| ST JOHNS HOSPITAL | IL | $2,238 | $1,611 | — | — | 5 insurers |
| HSHS HOLY FAMILY HOSPITAL INC | IL | $2,238 | $1,611 | — | — | 5 insurers |
| ST JOSEPH'S HOSPITAL | IL | $2,238 | $1,611 | — | — | 5 insurers |
| POMERENE HOSPITAL | OH | $1,913 | $1,530 | — | — | 5 insurers |
| DOCTORS HOSPITAL | OH | $2,242 | $1,457 | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | OH | $2,242 | $1,457 | — | — | 0 insurers |
| LAKE HEALTH | OH | $2,351 | $1,763 | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $5,944 | $1,783 | — | — | 5 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $2,468 | $1,851 | — | — | 1 insurers |
| MARION GENERAL HOSPITAL | OH | $1,941 | $1,262 | — | — | 0 insurers |
| SOUTH COUNTY HOSPITAL INC | RI | $2,072 | $1,243 | — | — | 2 insurers |
| MEMORIAL HOSPITAL | IL | $2,749 | $1,237 | — | — | 5 insurers |
| OHIOHEALTH SHELBY HOSPITAL | OH | $1,745 | $1,134 | — | — | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $1,121 | $222 | $1,781 | 5 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $1,121 | $222 | $1,695 | 5 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $1,121 | $222 | $1,579 | 5 insurers |
| BOCA RATON REGIONAL HOSPITAL | FL | $3,140 | $2,041 | — | — | 5 insurers |
| PAUL OLIVER MEMORIAL HOSPITAL | MI | $2,446 | $2,079 | — | — | 5 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $5,944 | $2,080 | — | — | 5 insurers |
| LONGS PEAK HOSPITAL | CO | $5,944 | $2,080 | — | — | 5 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $5,944 | $2,080 | — | — | 5 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $5,944 | $2,080 | — | — | 5 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $5,020 | $954 | — | — | 5 insurers |
| DELTA COUNTY MEMORIAL HOSPITAL | CO | $3,662 | $2,197 | — | — | 5 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $2,682 | $858 | — | — | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $2,682 | $831 | — | — | 0 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $2,682 | $831 | — | — | 0 insurers |
| ROANE MEDICAL CENTER | TN | $2,682 | $831 | — | — | 0 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $2,682 | $831 | — | — | 0 insurers |
| LECONTE MEDICAL CENTER | TN | $2,682 | $831 | — | — | 0 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $2,682 | $831 | — | — | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $1,270 | $779 | — | — | 1 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $1,251 | $751 | — | — | 5 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $1,251 | $751 | — | — | 5 insurers |
| ST MARY-CORWIN HOSPITAL | CO | $5,982 | $2,393 | — | — | 5 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | $904 | $723 | — | — | 2 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $1,500 | $600 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $1,500 | $600 | — | — | 5 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $6,377 | $2,551 | — | — | 5 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $6,500 | $2,600 | — | — | 5 insurers |
| HOLMES COUNTY HOSPITAL AND CLINICS | MS | $1,318 | $527 | — | — | 5 insurers |
| MISSOURI DELTA MEDICAL CENTER | MO | $2,064 | $516 | — | — | 5 insurers |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | MI | $593 | $504 | — | — | 3 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $452 | $0 | $457 | 2 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $344 | $230 | $230 | 1 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $1,432 | $305 | $305 | $1,432 | 5 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $1,432 | $305 | $305 | $1,432 | 5 insurers |
| LANDMARK MEDICAL CENTER | RI | $2,856 | $266 | $267 | $2,713 | 5 insurers |
| KALKASKA MEMORIAL HEALTH CENTER | MI | $3,416 | $2,904 | — | — | 5 insurers |
| LOWER BUCKS HOSPITAL | PA | $3,900 | $234 | $149 | $3,120 | 5 insurers |
| CARLE RICHLAND MEMORIAL HOSPITAL | IL | $2,919 | $2,919 | — | — | 4 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $644 | $171 | — | — | 5 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | $3,622 | $3,079 | — | — | 3 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | $3,622 | $3,079 | — | — | 3 insurers |
| HAYWOOD REGIONAL MEDICAL CENTER | NC | $7,778 | $3,111 | — | — | 1 insurers |
| GRADY GENERAL HOSPITAL | GA | — | $3,116 | — | — | 5 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $8,430 | $3,372 | — | — | 5 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $8,430 | $3,372 | — | — | 5 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | $4,169 | $4,169 | — | — | 4 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | $4,169 | $4,169 | — | — | 4 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | $4,169 | $4,169 | — | — | 4 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $11,058 | $4,423 | — | — | 4 insurers |
