| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $14,469 | $5,064 | $354 | $819 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $14,469 | $5,643 | $482 | $759 | 3 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $15,065 | $5,875 | — | — | 0 insurers |
| LANAI COMMUNITY HOSPITAL | HI | $15,065 | $5,875 | — | — | 0 insurers |
| KULA HOSPITAL | HI | $15,065 | $5,875 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $701 | $491 | $491 | 1 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $662 | $417 | $1,013 | 5 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $662 | $417 | $864 | 5 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $662 | $417 | $864 | 5 insurers |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | CA | — | — | — | — | 3 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 1 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP | CA | — | — | — | — | 3 insurers |
| SUTTER TRACY COMMUNITY HOSPITAL | CA | — | — | — | — | 3 insurers |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $483 | $1,408 | 5 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | — | — | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | — | — | — | — | 3 insurers |
| SUTTER COAST HOSPITAL | CA | — | — | — | — | 3 insurers |
| STANFORD HEALTH CARE | CA | — | — | $497 | $1,057 | 2 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 1 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $472 | $2,136 | 5 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $323 | $1,597 | 5 insurers |
| EDEN MEDICAL CENTER | CA | — | — | — | — | 3 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | — | — | — | — | 2 insurers |
| SUTTER AUBURN FAITH HOSPITAL | CA | — | — | — | — | 3 insurers |
| SUTTER DELTA MEDICAL CENTER | CA | — | — | — | — | 3 insurers |
| MEMORIAL HOSPITAL LOS BANOS | CA | — | — | — | — | 3 insurers |
| SUTTER DAVIS HOSPITAL | CA | — | — | — | — | 3 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 3 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 5 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $483 | $2,658 | 5 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $323 | $1,808 | 5 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 3 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $803 | $1,293 | 1 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 3 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $447 | $1,356 | 5 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 4 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 3 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 5 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | — | — | — | — | 2 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 3 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 1 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 3 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 3 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $497 | $993 | 5 insurers |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO | CA | — | — | — | — | 2 insurers |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | CA | — | — | — | — | 5 insurers |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB | CA | — | — | $323 | $1,410 | 5 insurers |
| LONGMONT UNITED HOSPITAL | CO | — | — | — | — | 1 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 5 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 5 insurers |
| ST MARY-CORWIN HOSPITAL | CO | — | — | — | — | 1 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $562 | $1,261 | 5 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 1 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 5 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $454 | $1,229 | 5 insurers |
| AdventHealth Porter | CO | — | — | $487 | $1,100 | 5 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $487 | $1,100 | 5 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 1 insurers |
| AdventHealth Littleton | CO | — | — | $487 | $1,100 | 5 insurers |
