| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $1,290 | $645 | — | — | 5 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $1,290 | $645 | — | — | 5 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $1,290 | $645 | — | — | 5 insurers |
| AURORA MEDICAL CTR MANITOWOC COUNTY | WI | $1,290 | $645 | — | — | 5 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $1,290 | $645 | — | — | 5 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $1,290 | $645 | — | — | 5 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $1,290 | $645 | — | — | 5 insurers |
| AURORA LAKELAND MEDICAL CENTER | WI | $1,290 | $645 | — | — | 5 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $1,290 | $645 | — | — | 5 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $1,290 | $645 | — | — | 5 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $1,290 | $645 | — | — | 5 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $1,290 | $645 | — | — | 5 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $1,290 | $645 | — | — | 5 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $1,290 | $645 | — | — | 5 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $1,290 | $645 | — | — | 5 insurers |
| AURORA MEDICAL CENTER | WI | $1,290 | $645 | — | — | 5 insurers |
| THE QUEENS MEDICAL CENTER | HI | $929 | $650 | — | — | 5 insurers |
| LONGMONT UNITED HOSPITAL | CO | $1,579 | $632 | — | — | 5 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $1,579 | $632 | — | — | 5 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $1,579 | $632 | — | — | 5 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $1,579 | $632 | — | — | 5 insurers |
| SAINT ANTHONY HOSPITAL | IL | $1,579 | $632 | — | — | 5 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $1,780 | $623 | $320 | $890 | 3 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $1,780 | $623 | $320 | $890 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $1,780 | $623 | $320 | $890 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $1,780 | $623 | $320 | $890 | 3 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $1,780 | $623 | $320 | $890 | 3 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $1,780 | $623 | $320 | $890 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $1,780 | $623 | $320 | $890 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $1,780 | $623 | $320 | $890 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $1,780 | $623 | $320 | $890 | 3 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $1,780 | $623 | $320 | $890 | 3 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | $1,038 | $623 | $193 | $2,230 | 5 insurers |
| VALLEY MEDICAL CENTER | WA | $880 | $616 | $351 | $2,056 | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $1,962 | $687 | $275 | $3,061 | 5 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $1,962 | $687 | $235 | $981 | 5 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | $1,483 | $593 | — | — | 5 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $1,692 | $592 | — | — | 5 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $1,692 | $592 | — | — | 5 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $1,692 | $592 | — | — | 5 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $580 | $580 | — | — | 4 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $1,422 | $711 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $1,422 | $711 | — | — | 0 insurers |
| ESSENTIA HEALTH VIRGINIA | MN | $1,141 | $717 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $880 | $572 | — | — | 5 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $880 | $572 | — | — | 5 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $1,850 | $720 | $204 | $1,776 | 5 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $1,850 | $720 | $204 | $1,850 | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $1,800 | $720 | — | — | 5 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $1,800 | $720 | — | — | 5 insurers |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | $2,079 | $728 | — | — | 5 insurers |
| WHIDBEYHEALTH MEDICAL CENTER | WA | $548 | $548 | — | — | 0 insurers |
