| TRINITY ROCK ISLAND | IL | $824 | $659 | — | — | 5 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $824 | $659 | — | — | 4 insurers |
| TRINITY MUSCATINE | IA | $824 | $659 | — | — | 5 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $824 | $659 | — | — | 5 insurers |
| ST LUKES HOSPITAL | IA | $824 | $659 | — | — | 5 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $824 | $659 | — | — | 5 insurers |
| TRINITY - BETTENDORF | IA | $824 | $659 | — | — | 5 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $824 | $659 | — | — | 5 insurers |
| WAYNE MEMORIAL HOSPITAL | GA | $942 | $660 | — | — | 0 insurers |
| ALAMEDA HOSPITAL | CA | $1,328 | $664 | $531 | $996 | 4 insurers |
| HIGHLAND HOSPITAL | CA | $1,328 | $664 | $531 | $996 | 4 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $831 | $665 | — | — | 5 insurers |
| KEEFE MEMORIAL HOSPITAL | CO | $652 | $652 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $5,185 | $674 | — | — | 5 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $1,162 | $679 | $651 | $1,139 | 5 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $1,162 | $679 | $387 | $1,139 | 5 insurers |
| ST ELIZABETH HOSPITAL | CO | $1,162 | $679 | $651 | $1,139 | 5 insurers |
| ST ELIZABETH HOSPITAL | CO | $1,162 | $679 | $387 | $1,139 | 5 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $1,695 | $680 | — | — | 5 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $1,695 | $680 | — | — | 5 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $1,695 | $680 | — | — | 5 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $1,695 | $680 | — | — | 5 insurers |
| MEMORIAL MEDICAL CENTER | NM | $1,063 | $638 | — | — | 1 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $2,050 | $683 | $410 | $1,681 | 5 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $2,050 | $683 | $90.61 | $1,937 | 5 insurers |
| JENNIE STUART MEDICAL CENTER | KY | $2,048 | $635 | — | — | 5 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $1,813 | $635 | $340 | $1,541 | 5 insurers |
| WELIA HEALTH | MN | $905 | $633 | — | — | 1 insurers |
| CHI OAKES HOSPITAL | ND | $1,319 | $686 | $963 | $1,280 | 5 insurers |
| CHI OAKES HOSPITAL | ND | $1,319 | $686 | $415 | $1,280 | 5 insurers |
| BROADLAWNS MEDICAL CENTER | IA | $629 | $629 | — | — | 5 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | $1,569 | $628 | $294 | $1,099 | 5 insurers |
| UCSF HEALTH SAINT FRANCIS HOSPITAL | CA | $991 | $694 | $343 | $1,207 | 5 insurers |
| UCSF HEALTH ST. MARY'S HOSPITAL | CA | $991 | $694 | $326 | $1,463 | 5 insurers |
| WAYNE MEMORIAL HOSPITAL | PA | $779 | $623 | $311 | $623 | 5 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $1,472 | $623 | $883 | $1,252 | 5 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $1,472 | $623 | $61.42 | $1,031 | 5 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $1,785 | $698 | $375 | $1,785 | 5 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $1,785 | $698 | $107 | $1,937 | 5 insurers |
| SANFORD TRACY MEDICAL CENTER | MN | $774 | $619 | — | — | 5 insurers |
| AMBERWELL ATCHISON ASSOCIATION | KS | $881 | $617 | $419 | — | 4 insurers |
| SOVAH HEALTH DANVILLE | VA | $1,754 | $702 | — | — | 3 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $1,268 | $611 | $583 | $1,154 | 5 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $1,268 | $611 | $350 | $1,154 | 5 insurers |
| BARAGA COUNTY MEMORIAL HOSPITAL | MI | $610 | $610 | — | — | 0 insurers |
| GATEWAY REGIONAL MEDICAL CENTER | IL | — | $610 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $1,332 | $710 | $999 | $1,265 | 5 insurers |
| MERCY MEDICAL CENTER | OR | $1,332 | $710 | $333 | $1,582 | 5 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $1,776 | $710 | — | — | 1 insurers |
| SANFORD WORTHINGTON MEDICAL CENTER | MN | $758 | $606 | — | — | 5 insurers |
| SLEEPY EYE MEDICAL CENTER | MN | $754 | $605 | — | — | 5 insurers |
| BUENA VISTA REGIONAL MEDICAL CENTER | IA | $604 | $604 | $237 | $747 | 0 insurers |
| SGMC HEALTH | GA | $953 | $715 | — | — | 5 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $1,794 | $718 | — | — | 4 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,268 | $597 | $533 | $1,154 | 5 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,268 | $597 | $298 | $1,154 | 5 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | $1,695 | $721 | — | — | 5 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $1,723 | $724 | $1,034 | $1,465 | 3 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $1,723 | $724 | $259 | $1,465 | 5 insurers |
| CHI HEALTH BERGAN MERCY | NE | $1,723 | $724 | $1,034 | $1,465 | 3 insurers |