| AdventHealth Parker | CO | — | — | $487 | $1,100 | 5 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 1 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 1 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $487 | $1,100 | 5 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | — | — | — | — | 5 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | — | — | — | — | 3 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 4 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | — | — | — | — | 3 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 1 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $497 | $1,301 | 5 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 1 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | — | — | — | — | 5 insurers |
| ORLANDO HEALTH | FL | — | — | $489 | $1,590 | 5 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $489 | $1,590 | 5 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $489 | $1,590 | 5 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $472 | $1,590 | 5 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $482 | $482 | 1 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 5 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 2 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $489 | $969 | 5 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $482 | $497 | 2 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $482 | $482 | 1 insurers |
| BARTOW REGIONAL MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| MORTON PLANT HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA AVENTURA HOSPITAL | FL | — | — | $482 | $482 | 1 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $482 | $482 | 1 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $482 | $497 | 2 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $497 | $497 | 1 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $482 | $497 | 2 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $482 | $482 | 1 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $482 | $497 | 2 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $482 | $482 | 1 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $482 | $482 | 1 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $482 | $497 | 2 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $489 | $969 | 5 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $482 | $482 | 1 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 3 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $482 | $497 | 2 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $482 | $482 | 1 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $482 | $497 | 2 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $482 | $497 | 2 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $482 | $482 | 1 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $482 | $497 | 2 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $482 | $482 | 1 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $482 | $497 | 2 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $492 | $492 | 1 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $482 | $482 | 1 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $482 | $497 | 2 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $482 | $497 | 2 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $482 | $497 | 2 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $482 | $497 | 2 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $489 | $969 | 5 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $489 | $1,590 | 5 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $482 | $482 | 1 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $482 | $482 | 1 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $482 | $482 | 1 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 3 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | — | — | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 5 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 5 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $703 | $1,300 | 3 insurers |
| Memorial Satilla Health | GA | — | — | $482 | $1,271 | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $497 | $583 | 5 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $497 | $583 | 5 insurers |
| NGMC BARROW, LLC | GA | — | — | $497 | $583 | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $482 | $1,297 | 5 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $444 | $1,271 | 5 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 1 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $482 | $1,381 | 5 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $497 | $3,217 | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $497 | $583 | 5 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $1,286 | $1,286 | 4 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 1 insurers |