| LONGMONT UNITED HOSPITAL | CO | $13,000 | $5,200 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $13,000 | $5,200 | — | — | 5 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $13,000 | $5,200 | — | — | 5 insurers |
| SAINT ANTHONY HOSPITAL | IL | $13,000 | $5,200 | — | — | 5 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | $6,475 | $6,475 | — | — | 3 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $7,455 | $7,455 | — | — | 2 insurers |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | CA | — | — | — | — | 1 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 1 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP | CA | — | — | — | — | 1 insurers |
| SUTTER TRACY COMMUNITY HOSPITAL | CA | — | — | — | — | 1 insurers |
| NORTHBAY MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $307 | $881 | 5 insurers |
| SUTTER COAST HOSPITAL | CA | — | — | — | — | 1 insurers |
| STANFORD HEALTH CARE | CA | — | — | $349 | $1,420 | 2 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 1 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $307 | $737 | 5 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $199 | $987 | 5 insurers |
| EDEN MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| SUTTER AUBURN FAITH HOSPITAL | CA | — | — | — | — | 1 insurers |
| SUTTER DELTA MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| MEMORIAL HOSPITAL LOS BANOS | CA | — | — | — | — | 1 insurers |
| SUTTER DAVIS HOSPITAL | CA | — | — | — | — | 1 insurers |
| UCI HEALTH - LOS ALAMITOS | CA | — | — | $307 | $798 | 5 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 1 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $307 | $798 | 5 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $307 | $798 | 5 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $307 | $798 | 5 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 5 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $310 | $1,657 | 5 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $199 | $1,117 | 5 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $570 | $570 | 1 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $276 | $977 | 5 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 4 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 1 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 5 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | — | — | — | — | 1 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 1 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 1 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 1 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $349 | $698 | 5 insurers |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO | CA | — | — | — | — | 1 insurers |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | CA | — | — | — | — | 5 insurers |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB | CA | — | — | $199 | $966 | 5 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 5 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 5 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $377 | $2,352 | 5 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 1 insurers |
| AdventHealth Porter | CO | — | — | $247 | $604 | 5 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $249 | $604 | 5 insurers |
| AdventHealth Littleton | CO | — | — | $247 | $604 | 5 insurers |
| AdventHealth Parker | CO | — | — | $247 | $604 | 5 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 1 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $247 | $604 | 5 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 1 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $266 | $1,245 | 5 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $258 | $1,206 | 5 insurers |
| ORLANDO HEALTH | FL | — | — | $245 | $797 | 5 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $249 | $660 | 5 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $237 | $544 | 5 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $983 | $1,826 | 3 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $245 | $797 | 5 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $245 | $797 | 5 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 5 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $237 | $797 | 5 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 5 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $249 | $553 | 5 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 5 insurers |
| ST ANTHONYS HOSPITAL | FL | — | — | — | — | 5 insurers |
| AdventHealth Carrollwood | FL | — | — | $249 | $553 | 5 insurers |
| ST JOSEPHS HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $1,200 | $2,012 | 3 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 1 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $245 | $529 | 5 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $249 | $660 | 5 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $1,101 | $1,826 | 3 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $1,580 | $1,947 | 3 insurers |
