| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $65,030 | $22,760 | $98 | $227 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $65,030 | $25,362 | $133 | $210 | 0 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $79,041 | $30,826 | — | — | 0 insurers |
| LANAI COMMUNITY HOSPITAL | HI | $79,041 | $30,826 | — | — | 0 insurers |
| KULA HOSPITAL | HI | $79,041 | $30,826 | — | — | 0 insurers |
| UNION GENERAL HOSPITAL | GA | $13,009 | $6,504 | — | — | 0 insurers |
| CHATUGE REGIONAL HOSPITAL | GA | $13,009 | $6,504 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $3,955 | $2,966 | — | — | 0 insurers |
| UH REGIONAL HOSPITALS | OH | $3,955 | $2,966 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $3,955 | $2,966 | — | — | 0 insurers |
| LAKE HEALTH | OH | $3,955 | $2,966 | — | — | 0 insurers |
| UH ST JOHN MEDICAL CENTER | OH | $3,955 | $2,966 | — | — | 0 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | $3,955 | $2,966 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | $3,955 | $2,966 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | $3,955 | $2,966 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $3,955 | $2,966 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $3,955 | $2,966 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $145,229 | $58,091 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $145,229 | $58,091 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $131,737 | $85,629 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $131,737 | $85,629 | — | — | 0 insurers |
| VALLEY PRESBYTERIAN HOSPITAL | CA | — | $91,477 | $133 | $77,755 | 0 insurers |
| NEW YORK-PRESBYTERIAN/QUEENS | NY | — | $91,477 | $133 | $85,988 | 0 insurers |
| NEW YORK-PRESBYTERIAN HOSPITAL | NY | — | $91,477 | $133 | $85,988 | 0 insurers |
| HUDSON VALLEY HOSPITAL CENTER | NY | — | $91,477 | $133 | $77,755 | 0 insurers |
| RHODE ISLAND HOSPITAL | RI | $112,890 | $112,890 | — | — | 0 insurers |
| SHELBY BAPTIST MEDICAL CENTER | AL | — | — | $239 | $887 | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| RUSSELL MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| BALDWIN HEALTH | AL | — | — | — | — | 0 insurers |
| NORTHWEST MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | — | — | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| ST JOSEPH'S HOSPITAL | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| BENSON HOSPITAL | AZ | — | — | — | — | 0 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | — | — | — | — | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| BRADLEY COUNTY MEDICAL CENTER | AR | — | — | — | — | 0 insurers |
| PENINSULA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP | CA | — | — | — | — | 0 insurers |
| SUTTER AMADOR HOSPITAL | CA | — | — | — | — | 0 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL | CA | — | — | — | — | 0 insurers |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | — | — | — | — | 0 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $136 | $401 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $130 | $358 | 0 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 0 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $132 | $401 | 0 insurers |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | CA | — | — | — | — | 0 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 0 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP | CA | — | — | — | — | 0 insurers |
| SUTTER TRACY COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $136 | $401 | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | — | — | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | — | — | — | — | 0 insurers |
| SUTTER COAST HOSPITAL | CA | — | — | — | — | 0 insurers |
| STANFORD HEALTH CARE | CA | — | — | $141 | $370 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $128 | $589 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $91.64 | $453 | 0 insurers |
| EDEN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SUTTER AUBURN FAITH HOSPITAL | CA | — | — | — | — | 0 insurers |
| SUTTER DELTA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL LOS BANOS | CA | — | — | — | — | 0 insurers |
| SUTTER DAVIS HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $141 | $754 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $91.64 | $513 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $222 | $357 | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | — | — | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $127 | $385 | 0 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 0 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 0 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 0 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | — | — | — | — | 0 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 0 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $141 | $282 | 0 insurers |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO | CA | — | — | — | — | 0 insurers |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | CA | — | — | — | — | 0 insurers |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB | CA | — | — | $91.64 | $400 | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | — | — | — | — | 0 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ST MARY-CORWIN HOSPITAL | CO | — | — | — | — | 0 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $152 | $343 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 0 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $130 | $330 | 0 insurers |