| ARCHBOLD BROOKS | GA | — | — | $262 | $671 | 5 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $373 | $723 | 5 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 5 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $491 | $526 | 4 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 1 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 5 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $497 | $2,069 | 5 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $490 | $501 | 2 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 1 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 3 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | — | — | — | — | 3 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 5 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $501 | $1,753 | 5 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $501 | $1,703 | 5 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $497 | $817 | 5 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $501 | $1,703 | 5 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $497 | $919 | 5 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 1 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $501 | $1,703 | 5 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 1 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $501 | $1,703 | 5 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $501 | $811 | 4 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 2 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $501 | $1,703 | 5 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $501 | $1,703 | 5 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $501 | $1,703 | 5 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 3 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $497 | $817 | 5 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $497 | $1,201 | 3 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | — | — | — | — | 2 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 1 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | — | — | — | — | 1 insurers |
| EDWARD HOSPITAL | IL | — | — | $497 | $1,201 | 3 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $501 | $1,703 | 5 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $497 | $1,826 | 5 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $497 | $2,069 | 5 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 5 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | — | — | — | — | 2 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | — | — | — | — | 3 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | — | — | — | — | 4 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $497 | $817 | 5 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 3 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $501 | $1,703 | 5 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $501 | $1,703 | 5 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $894 | $1,826 | 4 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $501 | $1,703 | 5 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $497 | $3,217 | 5 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $491 | $526 | 4 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 5 insurers |
| UNION HOSPITAL INC | IN | — | — | $501 | $869 | 5 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 5 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 5 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | — | — | — | — | 2 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 5 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | $467 | $526 | 5 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $497 | $1,227 | 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 | — | — | $497 | $817 | 5 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 5 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 5 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $490 | $611 | 5 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 5 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 | — | — | $490 | $825 | 5 insurers |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL | MA | — | — | — | — | 5 insurers |