| LONGS PEAK HOSPITAL | CO | $2,121 | $742 | — | — | 5 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $2,800 | $745 | — | — | 5 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $1,347 | $539 | — | — | 1 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $1,347 | $539 | — | — | 1 insurers |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | MN | $1,141 | $753 | — | — | 5 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $1,850 | $533 | $426 | $1,684 | 5 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $1,850 | $533 | $567 | $1,850 | 5 insurers |
| DELTA COUNTY MEMORIAL HOSPITAL | CO | $1,268 | $761 | — | — | 5 insurers |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER | MN | $1,141 | $768 | — | — | 5 insurers |
| MARION GENERAL HOSPITAL | OH | $789 | $513 | — | — | 0 insurers |
| DOCTORS HOSPITAL | OH | $789 | $513 | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | OH | $789 | $513 | — | — | 0 insurers |
| OHIOHEALTH SHELBY HOSPITAL | OH | $789 | $513 | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $1,692 | $508 | — | — | 5 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $1,850 | $507 | $204 | $1,702 | 5 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $1,850 | $507 | $204 | $1,850 | 5 insurers |
| SAUK PRAIRIE HOSPITAL | WI | $1,441 | $788 | — | — | 4 insurers |
| LINCOLN HEALTH HOSPITAL | CO | $1,035 | $491 | — | — | 0 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | $1,365 | $479 | $601 | $1,283 | 5 insurers |
| DUNCAN REGIONAL HOSPITAL, INC | OK | $1,365 | $479 | $601 | $1,283 | 5 insurers |
| JEFFERSON COUNTY HOSPITAL | OK | $1,365 | $479 | $601 | $1,283 | 5 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | $475 | $475 | — | — | 1 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | $475 | $475 | — | — | 3 insurers |
| CARLE EUREKA HOSPITAL | IL | $475 | $475 | — | — | 5 insurers |
| CARLE EUREKA HOSPITAL | IL | $475 | $475 | — | — | 5 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $1,341 | $469 | $295 | $1,006 | 5 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $1,341 | $469 | $282 | $1,006 | 5 insurers |
| MARIA PARHAM MEDICAL CENTER | NC | $2,070 | $828 | — | — | 0 insurers |
| ESSENTIA HEALTH DULUTH | MN | $1,141 | $843 | — | — | 5 insurers |
| ESSENTIA HEALTH SANDSTONE | MN | $1,141 | $843 | — | — | 5 insurers |
| ESSENTIA HEALTH ADA | MN | $1,141 | $843 | — | — | 5 insurers |
| ESSENTIA HEALTH HOLY TRINITY HOSPITAL | MN | $1,141 | $843 | — | — | 5 insurers |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER | MN | $1,141 | $843 | — | — | 5 insurers |
| ESSENTIA HEALTH MOOSE LAKE | MN | $1,141 | $843 | — | — | 5 insurers |
| ESSENTIA HEALTH FOSSTON | MN | $1,141 | $843 | — | — | 5 insurers |
| ESSENTIA HEALTH DEER RIVER | MN | $1,141 | $843 | — | — | 5 insurers |
| ESSENTIA HEALTH | ND | $1,141 | $843 | — | — | 5 insurers |
| ST THOMAS MORE HOSPITAL | CO | $1,116 | $446 | — | — | 5 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $1,070 | $856 | — | — | 2 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $602 | $421 | — | — | 5 insurers |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER | KS | $1,192 | $894 | — | — | 5 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $1,915 | $900 | — | — | 3 insurers |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | WI | $1,439 | $935 | $463 | $1,396 | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $1,890 | $945 | — | — | 5 insurers |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | IL | $950 | $950 | — | — | 5 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $3,345 | $335 | — | — | 5 insurers |
| FROEDTERT SOUTH INC. | WI | $594 | $326 | — | — | 5 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $594 | $326 | — | — | 5 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $594 | $326 | — | — | 5 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $1,970 | $985 | — | — | 5 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $1,970 | $985 | — | — | 5 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $1,970 | $985 | — | — | 5 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $1,970 | $985 | — | — | 5 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $450 | $297 | — | — | 0 insurers |
| KALKASKA MEMORIAL HEALTH CENTER | MI | $1,187 | $1,009 | — | — | 3 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $489 | $245 | — | — | 2 insurers |
| ST ELIZABETH HOSPITAL | WA | $733 | $223 | $403 | $550 | 3 insurers |
| ST ELIZABETH HOSPITAL | WA | $733 | $223 | $367 | $5,248 | 5 insurers |
| ST CLARE HOSPITAL | WA | $733 | $211 | $403 | $550 | 3 insurers |