| BARTOW REGIONAL MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| MORTON PLANT HOSPITAL | FL | — | — | — | — | 5 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 5 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $249 | $553 | 5 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $1,392 | $1,816 | 3 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $1,101 | $1,826 | 3 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $1,200 | $2,012 | 3 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $946 | $1,156 | 3 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $1,186 | $1,826 | 3 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $983 | $1,826 | 3 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $1,116 | $2,012 | 3 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $1,101 | $1,826 | 3 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $245 | $529 | 5 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $946 | $1,156 | 3 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $1,186 | $1,826 | 3 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $1,392 | $1,816 | 3 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $1,101 | $1,826 | 3 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $1,186 | $1,826 | 3 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $1,256 | $1,885 | 3 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $1,186 | $1,826 | 3 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $1,186 | $1,826 | 3 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $1,499 | $2,012 | 3 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $1,256 | $1,885 | 3 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $983 | $1,826 | 3 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 3 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $1,186 | $1,826 | 3 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $983 | $1,826 | 3 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $1,101 | $1,826 | 3 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $1,200 | $2,012 | 3 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $245 | $529 | 5 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $245 | $797 | 5 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $249 | $553 | 5 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $1,580 | $1,947 | 3 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $1,580 | $1,947 | 3 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $1,580 | $1,947 | 3 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 2 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $1,116 | $2,012 | 3 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 5 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $249 | $660 | 5 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 5 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 5 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $1,309 | $1,453 | 2 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $235 | $788 | 5 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $209 | $788 | 5 insurers |
| NGMC BARROW, LLC | GA | — | — | $235 | $788 | 5 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $222 | $440 | 5 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 5 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC | GA | — | — | — | — | 4 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $608 | $633 | 5 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $608 | $621 | 2 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $209 | $869 | 5 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 1 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $248 | $689 | 5 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 5 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 5 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $226 | $235 | 3 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $235 | $788 | 5 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 1 insurers |
| ARCHBOLD BROOKS | GA | — | — | $156 | $399 | 5 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $181 | $181 | 1 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 5 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $234 | $278 | 4 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 2 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $256 | $256 | 1 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $256 | $256 | 1 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $256 | $268 | 3 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $256 | $895 | 5 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $256 | $869 | 4 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $256 | $690 | 3 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $256 | $869 | 4 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $256 | $690 | 4 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $256 | $869 | 4 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $256 | $869 | 4 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $256 | $261 | 3 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $256 | $869 | 4 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $256 | $869 | 4 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $256 | $869 | 4 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $256 | $690 | 3 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $256 | $869 | 4 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $256 | $266 | 3 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $256 | $256 | 1 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 5 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $256 | $690 | 3 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $256 | $869 | 4 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $256 | $869 | 4 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $256 | $869 | 4 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $228 | $237 | 3 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $234 | $278 | 4 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 5 insurers |
| UNION HOSPITAL INC | IN | — | — | $229 | $1,590 | 5 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 5 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 5 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | — | — | — | — | 1 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 5 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | $250 | $250 | 5 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $237 | $1,264 | 5 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | — | — | — | — | 5 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | — | — | — | — | 5 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | — | — | — | — | 5 insurers |
| UCHICAGO MEDICINE NORTHWEST INDIANA | IN | — | — | $256 | $690 | 3 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 1 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $576 | $576 | 2 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 1 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | — | — | — | — | 1 insurers |
| SAINT ANNE'S HOSPITAL | MA | — | — | — | — | 5 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | — | — | — | — | 5 insurers |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH | MA | — | — | $286 | $632 | 3 insurers |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL | MA | — | — | — | — | 5 insurers |
| HOLY FAMILY HOSPITAL | MA | — | — | — | — | 2 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM | MA | — | — | $666 | $666 | 1 insurers |
| BETH ISRAEL DEACONESS MEDICAL CENTER | MA | — | — | $286 | $673 | 2 insurers |
| HEYWOOD HOSPITAL - | MA | — | — | $267 | $574 | 3 insurers |
| SOUTH SHORE HOSPITAL | MA | — | — | $286 | $730 | 5 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | — | — | $437 | $471 | 2 insurers |
| COREWELL HEALTH ZEELAND HOSPITAL | MI | — | — | — | — | 3 insurers |
| LAKELAND HOSPITAL, ST JOSEPH | MI | — | — | — | — | 3 insurers |
| SPECTRUM HEALTH | MI | — | — | — | — | 5 insurers |
| COREWELL HEALTH WATERVLIET HOSPITAL | MI | — | — | — | — | 2 insurers |
| COREWELL HEALTH BIG RAPIDS HOSPITAL | MI | — | — | — | — | 3 insurers |
| HARPER UNIVERSITY HOSPITAL | MI | — | — | $230 | $230 | 4 insurers |
| COREWELL HEALTH LUDINGTON HOSPITAL | MI | — | — | — | — | 3 insurers |
| BEAUMONT HOSPITAL ROYAL OAK | MI | — | — | — | — | 5 insurers |
| COREWELL HEALTH WAYNE HOSPITAL | MI | — | — | — | — | 5 insurers |
| COREWELL HEALTH TRENTON HOSPITAL | MI | — | — | — | — | 5 insurers |
| HURON VALLEY-SINAI HOSPITAL | MI | — | — | $70.18 | $230 | 5 insurers |
| OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP | MI | — | — | $256 | $869 | 4 insurers |
| COREWELL HEALTH PENNOCK HOSPITAL | MI | — | — | — | — | 3 insurers |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | MN | — | — | — | — | 2 insurers |
| SANFORD WORTHINGTON MEDICAL CENTER | MN | — | — | — | — | 5 insurers |
| ALOMERE HEALTH | MN | — | — | — | — | 5 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | — | — | — | — | 1 insurers |
| WINONA HEALTH SERVICES | MN | — | — | — | — | 1 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | — | — | — | — | 1 insurers |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER | MN | — | — | — | — | 5 insurers |
| ESSENTIA HEALTH VIRGINIA | MN | — | — | — | — | 2 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | — | — | — | — | 1 insurers |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES | MN | — | — | — | — | 3 insurers |
| MAHNOMEN HEALTH CENTER | MN | — | — | — | — | 3 insurers |
