| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $3,655 | $1,279 | $202 | $468 | 3 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $1,408 | $1,408 | — | — | 2 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $3,655 | $1,426 | $275 | $434 | 3 insurers |
| LANAI COMMUNITY HOSPITAL | HI | $3,655 | $1,426 | — | — | 1 insurers |
| KULA HOSPITAL | HI | $3,655 | $1,426 | — | — | 1 insurers |
| THOMAS HOSPITAL | AL | $1,755 | $878 | — | — | 5 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $1,755 | $878 | — | — | 5 insurers |
| UNITED MEDICAL CENTER | DC | $1,755 | $878 | — | — | 5 insurers |
| UNIONTOWN HOSPITAL | PA | $1,755 | $878 | — | — | 5 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $1,755 | $878 | — | — | 5 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $1,755 | $878 | — | — | 5 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $1,755 | $878 | — | — | 5 insurers |
| WEIRTON MEDICAL CENTER, INC | WV | $1,755 | $878 | — | — | 5 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $1,755 | $878 | — | — | 5 insurers |
| WETZEL COUNTY HOSPITAL | WV | $1,755 | $878 | — | — | 5 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $1,755 | $878 | — | — | 5 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $1,755 | $878 | — | — | 5 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | $1,685 | $1,685 | — | — | 3 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | $1,685 | $1,685 | — | — | 2 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | $1,685 | $1,685 | — | — | 3 insurers |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | IL | $1,685 | $1,685 | — | — | 5 insurers |
| CARLE RICHLAND MEMORIAL HOSPITAL | IL | $1,685 | $1,685 | — | — | 5 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,638 | $835 | — | — | 4 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $1,743 | $741 | — | — | 5 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | $1,743 | $741 | — | — | 5 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | $1,741 | $740 | — | — | 5 insurers |
| ALTRU HOSPITAL | ND | $1,164 | $710 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $1,743 | $699 | — | — | 5 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $1,743 | $699 | — | — | 5 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $1,743 | $699 | — | — | 5 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $1,743 | $699 | — | — | 5 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $1,743 | $699 | — | — | 5 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $1,743 | $699 | — | — | 5 insurers |
| RHODE ISLAND HOSPITAL | RI | $488 | $488 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $578 | $462 | — | — | 1 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $578 | $462 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $578 | $462 | — | — | 2 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $578 | $462 | — | — | 2 insurers |
| ST LUKES HOSPITAL | IA | $578 | $462 | — | — | 2 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $578 | $462 | — | — | 2 insurers |
| TRINITY - BETTENDORF | IA | $578 | $462 | — | — | 2 insurers |
| ALLEN HOSPITAL | IA | $578 | $462 | — | — | 2 insurers |
| FINLEY HOSPITAL | IA | $578 | $462 | — | — | 2 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $578 | $462 | — | — | 2 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $578 | $462 | — | — | 3 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $578 | $462 | — | — | 2 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $578 | $462 | — | — | 4 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $597 | $418 | — | — | 2 insurers |
| LAKE REGION HEALTHCARE CORPORATION | MN | $617 | $401 | — | — | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $374 | $78.64 | $374 | 5 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $374 | $78.64 | $374 | 5 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $374 | $78.64 | $374 | 5 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $615 | $289 | — | — | 3 insurers |
| OCHSNER MEDICAL CENTER-HANCOCK | MS | $732 | $278 | — | — | 5 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $6,089 | $2,375 | — | — | 1 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $143 | — | — | 5 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $143 | — | — | 5 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $122 | $188 | $188 | 1 insurers |
| BARNESVILLE HOSPITAL ASSOCIATION, INC | OH | $180 | $90 | — | — | 2 insurers |