| ST CLARE HOSPITAL | WA | $733 | $211 | $367 | $5,248 | 5 insurers |
| CENTRAL MAINE MEDICAL CENTER | ME | — | $1,082 | $1,052 | $1,831 | 5 insurers |
| CARLE RICHLAND MEMORIAL HOSPITAL | IL | $1,101 | $1,101 | — | — | 5 insurers |
| ASHLEY REGIONAL MEDICAL CENTER | UT | $284 | $156 | — | — | 0 insurers |
| EXCEPTIONAL COMMUNITY HOSPITAL ARDMORE | OK | $1,890 | $1,134 | — | — | 0 insurers |
| EXCEPTIONAL COMMUNITY HOSPITAL LUBBOCK | TX | $1,890 | $1,134 | — | — | 0 insurers |
| BEEBE MEDICAL CENTER | DE | $153 | $130 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $2,337 | $1,169 | — | — | 5 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $2,337 | $1,169 | — | — | 5 insurers |
| GRADY GENERAL HOSPITAL | GA | — | $79.5 | — | — | 5 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $1,514 | $1,211 | — | — | 3 insurers |
| BUNKIE GENERAL HOSPITAL | LA | $60 | $60 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $80 | $60 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $80 | $60 | — | — | 1 insurers |
| LAKE HEALTH | OH | $80 | $60 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $80 | $60 | — | — | 1 insurers |
| SUMMIT SURGICAL, LLC | KS | $1,538 | $1,230 | — | — | 5 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $74 | $55.5 | — | — | 2 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $1,599 | $1,279 | — | — | 3 insurers |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS | MA | $1,600 | $1,280 | $800 | — | 5 insurers |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL | MA | $1,600 | $1,280 | $800 | — | 5 insurers |
| SIOUX CENTER HEALTH | IA | $1,320 | $1,280 | — | — | 5 insurers |
| SIOUX CENTER HEALTH | IA | $1,320 | $1,280 | — | — | 5 insurers |
| WAYNE MEMORIAL HOSPITAL | GA | $1,957 | $1,370 | — | — | 0 insurers |
| EMANUEL MEDICAL CENTER | GA | $3,487 | $1,395 | — | — | 0 insurers |
| DLP SWAIN COUNTY HOSPITAL LLC | NC | $3,487 | $1,395 | — | — | 0 insurers |
| UCSF HEALTH ST. MARY'S HOSPITAL | CA | $1,994 | $1,396 | $567 | $1,994 | 5 insurers |
| MISSOURI DELTA MEDICAL CENTER | MO | $5,797 | $1,449 | — | — | 5 insurers |
| HAYWOOD REGIONAL MEDICAL CENTER | NC | $3,778 | $1,511 | — | — | 0 insurers |
| GOSHEN HOSPITAL | IN | $2,451 | $1,716 | — | — | 0 insurers |
| OPTIM MEDICAL CENTER - TATTNALL | GA | $1,806 | $1,806 | $235 | $915 | 5 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $3,077 | $1,846 | — | — | 0 insurers |
| COLUMBUS REGIONAL HOSPITAL | IN | $2,674 | $2,006 | — | — | 5 insurers |
| ROUND ROCK MEDICAL CENTER | TX | $2,674 | $2,006 | — | — | 3 insurers |
| MARSHALL MEDICAL CENTER | TN | $2,129 | $2,129 | — | — | 5 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $2,604 | $2,604 | — | — | 5 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $3,345 | — | — | 1 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | $4,246 | $4,246 | — | — | 5 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | $4,246 | $4,246 | — | — | 5 insurers |
| LINCOLNHEALTH | ME | $4,246 | $4,246 | — | — | 5 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | $4,246 | $4,246 | — | — | 5 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | $4,246 | $4,246 | — | — | 5 insurers |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | $4,246 | $4,246 | — | — | 5 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 1 insurers |
| STANFORD HEALTH CARE | CA | — | — | $1,083 | $2,505 | 2 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 1 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $567 | $567 | 1 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $704 | $3,480 | 5 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | — | — | — | — | 2 insurers |
| UCI HEALTH - LOS ALAMITOS | CA | — | — | $1,083 | $2,815 | 5 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $1,083 | $2,815 | 5 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $1,083 | $2,815 | 5 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $1,083 | $2,815 | 5 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $1,083 | $5,792 | 5 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $704 | $3,940 | 5 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | — | — | — | — | 5 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $974 | $2,976 | 5 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 3 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 3 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 3 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 1 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $1,083 | $2,165 | 5 insurers |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | CA | — | — | — | — | 5 insurers |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB | CA | — | — | $704 | $3,074 | 5 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 5 insurers |