| SANFORD WESTBROOK MEDICAL CENTER | MN | — | — | — | — | 1 insurers |
| SANFORD TRACY MEDICAL CENTER | MN | — | — | — | — | 1 insurers |
| SANFORD WHEATON MEDICAL CENTER | MN | — | — | — | — | 1 insurers |
| SANFORD JACKSON MEDICAL CENTER | MN | — | — | — | — | 1 insurers |
| NORTH VALLEY HEALTH CENTER | MN | — | — | $237 | $708 | 5 insurers |
| ESSENTIA HEALTH MOOSE LAKE | MN | — | — | — | — | 2 insurers |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL | MN | — | — | — | — | 2 insurers |
| TISHOMINGO HEALTH SERVICES INC | MS | — | — | $212 | $717 | 5 insurers |
| NORTH MISSISSIPPI MEDICAL CENTER-GILMORE AMORY | MS | — | — | $215 | $804 | 5 insurers |
| GEORGE REGIONAL HEALTH SYSTEM | MS | — | — | $1,387 | $1,866 | 2 insurers |
| ALLIANCE HEALTH CENTER | MS | — | — | $226 | $815 | 5 insurers |
| PONTOTOC HEALTH SERVICE INC CAH | MS | — | — | $212 | $717 | 5 insurers |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY | MO | — | — | $238 | $518 | 5 insurers |
| NORTHEAST REGIONAL MEDICAL CENTER | MO | — | — | — | — | 5 insurers |
| BOONE HOSPITAL CENTER | MO | — | — | $239 | $442 | 5 insurers |
| SSM ST CLARE HEALTH CENTER | MO | — | — | $239 | $1,575 | 5 insurers |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS | MO | — | — | $239 | $1,575 | 5 insurers |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS | MO | — | — | $239 | $1,575 | 5 insurers |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL | MO | — | — | $234 | $1,128 | 5 insurers |
| SAINT FRANCIS MEDICAL CENTER | MO | — | — | $204 | $418 | 4 insurers |
| LEE'S SUMMIT MEDICAL CENTER | MO | — | — | $1,074 | $1,836 | 4 insurers |
| CUBA MEMORIAL HOSPITAL, INC | NY | — | — | $226 | $226 | 1 insurers |
| GARNET HEALTH MEDICAL CENTER CATSKILLS | NY | — | — | — | — | 5 insurers |
| CAROLINAS MEDICAL CENTER-NORTHEAST | NC | $1,696 | — | — | — | 0 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | — | — | $231 | $463 | 5 insurers |
| ATRIUM HEALTH CLEVELAND | NC | $1,696 | — | — | — | 0 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | — | — | $232 | $464 | 5 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | — | — | — | — | 3 insurers |
| WAKEMED, RALEIGH CAMPUS | NC | — | — | — | — | 5 insurers |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC | NC | $1,647 | — | — | — | 4 insurers |
| ATRIUM HEALTH ANSON | NC | $1,696 | — | — | — | 0 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | — | — | $231 | $463 | 5 insurers |
| ATRIUM HEALTH PINEVILLE | NC | $1,696 | — | — | — | 4 insurers |
| SENTARA ALBEMARLE MEDICAL CENTER | NC | — | — | — | — | 2 insurers |
| STANLY REGIONAL MEDICAL CENTER | NC | $1,696 | — | — | — | 0 insurers |
| ATRIUM HEALTH UNION | NC | $1,696 | — | — | — | 0 insurers |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER | NC | — | — | $234 | $3,318 | 5 insurers |
| ATRIUM HEALTH LINCOLN | NC | $1,696 | — | — | — | 0 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | — | — | $231 | $463 | 5 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | — | — | $256 | $576 | 5 insurers |
| ATRIUM HEALTH UNIVERSITY CITY | NC | $1,696 | — | — | — | 0 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | — | — | $232 | $464 | 5 insurers |
| WAKEMED, CARY HOSPITAL | NC | — | — | — | — | 5 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | — | — | $232 | $464 | 5 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | — | — | $232 | $464 | 5 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | — | — | $232 | $464 | 5 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | — | — | — | — | 1 insurers |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC | OH | — | — | $237 | $912 | 5 insurers |
| RIVERSIDE METHODIST HOSPITAL | OH | — | — | $230 | $230 | 1 insurers |
| LIMA MEMORIAL HEALTH SYSTEM | OH | — | — | $228 | $1,048 | 5 insurers |
| OHIOHEALTH O'BLENESS HOSPITAL | OH | — | — | $228 | $230 | 2 insurers |
| GRANT MEDICAL CENTER | OH | — | — | $230 | $230 | 1 insurers |
| KETTERING HEALTH GREENE MEMORIAL | OH | — | — | $234 | $819 | 5 insurers |
| UNIVERSITY OF TOLEDO MEDICAL CENTER | OH | — | — | — | — | 5 insurers |
| MIAMI VALLEY HOSPITAL | OH | — | — | $237 | $708 | 5 insurers |
| FISHER-TITUS HOSPITAL | OH | — | — | — | — | 5 insurers |
| VAN WERT COUNTY HOSPITAL | OH | — | — | $245 | $250 | 3 insurers |
| UH REGIONAL HOSPITALS | OH | — | — | — | — | 1 insurers |
| ATRIUM MEDICAL CENTER | OH | — | — | $237 | $722 | 5 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| AULTMAN HOSPITAL | OH | — | — | $226 | $678 | 5 insurers |
| OHIOHEALTH MANSFIELD HOSPITAL | OH | — | — | $228 | $237 | 3 insurers |
| UH ST JOHN MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| ALLIANCE COMMUNITY HOSPITAL | OH | — | — | $226 | $815 | 5 insurers |
| FORT HAMILTON HUGHES MEMORIAL HOSPITAL | OH | — | — | $237 | $822 | 5 insurers |