| BERKELEY MEDICAL CENTER | WV | $180 | $90 | — | — | 2 insurers |
| WHEELING HOSPITAL, INC | WV | $180 | $90 | — | — | 5 insurers |
| BRAXTON COUNTY MEMORIAL HOSPITAL, INC | WV | $180 | $90 | — | — | 1 insurers |
| POTOMAC VALLEY HOSPITAL | WV | $180 | $90 | — | — | 1 insurers |
| JACKSON GENERAL HOSPITAL | WV | $180 | $90 | — | — | 1 insurers |
| LONGMONT UNITED HOSPITAL | CO | $6,825 | $2,730 | — | — | 5 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $6,825 | $2,730 | — | — | 5 insurers |
| ST THOMAS MORE HOSPITAL | CO | $6,825 | $2,730 | — | — | 5 insurers |
| SAINT ANTHONY HOSPITAL | IL | $6,825 | $2,730 | — | — | 5 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $6,825 | $2,730 | — | — | 4 insurers |
| MERCY HOSPITAL | CA | $7,020 | $2,808 | — | — | 5 insurers |
| ST MARY-CORWIN HOSPITAL | CO | $7,020 | $2,808 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $7,020 | $2,808 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $7,020 | $2,808 | — | — | 5 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | $7,020 | $2,808 | — | — | 5 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $7,020 | $2,808 | — | — | 5 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | $2,808 | $2,808 | — | — | 5 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | $7,020 | $2,808 | — | — | 4 insurers |
| BOB WILSON MEMORIAL HOSPITAL | KS | $7,020 | $2,808 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $7,020 | $2,808 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $7,020 | $2,808 | — | — | 5 insurers |
| HOLY CROSS HOSPITAL-JORDAN VALLEY | UT | $7,020 | $2,808 | — | — | 5 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $8,779 | $3,073 | $1,931 | $8,779 | 5 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $8,779 | $3,073 | $65.71 | $8,779 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $8,779 | $3,073 | $1,931 | $8,779 | 5 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $8,779 | $3,073 | $65.71 | $8,779 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $8,779 | $3,073 | $1,931 | $8,779 | 5 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $8,779 | $3,073 | $65.71 | $8,779 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $8,779 | $3,073 | $1,931 | $8,779 | 5 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $8,779 | $3,073 | $65.71 | $8,779 | 5 insurers |
| MARSHALL MEDICAL CENTERS | AL | $3,081 | $3,081 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | CA | $3,081 | $3,081 | — | — | 5 insurers |
| MARSHALL MEDICAL CENTER | TN | $3,081 | $3,081 | — | — | 5 insurers |
| MADISON MEMORIAL HOSPITAL | ID | $4,212 | $3,580 | — | — | 5 insurers |
| MADISON HOSPITAL | MN | $4,212 | $3,580 | — | — | 5 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $6,435 | $3,861 | — | — | 3 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $7,800 | $3,900 | — | — | 2 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $10,238 | $4,095 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $10,238 | $4,095 | — | — | 5 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $7,313 | $4,388 | $65.44 | $7,313 | 5 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $7,313 | $4,388 | $65.44 | $7,313 | 5 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $7,313 | $4,388 | $65.44 | $7,313 | 5 insurers |
| BARNES JEWISH HOSPITAL | MO | $7,313 | $4,388 | $65.44 | $6,362 | 5 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $7,313 | $4,388 | $65.44 | $7,313 | 5 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $6,026 | $4,519 | — | — | 0 insurers |
| UH REGIONAL HOSPITALS | OH | $6,026 | $4,519 | — | — | 1 insurers |
| LAKE HEALTH | OH | $6,026 | $4,519 | — | — | 0 insurers |
| UH ST JOHN MEDICAL CENTER | OH | $6,026 | $4,519 | — | — | 1 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | $6,026 | $4,519 | — | — | 1 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | $6,026 | $4,519 | — | — | 1 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | $6,026 | $4,519 | — | — | 1 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $6,026 | $4,519 | — | — | 1 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $5,667 | $4,534 | $130 | $5,667 | 5 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $5,667 | $4,534 | $130 | $5,667 | 5 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $7,215 | $5,772 | — | — | 2 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $10,545 | $5,800 | — | — | 5 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $10,545 | $5,800 | — | — | 5 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $10,740 | $5,907 | — | — | 5 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $9,617 | $6,732 | — | — | 5 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $9,617 | $6,732 | — | — | 5 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $10,043 | $7,532 | — | — | 1 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $10,043 | $7,532 | — | — | 2 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | $11,915 | $9,532 | — | — | 2 insurers |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL | MA | $9,750 | $9,750 | — | — | 0 insurers |