| ST MARY-CORWIN HOSPITAL | CO | — | — | — | — | 1 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $953 | $1,177 | 5 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 1 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $155 | $1,244 | 5 insurers |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER | CO | — | — | — | — | 5 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 1 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $1,093 | $12,003 | 5 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $1,083 | $5,064 | 5 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $1,083 | $5,064 | 5 insurers |
| ORLANDO HEALTH | FL | — | — | $1,097 | $3,569 | 5 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $1,115 | $2,955 | 5 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $1,082 | $1,227 | 5 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $1,086 | $2,788 | 5 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 1 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 5 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 1 insurers |
| ARCHBOLD BROOKS | GA | — | — | $359 | $1,451 | 5 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $426 | $1,061 | 5 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 1 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $1,010 | $1,137 | 4 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $1,109 | $3,020 | 4 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $1,109 | $1,109 | 1 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 1 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 5 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | — | — | — | — | 3 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 3 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $787 | $3,882 | 5 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $787 | $1,131 | 5 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $1,109 | $1,220 | 2 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $787 | $1,131 | 5 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $1,109 | $1,608 | 3 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $787 | $1,131 | 5 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $787 | $1,131 | 5 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 2 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $787 | $1,131 | 5 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $787 | $1,131 | 5 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $787 | $1,131 | 5 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $1,109 | $1,220 | 2 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $1,109 | $1,787 | 3 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | — | — | — | — | 3 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 1 insurers |
| EDWARD HOSPITAL | IL | — | — | $1,109 | $1,787 | 3 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $787 | $1,131 | 5 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $1,109 | $3,020 | 4 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 5 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | — | — | — | — | 4 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $1,109 | $1,220 | 2 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 5 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $787 | $1,131 | 5 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $787 | $1,131 | 5 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $787 | $1,131 | 5 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $1,109 | $1,154 | 3 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $1,010 | $1,137 | 4 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 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 | — | — | — | — | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $1,115 | $2,755 | 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 | — | — | $1,109 | $1,220 | 2 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 5 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $807 | $1,656 | 5 insurers |