| HOLY FAMILY HOSPITAL | MA | — | — | — | — | 3 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM | MA | — | — | $490 | $826 | 4 insurers |
| BETH ISRAEL DEACONESS MEDICAL CENTER | MA | — | — | $490 | $894 | 5 insurers |
| HEYWOOD HOSPITAL - | MA | — | — | $182 | $844 | 5 insurers |
| SOUTH SHORE HOSPITAL | MA | — | — | $490 | $503 | 5 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON | MA | — | — | $490 | $586 | 4 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | — | — | $482 | $491 | 4 insurers |
| COREWELL HEALTH ZEELAND HOSPITAL | MI | — | — | — | — | 5 insurers |
| SPECTRUM HEALTH | MI | — | — | — | — | 5 insurers |
| COREWELL HEALTH BIG RAPIDS HOSPITAL | MI | — | — | — | — | 5 insurers |
| HARPER UNIVERSITY HOSPITAL | MI | — | — | $93 | $501 | 5 insurers |
| COREWELL HEALTH LUDINGTON HOSPITAL | MI | — | — | — | — | 5 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 | — | — | $93 | $501 | 5 insurers |
| COREWELL HEALTH REED CITY HOSPITAL | MI | — | — | — | — | 4 insurers |
| OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP | MI | — | — | $501 | $1,703 | 5 insurers |
| COREWELL HEALTH GERBER HOSPITAL | MI | — | — | — | — | 4 insurers |
| COREWELL HEALTH PENNOCK HOSPITAL | MI | — | — | — | — | 5 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 | — | — | — | — | 2 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | — | — | — | — | 2 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 | — | — | — | — | 2 insurers |
| SANFORD TRACY MEDICAL CENTER | MN | — | — | — | — | 2 insurers |
| SANFORD WHEATON MEDICAL CENTER | MN | — | — | — | — | 1 insurers |
| SANFORD JACKSON MEDICAL CENTER | MN | — | — | — | — | 2 insurers |
| NORTH VALLEY HEALTH CENTER | MN | — | — | $497 | $1,486 | 5 insurers |
| SANFORD CANBY MEDICAL CENTER | MN | — | — | — | — | 2 insurers |
| ESSENTIA HEALTH MOOSE LAKE | MN | — | — | — | — | 2 insurers |
| SANFORD LUVERNE MEDICAL CENTER | MN | — | — | — | — | 2 insurers |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER | MN | — | — | — | — | 1 insurers |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL | MN | — | — | — | — | 2 insurers |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL | MN | — | — | — | — | 5 insurers |
| GEORGE REGIONAL HEALTH SYSTEM | MS | — | — | $422 | $765 | 5 insurers |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY | MO | — | — | $494 | $894 | 5 insurers |
| NORTHEAST REGIONAL MEDICAL CENTER | MO | — | — | — | — | 5 insurers |
| BOONE HOSPITAL CENTER | MO | — | — | $501 | $927 | 5 insurers |
| SSM ST CLARE HEALTH CENTER | MO | — | — | $497 | $1,522 | 5 insurers |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS | MO | — | — | $497 | $1,522 | 5 insurers |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS | MO | — | — | $497 | $1,522 | 5 insurers |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL | MO | — | — | $487 | $1,857 | 5 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | — | — | — | — | 5 insurers |
| SAINT FRANCIS MEDICAL CENTER | MO | — | — | $427 | $877 | 5 insurers |
| LEE'S SUMMIT MEDICAL CENTER | MO | — | — | $490 | $621 | 5 insurers |
| CUBA MEMORIAL HOSPITAL, INC | NY | — | — | $467 | $560 | 5 insurers |
| GARNET HEALTH MEDICAL CENTER CATSKILLS | NY | — | — | — | — | 5 insurers |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE | NC | — | — | $1,286 | $1,286 | 4 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | — | — | $472 | $968 | 5 insurers |
| ADVENTHEALTH HENDERSONVILLE | NC | — | — | $609 | $693 | 2 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | — | — | $472 | $968 | 5 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | — | — | — | — | 3 insurers |
| WAKEMED, RALEIGH CAMPUS | NC | — | — | — | — | 5 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | — | — | $472 | $968 | 5 insurers |
| THE MCDOWELL HOSPITAL | NC | — | — | $1,286 | $1,286 | 4 insurers |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER | NC | — | — | $477 | $1,173 | 5 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | — | — | $472 | $968 | 5 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | — | — | $522 | $1,173 | 5 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | — | — | $472 | $968 | 5 insurers |
| WAKEMED, CARY HOSPITAL | NC | — | — | — | — | 5 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | — | — | $472 | $968 | 5 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | — | — | $472 | $968 | 5 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | — | — | $472 | $968 | 5 insurers |