| THE MIRIAM HOSPITAL | RI | $9,750 | $9,750 | — | — | 0 insurers |
| SHELBY BAPTIST MEDICAL CENTER | AL | — | — | $155 | $806 | 3 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 5 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 5 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 2 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 5 insurers |
| RUSSELL MEDICAL CENTER | AL | — | — | — | — | 5 insurers |
| BALDWIN HEALTH | AL | — | — | — | — | 3 insurers |
| NORTHWEST MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | — | — | — | — | 5 insurers |
| EAMC - LANIER | AL | — | — | — | — | 5 insurers |
| EAMC - LANIER | AL | — | — | — | — | 5 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $333 | $333 | 2 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 5 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 5 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | — | — | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | — | — | — | — | 2 insurers |
| ST JOSEPH'S HOSPITAL | AZ | — | — | — | — | 5 insurers |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER | AZ | — | — | — | — | 5 insurers |
| BENSON HOSPITAL | AZ | — | — | — | — | 1 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | — | — | — | — | 2 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 2 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 5 insurers |
| PENINSULA MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP | CA | — | — | — | — | 4 insurers |
| SUTTER AMADOR HOSPITAL | CA | — | — | — | — | 4 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS | CA | — | — | — | — | 4 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL | CA | — | — | — | — | 4 insurers |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | — | — | — | — | 2 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $87.7 | $325 | 5 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 4 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 4 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 2 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $65.44 | $398 | 5 insurers |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | CA | — | — | — | — | 4 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP | CA | — | — | — | — | 4 insurers |
| SUTTER TRACY COMMUNITY HOSPITAL | CA | — | — | — | — | 4 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | — | — | — | — | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | — | — | — | — | 3 insurers |
| SUTTER COAST HOSPITAL | CA | — | — | — | — | 4 insurers |
| STANFORD HEALTH CARE | CA | — | — | $86.38 | $1,210 | 5 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 1 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $65.44 | $1,909 | 5 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $56.15 | $398 | 5 insurers |
| EDEN MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| SUTTER AUBURN FAITH HOSPITAL | CA | — | — | — | — | 4 insurers |
| SUTTER DELTA MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| MEMORIAL HOSPITAL LOS BANOS | CA | — | — | — | — | 4 insurers |
| SUTTER DAVIS HOSPITAL | CA | — | — | — | — | 4 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 5 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $86.38 | $468 | 5 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $56.15 | $398 | 5 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 3 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $377 | $1,156 | 1 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 3 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $77.75 | $398 | 5 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 4 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 4 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 | — | — | — | — | 4 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 2 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 3 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 4 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $86.38 | $520 | 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 | — | — | $56.15 | $398 | 5 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 5 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 5 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $102 | $506 | 5 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 5 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $173 | $469 | 5 insurers |