| TRINITY MUSCATINE | IA | — | — | — | — | 5 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | — | — | — | — | 5 insurers |
| ST LUKES HOSPITAL | IA | — | — | — | — | 5 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | — | — | — | — | 5 insurers |
| TRINITY - BETTENDORF | IA | — | — | — | — | 5 insurers |
| ALLEN HOSPITAL | IA | — | — | — | — | 5 insurers |
| FINLEY HOSPITAL | IA | — | — | — | — | 5 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | — | — | — | — | 5 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | — | — | — | — | 5 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | — | — | — | — | 5 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | — | — | — | — | 5 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 2 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $885 | $1,876 | 4 insurers |
| HUTCHINSON REGIONAL MEDICAL CENTER INC | KS | — | — | — | — | 1 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | — | — | — | — | 2 insurers |
| WESLEY MEDICAL CENTER | KS | — | — | $807 | $1,656 | 5 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | — | — | — | — | 2 insurers |
| HANOVER HOSPITAL | KS | — | — | $920 | $1,158 | 5 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | $845 | $845 | 2 insurers |
| BOB WILSON MEMORIAL HOSPITAL | KS | — | — | — | — | 1 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $1,115 | $2,755 | 5 insurers |
| UOFL HEALTH - SHELBYVILLE HOSPITAL | KY | — | — | — | — | 5 insurers |
| ST ELIZABETH EDGEWOOD | KY | — | — | $1,115 | $2,755 | 5 insurers |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital | KY | — | — | — | — | 5 insurers |
| ST ELIZABETH FLORENCE | KY | — | — | $1,115 | $2,755 | 5 insurers |
| JENNIE STUART MEDICAL CENTER | KY | — | — | — | — | 4 insurers |
| UNIVERSITY OF KENTUCKY HOSPITAL | KY | — | — | $1,115 | $2,788 | 4 insurers |
| GEORGETOWN COMMUNITY HOSPITAL | KY | — | — | $817 | $2,208 | 5 insurers |
| TRISTAR GREENVIEW REGIONAL HOSPITAL | KY | — | — | $1,093 | $1,472 | 5 insurers |
| THREE RIVERS MEDICAL CENTER | KY | — | — | — | — | 5 insurers |
| ST ELIZABETH GRANT | KY | — | — | $1,115 | $2,755 | 5 insurers |
| OPELOUSAS GENERAL HEALTH SYSTEM | LA | — | — | — | — | 4 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | — | — | $1,071 | $1,913 | 5 insurers |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL | LA | — | — | $547 | $1,530 | 5 insurers |
| CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM | LA | — | — | $547 | $1,530 | 5 insurers |
| BYRD REGIONAL HOSPITAL | LA | — | — | $1,082 | $2,933 | 5 insurers |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL | LA | — | — | $547 | $1,530 | 5 insurers |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL | LA | — | — | $547 | $3,028 | 5 insurers |
| ST JAMES PARISH HOSPITAL | LA | — | — | — | — | 1 insurers |
| CHRISTUS COUSHATTA HEALTH CARE CENTER | LA | — | — | $547 | $547 | 1 insurers |
| NORTHERN LIGHT MERCY HOSPITAL | ME | — | — | — | — | 5 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | — | — | — | — | 1 insurers |
| NORTHERN LIGHT A R GOULD HOSPITAL | ME | — | — | — | — | 5 insurers |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER | ME | — | — | — | — | 5 insurers |
| NORTHERN LIGHT MAINE COAST HOSPITAL | ME | — | — | — | — | 5 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | — | — | — | — | 1 insurers |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL | ME | — | — | — | — | 5 insurers |
| NORTHERN LIGHT C A DEAN HOSPITAL | ME | — | — | — | — | 5 insurers |
| LINCOLNHEALTH | ME | — | — | — | — | 1 insurers |
| RUMFORD HOSPITAL | ME | — | — | $1,083 | $1,083 | 1 insurers |
| NORTHERN LIGHT MAYO HOSPITAL | ME | — | — | — | — | 5 insurers |
| BRIDGTON HOSPITAL | ME | — | — | $1,083 | $1,083 | 1 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | — | — | — | — | 1 insurers |
| NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL | ME | — | — | — | — | 5 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | — | — | — | — | 1 insurers |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | — | — | — | — | 1 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 | — | — | $1,083 | $1,549 | 3 insurers |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL | MA | — | — | — | — | 5 insurers |
| HOLY FAMILY HOSPITAL | MA | — | — | — | — | 2 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM | MA | — | — | $1,473 | $1,473 | 1 insurers |