| CHI HEALTH BERGAN MERCY | NE | $1,723 | $724 | $293 | $1,465 | 5 insurers |
| CHI HEALTH IMMANUEL | NE | $1,723 | $724 | $1,034 | $1,465 | 3 insurers |
| CHI HEALTH IMMANUEL | NE | $1,723 | $724 | $241 | $1,465 | 5 insurers |
| CHI HEALTH MIDLANDS | NE | $1,723 | $724 | $1,034 | $1,465 | 3 insurers |
| CHI HEALTH MIDLANDS | NE | $1,723 | $724 | $310 | $1,465 | 5 insurers |
| CHI HEALTH LAKESIDE | NE | $1,723 | $724 | $1,034 | $1,465 | 3 insurers |
| CHI HEALTH LAKESIDE | NE | $1,723 | $724 | $276 | $1,465 | 5 insurers |
| DOMINICAN HOSPITAL | CA | $1,617 | $727 | $1,293 | $1,374 | 3 insurers |
| DOMINICAN HOSPITAL | CA | $1,617 | $727 | $97.49 | $1,680 | 5 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $1,817 | $728 | — | — | 5 insurers |
| SEQUOIA HOSPITAL | CA | $1,617 | $589 | $356 | $1,326 | 5 insurers |
| SEQUOIA HOSPITAL | CA | $1,617 | $589 | $142 | $1,794 | 5 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $1,948 | $584 | — | — | 5 insurers |
| SANFORD USD MEDICAL CENTER | SD | $730 | $584 | — | — | 3 insurers |
| MAGNOLIA REGIONAL MEDICAL HOSPITAL | AR | $1,225 | $735 | — | — | 1 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $1,453 | $581 | — | — | 2 insurers |
| PETERSON REGIONAL MEDICAL CENTER | TX | $826 | $578 | — | — | 5 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $1,436 | $575 | — | — | 1 insurers |
| ST GABRIELS HOSPITAL | MN | $1,496 | $748 | $529 | $1,421 | 5 insurers |
| MARIA PARHAM MEDICAL CENTER | NC | $1,421 | $568 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $1,871 | $750 | — | — | 5 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $809 | $566 | $39 | $809 | 5 insurers |
| MERCY GENERAL HOSPITAL | CA | $809 | $566 | $202 | $809 | 5 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $2,181 | $560 | $1,091 | $1,091 | 3 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $2,181 | $560 | $3.68 | $1,091 | 5 insurers |
| KITTSON HEALTHCARE | MN | $763 | $763 | — | — | 5 insurers |
| CHI ST ALEXIUS HEALTH DEVILS LAKE | ND | $1,319 | $554 | $950 | $1,253 | 5 insurers |
| CHI ST ALEXIUS HEALTH DEVILS LAKE | ND | $1,319 | $554 | $415 | $1,253 | 5 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $554 | $372 | $372 | 1 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $1,319 | $765 | $791 | $1,240 | 5 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $1,319 | $765 | $415 | $1,240 | 5 insurers |
| MERCY MEDICAL CENTER | CA | $789 | $552 | $346 | $789 | 5 insurers |
| HELEN KELLER HOSPITAL | AL | $766 | $766 | — | — | 5 insurers |
| HUNTSVILLE HOSPITAL | AL | $766 | $766 | — | — | 5 insurers |
| ATHENS LIMESTONE HOSPITAL | AL | $766 | $766 | — | — | 5 insurers |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS | AL | $766 | $766 | — | — | 5 insurers |
| HIAWATHA COMMUNITY HOSPITAL | KS | $847 | $551 | $305 | $805 | 5 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | $2,191 | $769 | $163 | $2,060 | 5 insurers |
| DUNCAN REGIONAL HOSPITAL, INC | OK | $2,191 | $769 | $163 | $2,060 | 5 insurers |
| JEFFERSON COUNTY HOSPITAL | OK | $2,191 | $769 | $163 | $2,060 | 5 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | $1,817 | $772 | — | — | 5 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $1,817 | $772 | — | — | 5 insurers |
| SOUTH COUNTY HOSPITAL INC | RI | $909 | $545 | — | — | 3 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $1,932 | $773 | — | — | 1 insurers |
| KONA COMMUNITY HOSPITAL | HI | $837 | $544 | — | — | 5 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $1,292 | $775 | $159 | $1,274 | 5 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $1,292 | $775 | $159 | $1,274 | 5 insurers |
| ALTON MEMORIAL HOSPITAL | IL | $1,292 | $775 | $159 | $1,274 | 5 insurers |
| MEMORIAL HOSPITAL | IL | $1,292 | $775 | $159 | $1,274 | 5 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $1,292 | $775 | $159 | $1,274 | 5 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $860 | $542 | $602 | $834 | 5 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $860 | $542 | $361 | $834 | 5 insurers |
| CITIZENS MEDICAL CENTER | TX | $1,557 | $778 | — | — | 1 insurers |
| HIGHPOINT HEALTH-TROUSDALE WITH ASCENSION SAINT | TN | $3,384 | $778 | — | — | 3 insurers |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH | TN | $3,384 | $778 | — | — | 3 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $1,268 | $538 | $926 | $1,154 | 5 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $1,268 | $538 | $224 | $1,154 | 5 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $1,108 | $537 | $277 | $875 | 5 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $1,108 | $537 | $230 | $1,937 | 5 insurers |
