| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | GA | $3,580 | $1,790 | — | — | 0 insurers |
| NORTH VISTA HOSPITAL | NV | $3,175 | $1,796 | $619 | $3,175 | 0 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $4,569 | $1,782 | — | — | 0 insurers |
| HUNT REGIONAL MEDICAL CENTER | TX | $2,741 | $1,781 | — | — | 0 insurers |
| USC ARCADIA HOSPITAL | CA | $5,047 | $1,766 | — | — | 0 insurers |
| MERCY MEDICAL CENTER INC | MD | $7,606 | $1,761 | $345 | $7,606 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | WA | $5,166 | $1,761 | $345 | $5,166 | 0 insurers |
| PENDER COMMUNITY HOSPITAL | NE | $3,909 | $1,759 | $1,003 | $3,792 | 0 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $2,433 | $1,825 | — | — | 0 insurers |
| LAKE HEALTH | OH | $2,433 | $1,825 | — | — | 0 insurers |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | $5,007 | $1,752 | — | — | 0 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | $4,596 | $1,838 | — | — | 0 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | $3,472 | $1,736 | $605 | $3,368 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $3,399 | $1,733 | $2,515 | $3,059 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $3,399 | $1,733 | $1,620 | $3,059 | 0 insurers |
| LANDMARK MEDICAL CENTER | RI | $1,414 | $1,847 | $424 | $1,414 | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $4,332 | $1,733 | — | — | 0 insurers |
| LASALLE GENERAL HOSPITAL | LA | $2,886 | $1,732 | — | — | 0 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $4,323 | $1,729 | — | — | 0 insurers |
| MEMORIAL HOSPITAL SWEETWATER COUNTY | WY | $1,857 | $1,857 | — | — | 0 insurers |
| O U MEDICAL CENTER | OK | $18,675 | $1,867 | $1,324 | $15,313 | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $3,750 | $1,875 | — | — | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $4,694 | $1,878 | — | — | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $4,694 | $1,878 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $3,400 | $1,700 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $3,400 | $1,700 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $3,400 | $1,700 | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $3,400 | $1,700 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $3,400 | $1,700 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $3,400 | $1,700 | — | — | 0 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $3,400 | $1,700 | — | — | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $3,400 | $1,700 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $3,400 | $1,700 | — | — | 0 insurers |
| AURORA LAKELAND MEDICAL CENTER | WI | $3,400 | $1,700 | — | — | 0 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $3,400 | $1,700 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $3,400 | $1,700 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $3,400 | $1,700 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $3,400 | $1,700 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $3,400 | $1,700 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $3,400 | $1,700 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $3,400 | $1,700 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $3,400 | $1,700 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $2,512 | $1,884 | — | — | 0 insurers |
| UH REGIONAL HOSPITALS | OH | $2,512 | $1,884 | — | — | 0 insurers |
| UH ST JOHN MEDICAL CENTER | OH | $2,512 | $1,884 | — | — | 0 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | $2,512 | $1,884 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | $2,512 | $1,884 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | $2,512 | $1,884 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $2,512 | $1,884 | — | — | 0 insurers |
| WETZEL COUNTY HOSPITAL | WV | $3,772 | $1,886 | — | — | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $3,780 | $1,890 | — | — | 0 insurers |
| MOUNT GRANT GENERAL HOSPITAL | NV | $9,373 | $1,688 | $821 | $9,092 | 0 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $9,373 | $1,688 | $821 | $9,092 | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $2,258 | $1,897 | $2,038 | $2,213 | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $2,258 | $1,897 | $1,377 | $3,058 | 0 insurers |
| UNITED MEDICAL CENTER | DC | $3,797 | $1,899 | — | — | 0 insurers |
| UNIONTOWN HOSPITAL | PA | $3,797 | $1,899 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $3,797 | $1,899 | — | — | 0 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $1,900 | — | — | 0 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $1,900 | — | — | 0 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $6,183 | $1,915 | $21.83 | $15,579 | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $2,258 | $1,919 | $2,038 | $2,213 | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $2,258 | $1,919 | $484 | $2,557 | 0 insurers |