| BETH ISRAEL DEACONESS MEDICAL CENTER | MA | — | — | $1,083 | $1,917 | 3 insurers |
| HEYWOOD HOSPITAL - | MA | — | — | $1,037 | $1,555 | 4 insurers |
| SOUTH SHORE HOSPITAL | MA | — | — | $875 | $1,083 | 5 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON | MA | — | — | $1,140 | $1,140 | 2 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | — | — | $1,168 | $1,223 | 3 insurers |
| LAKELAND HOSPITAL, ST JOSEPH | MI | — | — | — | — | 2 insurers |
| SPECTRUM HEALTH | MI | — | — | — | — | 5 insurers |
| HARPER UNIVERSITY HOSPITAL | MI | — | — | $93 | $752 | 2 insurers |
| COREWELL HEALTH LUDINGTON HOSPITAL | MI | — | — | — | — | 3 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 | $752 | 2 insurers |
| OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP | MI | — | — | $787 | $1,131 | 5 insurers |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | MN | — | — | — | — | 2 insurers |
| SANFORD WORTHINGTON MEDICAL CENTER | MN | — | — | — | — | 5 insurers |
| ALOMERE HEALTH | MN | — | — | — | — | 5 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | — | — | — | — | 2 insurers |
| WINONA HEALTH SERVICES | MN | — | — | — | — | 1 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | — | — | — | — | 2 insurers |
| ESSENTIA HEALTH VIRGINIA | MN | — | — | — | — | 2 insurers |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES | MN | — | — | — | — | 3 insurers |
| MAHNOMEN HEALTH CENTER | MN | — | — | — | — | 3 insurers |
| NORTH VALLEY HEALTH CENTER | MN | — | — | $1,109 | $3,318 | 5 insurers |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL | MN | — | — | — | — | 2 insurers |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL | MN | — | — | — | — | 5 insurers |
| GEORGE REGIONAL HEALTH SYSTEM | MS | — | — | $920 | $1,462 | 5 insurers |
| NORTHEAST REGIONAL MEDICAL CENTER | MO | — | — | — | — | 5 insurers |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL | MO | — | — | $773 | $3,546 | 5 insurers |
| LEE'S SUMMIT MEDICAL CENTER | MO | — | — | $1,093 | $1,181 | 5 insurers |
| CAROLINAS MEDICAL CENTER-NORTHEAST | NC | $354 | — | — | — | 0 insurers |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE | NC | — | — | $1,115 | $1,338 | 5 insurers |
| ATRIUM HEALTH CLEVELAND | NC | $354 | — | — | — | 0 insurers |
| ADVENTHEALTH HENDERSONVILLE | NC | — | — | $1,082 | $1,639 | 5 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | — | — | $1,115 | $2,230 | 5 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | — | — | — | — | 3 insurers |
| WAKEMED, RALEIGH CAMPUS | NC | — | — | — | — | 5 insurers |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC | NC | $354 | — | — | — | 4 insurers |
| ATRIUM HEALTH ANSON | NC | $354 | — | — | — | 0 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | — | — | $1,115 | $2,230 | 5 insurers |
| ATRIUM HEALTH PINEVILLE | NC | $354 | — | — | — | 4 insurers |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH | NC | $354 | — | — | — | 0 insurers |
| STANLY REGIONAL MEDICAL CENTER | NC | $354 | — | — | — | 0 insurers |
| ATRIUM HEALTH UNION | NC | $354 | — | — | — | 0 insurers |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER | NC | — | — | $1,093 | $2,230 | 5 insurers |
| ATRIUM HEALTH LINCOLN | NC | $354 | — | — | — | 0 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | — | — | $1,115 | $2,230 | 5 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | — | — | — | — | 0 insurers |
| ATRIUM HEALTH UNIVERSITY CITY | NC | $354 | — | — | — | 0 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | — | — | $1,115 | $2,230 | 5 insurers |
| WAKEMED, CARY HOSPITAL | NC | — | — | — | — | 5 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | — | — | $1,115 | $2,230 | 5 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | — | — | $1,115 | $2,230 | 5 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | — | — | $1,115 | $2,230 | 5 insurers |
| ANGEL MEDICAL CENTER | NC | — | — | $610 | $610 | 1 insurers |
| BLUE RIDGE REGIONAL HOSPITAL | NC | — | — | $1,115 | $1,338 | 5 insurers |
| RIVERSIDE METHODIST HOSPITAL | OH | — | — | $1,109 | $1,109 | 1 insurers |
| LIMA MEMORIAL HEALTH SYSTEM | OH | — | — | $1,109 | $5,100 | 5 insurers |
| KETTERING HEALTH GREENE MEMORIAL | OH | — | — | $1,109 | $2,980 | 5 insurers |
| UNIVERSITY OF TOLEDO MEDICAL CENTER | OH | — | — | — | — | 5 insurers |