| AdventHealth Porter | CO | — | — | $138 | $311 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $138 | $311 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $138 | $311 | 0 insurers |
| AdventHealth Parker | CO | — | — | $138 | $311 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $138 | $311 | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 0 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $134 | $368 | 0 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | — | — | — | — | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $139 | $451 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $130 | $134 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $139 | $451 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $139 | $451 | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $134 | $451 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $130 | $130 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $139 | $275 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $130 | $134 | 0 insurers |
| BARTOW REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MORTON PLANT HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA AVENTURA HOSPITAL | FL | — | — | $130 | $130 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $130 | $130 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $130 | $134 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $130 | $130 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $134 | $134 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $130 | $134 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $130 | $134 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $130 | $130 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $130 | $134 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $130 | $130 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $130 | $134 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $139 | $275 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $130 | $130 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $134 | $134 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $130 | $130 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $130 | $134 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $130 | $134 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $130 | $130 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $130 | $134 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $130 | $130 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $130 | $134 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $133 | $133 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $130 | $130 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $130 | $134 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $130 | $134 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $130 | $134 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $130 | $134 | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $130 | $130 | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $139 | $275 | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $139 | $451 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $130 | $130 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $130 | $130 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $130 | $130 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | — | — | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $190 | $371 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $130 | $350 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $141 | $165 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $141 | $165 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $141 | $165 | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $130 | $358 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $126 | $350 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $132 | $392 | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $141 | $887 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $141 | $165 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $366 | $366 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $73.48 | $189 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $106 | $199 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $139 | $148 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $141 | $566 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $140 | $141 | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 0 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $141 | $492 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $141 | $478 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $141 | $225 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $141 | $478 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $141 | $260 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $141 | $478 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $141 | $478 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $141 | $229 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $141 | $478 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $141 | $478 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $141 | $478 | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $141 | $225 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $141 | $329 | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | — | — | — | — | 0 insurers |
