 insurers |
| CRISP REGIONAL HOSPITAL | GA | $4,850 | $4,608 | — | — | 0 insurers |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER | CO | $5,197 | $4,677 | — | — | 0 insurers |
| GATEWAY REGIONAL MEDICAL CENTER | IL | — | $4,700 | — | — | 0 insurers |
| FRYE REGIONAL MEDICAL CENTER | NC | $11,834 | $4,734 | — | — | 0 insurers |
| GROSSMONT HOSPITAL | CA | $6,365 | $4,774 | — | — | 0 insurers |
| DETROIT RECEIVING HOSPITAL | MI | $6,384 | $4,788 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL OF MICHIGAN | MI | $6,598 | $4,949 | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | $7,680 | $4,992 | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | $7,680 | $4,992 | — | — | 0 insurers |
| MARIA PARHAM MEDICAL CENTER | NC | $12,700 | $5,080 | — | — | 0 insurers |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS | MA | $6,368 | $5,094 | $3,438 | — | 0 insurers |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL | MA | $6,368 | $5,094 | $3,302 | — | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $7,838 | $5,094 | — | — | 0 insurers |
| GRANVILLE HEALTH SYSTEMS | NC | $6,380 | $5,104 | — | — | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $12,776 | $5,110 | — | — | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $12,776 | $5,110 | — | — | 0 insurers |
| KONA COMMUNITY HOSPITAL | HI | $8,066 | $5,243 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $6,774 | $5,419 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $6,774 | $5,419 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $6,774 | $5,419 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $6,774 | $5,419 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $6,774 | $5,419 | — | — | 0 insurers |
| SHARP MEMORIAL HOSPITAL | CA | $7,405 | $5,554 | — | — | 0 insurers |
| SHARP CHULA VISTA MEDICAL CENTER | CA | $7,405 | $5,554 | — | — | 0 insurers |
| MERCY GENERAL HOSPITAL | CA | $8,025 | $5,618 | $1,846 | $8,025 | 0 insurers |
| UPHS MARQUETTE DLP HOSPITAL | MI | $9,448 | $5,669 | — | — | 0 insurers |
| Adventhealth Zephyrhills | FL | $9,456 | $5,674 | $0 | $8,511 | 0 insurers |
| FAUQUIER HOSPITAL | VA | $14,412 | $5,765 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $5,775 | $5,775 | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $16,581 | $5,803 | — | — | 0 insurers |
| LONGS PEAK HOSPITAL | CO | $16,581 | $5,803 | — | — | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $16,581 | $5,803 | — | — | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $17,010 | $5,954 | $3,572 | $17,010 | 0 insurers |