| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $20,846 | $7,296 | $279 | $647 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $20,846 | $8,130 | $380 | $599 | 3 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | $26,719 | $5,878 | — | — | 5 insurers |
| SINAI-GRACE HOSPITAL | MI | $7,762 | $5,822 | — | — | 0 insurers |
| DETROIT RECEIVING HOSPITAL | MI | $7,762 | $5,822 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL OF MICHIGAN | MI | $7,762 | $5,822 | — | — | 0 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $15,253 | $9,914 | — | — | 5 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $11,336 | $4,421 | — | — | 0 insurers |
| LANAI COMMUNITY HOSPITAL | HI | $11,336 | $4,421 | — | — | 0 insurers |
| KULA HOSPITAL | HI | $11,336 | $4,421 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $17,447 | $11,340 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $17,447 | $11,340 | — | — | 5 insurers |
| VALLEY PRESBYTERIAN HOSPITAL | CA | — | $11,690 | $363 | $13,525 | 5 insurers |
| NEW YORK-PRESBYTERIAN/QUEENS | NY | — | $11,690 | $363 | $13,525 | 5 insurers |
| NEW YORK-PRESBYTERIAN HOSPITAL | NY | — | $11,690 | $363 | $13,525 | 5 insurers |
| HUDSON VALLEY HOSPITAL CENTER | NY | — | $11,690 | $363 | $13,525 | 5 insurers |
| BAPTIST HOSPITAL | FL | $4,451 | $2,893 | — | — | 5 insurers |
| SOUTH MIAMI HOSPITAL | FL | $4,451 | $2,893 | — | — | 5 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | $2,985 | $1,269 | — | — | 5 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $1,111 | $350 | $1,111 | 5 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $1,111 | $350 | $1,111 | 5 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $1,111 | $350 | $1,111 | 5 insurers |
| SHARP CHULA VISTA MEDICAL CENTER | CA | $1,271 | $953 | — | — | 5 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | $1,509 | $641 | — | — | 5 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $1,509 | $641 | — | — | 5 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $1,509 | $605 | — | — | 5 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $1,509 | $605 | — | — | 5 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $1,509 | $605 | — | — | 5 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $1,509 | $605 | — | — | 5 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $1,509 | $605 | — | — | 5 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $1,509 | $605 | — | — | 5 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $543 | $376 | $376 | 1 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | — | $470 | — | — | 5 insurers |
| SANFORD USD MEDICAL CENTER | SD | $23,529 | $18,823 | — | — | 3 insurers |
| BRYN MAWR HOSPITAL | PA | $54,330 | $21,732 | — | — | 0 insurers |
| PAOLI HOSPITAL | PA | $54,330 | $21,732 | — | — | 0 insurers |
| MAIN LINE HOSPITAL LANKENAU | PA | $54,330 | $21,732 | — | — | 0 insurers |
| RIDDLE MEMORIAL HOSPITAL | PA | $54,330 | $21,732 | — | — | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $81,049 | $22,207 | $8,915 | $67,271 | 5 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $81,049 | $22,207 | $382 | $67,271 | 5 insurers |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | GA | $71,833 | $35,916 | — | — | 4 insurers |
| NAVICENT HEALTH BALDWIN | GA | $71,833 | $35,916 | — | — | 2 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | $71,833 | $35,916 | — | — | 2 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $93,517 | $37,407 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $93,517 | $37,407 | — | — | 5 insurers |
| BARNES JEWISH HOSPITAL | MO | $64,943 | $38,966 | $384 | $109,247 | 5 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $75,983 | $45,590 | $384 | $123,824 | 5 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $135,105 | $67,553 | — | — | 4 insurers |
| SHELBY BAPTIST MEDICAL CENTER | AL | — | — | $649 | $2,448 | 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 | — | — | $211 | $211 | 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 |
| BRADLEY COUNTY MEDICAL CENTER | AR | — | — | — | — | 3 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 | — | — | — | — | 3 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $370 | $986 | 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 | — | — | — | — | 3 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $370 | $1,102 | 5 insurers |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | CA | — | — | — | — | 4 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 1 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 | — | — | $385 | $2,415 | 4 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 1 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $362 | $1,587 | 5 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $250 | $1,237 | 5 insurers |