| PEACEHEALTH ST JOHN MEDICAL CENTER | WA | $1,201 | $781 | — | — | 5 insurers |
| PUTNAM GENERAL HOSPITAL | GA | $1,572 | $786 | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $2,021 | $792 | $546 | $1,981 | 5 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $2,021 | $792 | $346 | $1,981 | 5 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $1,325 | $795 | — | — | 3 insurers |
| ALTRU HOSPITAL | ND | $856 | $522 | — | — | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $1,327 | $796 | $159 | $1,274 | 5 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $1,327 | $796 | $159 | $1,274 | 5 insurers |
| BARNES JEWISH HOSPITAL | MO | $1,327 | $796 | $624 | $1,154 | 5 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $1,327 | $796 | $159 | $1,274 | 5 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $1,327 | $796 | $159 | $1,274 | 5 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $1,327 | $796 | $597 | $1,154 | 5 insurers |
| PROGRESS WEST HOSPITAL | MO | $1,327 | $796 | $597 | $1,308 | 5 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $1,472 | $515 | $324 | $1,472 | 5 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $1,472 | $515 | $267 | $1,472 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $1,472 | $515 | $324 | $1,472 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $1,472 | $515 | $282 | $1,472 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $1,472 | $515 | $324 | $1,472 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $1,472 | $515 | $282 | $1,472 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $1,472 | $515 | $324 | $1,472 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $1,472 | $515 | $282 | $1,472 | 5 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $946 | $804 | — | — | 3 insurers |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | MI | $946 | $804 | — | — | 3 insurers |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | MI | $946 | $804 | — | — | 3 insurers |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER | MN | $640 | $512 | — | — | 5 insurers |
| SAINT FRANCIS BARTLETT MEDICAL CENTER | TN | $681 | $511 | — | — | 2 insurers |
| SAINT JOSEPH EAST | KY | $1,268 | $509 | $533 | $1,154 | 5 insurers |
| SAINT JOSEPH EAST | KY | $1,268 | $509 | $310 | $1,154 | 5 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,268 | $509 | $533 | $1,154 | 5 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,268 | $509 | $310 | $1,154 | 5 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $4,297 | $816 | — | — | 5 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | $3,716 | $817 | — | — | 5 insurers |
| ELLIS HOSPITAL | NY | $1,648 | $824 | — | — | 4 insurers |
| UPHS MARQUETTE DLP HOSPITAL | MI | $819 | $491 | — | — | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $1,723 | $827 | $1,034 | $1,689 | 5 insurers |
| CHI HEALTH - MERCY CORNING | IA | $1,723 | $827 | $372 | $1,689 | 5 insurers |
| STARR REGIONAL MEDICAL CENTER ATHENS | TN | $4,278 | $839 | — | — | 0 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | — | $479 | — | — | 5 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $1,723 | $845 | $982 | $1,689 | 5 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $1,723 | $845 | $372 | $1,689 | 5 insurers |
| DESERT VIEW HOSPITAL | NV | $1,175 | $470 | — | — | 5 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $1,268 | $465 | $1,154 | $1,154 | 1 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $1,268 | $465 | $265 | $1,154 | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $2,137 | $855 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $2,137 | $855 | — | — | 5 insurers |
| NORTHWEST TEXAS HOSPITAL | TX | $2,137 | $855 | — | — | 5 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $910 | $461 | $728 | $892 | 5 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $910 | $461 | $91.32 | $892 | 5 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $1,181 | $461 | — | — | 1 insurers |
| LANAI COMMUNITY HOSPITAL | HI | $1,181 | $461 | — | — | 1 insurers |
| KULA HOSPITAL | HI | $1,181 | $461 | — | — | 1 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $1,718 | $460 | $670 | $1,443 | 3 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $1,718 | $460 | $241 | $1,718 | 5 insurers |
| LAKEWOOD HEALTH CENTER | MN | $611 | $457 | — | — | 5 insurers |
| WAYNE COUNTY HOSPITAL | IA | $1,325 | $861 | — | — | 5 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $2,021 | $865 | $1,273 | $1,981 | 4 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $2,021 | $865 | $118 | $1,981 | 5 insurers |
| SAINT JOSEPH LONDON | KY | $1,268 | $453 | $1,154 | $1,154 | 1 insurers |