| AdventHealth Porter | CO | — | — | $84.66 | $202 | 5 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $84.66 | $202 | 5 insurers |
| AdventHealth Littleton | CO | — | — | $84.66 | $202 | 5 insurers |
| AdventHealth Parker | CO | — | — | $84.66 | $202 | 5 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | — | — | — | — | 5 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $84.66 | $202 | 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 |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 4 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | — | — | — | — | 5 insurers |
| ORLANDO HEALTH | FL | — | — | $85 | $276 | 5 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $87.7 | $90.41 | 2 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $85 | $276 | 5 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $85 | $276 | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $87.7 | $325 | 5 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $81.55 | $318 | 5 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $67.85 | $495 | 5 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 1 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $86.38 | $248 | 5 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $86.38 | $806 | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $86.38 | $107 | 5 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $342 | $342 | 4 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 1 insurers |
| ARCHBOLD BROOKS | GA | — | — | $35.43 | $398 | 5 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $64.79 | $467 | 5 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 5 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $67.85 | $237 | 4 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 2 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 5 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $86.38 | $1,063 | 5 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $65.44 | $67.85 | 2 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 5 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | — | — | — | — | 3 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 5 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $67.85 | $358 | 5 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $67.85 | $358 | 5 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $86.38 | $205 | 5 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $67.85 | $358 | 5 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $86.38 | $386 | 5 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $67.85 | $358 | 5 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $67.85 | $358 | 5 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $67.85 | $390 | 4 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $67.85 | $358 | 5 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $67.85 | $358 | 5 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $67.85 | $358 | 5 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 3 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $86.38 | $205 | 5 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $86.38 | $617 | 3 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | — | — | — | — | 2 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | — | — | — | — | 1 insurers |
| EDWARD HOSPITAL | IL | — | — | $86.38 | $617 | 3 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $67.85 | $358 | 5 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $86.38 | $457 | 5 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $86.38 | $1,063 | 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 | — | — | $86.38 | $205 | 5 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 5 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $67.85 | $358 | 5 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $67.85 | $358 | 5 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $163 | $457 | 4 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $67.85 | $358 | 5 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $86.38 | $806 | 5 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $67.85 | $237 | 4 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 5 insurers |