| WAYNE COUNTY HOSPITAL | IA | $2,953 | $1,919 | — | — | 0 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $3,493 | $1,921 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $3,493 | $1,921 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $3,493 | $1,921 | — | — | 0 insurers |
| KNAPP MEDICAL CENTER | TX | $6,878 | $1,650 | $396 | $6,740 | 0 insurers |
| MISSION REGIONAL MEDICAL CENTER | TX | $8,400 | $1,650 | $423 | $6,720 | 0 insurers |
| DALLAS MEDICAL CENTER | TX | $5,028 | $1,650 | $326 | $5,028 | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $1,648 | $1,648 | — | — | 0 insurers |
| TOUCHETTE REGIONAL HOSPITAL INC | IL | $2,652 | $1,644 | — | — | 0 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $1,937 | $1,937 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $3,804 | $1,940 | — | — | 0 insurers |
| GARDEN CITY HOSPITAL | MI | $7,035 | $1,638 | $878 | $7,035 | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $10,256 | $1,949 | — | — | 0 insurers |
| CENTRAL MAINE MEDICAL CENTER | ME | $989 | $1,629 | $297 | $989 | 0 insurers |
| LOWER BUCKS HOSPITAL | PA | $2,500 | $1,624 | $435 | $2,500 | 0 insurers |
| BAYLOR MEDICAL CENTER AT TROPHY CLUB | TX | $3,266 | $1,960 | $1,796 | $8,427 | 0 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $2,685 | $1,611 | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $3,220 | $1,610 | — | — | 0 insurers |
| ALTRU HOSPITAL | ND | $2,634 | $1,607 | — | — | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $3,815 | $1,602 | $2,289 | $3,243 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $3,815 | $1,602 | $572 | $5,081 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $3,815 | $1,602 | $2,289 | $3,243 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $3,815 | $1,602 | $583 | $5,081 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $3,815 | $1,602 | $2,289 | $3,243 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $3,815 | $1,602 | $534 | $5,081 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $3,815 | $1,602 | $2,289 | $3,243 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $3,815 | $1,602 | $583 | $5,081 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $3,815 | $1,602 | $2,289 | $3,243 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $3,815 | $1,602 | $583 | $5,081 | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $3,804 | $1,978 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $16,019 | $1,602 | — | — | 0 insurers |
| WETZEL COUNTY HOSPITAL | WV | $3,961 | $1,981 | — | — | 0 insurers |
| GIBSON COMMUNITY HOSPITAL | IL | $1,589 | $1,589 | — | — | 0 insurers |
| GIBSON GENERAL HOSPITAL | IN | $1,589 | $1,589 | — | — | 0 insurers |
| CITIZENS MEDICAL CENTER | TX | $3,174 | $1,587 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $5,021 | $2,013 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $5,021 | $2,013 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $5,021 | $2,013 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $5,021 | $2,013 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $5,021 | $2,013 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $5,021 | $2,013 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $2,605 | $1,563 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $2,605 | $1,563 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $3,673 | $2,020 | — | — | 0 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $3,676 | $2,022 | — | — | 0 insurers |
| SAINT JOHN HOSPITAL | KS | $9,134 | $1,555 | $525 | $7,307 | 0 insurers |
| PROVIDENCE MEDICAL CENTER | KS | $9,134 | $1,555 | $525 | $8,439 | 0 insurers |
| EAST LIVERPOOL CITY HOSPITAL | OH | $7,035 | $1,554 | $1,386 | $7,035 | 0 insurers |
| WARD MEMORIAL HOSPITAL | TX | $2,200 | $1,540 | — | — | 0 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | — | $2,062 | — | — | 0 insurers |
| SOUTH COUNTY HOSPITAL INC | RI | $2,521 | $1,513 | — | — | 0 insurers |
| FORT DUNCAN MEDICAL CENTER | TX | $3,764 | $1,506 | — | — | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $4,180 | $2,090 | — | — | 0 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $2,987 | $2,091 | $2,240 | $5,071 | 0 insurers |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC | ID | $2,987 | $2,091 | $1,270 | $3,783 | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $3,677 | $1,471 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $3,677 | $1,471 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $3,677 | $1,471 | — | — | 0 insurers |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER | CA | $6,991 | $2,113 | $250 | $6,991 | 0 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $6,991 | $2,113 | $250 | $6,991 | 0 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $6,991 | $2,113 | $250 | $6,991 | 0 insurers |