| SAINT JOSEPH LONDON | KY | $1,268 | $453 | $181 | $1,154 | 5 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $737 | $452 | — | — | 1 insurers |
| BAPTIST HEALTH - FORT SMITH | AR | $1,806 | $452 | — | — | 5 insurers |
| FAUQUIER HOSPITAL | VA | $1,124 | $450 | — | — | 5 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,742 | $871 | — | — | 2 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $1,113 | $445 | — | — | 5 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $440 | — | — | 5 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $440 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTERS | AL | $440 | $440 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | CA | $440 | $440 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | TN | $440 | $440 | — | — | 5 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $1,465 | $879 | $597 | $1,308 | 5 insurers |
| MISSOURI BAPTIST SULLIVAN HOSPITAL | MO | $1,465 | $879 | $159 | $1,274 | 5 insurers |
| LAKE REGION HEALTHCARE CORPORATION | MN | $672 | $437 | — | — | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $1,472 | $436 | $883 | $1,193 | 5 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $1,472 | $436 | $221 | $1,193 | 5 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $2,217 | $887 | — | — | 5 insurers |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS | NY | $890 | $890 | — | — | 5 insurers |
| GRANVILLE HEALTH SYSTEMS | NC | $1,116 | $892 | — | — | 0 insurers |
| ST JOHNS REGIONAL MEDICAL CENTER | CA | $607 | $425 | $164 | $854 | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $1,718 | $424 | $911 | $1,404 | 2 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $1,718 | $424 | $305 | $1,649 | 5 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $1,718 | $423 | $670 | $1,323 | 3 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $1,718 | $423 | $241 | $1,718 | 5 insurers |
| SANFORD SHELDON MEDICAL CENTER | IA | $525 | $420 | — | — | 5 insurers |
| SANFORD CLEAR LAKE MEDICAL CENTER | SD | $525 | $420 | — | — | 5 insurers |
| SANFORD VERMILLION MEDICAL CENTER | SD | $525 | $420 | — | — | 5 insurers |
| ST ELIZABETH HOSPITAL | WA | $1,379 | $419 | $758 | $1,034 | 4 insurers |
| ST ELIZABETH HOSPITAL | WA | $1,379 | $419 | $372 | $1,910 | 5 insurers |
| STARR COUNTY MEMORIAL HOSPITAL | TX | $418 | $418 | — | — | 5 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,501 | $900 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,501 | $900 | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $1,067 | $416 | $354 | $557 | 3 insurers |
| PARKLAND HEALTH CENTER | MO | $1,504 | $902 | $597 | $1,308 | 5 insurers |
| UNION GENERAL HOSPITAL | GA | $1,809 | $905 | — | — | 5 insurers |
| CHATUGE REGIONAL HOSPITAL | GA | $1,809 | $905 | — | — | 5 insurers |
| USC ARCADIA HOSPITAL | CA | $1,170 | $410 | — | — | 5 insurers |
| TRINITY ROCK ISLAND | IL | $510 | $408 | — | — | 1 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $510 | $408 | — | — | 5 insurers |
| TRINITY MUSCATINE | IA | $510 | $408 | — | — | 2 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $510 | $408 | — | — | 2 insurers |
| ST LUKES HOSPITAL | IA | $510 | $408 | — | — | 2 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $510 | $408 | — | — | 2 insurers |
| TRINITY - BETTENDORF | IA | $510 | $408 | — | — | 2 insurers |
| ALLEN HOSPITAL | IA | $510 | $408 | — | — | 2 insurers |
| FINLEY HOSPITAL | IA | $510 | $408 | — | — | 2 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $510 | $408 | — | — | 2 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $510 | $408 | — | — | 3 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $510 | $408 | — | — | 2 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $510 | $408 | — | — | 4 insurers |
| MEMORIAL HOSPITAL | TX | $805 | $403 | $96.64 | $763 | 5 insurers |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | TX | $805 | $403 | $96.64 | $763 | 5 insurers |
| MEMORIAL HOSPITAL | TX | $805 | $403 | $96.64 | $763 | 5 insurers |
| MEMORIAL HOSPITAL | TX | $805 | $403 | $96.64 | $763 | 5 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $1,254 | $401 | $139 | $1,129 | 5 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $3,982 | $398 | — | — | 4 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $3,982 | $398 | — | — | 4 insurers |
| ST CLARE HOSPITAL | WA | $1,379 | $397 | $758 | $1,034 | 4 insurers |
| ST CLARE HOSPITAL | WA | $1,379 | $397 | $372 | $1,910 | 5 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $1,718 | $393 | $911 | $1,404 | 2 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $1,718 | $393 | $305 | $1,649 | 5 insurers |