| EDEN MEDICAL CENTER | CA | — | — | — | — | 4 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | — | — | — | — | 3 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 | — | — | $370 | $2,059 | 5 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $250 | $1,401 | 5 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 3 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $597 | $1,040 | 1 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 3 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $344 | $1,051 | 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 | — | — | $385 | $770 | 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 | — | — | $250 | $1,093 | 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 | — | — | $432 | $1,001 | 5 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 1 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 5 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $349 | $939 | 5 insurers |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER | CO | — | — | — | — | 5 insurers |
| AdventHealth Porter | CO | — | — | $377 | $845 | 5 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $377 | $845 | 5 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 1 insurers |
| AdventHealth Littleton | CO | — | — | $377 | $845 | 5 insurers |
| AdventHealth Parker | CO | — | — | $377 | $845 | 5 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 1 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $377 | $845 | 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 | — | — | $382 | $1,119 | 5 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 1 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | — | — | — | — | 5 insurers |
| ORLANDO HEALTH | FL | — | — | $379 | $1,232 | 5 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $370 | $382 | 2 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $379 | $1,232 | 5 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $379 | $1,232 | 5 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 5 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $366 | $1,232 | 5 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $370 | $370 | 1 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 5 insurers |
| ST ANTHONYS HOSPITAL | FL | — | — | — | — | 5 insurers |
| ST JOSEPHS HOSPITAL | FL | — | — | — | — | 5 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 2 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $379 | $750 | 5 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $370 | $382 | 2 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $370 | $370 | 1 insurers |
| BARTOW REGIONAL MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| MORTON PLANT HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA AVENTURA HOSPITAL | FL | — | — | $370 | $370 | 1 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $370 | $370 | 1 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $370 | $370 | 1 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $382 | $382 | 1 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $370 | $382 | 2 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $370 | $370 | 1 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $370 | $382 | 2 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $370 | $370 | 1 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $370 | $382 | 2 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $370 | $370 | 1 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $370 | $382 | 2 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $379 | $750 | 5 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $370 | $370 | 1 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $382 | $382 | 1 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 3 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $370 | $382 | 2 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $370 | $370 | 1 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $370 | $382 | 2 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $370 | $382 | 2 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $370 | $370 | 1 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $370 | $382 | 2 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $370 | $382 | 2 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $378 | $378 | 1 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $370 | $370 | 1 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $370 | $382 | 2 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $370 | $382 | 2 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 5 insurers |