| UNION HOSPITAL INC | IN | — | — | $67.85 | $744 | 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 | — | — | $178 | $201 | 5 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $86.38 | $213 | 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 | — | — | $86.38 | $205 | 5 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 5 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 5 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 5 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | — | — | — | — | 1 insurers |
| TRINITY MUSCATINE | IA | — | — | — | — | 3 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | — | — | — | — | 3 insurers |
| ST LUKES HOSPITAL | IA | — | — | — | — | 3 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | — | — | — | — | 3 insurers |
| TRINITY - BETTENDORF | IA | — | — | — | — | 4 insurers |
| ALLEN HOSPITAL | IA | — | — | — | — | 3 insurers |
| FINLEY HOSPITAL | IA | — | — | — | — | 4 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | — | — | — | — | 3 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | — | — | — | — | 3 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | — | — | — | — | 3 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | — | — | — | — | 5 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 2 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $163 | $163 | 5 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $86.38 | $147 | 4 insurers |
| HUTCHINSON REGIONAL MEDICAL CENTER INC | KS | — | — | — | — | 2 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $86.38 | $627 | 5 insurers |
| COMMUNITY MEMORIAL HEALTHCARE, INC. | KS | — | — | $86.38 | $781 | 4 insurers |
| HANOVER HOSPITAL | KS | — | — | $76.85 | $139 | 5 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | $124 | $124 | 2 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $86.38 | $213 | 5 insurers |
| UOFL HEALTH - SHELBYVILLE HOSPITAL | KY | — | — | — | — | 5 insurers |
| ST ELIZABETH EDGEWOOD | KY | — | — | $86.38 | $213 | 5 insurers |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital | KY | — | — | — | — | 5 insurers |
| ST ELIZABETH FLORENCE | KY | — | — | $86.38 | $213 | 5 insurers |
| JENNIE STUART MEDICAL CENTER | KY | — | — | — | — | 4 insurers |
| UNIVERSITY OF KENTUCKY HOSPITAL | KY | — | — | $67.85 | $170 | 5 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | — | — | — | — | 4 insurers |
| GEORGETOWN COMMUNITY HOSPITAL | KY | — | — | $90.41 | $973 | 5 insurers |
| TRISTAR GREENVIEW REGIONAL HOSPITAL | KY | — | — | $88.6 | $88.6 | 1 insurers |
| FRANKFORT REGIONAL MEDICAL CENTER | KY | — | — | $87.7 | $87.7 | 1 insurers |
| THREE RIVERS MEDICAL CENTER | KY | — | — | — | — | 5 insurers |
| ST ELIZABETH GRANT | KY | — | — | $86.38 | $213 | 5 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | — | — | $116 | $935 | 5 insurers |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL | LA | — | — | $112 | $1,056 | 5 insurers |
| CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM | LA | — | — | $115 | $779 | 5 insurers |
| BYRD REGIONAL HOSPITAL | LA | — | — | $87.7 | $103 | 2 insurers |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL | LA | — | — | $110 | $1,056 | 5 insurers |
| STERLING SURGICAL HOSPITAL | LA | — | — | — | — | 2 insurers |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL | LA | — | — | $99.45 | $327 | 5 insurers |
| ST JAMES PARISH HOSPITAL | LA | — | — | — | — | 3 insurers |
| CHRISTUS COUSHATTA HEALTH CARE CENTER | LA | — | — | $146 | $350 | 5 insurers |
| NORTHERN LIGHT MERCY HOSPITAL | ME | — | — | — | — | 5 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | — | — | — | — | 5 insurers |
| NORTHERN LIGHT A R GOULD HOSPITAL | ME | — | — | — | — | 5 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | — | — | — | — | 4 insurers |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER | ME | — | — | — | — | 5 insurers |
| NORTHERN LIGHT MAINE COAST HOSPITAL | ME | — | — | — | — | 5 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | — | — | — | — | 5 insurers |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL | ME | — | — | — | — | 5 insurers |
| NORTHERN LIGHT C A DEAN HOSPITAL | ME | — | — | — | — | 5 insurers |