| KETTERING HEALTH DAYTON | OH | — | — | $235 | $810 | 5 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| BERGER HOSPITAL | OH | — | — | $230 | $777 | 2 insurers |
| UPPER VALLEY MEDICAL CENTER | OH | — | — | $234 | $722 | 5 insurers |
| MADISON HEALTH | OH | — | — | — | — | 5 insurers |
| MARY RUTAN HOSPITAL | OH | — | — | $235 | $764 | 4 insurers |
| DUBLIN METHODIST HOSPITAL | OH | — | — | $230 | $230 | 1 insurers |
| WEST CHESTER HOSPITAL | OH | — | — | $233 | $798 | 5 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| SOIN MEDICAL CENTER | OH | — | — | $235 | $810 | 5 insurers |
| AULTMAN ORRVILLE HOSPITAL | OH | — | — | $451 | $815 | 2 insurers |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB | OH | — | — | — | — | 5 insurers |
| NORMAN REGIONAL | OK | — | — | — | — | 5 insurers |
| DUNCAN REGIONAL HOSPITAL, INC | OK | — | — | $3,826 | $6,008 | 5 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | — | — | $246 | $3,437 | 5 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY | OK | — | — | $229 | $574 | 5 insurers |
| STILLWATER MEDICAL CENTER | OK | — | — | $246 | $950 | 5 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST | OK | — | — | $229 | $503 | 5 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE | OK | — | — | $229 | $549 | 5 insurers |
| STILLWATER MEDICAL - PERRY | OK | — | — | $246 | $950 | 5 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | — | — | $246 | $950 | 5 insurers |
| JEFFERSON COUNTY HOSPITAL | OK | — | — | $3,826 | $6,008 | 5 insurers |
| LEGACY EMANUEL MEDICAL CENTER | OR | — | — | $265 | $1,026 | 5 insurers |
| LEGACY GOOD SAMARITAN MEDICAL CENTER | OR | — | — | $265 | $1,026 | 5 insurers |
| LEGACY MOUNT HOOD MEDICAL CENTER | OR | — | — | $265 | $1,026 | 5 insurers |
| LEGACY SILVERTON MEDICAL CENTER | OR | — | — | $268 | $536 | 5 insurers |
| LEGACY MERIDIAN PARK MEDICAL CENTER | OR | — | — | $265 | $1,026 | 5 insurers |
| BAY AREA HOSPITAL | OR | — | — | $867 | $1,093 | 5 insurers |
| GOOD SHEPHERD MEDICAL CENTER | OR | — | — | — | — | 3 insurers |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET | PA | — | — | $169 | $1,152 | 4 insurers |
| CLARION HOSPITAL | PA | — | — | — | — | 5 insurers |
| BRYN MAWR HOSPITAL | PA | — | — | — | — | 5 insurers |
| PENN HIGHLANDS MON VALLEY | PA | — | — | — | — | 5 insurers |
| PENN HIGHLANDS MON VALLEY | PA | — | — | — | — | 1 insurers |
| PAOLI HOSPITAL | PA | — | — | — | — | 5 insurers |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA | PA | — | — | — | — | 5 insurers |
| PENN HIGHLANDS CONNELLSVILLE | PA | — | — | — | — | 5 insurers |
| LEHIGH VALLEY HOSPITAL - HAZLETON | PA | — | — | $165 | $1,152 | 5 insurers |
| MAIN LINE HOSPITAL LANKENAU | PA | — | — | — | — | 5 insurers |
| LEHIGH VALLEY HOSPITAL - POCONO | PA | — | — | $165 | $1,152 | 4 insurers |
| EXCELA HEALTH LATROBE HOSPITAL | PA | — | — | — | — | 5 insurers |
| RIDDLE MEMORIAL HOSPITAL | PA | — | — | — | — | 5 insurers |
| MOUNT NITTANY MEDICAL CENTER | PA | — | — | — | — | 5 insurers |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY | PA | — | — | $165 | $1,152 | 5 insurers |
| NEWPORT HOSPITAL | RI | — | — | — | — | 5 insurers |
| RHODE ISLAND HOSPITAL | RI | — | — | — | — | 5 insurers |
| THE MIRIAM HOSPITAL | RI | — | — | — | — | 5 insurers |
| MUSC MEDICAL CENTER | SC | — | — | — | — | 5 insurers |
| SPARTANBURG MEDICAL CENTER | SC | — | — | $230 | $1,590 | 5 insurers |
| CAROLINA PINES REGIONAL MEDICAL CENTER | SC | — | — | $230 | $1,229 | 5 insurers |
| MUSC HEALTH CHESTER MEDICAL CENTER | SC | — | — | — | — | 5 insurers |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN | SC | — | — | — | — | 5 insurers |
| COLLETON MEDICAL CENTER | SC | — | — | $983 | $2,322 | 5 insurers |
| MUSC HEALTH LANCASTER MEDICAL CENTER | SC | — | — | — | — | 5 insurers |
| KERSHAWHEALTH | SC | — | — | — | — | 5 insurers |
| MUSC HEALTH MARION MEDICAL CENTER | SC | — | — | — | — | 5 insurers |
| MUSC HEALTH FLORENCE MEDICAL CENTER | SC | — | — | — | — | 5 insurers |
| PELHAM MEDICAL CENTER | SC | — | — | $228 | $1,590 | 5 insurers |
| SANFORD USD MEDICAL CENTER | SD | — | — | — | — | 1 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | — | — | — | — | 2 insurers |
| CUMBERLAND MEDICAL CENTER | TN | — | — | $136 | $987 | 5 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | — | — | $113 | $987 | 5 insurers |
| ROANE MEDICAL CENTER | TN | — | — | $113 | $987 | 5 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | — | — | $113 | $987 | 5 insurers |
| CLAIBORNE MEDICAL CENTER | TN | — | — | $113 | $987 | 5 insurers |
| MAURY REGIONAL HOSPITAL | TN | — | — | — | — | 5 insurers |
| LECONTE MEDICAL CENTER | TN | — | — | $113 | $987 | 5 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | — | — | $113 | $987 | 5 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | — | — | $113 | $987 | 5 insurers |