| ST MARY MEDICAL CENTER | CA | $1,718 | $393 | $911 | $1,404 | 2 insurers |
| ST MARY MEDICAL CENTER | CA | $1,718 | $393 | $305 | $1,649 | 5 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $1,254 | $389 | $167 | $1,129 | 5 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $1,254 | $389 | $139 | $1,129 | 5 insurers |
| ROANE MEDICAL CENTER | TN | $1,254 | $389 | $139 | $1,129 | 5 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $1,254 | $389 | $139 | $1,129 | 5 insurers |
| LECONTE MEDICAL CENTER | TN | $1,254 | $389 | $139 | $1,129 | 5 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $1,254 | $389 | $139 | $1,129 | 5 insurers |
| HIGHLAND HILLS MEDICAL CENTER | MS | $773 | $387 | — | — | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $708 | $386 | $545 | $694 | 5 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $708 | $386 | $120 | $708 | 5 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $481 | $385 | — | — | 3 insurers |
| NORTON SCOTT HOSPITAL | IN | $1,899 | $380 | — | — | 1 insurers |
| NORTON HOSPITALS, INC | KY | $1,899 | $380 | — | — | 1 insurers |
| PARKWEST MEDICAL CENTER | TN | $1,254 | $376 | $139 | $1,129 | 5 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $1,067 | $373 | $260 | $601 | 3 insurers |
| COX BARTON COUNTY HOSPITAL | MO | $1,170 | $373 | — | — | 0 insurers |
| KALKASKA MEMORIAL HEALTH CENTER | MI | $1,114 | $947 | — | — | 3 insurers |
| FORT DUNCAN MEDICAL CENTER | TX | $920 | $368 | — | — | 5 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $910 | $364 | — | — | 5 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $910 | $364 | — | — | 5 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $1,123 | $955 | — | — | 1 insurers |
| GRADY GENERAL HOSPITAL | GA | — | $958 | — | — | 5 insurers |
| COX MONETT HOSPITAL | MO | $1,170 | $357 | — | — | 1 insurers |
| HUTCHINSON HEALTH | MN | — | $354 | $325 | $1,153 | 2 insurers |
| ADAMS COUNTY REGIONAL MEDICAL CENTER | OH | $442 | $353 | $124 | $420 | 0 insurers |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL | MA | $967 | $967 | — | — | 0 insurers |
| NEWPORT HOSPITAL | RI | $967 | $967 | — | — | 0 insurers |
| RHODE ISLAND HOSPITAL | RI | $967 | $967 | — | — | 0 insurers |
| THE MIRIAM HOSPITAL | RI | $967 | $967 | — | — | 0 insurers |
| BRYN MAWR HOSPITAL | PA | $2,422 | $969 | — | — | 0 insurers |
| PAOLI HOSPITAL | PA | $2,422 | $969 | — | — | 0 insurers |
| MAIN LINE HOSPITAL LANKENAU | PA | $2,422 | $969 | — | — | 0 insurers |
| RIDDLE MEMORIAL HOSPITAL | PA | $2,422 | $969 | — | — | 0 insurers |
| MUNSON HEALTHCARE GRAYLING HOSPITAL | MI | $1,141 | $970 | — | — | 3 insurers |
| PAUL OLIVER MEMORIAL HOSPITAL | MI | $1,141 | $970 | — | — | 3 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $2,425 | $970 | — | — | 2 insurers |
| ST JOSEPHS AREA HEALTH SERVICES | MN | $560 | $346 | $377 | $532 | 5 insurers |
| BUCHANAN GENERAL HOSPITAL | VA | $986 | $345 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $684 | $321 | — | — | 3 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $397 | $318 | — | — | 3 insurers |
| WELLSPAN CHAMBERSBURG HOSPITAL | PA | $1,251 | $1,000 | — | — | 5 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $809 | $315 | $88.99 | $663 | 5 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $809 | $315 | $54.26 | $1,188 | 5 insurers |
| MEMORIAL HOSPITAL | IL | $391 | $313 | — | — | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $503 | $312 | — | — | 5 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $809 | $309 | $340 | $639 | 4 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $809 | $309 | $154 | $809 | 5 insurers |
| SPRING VIEW HOSPITAL | KY | $772 | $309 | — | — | 1 insurers |
| SALINE MEMORIAL HOSPITAL | AR | $1,027 | $308 | — | — | 1 insurers |
| STILLWATER MEDICAL CENTER | OK | $1,272 | $1,018 | $390 | $1,145 | 5 insurers |
| STILLWATER MEDICAL - PERRY | OK | $1,272 | $1,018 | $390 | $1,145 | 5 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | $1,272 | $1,018 | $390 | $1,145 | 5 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $748 | $299 | — | — | 3 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $878 | $299 | — | — | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $805 | $295 | $322 | $636 | 5 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $805 | $295 | $106 | $805 | 5 insurers |
| KAISER PERMANENTE CENTRAL HOSPITAL | WA | $476 | $295 | $325 | $325 | 2 insurers |
| COX MEDICAL CENTERS | MO | $1,170 | $295 | — | — | 5 insurers |
| COX MEDICAL CENTER BRANSON | MO | $1,170 | $295 | — | — | 5 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $833 | $291 | $275 | $1,299 | 5 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $833 | $291 | $125 | $917 | 5 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $1,720 | $1,032 | — | — | 5 insurers |