| HIGHLANDS CASHIERS HOSPITAL | NC | — | — | $1,286 | $1,286 | 4 insurers |
| ANGEL MEDICAL CENTER | NC | — | — | $482 | $1,286 | 5 insurers |
| BLUE RIDGE REGIONAL HOSPITAL | NC | — | — | $1,286 | $1,286 | 4 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | — | — | — | — | 1 insurers |
| SANFORD MAYVILLE | ND | — | — | — | — | 1 insurers |
| SANFORD HILLSBORO | ND | — | — | — | — | 1 insurers |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC | OH | — | — | $497 | $1,431 | 5 insurers |
| RIVERSIDE METHODIST HOSPITAL | OH | — | — | $497 | $1,341 | 5 insurers |
| LIMA MEMORIAL HEALTH SYSTEM | OH | — | — | $497 | $2,284 | 5 insurers |
| OHIOHEALTH O'BLENESS HOSPITAL | OH | — | — | $497 | $3,217 | 5 insurers |
| GRANT MEDICAL CENTER | OH | — | — | $497 | $1,341 | 5 insurers |
| KETTERING HEALTH GREENE MEMORIAL | OH | — | — | $497 | $1,386 | 5 insurers |
| UNIVERSITY OF TOLEDO MEDICAL CENTER | OH | — | — | — | — | 5 insurers |
| MIAMI VALLEY HOSPITAL | OH | — | — | $497 | $1,486 | 5 insurers |
| FISHER-TITUS HOSPITAL | OH | — | — | — | — | 5 insurers |
| FISHER-TITUS HOSPITAL | OH | — | — | — | — | 1 insurers |
| VAN WERT COUNTY HOSPITAL | OH | — | — | $497 | $3,217 | 5 insurers |
| UH REGIONAL HOSPITALS | OH | — | — | — | — | 1 insurers |
| ATRIUM MEDICAL CENTER | OH | — | — | $497 | $1,516 | 5 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| AULTMAN HOSPITAL | OH | — | — | $497 | $1,490 | 5 insurers |
| OHIOHEALTH MANSFIELD HOSPITAL | OH | — | — | $497 | $3,217 | 5 insurers |
| UH ST JOHN MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| FORT HAMILTON HUGHES MEMORIAL HOSPITAL | OH | — | — | $497 | $1,386 | 5 insurers |
| KETTERING HEALTH DAYTON | OH | — | — | $497 | $1,386 | 5 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| BERGER HOSPITAL | OH | — | — | $497 | $3,217 | 5 insurers |
| UPPER VALLEY MEDICAL CENTER | OH | — | — | $497 | $1,534 | 5 insurers |
| DUBLIN METHODIST HOSPITAL | OH | — | — | $497 | $1,341 | 5 insurers |
| WEST CHESTER HOSPITAL | OH | — | — | $497 | $1,411 | 5 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| SOIN MEDICAL CENTER | OH | — | — | $497 | $1,386 | 5 insurers |
| HARDIN MEMORIAL HOSPITAL | OH | — | — | $841 | $3,217 | 4 insurers |
| AULTMAN ORRVILLE HOSPITAL | OH | — | — | $745 | $1,490 | 3 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | — | — | — | — | 1 insurers |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB | OH | — | — | — | — | 5 insurers |
| NORMAN REGIONAL | OK | — | — | — | — | 5 insurers |
| DUNCAN REGIONAL HOSPITAL, INC | OK | — | — | $163 | $163 | 5 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | — | — | $0.03 | $882 | 5 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY | OK | — | — | $497 | $1,242 | 5 insurers |
| STILLWATER MEDICAL CENTER | OK | — | — | $504 | $1,355 | 5 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST | OK | — | — | $497 | $1,088 | 5 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE | OK | — | — | $497 | $969 | 5 insurers |
| SUMMIT MEDICAL CENTER, LLC | OK | — | — | $609 | $693 | 2 insurers |
| STILLWATER MEDICAL - PERRY | OK | — | — | $504 | $1,355 | 5 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | — | — | $504 | $1,355 | 5 insurers |
| JEFFERSON COUNTY HOSPITAL | OK | — | — | $163 | $163 | 5 insurers |
| LEGACY EMANUEL MEDICAL CENTER | OR | — | — | $497 | $1,921 | 5 insurers |
| LEGACY GOOD SAMARITAN MEDICAL CENTER | OR | — | — | $497 | $1,921 | 5 insurers |
| LEGACY MOUNT HOOD MEDICAL CENTER | OR | — | — | $497 | $1,921 | 5 insurers |
| LEGACY SILVERTON MEDICAL CENTER | OR | — | — | $482 | $993 | 5 insurers |
| SALEM HOSPITAL | OR | — | — | $939 | $1,033 | 2 insurers |
| LEGACY MERIDIAN PARK MEDICAL CENTER | OR | — | — | $497 | $1,921 | 5 insurers |
| BAY AREA HOSPITAL | OR | — | — | $497 | $1,559 | 5 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | — | — | — | — | 3 insurers |
| SALEM HEALTH WEST VALLEY HOSPITAL | OR | — | — | $939 | $1,033 | 2 insurers |
| GOOD SHEPHERD MEDICAL CENTER | OR | — | — | — | — | 4 insurers |
| GOOD SHEPHERD MEDICAL CENTER | OR | — | — | — | — | 3 insurers |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET | PA | — | — | $376 | $2,896 | 5 insurers |
| CLARION HOSPITAL | PA | — | — | — | — | 5 insurers |