| WEST BOCA MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $370 | $370 | 1 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 5 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $379 | $750 | 5 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $379 | $1,232 | 5 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $370 | $370 | 1 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $370 | $370 | 1 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $370 | $370 | 1 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 2 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 | — | — | $540 | $1,018 | 3 insurers |
| Memorial Satilla Health | GA | — | — | $370 | $967 | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $385 | $448 | 5 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $385 | $448 | 5 insurers |
| NGMC BARROW, LLC | GA | — | — | $385 | $448 | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | GA | — | — | — | — | 1 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $342 | $967 | 5 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $385 | $2,448 | 5 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $385 | $448 | 5 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $959 | $959 | 4 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| ARCHBOLD BROOKS | GA | — | — | $201 | $515 | 5 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $289 | $469 | 5 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 5 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $384 | $403 | 4 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 1 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 5 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $385 | $1,622 | 5 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $384 | $384 | 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 | — | — | $384 | $1,344 | 5 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $384 | $1,306 | 5 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $332 | $577 | 5 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $384 | $1,306 | 5 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $350 | $706 | 5 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 1 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $384 | $1,306 | 5 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 1 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $384 | $1,306 | 5 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $384 | $650 | 4 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 2 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | — | — | — | — | 1 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $384 | $1,306 | 5 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $384 | $1,306 | 5 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $384 | $1,306 | 5 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 3 insurers |
| MEMORIAL HOSPITAL | IL | — | — | — | — | 5 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $332 | $577 | 5 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $385 | $942 | 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 | — | — | $385 | $942 | 3 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $384 | $1,306 | 5 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $385 | $1,390 | 5 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $385 | $1,622 | 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 | — | — | $332 | $577 | 5 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 3 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $384 | $1,306 | 5 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $384 | $1,306 | 5 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $687 | $1,390 | 4 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $384 | $1,306 | 5 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $385 | $2,448 | 5 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $384 | $403 | 4 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 5 insurers |
| UNION HOSPITAL INC | IN | — | — | $384 | $1,132 | 5 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 5 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 5 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 5 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | $357 | $402 | 5 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $385 | $951 | 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 | — | — | $332 | $577 | 5 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 5 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 5 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $382 | $469 | 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 | — | — | $384 | $616 | 5 insurers |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL | MA | — | — | — | — | 5 insurers |