| CHINO VALLEY MEDICAL CENTER | CA | $13,015 | $2,113 | $250 | $13,015 | 0 insurers |
| DESERT VALLEY HOSPITAL | CA | $4,257 | $2,113 | $250 | $4,257 | 0 insurers |
| SHASTA REGIONAL MEDICAL CENTER | CA | $17,925 | $2,113 | $250 | $17,925 | 0 insurers |
| JACKSON HEALTH SYSTEM | FL | $1,009 | $1,462 | $755 | $2,651 | 0 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $7,508 | $2,125 | — | — | 0 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $7,508 | $2,125 | — | — | 0 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $7,508 | $2,125 | — | — | 0 insurers |
| KALKASKA MEMORIAL HEALTH CENTER | MI | $1,708 | $1,452 | — | — | 0 insurers |
| DAVIS MEDICAL CENTER | WV | $2,066 | $1,446 | — | — | 0 insurers |
| BROADDUS HOSPITAL ASSOCIATION, INC | WV | $2,066 | $1,446 | — | — | 0 insurers |
| WEBSTER MEMORIAL HOSPITAL | WV | $2,066 | $1,446 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $5,021 | $2,134 | — | — | 0 insurers |
| SUSAN B ALLEN MEMORIAL HOSPITAL | KS | $3,285 | $2,135 | — | — | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $1,794 | $1,435 | $448 | $1,805 | 0 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $1,794 | $1,435 | $448 | $1,805 | 0 insurers |
| SUMMIT SURGICAL, LLC | KS | $2,691 | $2,152 | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $3,593 | $2,156 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $5,547 | $1,423 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $5,547 | $1,423 | $568 | $3,148 | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $5,547 | $1,410 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $5,547 | $1,410 | $568 | $2,992 | 0 insurers |
| NORTH ALABAMA MEDICAL CENTER | AL | $4,016 | $1,406 | — | — | 0 insurers |
| NORTH ALABAMA SHOALS HOSPITAL | AL | $4,016 | $1,406 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $1,874 | $1,406 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $6,225 | $2,179 | $1,417 | $3,829 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $6,225 | $2,179 | $1,417 | $3,829 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $6,225 | $2,179 | $1,417 | $3,829 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $6,225 | $2,179 | $1,417 | $3,829 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $6,225 | $2,179 | $1,417 | $3,829 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $6,225 | $2,179 | $1,417 | $3,829 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $6,225 | $2,179 | $1,417 | $3,829 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $6,225 | $2,179 | $1,417 | $3,829 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $6,225 | $2,179 | $1,417 | $3,829 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $6,225 | $2,179 | $1,417 | $3,829 | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $3,500 | $1,400 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $3,500 | $1,400 | — | — | 0 insurers |
| JACKSON COUNTY REGIONAL HEALTH CENTER | IA | $1,387 | $1,387 | — | — | 0 insurers |
| CONEMAUGH MINERS MEDICAL CENTER | PA | $3,439 | $1,376 | — | — | 0 insurers |
| GLENCOE REGIONAL HEALTH | MN | $1,374 | $1,374 | — | — | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $5,530 | $2,212 | — | — | 0 insurers |
| BOULDER CITY HOSPITAL | NV | $2,607 | $2,216 | — | — | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $3,881 | $1,358 | $1,746 | $3,881 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $3,881 | $1,358 | $512 | $7,221 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $3,881 | $1,358 | $1,669 | $3,881 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $3,881 | $1,358 | $512 | $7,221 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $3,881 | $1,358 | $1,669 | $3,881 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $3,881 | $1,358 | $486 | $7,221 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $3,881 | $1,358 | $1,669 | $3,881 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $3,881 | $1,358 | $486 | $7,221 | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $3,804 | $2,244 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF | CA | $2,248 | $2,248 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | IL | $2,248 | $2,248 | — | — | 0 insurers |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON | MA | $2,248 | $2,248 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | MO | $2,248 | $2,248 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | OH | $2,248 | $2,248 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN - PORTLAND | OR | $2,248 | $2,248 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA | PA | $2,248 | $2,248 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | SC | $2,248 | $2,248 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | TX | $2,248 | $2,248 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | WA | $2,248 | $2,248 | — | — | 0 insurers |