| BRYN MAWR HOSPITAL | PA | — | — | — | — | 5 insurers |
| PENN HIGHLANDS MON VALLEY | PA | — | — | — | — | 5 insurers |
| PENN HIGHLANDS MON VALLEY | PA | — | — | — | — | 5 insurers |
| PAOLI HOSPITAL | PA | — | — | — | — | 5 insurers |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA | PA | — | — | — | — | 5 insurers |
| PENN HIGHLANDS CONNELLSVILLE | PA | — | — | — | — | 5 insurers |
| PENN HIGHLANDS CONNELLSVILLE | PA | — | — | — | — | 5 insurers |
| LEHIGH VALLEY HOSPITAL - HAZLETON | PA | — | — | $447 | $2,896 | 5 insurers |
| MAIN LINE HOSPITAL LANKENAU | PA | — | — | — | — | 5 insurers |
| LEHIGH VALLEY HOSPITAL - POCONO | PA | — | — | $447 | $2,896 | 5 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 | — | — | $447 | $2,896 | 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 | — | — | $501 | $869 | 5 insurers |
| CAROLINA PINES REGIONAL MEDICAL CENTER | SC | — | — | $501 | $977 | 5 insurers |
| MUSC HEALTH CHESTER MEDICAL CENTER | SC | — | — | — | — | 5 insurers |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN | SC | — | — | — | — | 5 insurers |
| COLLETON MEDICAL CENTER | SC | — | — | $477 | $629 | 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 | — | — | $501 | $869 | 5 insurers |
| MOUNT PLEASANT HOSPITAL | SC | — | — | — | — | 5 insurers |
| SANFORD USD MEDICAL CENTER | SD | — | — | — | — | 1 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | — | — | — | — | 2 insurers |
| SANFORD CLEAR LAKE MEDICAL CENTER | SD | — | — | — | — | 2 insurers |
| SANFORD HOSPITAL WEBSTER - CAH | SD | — | — | — | — | 2 insurers |
| SANFORD CHAMBERLAIN MEDICAL CENTER | SD | — | — | — | — | 2 insurers |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH | SD | — | — | — | — | 2 insurers |
| SANFORD VERMILLION MEDICAL CENTER | SD | — | — | — | — | 2 insurers |
| CUMBERLAND MEDICAL CENTER | TN | — | — | $289 | $555 | 5 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | — | — | $241 | $555 | 5 insurers |
| ROANE MEDICAL CENTER | TN | — | — | $241 | $555 | 5 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | — | — | $241 | $555 | 5 insurers |
| CLAIBORNE MEDICAL CENTER | TN | — | — | $241 | $555 | 5 insurers |
| TRISTAR NORTHCREST MEDICAL CENTER | TN | — | — | $609 | $693 | 2 insurers |
| MAURY REGIONAL HOSPITAL | TN | — | — | — | — | 5 insurers |
| LECONTE MEDICAL CENTER | TN | — | — | $241 | $555 | 5 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | — | — | $241 | $555 | 5 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | — | — | $241 | $555 | 5 insurers |
| PARKRIDGE MEDICAL CENTER | TN | — | — | $561 | $561 | 1 insurers |
| TRISTAR CENTENNIAL MEDICAL CENTER | TN | — | — | $609 | $693 | 2 insurers |
| PARKWEST MEDICAL CENTER | TN | — | — | $241 | $475 | 5 insurers |
| AFFILIATE OF VITRUVIAN HEALTH | TN | — | — | — | — | 1 insurers |
| TRISTAR HENDERSONVILLE MEDICAL CENTER | TN | — | — | $693 | $693 | 1 insurers |
| SAINT FRANCIS BARTLETT MEDICAL CENTER | TN | — | — | — | — | 1 insurers |
| PETERSON REGIONAL MEDICAL CENTER | TX | — | — | — | — | 5 insurers |
| LAREDO MEDICAL CENTER | TX | — | — | — | — | 0 insurers |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER | TX | — | — | $3.63 | $3,652 | 5 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | — | — | $496 | $3,068 | 5 insurers |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. | TX | — | — | — | — | 5 insurers |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI | TX | — | — | $481 | $1,899 | 5 insurers |
| CHRISTUS SPOHN HOSPITAL BEEVILLE | TX | — | — | $497 | $2,049 | 5 insurers |
| CHRISTUS MOTHER FRANCES HOSPITAL | TX | — | — | $468 | $1,314 | 5 insurers |
| MIDLAND MEMORIAL HOSPITAL | TX | — | — | — | — | 5 insurers |
| CHRISTUS SPOHN HOSPITAL KLEBERG | TX | — | — | $497 | $2,730 | 5 insurers |
| WADLEY REGIONAL MEDICAL CENTER | TX | — | — | $471 | $1,304 | 5 insurers |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS | TX | — | — | $510 | $2,140 | 5 insurers |
| CHRISTUS SANTA ROSA MEDICAL CENTER | TX | — | — | $465 | $1,990 | 5 insurers |
| CHRISTUS SANTA ROSA HOSPITAL-SAN MARCOS | TX | — | — | $480 | $2,328 | 5 insurers |
| HOUSTON METHODIST HOSPITAL | TX | — | — | $2,938 | $2,938 | 1 insurers |
| ST DAVID'S MEDICAL CENTER | TX | — | — | $497 | $1,394 | 5 insurers |
| CHRISTUS JASPER MEMORIAL HOSPITAL | TX | — | — | $471 | $1,304 | 5 insurers |