| HOLY FAMILY HOSPITAL | MA | — | — | — | — | 3 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM | MA | — | — | $384 | $616 | 4 insurers |
| BETH ISRAEL DEACONESS MEDICAL CENTER | MA | — | — | $384 | $693 | 5 insurers |
| HEYWOOD HOSPITAL - | MA | — | — | $102 | $630 | 5 insurers |
| SOUTH SHORE HOSPITAL | MA | — | — | $367 | $393 | 5 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON | MA | — | — | $384 | $454 | 4 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | — | — | $376 | $376 | 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 | $789 | 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 | $632 | 5 insurers |
| COREWELL HEALTH REED CITY HOSPITAL | MI | — | — | — | — | 4 insurers |
| OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP | MI | — | — | $384 | $1,306 | 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 | — | — | $382 | $1,151 | 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 | — | — | $324 | $588 | 5 insurers |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY | MO | — | — | $383 | $693 | 5 insurers |
| NORTHEAST REGIONAL MEDICAL CENTER | MO | — | — | — | — | 5 insurers |
| BOONE HOSPITAL CENTER | MO | — | — | $384 | $711 | 5 insurers |
| SSM ST CLARE HEALTH CENTER | MO | — | — | $385 | $1,171 | 5 insurers |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS | MO | — | — | $385 | $1,171 | 5 insurers |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS | MO | — | — | $385 | $1,171 | 5 insurers |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL | MO | — | — | $377 | $1,427 | 5 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | — | — | — | — | 5 insurers |
| SAINT FRANCIS MEDICAL CENTER | MO | — | — | $328 | $672 | 5 insurers |
| LEE'S SUMMIT MEDICAL CENTER | MO | — | — | — | — | 0 insurers |
| LEE'S SUMMIT MEDICAL CENTER | MO | — | — | $382 | $477 | 5 insurers |
| MOSAIC MEDICAL CENTER - MARYVILLE | MO | — | — | — | — | 5 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | — | — | $359 | $419 | 5 insurers |
| MOUNTAINVIEW MEDICAL CENTER | MT | — | — | $349 | $939 | 5 insurers |
| PRAIRIE COMMUNITY CAH | MT | — | — | — | — | 0 insurers |
| HOLY ROSARY HOSPITAL | MT | — | — | — | — | 5 insurers |
| HOLY ROSARY HOSPITAL | MT | — | — | — | — | 5 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | — | — | $359 | $419 | 5 insurers |
| PENDER COMMUNITY HOSPITAL | NE | — | — | $743 | $743 | 4 insurers |
| BOYS TOWN NATIONAL RESEARCH HOSPITAL | NE | — | — | — | — | 5 insurers |
| CARSON VALLEY HEALTH | NV | — | — | — | — | 5 insurers |
| ELLIOT HOSPITAL | NH | — | — | $378 | $2,201 | 5 insurers |
| FRISBIE MEMORIAL HOSPITAL | NH | — | — | $370 | $1,018 | 5 insurers |
| CHESHIRE MEDICAL CENTER | NH | — | — | — | — | 5 insurers |
| CATHOLIC MEDICAL CENTER | NH | — | — | $370 | $822 | 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 | — | — | $397 | $4,899 | 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 | — | — | $309 | $1,237 | 5 insurers |
| ST JAMES HOSPITAL | NY | — | — | — | — | 5 insurers |
| NICHOLAS H NOYES MEMORIAL HOSPITAL | NY | — | — | — | — | 5 insurers |
| WHITE PLAINS HOSPITAL CENTER | NY | — | — | — | — | 1 insurers |
| CUBA MEMORIAL HOSPITAL, INC | NY | — | — | $355 | $426 | 5 insurers |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE | NC | — | — | $959 | $959 | 4 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | — | — | $365 | $743 | 5 insurers |
| ADVENTHEALTH HENDERSONVILLE | NC | — | — | $455 | $517 | 2 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | — | — | $366 | $743 | 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 | — | — | $365 | $743 | 5 insurers |
| THE MCDOWELL HOSPITAL | NC | — | — | $959 | $959 | 4 insurers |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER | NC | — | — | $370 | $909 | 5 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | — | — | $365 | $743 | 5 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | — | — | $404 | $909 | 5 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | — | — | $366 | $743 | 5 insurers |
| WAKEMED, CARY HOSPITAL | NC | — | — | — | — | 5 insurers |
| WAKEMED, CARY HOSPITAL | NC | — | — | — | — | 1 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | — | — | $366 | $743 | 5 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | — | — | $366 | $743 | 5 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | — | — | $366 | $743 | 5 insurers |
| HIGHLANDS CASHIERS HOSPITAL | NC | — | — | $959 | $959 | 4 insurers |
| ANGEL MEDICAL CENTER | NC | — | — | $959 | $959 | 4 insurers |
| BLUE RIDGE REGIONAL HOSPITAL | NC | — | — | $959 | $959 | 4 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | — | — | — | — | 1 insurers |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC | OH | — | — | $382 | $1,108 | 5 insurers |