| DEACONESS HOSPITAL INC | IN | $1,294 | $1,035 | $354 | $399 | 5 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $1,470 | $279 | — | — | 5 insurers |
| WINDOM AREA HEALTH | MN | $405 | $275 | — | — | 5 insurers |
| LASALLE GENERAL HOSPITAL | LA | $454 | $272 | — | — | 5 insurers |
| MARION GENERAL HOSPITAL | OH | $1,616 | $1,050 | — | — | 0 insurers |
| DOCTORS HOSPITAL | OH | $1,616 | $1,050 | — | — | 0 insurers |
| OHIOHEALTH SHELBY HOSPITAL | OH | $1,616 | $1,050 | — | — | 0 insurers |
| SOUTH TEXAS HEALTH SYSTEM | TX | $2,631 | $1,052 | — | — | 5 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $1,634 | $1,062 | — | — | 5 insurers |
| TUCSON MEDICAL CENTER | AZ | $889 | $249 | — | — | 2 insurers |
| MAGEE GENERAL HOSPITAL | MS | $710 | $246 | — | — | 5 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | $423 | $246 | $71.48 | $800 | 5 insurers |
| EAST COOPER MEDICAL CENTER | SC | $1,498 | $246 | $246 | $1,348 | 5 insurers |
| COASTAL CAROLINA HOSPITAL | SC | $3,400 | $246 | $246 | $3,060 | 5 insurers |
| CHI ST ALEXIUS HEALTH TURTLE LAKE | ND | $345 | $245 | $245 | $327 | 5 insurers |
| CHI ST ALEXIUS HEALTH TURTLE LAKE | ND | $345 | $245 | $245 | $345 | 5 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $488 | $244 | — | — | 1 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $488 | $244 | — | — | 1 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $488 | $244 | — | — | 1 insurers |
| JACKSON COUNTY REGIONAL HEALTH CENTER | IA | $1,076 | $1,076 | — | — | 5 insurers |
| GENEVA GENERAL HOSPITAL | NY | $595 | $238 | — | — | 0 insurers |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES | NY | $595 | $238 | — | — | 5 insurers |
| RALEIGH GENERAL HOSPITAL | WV | $593 | $237 | — | — | 0 insurers |
| LIBERTY REGIONAL MEDICAL CENTER | GA | $315 | $236 | — | — | 5 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $809 | $233 | $607 | $671 | 4 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $809 | $233 | $261 | $1,188 | 5 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $1,359 | $1,087 | $364 | $1,359 | 5 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $1,359 | $1,087 | $364 | $1,359 | 5 insurers |
| SPRINGHILL MEDICAL CENTER | LA | $678 | $231 | — | — | 5 insurers |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL | IL | $1,088 | $1,088 | — | — | 5 insurers |
| SAN JUAN HOSPITAL | UT | $320 | $224 | — | — | 5 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $809 | $222 | $88.99 | $744 | 5 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $809 | $222 | $76.58 | $809 | 5 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $809 | $222 | $88.99 | $671 | 5 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $809 | $222 | $84.99 | $1,188 | 5 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $781 | $218 | $156 | $679 | 5 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $781 | $218 | $131 | $1,937 | 5 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $345 | $210 | $169 | $321 | 5 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $345 | $210 | $72.39 | $821 | 5 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $1,583 | $1,108 | — | — | 5 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $1,583 | $1,108 | — | — | 5 insurers |
| TEXOMA MEDICAL CENTER | TX | $1,479 | $1,109 | — | — | 5 insurers |
| UNION HOSPITAL CLINTON | IN | $1,849 | $1,110 | — | — | 1 insurers |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | AR | $828 | $207 | — | — | 5 insurers |
| BAPTIST HEALTH MEDICAL CENTER- CONWAY | AR | $828 | $207 | — | — | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $908 | $206 | $163 | $654 | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $908 | $206 | $218 | $841 | 5 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $345 | $203 | $190 | $324 | 5 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $345 | $203 | $79.28 | $832 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $345 | $203 | $190 | $324 | 5 insurers |
| CHI HEALTH ST. FRANCIS | NE | $345 | $203 | $79.28 | $832 | 5 insurers |
| MARION GENERAL HOSPITAL | MS | $1,858 | $1,115 | — | — | 5 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $657 | $193 | $171 | $539 | 4 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $657 | $193 | $171 | $1,264 | 5 insurers |
| WYOMING COUNTY | NY | $476 | $190 | — | — | 2 insurers |
| WYTHE COUNTY COMMUNITY HOSPITAL | VA | $476 | $190 | — | — | 2 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $2,050 | $1,128 | — | — | 5 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $2,050 | $1,128 | — | — | 5 insurers |