| MIAMI VALLEY HOSPITAL | OH | — | — | $1,109 | $3,318 | 5 insurers |
| FISHER-TITUS HOSPITAL | OH | — | — | — | — | 5 insurers |
| UH REGIONAL HOSPITALS | OH | — | — | — | — | 1 insurers |
| UH ST JOHN MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| FORT HAMILTON HUGHES MEMORIAL HOSPITAL | OH | — | — | $1,109 | $2,980 | 5 insurers |
| KETTERING HEALTH DAYTON | OH | — | — | $1,109 | $2,980 | 5 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| BERGER HOSPITAL | OH | — | — | $1,109 | $1,460 | 2 insurers |
| UPPER VALLEY MEDICAL CENTER | OH | — | — | $1,109 | $3,424 | 5 insurers |
| MARY RUTAN HOSPITAL | OH | — | — | $1,109 | $3,605 | 4 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | — | — | — | — | 1 insurers |
| SOIN MEDICAL CENTER | OH | — | — | $1,109 | $2,980 | 5 insurers |
| NORMAN REGIONAL | OK | — | — | — | — | 5 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | — | — | — | — | 0 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY | OK | — | — | $1,115 | $2,788 | 5 insurers |
| STILLWATER MEDICAL CENTER | OK | — | — | $1,868 | $1,868 | 1 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST | OK | — | — | $1,115 | $2,442 | 5 insurers |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE | OK | — | — | $1,115 | $2,174 | 5 insurers |
| SUMMIT MEDICAL CENTER, LLC | OK | — | — | $1,004 | $1,639 | 5 insurers |
| STILLWATER MEDICAL - PERRY | OK | — | — | $1,868 | $1,868 | 1 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | — | — | $1,868 | $1,868 | 1 insurers |
| LEGACY EMANUEL MEDICAL CENTER | OR | — | — | $1,083 | $4,187 | 5 insurers |
| TRISTAR CENTENNIAL MEDICAL CENTER | TN | — | — | $1,059 | $1,639 | 5 insurers |
| PARKWEST MEDICAL CENTER | TN | — | — | $1,093 | $1,148 | 5 insurers |
| TRISTAR HENDERSONVILLE MEDICAL CENTER | TN | — | — | $1,014 | $1,570 | 5 insurers |
| SAINT FRANCIS BARTLETT MEDICAL CENTER | TN | — | — | — | — | 1 insurers |
| TRISTAR ASHLAND CITY MEDICAL CENTER | TN | — | — | $1,115 | $1,639 | 5 insurers |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER | TX | — | — | $1,039 | $2,186 | 5 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | — | — | $1,093 | $2,186 | 5 insurers |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI | TX | — | — | $1,093 | $2,186 | 5 insurers |
| MEMORIAL HERMANN - TEXAS MEDICAL CENTER | TX | — | — | — | — | 5 insurers |
| CHRISTUS SPOHN HOSPITAL BEEVILLE | TX | — | — | $1,068 | $1,068 | 1 insurers |
| CHRISTUS MOTHER FRANCES HOSPITAL | TX | — | — | $1,093 | $2,186 | 5 insurers |
| MIDLAND MEMORIAL HOSPITAL | TX | — | — | — | — | 5 insurers |
| CHRISTUS SPOHN HOSPITAL KLEBERG | TX | — | — | — | — | 0 insurers |
| MEMORIAL HERMANN HOSPITAL SYSTEM | TX | — | — | — | — | 5 insurers |
| WADLEY REGIONAL MEDICAL CENTER | TX | — | — | $547 | $3,028 | 5 insurers |
| CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS | TX | — | — | — | — | 0 insurers |
| CHRISTUS SANTA ROSA MEDICAL CENTER | TX | — | — | $1,093 | $2,186 | 5 insurers |
| CHRISTUS SANTA ROSA HOSPITAL-SAN MARCOS | TX | — | — | $1,093 | $2,460 | 5 insurers |
| ST DAVID'S MEDICAL CENTER | TX | — | — | $817 | $2,208 | 5 insurers |
| CHRISTUS JASPER MEMORIAL HOSPITAL | TX | — | — | $547 | $3,028 | 5 insurers |
| HILL COUNTRY MEMORIAL HOSPITAL | TX | — | — | $1,054 | $1,795 | 5 insurers |
| MEMORIAL HERMANN MEMORIAL CITY HOSPITAL | TX | — | — | — | — | 5 insurers |
| DOCTORS HOSPITAL OF LAREDO | TX | — | — | $1,082 | $1,338 | 5 insurers |
| MEMORIAL HERMANN NORTHEAST HOSPITAL | TX | — | — | — | — | 5 insurers |
| HOUSTON METHODIST CLEAR LAKE HOSPITAL | TX | — | — | $1,115 | $2,230 | 5 insurers |
| CHRISTUS ST MICHAEL HEALTH SYSTEM | TX | — | — | $862 | $2,186 | 5 insurers |
| HOUSTON METHODIST SUGARLAND HOSPITAL | TX | — | — | $1,115 | $2,230 | 5 insurers |
| CHRISTUS SPOHN HOSPITAL ALICE | TX | — | — | $1,068 | $1,068 | 1 insurers |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL | TX | — | — | $1,115 | $2,230 | 5 insurers |
| MEMORIAL HERMANN KATY HOSPITAL | TX | — | — | — | — | 5 insurers |
| MEMORIAL HERMANN SUGAR LAND HOSPITAL | TX | — | — | — | — | 5 insurers |
| SUGAR LAND SURGICAL HOSPITAL LLP | TX | — | — | — | — | 5 insurers |
| CHRISTUS MOTHER FRANCES HOSPITAL- JACKSONVILLE | TX | — | — | — | — | 0 insurers |
| CHRISTUS MOTHER FRANCES HOSPITAL- WINNSBORO | TX | — | — | — | — | 0 insurers |