| RIVERSIDE METHODIST HOSPITAL | OH | — | — | $385 | $1,021 | 5 insurers |
| LIMA MEMORIAL HEALTH SYSTEM | OH | — | — | $382 | $1,769 | 5 insurers |
| OHIOHEALTH O'BLENESS HOSPITAL | OH | — | — | $385 | $2,448 | 5 insurers |
| GRANT MEDICAL CENTER | OH | — | — | $385 | $1,021 | 5 insurers |
| KETTERING HEALTH GREENE MEMORIAL | OH | — | — | $385 | $1,064 | 5 insurers |
| UNIVERSITY OF TOLEDO MEDICAL CENTER | OH | — | — | — | — | 5 insurers |
| MIAMI VALLEY HOSPITAL | OH | — | — | $382 | $1,151 | 5 insurers |
| FISHER-TITUS HOSPITAL | OH | — | — | — | — | 5 insurers |
| FISHER-TITUS HOSPITAL | OH | — | — | — | — | 1 insurers |
| VAN WERT COUNTY HOSPITAL | OH | — | — | $385 | $2,448 | 5 insurers |
| UH REGIONAL HOSPITALS | OH | — | — | — | — | 1 insurers |
| ATRIUM MEDICAL CENTER | OH | — | — | $382 | $1,174 | 5 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| AULTMAN HOSPITAL | OH | — | — | $385 | $1,103 | 5 insurers |
| OHIOHEALTH MANSFIELD HOSPITAL | OH | — | — | $385 | $2,448 | 5 insurers |
| UH ST JOHN MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| FORT HAMILTON HUGHES MEMORIAL HOSPITAL | OH | — | — | $385 | $1,064 | 5 insurers |
| KETTERING HEALTH DAYTON | OH | — | — | $385 | $1,064 | 5 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| BERGER HOSPITAL | OH | — | — | $385 | $2,448 | 5 insurers |
| UPPER VALLEY MEDICAL CENTER | OH | — | — | $382 | $1,188 | 5 insurers |
| DUBLIN METHODIST HOSPITAL | OH | — | — | $385 | $1,021 | 5 insurers |
| WEST CHESTER HOSPITAL | OH | — | — | $382 | $1,093 | 5 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| SOIN MEDICAL CENTER | OH | — | — | $385 | $1,064 | 5 insurers |
| HARDIN MEMORIAL HOSPITAL | OH | — | — | $640 | $2,448 | 4 insurers |
| AULTMAN ORRVILLE HOSPITAL | OH | — | — | $577 | $770 | 2 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 | — | — | $570 | $570 | 5 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | — | — | $0.03 | $671 | 5 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY | OK | — | — | $385 | $962 | 5 insurers |
| STILLWATER MEDICAL CENTER | OK | — | — | $384 | $1,031 | 5 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST | OK | — | — | $385 | $843 | 5 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE | OK | — | — | $385 | $750 | 5 insurers |
| SUMMIT MEDICAL CENTER, LLC | OK | — | — | $455 | $517 | 2 insurers |
| STILLWATER MEDICAL - PERRY | OK | — | — | $384 | $1,031 | 5 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | — | — | $384 | $1,031 | 5 insurers |
| JEFFERSON COUNTY HOSPITAL | OK | — | — | $570 | $570 | 5 insurers |
| LEGACY EMANUEL MEDICAL CENTER | OR | — | — | $269 | $1,488 | 5 insurers |
| LEGACY GOOD SAMARITAN MEDICAL CENTER | OR | — | — | $269 | $1,488 | 5 insurers |
| LEGACY MOUNT HOOD MEDICAL CENTER | OR | — | — | $269 | $1,488 | 5 insurers |
| LEGACY SILVERTON MEDICAL CENTER | OR | — | — | $380 | $770 | 5 insurers |
| SALEM HOSPITAL | OR | — | — | $721 | $794 | 2 insurers |
| LEGACY MERIDIAN PARK MEDICAL CENTER | OR | — | — | $269 | $1,488 | 5 insurers |
| BAY AREA HOSPITAL | OR | — | — | $382 | $1,198 | 5 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | — | — | — | — | 3 insurers |
| SALEM HEALTH WEST VALLEY HOSPITAL | OR | — | — | $721 | $794 | 2 insurers |
| GOOD SHEPHERD MEDICAL CENTER | OR | — | — | — | — | 4 insurers |
| GOOD SHEPHERD MEDICAL CENTER | OR | — | — | — | — | 4 insurers |
| CLARION HOSPITAL | PA | — | — | — | — | 5 insurers |
| BRYN MAWR HOSPITAL | PA | — | — | — | — | 5 insurers |
| PENN HIGHLANDS MON VALLEY | PA | — | — | — | — | 5 insurers |
| PENN HIGHLANDS MON VALLEY | PA | — | — | — | — | 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 |
| MAIN LINE HOSPITAL LANKENAU | PA | — | — | — | — | 5 insurers |
| EXCELA HEALTH LATROBE HOSPITAL | PA | — | — | — | — | 5 insurers |
| RIDDLE MEMORIAL HOSPITAL | PA | — | — | — | — | 5 insurers |
| MOUNT NITTANY MEDICAL CENTER | PA | — | — | — | — | 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 | — | — | $384 | $1,132 | 5 insurers |
| CAROLINA PINES REGIONAL MEDICAL CENTER | SC | — | — | $384 | $1,217 | 5 insurers |
| MUSC HEALTH CHESTER MEDICAL CENTER | SC | — | — | — | — | 5 insurers |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN | SC | — | — | — | — | 5 insurers |
| COLLETON MEDICAL CENTER | SC | — | — | $354 | $1,028 | 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 | — | — | $384 | $1,132 | 5 insurers |
| MOUNT PLEASANT HOSPITAL | SC | — | — | — | — | 5 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | — | — | — | — | 2 insurers |
| CUMBERLAND MEDICAL CENTER | TN | — | — | $368 | $468 | 5 insurers |