| THREE RIVERS HEALTH | MI | $341 | $188 | — | — | 0 insurers |
| KANSAS MEDICAL CENTER LLC | KS | $311 | $187 | — | — | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $908 | $186 | $163 | $654 | 5 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $908 | $186 | $218 | $841 | 5 insurers |
| OSWEGO HOSPITAL | NY | $245 | $184 | — | — | 5 insurers |
| AURORA MEDICAL CENTER | WI | $2,272 | $1,136 | — | — | 5 insurers |
| CHI ST ALEXIUS HEALTH | ND | $345 | $176 | $255 | $310 | 3 insurers |
| CHI ST ALEXIUS HEALTH | ND | $345 | $176 | $255 | $410 | 5 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $345 | $172 | $214 | $276 | 3 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $345 | $172 | $79.28 | $837 | 5 insurers |
| HOLY FAMILY HOSPITAL | MA | $2,088 | $1,148 | — | — | 5 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $2,088 | $1,148 | — | — | 5 insurers |
| BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK | AR | $662 | $166 | — | — | 5 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $345 | $159 | $245 | $259 | 2 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $345 | $159 | $82.73 | $837 | 5 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $345 | $159 | $245 | $259 | 2 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $345 | $159 | $82.73 | $837 | 5 insurers |
| LINCOLN HEALTH HOSPITAL | CO | $307 | $146 | — | — | 1 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $359 | $140 | — | — | 1 insurers |
| OCH REGIONAL MEDICAL CENTER | MS | $1,846 | $1,182 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $1,819 | $1,182 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $1,819 | $1,182 | — | — | 5 insurers |
| TRIGG COUNTY HOSPITAL | KY | $321 | $128 | — | — | 5 insurers |
| BAPTIST HEALTH MEDICAL CENTER-DREW COUNTY | AR | $506 | $126 | — | — | 5 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $1,713 | $1,199 | — | — | 5 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $3,006 | $1,202 | — | — | 5 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $3,006 | $1,202 | — | — | 5 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $3,006 | $1,202 | — | — | 5 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $3,006 | $1,202 | — | — | 5 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $3,006 | $1,202 | — | — | 5 insurers |
| HENDERSON HOSPITAL | NV | $3,006 | $1,202 | — | — | 5 insurers |
| WEST HENDERSON HOSPITAL | NV | $3,006 | $1,202 | — | — | 5 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $1,720 | $1,204 | — | — | 5 insurers |
| VALLEY PRESBYTERIAN HOSPITAL | CA | — | $1,204 | $281 | $1,197 | 5 insurers |
| NEW YORK-PRESBYTERIAN/QUEENS | NY | — | $1,204 | $281 | $1,221 | 5 insurers |
| NEW YORK-PRESBYTERIAN HOSPITAL | NY | — | $1,204 | $236 | $1,132 | 5 insurers |
| HUDSON VALLEY HOSPITAL CENTER | NY | — | $1,204 | $281 | $1,197 | 5 insurers |
| LAKE CUMBERLAND REGIONAL HOSPITAL | KY | $274 | $110 | — | — | 1 insurers |
| TWIN COUNTY REGIONAL HOSPITAL | VA | $264 | $106 | — | — | 3 insurers |
| UNITY HOSPITAL | NY | $129 | $103 | — | — | 0 insurers |
| UNITY MEDICAL CENTER | TN | $129 | $103 | — | — | 0 insurers |
| JEFFERSON HEALTHCARE | WA | — | $102 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $137 | $96.15 | — | — | 2 insurers |
| CHICOT MEMORIAL MEDICAL CENTER | AR | $1,222 | $1,222 | — | — | 5 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | $239 | $95.6 | — | — | 5 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $2,456 | $1,228 | — | — | 5 insurers |
| KELL WEST REGIONAL HOSPITAL | TX | $199 | $85.6 | — | — | 5 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | $1,760 | $1,232 | — | — | 5 insurers |
| DALE MEDICAL CENTER | AL | $111 | $77.58 | — | — | 0 insurers |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN | MS | $225 | $67.5 | — | — | 5 insurers |
| MERCY HOSPITAL | CA | $3,128 | $1,251 | — | — | 5 insurers |
| LONGMONT UNITED HOSPITAL | CO | $3,128 | $1,251 | — | — | 5 insurers |
| ST MARY-CORWIN HOSPITAL | CO | $3,128 | $1,251 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $3,128 | $1,251 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $3,128 | $1,251 | — | — | 5 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | $3,128 | $1,251 | — | — | 5 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $3,128 | $1,251 | — | — | 5 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $3,128 | $1,251 | — | — | 5 insurers |
| ST THOMAS MORE HOSPITAL | CO | $3,128 | $1,251 | — | — | 5 insurers |