| CHILDREN'S HOSPITAL OF SAN ANTONIO | TX | — | — | $547 | $3,028 | 5 insurers |
| MCKAY-DEE HOSPITAL | UT | — | — | — | — | 5 insurers |
| CEDAR CITY HOSPITAL | UT | — | — | — | — | 5 insurers |
| MOUNTAIN VIEW HOSPITAL | UT | $963 | — | — | — | 0 insurers |
| AMERICAN FORK HOSPITAL | UT | — | — | — | — | 5 insurers |
| SEVIER VALLEY HOSPITAL | UT | — | — | — | — | 5 insurers |
| BEAR RIVER VALLEY HOSPITAL | UT | — | — | — | — | 5 insurers |
| LAKEVIEW HOSPITAL | UT | $963 | — | — | — | 0 insurers |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL | UT | — | — | — | — | 5 insurers |
| ST MARK'S HOSPITAL | UT | $963 | — | — | — | 0 insurers |
| TIMPANOGOS REGIONAL HOSPITAL | UT | $963 | — | — | — | 0 insurers |
| CACHE VALLEY HOSPITAL | UT | $963 | — | — | — | 0 insurers |
| PARK CITY HOSPITAL | UT | — | — | — | — | 5 insurers |
| LONE PEAK HOSPITAL | UT | $963 | — | — | — | 0 insurers |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL | UT | — | — | — | — | 5 insurers |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL | UT | — | — | — | — | 5 insurers |
| PRIMARY CHILDREN'S HOSPITAL | UT | — | — | — | — | 5 insurers |
| SENTARA RMH MEDICAL CENTER | VA | — | — | — | — | 4 insurers |
| SENTARA NORFOLK GENERAL HOSPITAL | VA | — | — | — | — | 4 insurers |
| SENTARA OBICI HOSPITAL | VA | — | — | — | — | 4 insurers |
| NOVANT PRINCE WILLIAM MEDICAL CENTER | VA | — | — | $1,115 | $2,230 | 5 insurers |
| SENTARA LEIGH HOSPITAL | VA | — | — | — | — | 4 insurers |
| HIRAM W DAVIS MEDICAL CENTER | VA | — | — | $812 | $1,158 | 5 insurers |
| CJW MEDICAL CENTER | VA | — | — | $920 | $1,462 | 5 insurers |
| HENRICO DOCTORS' HOSPITAL | VA | — | — | $920 | $1,158 | 5 insurers |
| SENTARA PRINCESS ANNE HOSPITAL | VA | — | — | — | — | 4 insurers |
| STONESPRINGS HOSPITAL CENTER | VA | — | — | $812 | $1,158 | 5 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | — | — | — | — | 5 insurers |
| OVERLAKE HOSPITAL MEDICAL CENTER | WA | — | — | $993 | $2,978 | 5 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | — | — | — | — | 2 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | — | — | — | — | 1 insurers |
| SKYLINE HOSPITAL | WA | — | — | $803 | $1,639 | 5 insurers |
| ST MARYS MEDICAL CENTER | WV | — | — | — | — | 5 insurers |
| ST MARYS MEDICAL CENTER | WV | — | — | — | — | 2 insurers |
| DAVIS MEDICAL CENTER | WV | — | — | — | — | 2 insurers |
| CABELL HUNTINGTON HOSPITAL, INC | WV | — | — | — | — | 5 insurers |
| CABELL HUNTINGTON HOSPITAL, INC | WV | — | — | — | — | 2 insurers |
| BROADDUS HOSPITAL ASSOCIATION, INC | WV | — | — | — | — | 2 insurers |
| WEBSTER MEMORIAL HOSPITAL | WV | — | — | — | — | 2 insurers |
| SSM HEALTH ST CLARE HOSPITAL - BARABOO | WI | — | — | $832 | $1,109 | 2 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | — | — | — | — | 3 insurers |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC | WI | — | — | $832 | $2,141 | 4 insurers |
| UNITYPOINT HEALTH - MERITER | WI | — | — | — | — | 1 insurers |
| WATERTOWN MEMORIAL HOSPITAL | WI | — | — | $1,109 | $1,109 | 1 insurers |
| FROEDTERT COMMUNITY HOSPITAL | WI | — | — | — | — | 2 insurers |
| UPLAND HILLS HEALTH | WI | — | — | — | — | 2 insurers |
| EVANSTON REGIONAL HOSPITAL | WY | — | — | $1,109 | $3,020 | 4 insurers |
| HOUSTON METHODIST WEST HOSPITAL | TX | — | — | $1,115 | $4,460 | 5 insurers |
| ALTUS BAYTOWN HOSPITAL | TX | $2,268 | — | — | — | 0 insurers |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL | TX | — | — | $1,115 | $2,230 | 5 insurers |
| ALTUS LUMBERTON HOSPITAL | TX | $2,268 | — | — | — | 0 insurers |
| ALTUS HOUSTON HOSPITAL, LP | TX | $2,268 | — | — | — | 0 insurers |
| HOUSTON METHODIST CYPRESS HOSPITAL | TX | — | — | $1,115 | $2,230 | 5 insurers |
| STEPHENS MEMORIAL HOSPITAL | TX | — | — | — | — | 4 insurers |
| ALTRU HOSPITAL | ND | $68 | $41.48⚠ check | — | — | 0 insurers |
| WARM SPRINGS MEDICAL CENTER | GA | $58 | $29⚠ check | — | — | 5 insurers |
| WARM SPRINGS MEDICAL CENTER | GA | $58 | $29⚠ check | — | — | 5 insurers |
| THE PHYSICIANS' HOSPITAL IN ANADARKO | OK | $29.58 | $17.75⚠ check | $18.34 | $1,868 | 2 insurers |
| RURAL WELLNESS STROUD HOSPITAL | OK | $29.58 | $17.75⚠ check | $18.04 | $1,868 | 1 insurers |
| RURAL WELLNESS FAIRFAX HOSPITAL | OK | $29.58 | $17.75⚠ check | $10.94 | $1,868 | 1 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $0⚠ check | $0 | $830 | 0 insurers |