| LINCOLNHEALTH | ME | — | — | — | — | 5 insurers |
| NORTHERN LIGHT MAYO HOSPITAL | ME | — | — | — | — | 5 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | — | — | — | — | 5 insurers |
| NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL | ME | — | — | — | — | 5 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | — | — | — | — | 5 insurers |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | — | — | — | — | 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 | — | — | $65.44 | $231 | 5 insurers |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL | MA | — | — | — | — | 5 insurers |
| HOLY FAMILY HOSPITAL | MA | — | — | — | — | 3 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM | MA | — | — | $65.44 | $231 | 4 insurers |
| BETH ISRAEL DEACONESS MEDICAL CENTER | MA | — | — | $65.44 | $227 | 5 insurers |
| HEYWOOD HOSPITAL - | MA | — | — | $158 | $323 | 5 insurers |
| SOUTH SHORE HOSPITAL | MA | — | — | $65.44 | $323 | 5 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON | MA | — | — | $65.44 | $102 | 4 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | — | — | $188 | $318 | 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 | $474 | 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 | $380 | 5 insurers |
| COREWELL HEALTH REED CITY HOSPITAL | MI | — | — | — | — | 4 insurers |
| OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP | MI | — | — | $67.85 | $358 | 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 | — | — | — | — | 1 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | — | — | — | — | 1 insurers |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER | MN | — | — | — | — | 5 insurers |
| ESSENTIA HEALTH VIRGINIA | MN | — | — | — | — | 2 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | — | — | — | — | 1 insurers |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES | MN | — | — | — | — | 3 insurers |
| MAHNOMEN HEALTH CENTER | MN | — | — | — | — | 3 insurers |
| NORTH VALLEY HEALTH CENTER | MN | — | — | $86.38 | $258 | 5 insurers |
| ESSENTIA HEALTH MOOSE LAKE | MN | — | — | — | — | 2 insurers |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL | MN | — | — | — | — | 2 insurers |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL | MN | — | — | — | — | 5 insurers |
| GEORGE REGIONAL HEALTH SYSTEM | MS | — | — | $76.85 | $139 | 5 insurers |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY | MO | — | — | $85.91 | $155 | 5 insurers |
| NORTHEAST REGIONAL MEDICAL CENTER | MO | — | — | — | — | 5 insurers |
| BOONE HOSPITAL CENTER | MO | — | — | $67.85 | $309 | 5 insurers |
| SSM ST CLARE HEALTH CENTER | MO | — | — | $86.38 | $425 | 5 insurers |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS | MO | — | — | $86.38 | $425 | 5 insurers |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS | MO | — | — | $86.38 | $425 | 5 insurers |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL | MO | — | — | $84.66 | $341 | 5 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | — | — | — | — | 5 insurers |
| SAINT FRANCIS MEDICAL CENTER | MO | — | — | $57.89 | $158 | 5 insurers |
| LEE'S SUMMIT MEDICAL CENTER | MO | — | — | $65.44 | $113 | 5 insurers |
| MOSAIC MEDICAL CENTER - MARYVILLE | MO | — | — | — | — | 4 insurers |
| MOUNTAINVIEW MEDICAL CENTER | MT | — | — | $173 | $469 | 5 insurers |
| PRAIRIE COMMUNITY CAH | MT | — | — | — | — | 0 insurers |
| HOLY ROSARY HOSPITAL | MT | — | — | — | — | 5 insurers |
| HOLY ROSARY HOSPITAL | MT | — | — | — | — | 5 insurers |
| THE NEBRASKA MEDICAL CENTER | NE | $7,810 | — | — | — | 0 insurers |
| BELLEVUE MEDICAL CENTER | NE | $805 | — | — | — | 0 insurers |
| PENDER COMMUNITY HOSPITAL | NE | — | — | $167 | $167 | 4 insurers |
| BOYS TOWN NATIONAL RESEARCH HOSPITAL | NE | — | — | — | — | 5 insurers |
| CARSON VALLEY HEALTH | NV | — | — | — | — | 5 insurers |
| ELLIOT HOSPITAL | NH | — | — | $86.38 | $494 | 5 insurers |
| FRISBIE MEMORIAL HOSPITAL | NH | — | — | $82.13 | $173 | 5 insurers |
| CHESHIRE MEDICAL CENTER | NH | — | — | — | — | 5 insurers |
| CATHOLIC MEDICAL CENTER | NH | — | — | $65.44 | $140 | 5 insurers |
| MEMORIAL HOSPITAL, THE | NH | — | — | — | — | 5 insurers |
| MONADNOCK COMMUNITY HOSPITAL | NH | — | — | — | — | 5 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | — | — | — | — | 1 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | — | — | — | — | 2 insurers |