| SAINT ANTHONY HOSPITAL | IL | $3,128 | $1,251 | — | — | 5 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $3,128 | $1,251 | — | — | 4 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | $3,128 | $1,251 | — | — | 4 insurers |
| BOB WILSON MEMORIAL HOSPITAL | KS | $3,128 | $1,251 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $3,128 | $1,251 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $3,128 | $1,251 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL-JORDAN VALLEY | UT | $3,128 | $1,251 | — | — | 5 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $3,867 | $1,261 | $619 | $3,094 | 5 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $3,867 | $1,261 | $305 | $3,094 | 5 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $3,867 | $1,261 | $619 | $3,094 | 5 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $3,867 | $1,261 | $305 | $3,094 | 5 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $290 | $50.79 | $49.34 | $290 | 5 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $290 | $50.79 | $160 | $1,272 | 5 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $290 | $50.79 | $49.34 | $290 | 5 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $290 | $50.79 | $63.85 | $383 | 5 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $290 | $50.79 | $49.34 | $290 | 5 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $290 | $50.79 | $36.98 | $632 | 5 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $290 | $50.79 | $49.34 | $290 | 5 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $290 | $50.79 | $105 | $632 | 5 insurers |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | TX | $3,653 | $1,278 | $292 | $3,287 | 5 insurers |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | TX | $3,653 | $1,278 | $292 | $3,287 | 5 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,830 | $1,281 | — | — | 5 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $1,290 | $1,290 | — | — | 5 insurers |
| WAYNE HOSPITAL | OH | $1,731 | $1,298 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $1,747 | $1,310 | — | — | 0 insurers |
| UH REGIONAL HOSPITALS | OH | $1,747 | $1,310 | — | — | 1 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $1,747 | $1,310 | — | — | 1 insurers |
| LAKE HEALTH | OH | $1,747 | $1,310 | — | — | 0 insurers |
| UH ST JOHN MEDICAL CENTER | OH | $1,747 | $1,310 | — | — | 1 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | $1,747 | $1,310 | — | — | 1 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | $1,747 | $1,310 | — | — | 1 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | $1,747 | $1,310 | — | — | 1 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $1,747 | $1,310 | — | — | 2 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $1,747 | $1,310 | — | — | 1 insurers |
| MADISON MEMORIAL HOSPITAL | ID | $1,544 | $1,312 | — | — | 5 insurers |
| MADISON HOSPITAL | MN | $1,544 | $1,312 | — | — | 5 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $2,193 | $1,316 | — | — | 0 insurers |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI | TN | $4,541 | $1,330 | — | — | 0 insurers |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | WI | $2,098 | $1,364 | $348 | $2,035 | 0 insurers |
| IVINSON MEMORIAL HOSPITAL | WY | $1,420 | $1,420 | — | — | 5 insurers |
| BARNES-KASSON COUNTY HOSPITAL | PA | $2,035 | $1,425 | — | — | 0 insurers |
| EVERGREEN MEDICAL CENTER | AL | $2,209 | $1,436 | — | — | 2 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $1,723 | $1,448 | $1,555 | $1,689 | 5 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $1,723 | $1,448 | $1,051 | $2,334 | 5 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | $2,090 | $1,463 | $336 | $1,672 | 5 insurers |
| CHI HEALTH SCHUYLER | NE | $1,723 | $1,465 | $1,555 | $1,689 | 5 insurers |
| CHI HEALTH SCHUYLER | NE | $1,723 | $1,465 | $369 | $1,951 | 5 insurers |
| HAZARD ARH REGIONAL MEDICAL CENTER | KY | $2,466 | $1,480 | — | — | 5 insurers |
| HARLAN ARH HOSPITAL | KY | $2,466 | $1,480 | — | — | 5 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $1,496 | $1,496 | — | — | 1 insurers |
| ADVENTHEALTH SHAWNEE MISSION | KS | $3,039 | $1,519 | — | — | 5 insurers |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE | TN | $6,300 | $1,569 | — | — | 0 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | $3,152 | $1,576 | — | — | 0 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | $3,152 | $1,576 | — | — | 0 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | $3,152 | $1,576 | — | — | 0 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | $3,152 | $1,576 | — | — | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | $3,152 | $1,576 | — | — | 0 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | $3,152 | $1,576 | — | — | 0 insurers |