| HILL COUNTRY MEMORIAL HOSPITAL | TX | — | — | $497 | $2,097 | 5 insurers |
| DOCTORS HOSPITAL OF LAREDO | TX | — | — | $482 | $1,297 | 5 insurers |
| HOUSTON METHODIST CLEAR LAKE HOSPITAL | TX | — | — | $497 | $2,938 | 5 insurers |
| HOUSTON METHODIST CLEAR LAKE HOSPITAL | TX | — | — | $497 | $497 | 1 insurers |
| TOPS SURGICAL SPECIALTY HOSPITAL | TX | — | — | $1 | $1.39 | 3 insurers |
| CHRISTUS ST MICHAEL HEALTH SYSTEM | TX | — | — | $482 | $2,848 | 5 insurers |
| HOUSTON METHODIST SUGARLAND HOSPITAL | TX | — | — | $497 | $2,938 | 5 insurers |
| HOUSTON METHODIST SUGARLAND HOSPITAL | TX | — | — | $497 | $497 | 1 insurers |
| CHRISTUS SPOHN HOSPITAL ALICE | TX | — | — | $497 | $2,730 | 5 insurers |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL | TX | — | — | $497 | $2,938 | 5 insurers |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL | TX | — | — | $497 | $497 | 1 insurers |
| CHRISTUS MOTHER FRANCES HOSPITAL- JACKSONVILLE | TX | — | — | $497 | $1,314 | 5 insurers |
| CHRISTUS MOTHER FRANCES HOSPITAL- WINNSBORO | TX | — | — | $497 | $1,314 | 5 insurers |
| TEXAS CHILDRENS HOSPITAL | TX | — | — | — | — | 1 insurers |
| CHILDREN'S HOSPITAL OF SAN ANTONIO | TX | — | — | $471 | $1,304 | 5 insurers |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | UT | — | — | — | — | 0 insurers |
| MCKAY-DEE HOSPITAL | UT | — | — | — | — | 5 insurers |
| MCKAY-DEE HOSPITAL | UT | — | — | — | — | 5 insurers |
| CEDAR CITY HOSPITAL | UT | — | — | — | — | 5 insurers |
| CEDAR CITY HOSPITAL | UT | — | — | — | — | 5 insurers |
| AMERICAN FORK HOSPITAL | UT | — | — | — | — | 5 insurers |
| AMERICAN FORK HOSPITAL | UT | — | — | — | — | 5 insurers |
| SEVIER VALLEY HOSPITAL | UT | — | — | — | — | 5 insurers |
| SEVIER VALLEY HOSPITAL | UT | — | — | — | — | 5 insurers |
| BEAR RIVER VALLEY HOSPITAL | UT | — | — | — | — | 5 insurers |
| BEAR RIVER VALLEY HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL | UT | — | — | — | — | 5 insurers |
| PARK CITY HOSPITAL | UT | — | — | — | — | 5 insurers |
| PARK CITY HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL | UT | — | — | — | — | 5 insurers |
| PRIMARY CHILDREN'S HOSPITAL | UT | — | — | — | — | 5 insurers |
| PRIMARY CHILDREN'S HOSPITAL | UT | — | — | — | — | 5 insurers |
| SENTARA RMH MEDICAL CENTER | VA | — | — | — | — | 5 insurers |
| SENTARA NORFOLK GENERAL HOSPITAL | VA | — | — | — | — | 5 insurers |
| SENTARA HALIFAX REGIONAL HOSPITAL | VA | — | — | — | — | 5 insurers |
| SENTARA OBICI HOSPITAL | VA | — | — | — | — | 5 insurers |
| NOVANT PRINCE WILLIAM MEDICAL CENTER | VA | — | — | $472 | $968 | 5 insurers |
| SENTARA LEIGH HOSPITAL | VA | — | — | — | — | 5 insurers |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL | VA | — | — | — | — | 5 insurers |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER | VA | — | — | — | — | 5 insurers |
| SENTARA MARTHA JEFFERSON HOSPITAL | VA | — | — | — | — | 5 insurers |
| SENTARA CAREPLEX HOSPITAL | VA | — | — | — | — | 5 insurers |
| HIRAM W DAVIS MEDICAL CENTER | VA | — | — | $373 | $773 | 5 insurers |
| CJW MEDICAL CENTER | VA | — | — | $422 | $765 | 5 insurers |
| SENTARA NORTHERN VIRGINIA MEDICAL CENTER | VA | — | — | — | — | 5 insurers |
| HENRICO DOCTORS' HOSPITAL | VA | — | — | $422 | $765 | 5 insurers |
| SENTARA PRINCESS ANNE HOSPITAL | VA | — | — | — | — | 5 insurers |
| STONESPRINGS HOSPITAL CENTER | VA | — | — | $373 | $773 | 5 insurers |
| PAGE MEMORIAL HOSPITAL, INC | VA | — | — | — | — | 5 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | — | — | — | — | 5 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | — | — | — | — | 1 insurers |
| OVERLAKE HOSPITAL MEDICAL CENTER | WA | — | — | $445 | $1,317 | 5 insurers |
| MULTICARE VALLEY HOSPITAL | WA | — | — | — | — | 1 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | — | — | — | — | 2 insurers |
| LEGACY SALMON CREEK MEDICAL CENTER | WA | — | — | $512 | $1,192 | 5 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | — | — | — | — | 1 insurers |
| SKYLINE HOSPITAL | WA | — | — | $609 | $693 | 2 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | — | — | — | — | 1 insurers |
| ST MARYS MEDICAL CENTER | WV | — | — | — | — | 5 insurers |
| ST MARYS MEDICAL CENTER | WV | — | — | — | — | 5 insurers |
| DAVIS MEDICAL CENTER | WV | — | — | — | — | 2 insurers |
| CABELL HUNTINGTON HOSPITAL, INC | WV | — | — | — | — | 5 insurers |