| EDWARD HOSPITAL | IL | — | — | $141 | $329 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $141 | $478 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $141 | $504 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $141 | $566 | 0 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | — | — | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $141 | $225 | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $141 | $478 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $141 | $478 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $242 | $504 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $141 | $478 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $141 | $887 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $139 | $148 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $141 | $246 | 0 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 0 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | $125 | $141 | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $141 | $348 | 0 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE NORTHWEST INDIANA | IN | — | — | $141 | $225 | 0 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 0 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $134 | $168 | 0 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | — | — | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | — | — | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | — | — | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | — | — | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | — | — | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | — | — | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | — | — | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | — | — | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 0 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $163 | $163 | 0 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $136 | $240 | 0 insurers |
| HUTCHINSON REGIONAL MEDICAL CENTER INC | KS | — | — | — | — | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | — | — | — | — | 0 insurers |
| WESLEY MEDICAL CENTER | KS | — | — | $134 | $168 | 0 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | — | — | — | — | 0 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $136 | $1,024 | 0 insurers |
| COMMUNITY MEMORIAL HEALTHCARE, INC. | KS | — | — | $133 | $405 | 0 insurers |
| HANOVER HOSPITAL | KS | — | — | $114 | $207 | 0 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | — | — | 0 insurers |
| BOB WILSON MEMORIAL HOSPITAL | KS | — | — | — | — | 0 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $141 | $348 | 0 insurers |
| UOFL HEALTH - SHELBYVILLE HOSPITAL | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH EDGEWOOD | KY | — | — | $141 | $348 | 0 insurers |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH FLORENCE | KY | — | — | $141 | $348 | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | — | — | — | — | 0 insurers |
| UNIVERSITY OF KENTUCKY HOSPITAL | KY | — | — | $134 | $352 | 0 insurers |
| NORTON HOSPITALS, INC | KY | — | — | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | — | — | — | — | 0 insurers |
| GEORGETOWN COMMUNITY HOSPITAL | KY | — | — | $134 | $370 | 0 insurers |
| TRISTAR GREENVIEW REGIONAL HOSPITAL | KY | — | — | $132 | $132 | 0 insurers |
| FRANKFORT REGIONAL MEDICAL CENTER | KY | — | — | $130 | $130 | 0 insurers |
| THREE RIVERS MEDICAL CENTER | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH GRANT | KY | — | — | $141 | $348 | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | — | — | $127 | $182 | 0 insurers |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL | LA | — | — | $124 | $177 | 0 insurers |
| CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM | LA | — | — | $126 | $181 | 0 insurers |
| BYRD REGIONAL HOSPITAL | LA | — | — | $130 | $159 | 0 insurers |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL | LA | — | — | $122 | $174 | 0 insurers |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL | LA | — | — | $130 | $360 | 0 insurers |
| ST JAMES PARISH HOSPITAL | LA | — | — | — | — | 0 insurers |
| CHRISTUS COUSHATTA HEALTH CARE CENTER | LA | — | — | $139 | $148 | 0 insurers |
| NORTHERN LIGHT MERCY HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT A R GOULD HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT MAINE COAST HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT C A DEAN HOSPITAL | ME | — | — | — | — | 0 insurers |
| LINCOLNHEALTH | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT MAYO HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | — | — | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | — | — | — | — | 0 insurers |