| CAREWELL HEALTH MEDICAL CENTER | NJ | — | — | — | — | 5 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | — | — | — | — | 1 insurers |
| CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER | NM | — | — | $131 | $2,508 | 5 insurers |
| CHRISTUS SOUTHERN NEW MEXICO | NM | — | — | — | — | 0 insurers |
| PRESBYTERIAN ESPANOLA HOSPITAL | NM | — | — | — | — | 5 insurers |
| PRESBYTERIAN HOSPITAL | NM | — | — | — | — | 5 insurers |
| PRESBYTERIAN SANTA FE MEDICAL CENTER | NM | — | — | — | — | 5 insurers |
| SOCORRO GENERAL HOSPITAL | NM | — | — | — | — | 4 insurers |
| DR DAN C TRIGG MEMORIAL HOSPITAL | NM | — | — | — | — | 4 insurers |
| MONTEFIORE MOUNT VERNON HOSPITAL | NY | — | — | — | — | 5 insurers |
| OLEAN GENERAL HOSPITAL | NY | — | — | $54.57 | $486 | 5 insurers |
| GARNET HEALTH MEDICAL CENTER | NY | — | — | — | — | 5 insurers |
| ST JAMES HOSPITAL | NY | — | — | — | — | 5 insurers |
| NICHOLAS H NOYES MEMORIAL HOSPITAL | NY | — | — | — | — | 5 insurers |
| WHITE PLAINS HOSPITAL CENTER | NY | — | — | — | — | 1 insurers |
| GARNET HEALTH MEDICAL CENTER CATSKILLS | NY | — | — | — | — | 5 insurers |
| CUBA MEMORIAL HOSPITAL, INC | NY | — | — | $117 | $197 | 5 insurers |
| GARNET HEALTH MEDICAL CENTER CATSKILLS | NY | — | — | — | — | 5 insurers |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE | NC | — | — | $342 | $342 | 4 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | — | — | $82 | $626 | 5 insurers |
| ADVENTHEALTH HENDERSONVILLE | NC | — | — | $171 | $194 | 2 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | — | — | $82.16 | $626 | 5 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | — | — | — | — | 3 insurers |
| WAKEMED, RALEIGH CAMPUS | NC | — | — | — | — | 5 insurers |
| WAKEMED, RALEIGH CAMPUS | NC | — | — | — | — | 1 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | — | — | $82 | $626 | 5 insurers |
| THE MCDOWELL HOSPITAL | NC | — | — | $342 | $342 | 4 insurers |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER | NC | — | — | $82.98 | $204 | 5 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | — | — | $82 | $626 | 5 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | — | — | $90.69 | $204 | 5 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | — | — | $82.16 | $626 | 5 insurers |
| WAKEMED, CARY HOSPITAL | NC | — | — | — | — | 5 insurers |
| WAKEMED, CARY HOSPITAL | NC | — | — | — | — | 1 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | — | — | $82.16 | $626 | 5 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | — | — | $82.16 | $626 | 5 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | — | — | $82.16 | $626 | 5 insurers |
| HIGHLANDS CASHIERS HOSPITAL | NC | — | — | $342 | $342 | 4 insurers |
| ANGEL MEDICAL CENTER | NC | — | — | $312 | $342 | 5 insurers |
| BLUE RIDGE REGIONAL HOSPITAL | NC | — | — | $342 | $342 | 4 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | — | — | — | — | 1 insurers |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC | OH | — | — | $86.38 | $249 | 5 insurers |
| RIVERSIDE METHODIST HOSPITAL | OH | — | — | $86.38 | $336 | 5 insurers |
| LIMA MEMORIAL HEALTH SYSTEM | OH | — | — | $86.38 | $397 | 5 insurers |
| OHIOHEALTH O'BLENESS HOSPITAL | OH | — | — | $86.38 | $806 | 5 insurers |
| GRANT MEDICAL CENTER | OH | — | — | $86.38 | $336 | 5 insurers |
| KETTERING HEALTH GREENE MEMORIAL | OH | — | — | $86.38 | $252 | 5 insurers |
| UNIVERSITY OF TOLEDO MEDICAL CENTER | OH | — | — | — | — | 5 insurers |
| MIAMI VALLEY HOSPITAL | OH | — | — | $86.38 | $258 | 5 insurers |
| FISHER-TITUS HOSPITAL | OH | — | — | — | — | 5 insurers |
| FISHER-TITUS HOSPITAL | OH | — | — | — | — | 1 insurers |
| VAN WERT COUNTY HOSPITAL | OH | — | — | $86.38 | $806 | 5 insurers |
| ATRIUM MEDICAL CENTER | OH | — | — | $86.38 | $264 | 5 insurers |
| AULTMAN HOSPITAL | OH | — | — | $86.38 | $271 | 5 insurers |
| OHIOHEALTH MANSFIELD HOSPITAL | OH | — | — | $86.38 | $806 | 5 insurers |
| FORT HAMILTON HUGHES MEMORIAL HOSPITAL | OH | — | — | $86.38 | $252 | 5 insurers |
| KETTERING HEALTH DAYTON | OH | — | — | $86.38 | $252 | 5 insurers |
| BERGER HOSPITAL | OH | — | — | $86.38 | $806 | 5 insurers |
| UPPER VALLEY MEDICAL CENTER | OH | — | — | $86.38 | $267 | 5 insurers |
| DUBLIN METHODIST HOSPITAL | OH | — | — | $86.38 | $336 | 5 insurers |
| WEST CHESTER HOSPITAL | OH | — | — | $86.38 | $245 | 5 insurers |
| SOIN MEDICAL CENTER | OH | — | — | $86.38 | $252 | 5 insurers |
| HARDIN MEMORIAL HOSPITAL | OH | — | — | $211 | $806 | 4 insurers |