| SAINT ANNE'S HOSPITAL | MA | — | — | — | — | 0 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | — | — | — | — | 0 insurers |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH | MA | — | — | $140 | $235 | 0 insurers |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL | MA | — | — | — | — | 0 insurers |
| HOLY FAMILY HOSPITAL | MA | — | — | — | — | 0 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM | MA | — | — | $140 | $235 | 0 insurers |
| BETH ISRAEL DEACONESS MEDICAL CENTER | MA | — | — | $140 | $254 | 0 insurers |
| HEYWOOD HOSPITAL - | MA | — | — | $126 | $241 | 0 insurers |
| SOUTH SHORE HOSPITAL | MA | — | — | $139 | $141 | 0 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON | MA | — | — | $140 | $166 | 0 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | — | — | $126 | $132 | 0 insurers |
| COREWELL HEALTH ZEELAND HOSPITAL | MI | — | — | — | — | 0 insurers |
| SPECTRUM HEALTH | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH BIG RAPIDS HOSPITAL | MI | — | — | — | — | 0 insurers |
| HARPER UNIVERSITY HOSPITAL | MI | — | — | $93 | $278 | 0 insurers |
| COREWELL HEALTH LUDINGTON HOSPITAL | MI | — | — | — | — | 0 insurers |
| BEAUMONT HOSPITAL ROYAL OAK | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH WAYNE HOSPITAL | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH TRENTON HOSPITAL | MI | — | — | — | — | 0 insurers |
| HURON VALLEY-SINAI HOSPITAL | MI | — | — | $93 | $223 | 0 insurers |
| COREWELL HEALTH REED CITY HOSPITAL | MI | — | — | — | — | 0 insurers |
| OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP | MI | — | — | $141 | $478 | 0 insurers |
| COREWELL HEALTH GERBER HOSPITAL | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH PENNOCK HOSPITAL | MI | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | MN | — | — | — | — | 0 insurers |
| SANFORD WORTHINGTON MEDICAL CENTER | MN | — | — | — | — | 0 insurers |
| ALOMERE HEALTH | MN | — | — | — | — | 0 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | — | — | — | — | 0 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH VIRGINIA | MN | — | — | — | — | 0 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES | MN | — | — | — | — | 0 insurers |
| MAHNOMEN HEALTH CENTER | MN | — | — | — | — | 0 insurers |
| NORTH VALLEY HEALTH CENTER | MN | — | — | $140 | $422 | 0 insurers |
| ESSENTIA HEALTH MOOSE LAKE | MN | — | — | — | — | 0 insurers |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL | MN | — | — | — | — | 0 insurers |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL | MN | — | — | — | — | 0 insurers |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY | MO | — | — | $140 | $254 | 0 insurers |
| NORTHEAST REGIONAL MEDICAL CENTER | MO | — | — | — | — | 0 insurers |
| BOONE HOSPITAL CENTER | MO | — | — | $141 | $260 | 0 insurers |
| SSM ST CLARE HEALTH CENTER | MO | — | — | $141 | $436 | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS | MO | — | — | $141 | $436 | 0 insurers |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS | MO | — | — | $141 | $436 | 0 insurers |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL | MO | — | — | $136 | $525 | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | — | — | — | — | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | MO | — | — | $120 | $246 | 0 insurers |
| LEE'S SUMMIT MEDICAL CENTER | MO | — | — | $134 | $168 | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | — | — | $134 | $152 | 0 insurers |
| MOUNTAINVIEW MEDICAL CENTER | MT | — | — | $130 | $330 | 0 insurers |
| PRAIRIE COMMUNITY CAH | MT | — | — | — | — | 0 insurers |
| HOLY ROSARY HOSPITAL | MT | — | — | — | — | 0 insurers |
| HOLY ROSARY HOSPITAL | MT | — | — | — | — | 0 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | — | — | $134 | $152 | 0 insurers |
| PENDER COMMUNITY HOSPITAL | NE | — | — | $262 | $262 | 0 insurers |
| BOYS TOWN NATIONAL RESEARCH HOSPITAL | NE | — | — | — | — | 0 insurers |
| CARSON VALLEY HEALTH | NV | — | — | — | — | 0 insurers |
| ELLIOT HOSPITAL | NH | — | — | $141 | $806 | 0 insurers |
| FRISBIE MEMORIAL HOSPITAL | NH | — | — | $130 | $371 | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | — | — | — | — | 0 insurers |
| CATHOLIC MEDICAL CENTER | NH | — | — | $130 | $299 | 0 insurers |
| MEMORIAL HOSPITAL, THE | NH | — | — | — | — | 0 insurers |
| MONADNOCK COMMUNITY HOSPITAL | NH | — | — | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | — | — | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | — | — | — | — | 0 insurers |
| CAREWELL HEALTH MEDICAL CENTER | NJ | — | — | — | — | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | — | — | — | — | 0 insurers |
| CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER | NM | — | — | $141 | $793 | 0 insurers |
| CHRISTUS SOUTHERN NEW MEXICO | NM | — | — | — | — | 0 insurers |
| PRESBYTERIAN ESPANOLA HOSPITAL | NM | — | — | — | — | 0 insurers |
| PRESBYTERIAN HOSPITAL | NM | — | — | — | — | 0 insurers |
| PRESBYTERIAN SANTA FE MEDICAL CENTER | NM | — | — | — | — | 0 insurers |
| SOCORRO GENERAL HOSPITAL | NM | — | — | — | — | 0 insurers |
| DR DAN C TRIGG MEMORIAL HOSPITAL | NM | — | — | — | — | 0 insurers |
| MONTEFIORE MOUNT VERNON HOSPITAL | NY | — | — | — | — | 0 insurers |
| OLEAN GENERAL HOSPITAL | NY | — | — | $113 | $453 | 0 insurers |
| GARNET HEALTH MEDICAL CENTER | NY | — | — | — | — | 0 insurers |
| ST JAMES HOSPITAL | NY | — | — | — | — | 0 insurers |
| NICHOLAS H NOYES MEMORIAL HOSPITAL | NY | — | — | — | — | 0 insurers |
| WHITE PLAINS HOSPITAL CENTER | NY | — | — | — | — | 0 insurers |
| GARNET HEALTH MEDICAL CENTER CATSKILLS | NY | — | — | — | — | 0 insurers |
| CUBA MEMORIAL HOSPITAL, INC | NY | — | — | $129 | $155 | 0 insurers |
| GARNET HEALTH MEDICAL CENTER CATSKILLS | NY | — | — | — | — | 0 insurers |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE | NC | — | — | $366 | $366 | 0 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | — | — | $134 | $268 | 0 insurers |
| ADVENTHEALTH HENDERSONVILLE | NC | — | — | $174 | $197 | 0 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | — | — | $134 | $268 | 0 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | — | — | — | — | 0 insurers |
| WAKEMED, RALEIGH CAMPUS | NC | — | — | — | — | 0 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | — | — | $134 | $268 | 0 insurers |
| THE MCDOWELL HOSPITAL | NC | — | — | $366 | $366 | 0 insurers |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER | NC | — | — | $135 | $333 | 0 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | — | — | $134 | $268 | 0 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | — | — | $148 | $333 | 0 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | — | — | $134 | $268 | 0 insurers |
| WAKEMED, CARY HOSPITAL | NC | — | — | — | — | 0 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | — | — | $134 | $268 | 0 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | — | — | $134 | $268 | 0 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | — | — | $134 | $268 | 0 insurers |
| HIGHLANDS CASHIERS HOSPITAL | NC | — | — | $366 | $366 | 0 insurers |
| ANGEL MEDICAL CENTER | NC | — | — | $366 | $366 | 0 insurers |
| BLUE RIDGE REGIONAL HOSPITAL | NC | — | — | $366 | $366 | 0 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | — | — | — | — | 0 insurers |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC | OH | — | — | $140 | $406 | 0 insurers |
| RIVERSIDE METHODIST HOSPITAL | OH | — | — | $141 | $370 | 0 insurers |
| LIMA MEMORIAL HEALTH SYSTEM | OH | — | — | $140 | $648 | 0 insurers |
| OHIOHEALTH O'BLENESS HOSPITAL | OH | — | — | $141 | $887 | 0 insurers |
| GRANT MEDICAL CENTER | OH | — | — | $141 | $370 | 0 insurers |
| KETTERING HEALTH GREENE MEMORIAL | OH | — | — | $141 | $379 | 0 insurers |
| UNIVERSITY OF TOLEDO MEDICAL CENTER | OH | — | — | — | — | 0 insurers |
| MIAMI VALLEY HOSPITAL | OH | — | — | $140 | $422 | 0 insurers |
| FISHER-TITUS HOSPITAL | OH | — | — | — | — | 0 insurers |
| FISHER-TITUS HOSPITAL | OH | — | — | — | — | 0 insurers |
| VAN WERT COUNTY HOSPITAL | OH | — | — | $141 | $887 | 0 insurers |
| ATRIUM MEDICAL CENTER | OH | — | — | $140 | $430 | 0 insurers |
| AULTMAN HOSPITAL | OH | — | — | $141 | $406 | 0 insurers |
| OHIOHEALTH MANSFIELD HOSPITAL | OH | — | — | $141 | $887 | 0 insurers |
| FORT HAMILTON HUGHES MEMORIAL HOSPITAL | OH | — | — | $141 | $379 | 0 insurers |
| KETTERING HEALTH DAYTON | OH | — | — | $141 | $379 | 0 insurers |
| BERGER HOSPITAL | OH | — | — | $141 | $887 | 0 insurers |
| UPPER VALLEY MEDICAL CENTER | OH | — | — | $140 | $435 | 0 insurers |
| DUBLIN METHODIST HOSPITAL | OH | — | — | $141 | $370 | 0 insurers |
| WEST CHESTER HOSPITAL | OH | — | — | $140 | $400 | 0 insurers |
| SOIN MEDICAL CENTER | OH | — | — | $141 | $379 | 0 insurers |
| HARDIN MEMORIAL HOSPITAL | OH | — | — | $232 | $887 | 0 insurers |
| AULTMAN ORRVILLE HOSPITAL | OH | — | — | $211 | $403 | 0 insurers |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB | OH | — | — | — | — | 0 insurers |
| NORMAN REGIONAL | OK | — | — | — | — | 0 insurers |
| DUNCAN REGIONAL HOSPITAL, INC | OK | — | — | $163 | $163 | 0 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | — | — | $0.03 | $243 | 0 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY | OK | — | — | $141 | $352 | 0 insurers |
| STILLWATER MEDICAL CENTER | OK | — | — | $139 | $374 | 0 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST | OK | — | — | $141 | $309 | 0 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE | OK | — | — | $141 | $275 | 0 insurers |
| SUMMIT MEDICAL CENTER, LLC | OK | — | — | $174 | $197 | 0 insurers |
| STILLWATER MEDICAL - PERRY | OK | — | — | $139 | $374 | 0 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | — | — | $139 | $374 | 0 insurers |
| JEFFERSON COUNTY HOSPITAL | OK | — | — | $163 | $163 | 0 insurers |
| LEGACY EMANUEL MEDICAL CENTER | OR | — | — | $141 | $545 | 0 insurers |
| LEGACY GOOD SAMARITAN MEDICAL CENTER | OR | — | — | $141 | $545 | 0 insurers |
| LEGACY MOUNT HOOD MEDICAL CENTER | OR | — | — | $141 | $545 | 0 insurers |
| LEGACY SILVERTON MEDICAL CENTER | OR | — | — | $133 | $282 | 0 insurers |
| SALEM HOSPITAL | OR | — | — | $254 | $279 | 0 insurers |
| LEGACY MERIDIAN PARK MEDICAL CENTER | OR | — | — | $141 | $545 | 0 insurers |