| CODY REGIONAL HEALTH | WY | $1,565 | $1,330 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $1,896 | $1,327 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $1,896 | $1,327 | — | — | 0 insurers |
| SAUK PRAIRIE HOSPITAL | WI | $2,420 | $1,323 | — | — | 0 insurers |
| REDINGTON FAIRVIEW GENERAL HOSPITAL | ME | $1,751 | $1,313 | — | — | 0 insurers |
| ADAMS COUNTY REGIONAL MEDICAL CENTER | OH | $1,612 | $1,290 | $451 | $1,531 | 0 insurers |
| SPRINGHILL MEDICAL CENTER | LA | $3,782 | $1,286 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $2,872 | $2,298 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $2,872 | $2,298 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $2,872 | $2,298 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $2,872 | $2,298 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $2,872 | $2,298 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $2,872 | $2,298 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $2,872 | $2,298 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $2,872 | $2,298 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $2,872 | $2,298 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $2,872 | $2,298 | — | — | 0 insurers |
| UNION GENERAL HOSPITAL | GA | $2,553 | $1,277 | — | — | 0 insurers |
| BROADLAWNS MEDICAL CENTER | IA | $1,274 | $1,274 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $2,388 | $1,273 | $1,791 | $2,269 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $2,388 | $1,273 | $1,379 | $6,368 | 0 insurers |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM | AL | $9,290 | $2,323 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,780 | $1,246 | — | — | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $3,823 | $2,344 | — | — | 0 insurers |
| RANDOLPH HOSPITAL | NC | $6,111 | $1,222 | — | — | 0 insurers |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. | TX | $2,411 | $1,206 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | $3,618 | $2,383 | $73 | $169,322 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $2,462 | $1,187 | $1,133 | $2,240 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $2,462 | $1,187 | $679 | $2,565 | 0 insurers |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH | LA | $3,518 | $2,403 | $181 | $3,342 | 0 insurers |
| PHYSICIANS MEDICAL CENTER | LA | $3,518 | $2,403 | $181 | $3,342 | 0 insurers |
| FINLEY HOSPITAL | IA | $1,436 | $1,149 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $1,436 | $1,149 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $1,436 | $1,149 | — | — | 0 insurers |
| COQUILLE VALLEY HOSPITAL | OR | — | $1,143 | $344 | $1,437 | 0 insurers |
| JACKSON HOSPITAL | FL | $4,326 | $1,135 | — | — | 0 insurers |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR | NY | $1,124 | $1,124 | — | — | 0 insurers |
| ST LUKES HOSPITAL | MN | $2,000 | $1,120 | — | — | 0 insurers |
| ST NICHOLAS HOSPITAL | WI | $3,728 | $2,460 | — | — | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $2,356 | $1,110 | $2,144 | $2,144 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $2,356 | $1,110 | $553 | $3,184 | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $2,258 | $1,106 | $1,287 | $2,213 | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $2,258 | $1,106 | $790 | $2,213 | 0 insurers |
| SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT | OK | $3,323 | $2,492 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $5,710 | $1,085 | — | — | 0 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | $2,712 | $1,085 | $1,368 | $2,889 | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $2,258 | $1,084 | $1,355 | $2,213 | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $2,258 | $1,084 | $971 | $2,213 | 0 insurers |
| COLQUITT REGIONAL MEDICAL CENTER | GA | $1,082 | $1,082 | — | — | 0 insurers |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY | OK | $1,082 | $1,082 | — | — | 0 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $3,593 | $2,515 | — | — | 0 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $3,593 | $2,515 | — | — | 0 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $1,239 | $1,053 | — | — | 0 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | $1,052 | $1,052 | $948 | $5,368 | 0 insurers |
| NORTHWEST TEXAS HOSPITAL | TX | $2,607 | $1,043 | — | — | 0 insurers |
| WHIDBEYHEALTH MEDICAL CENTER | WA | $1,040 | $1,040 | — | — | 0 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $1,035 | $1,035 | — | — | 0 insurers |
| HOLY FAMILY MEMORIAL | WI | — | $1,032 | $151 | $1,839 | 0 insurers |
| FAYETTE MEDICAL CENTER | AL | $2,549 | $2,549 | $2,549 | $2,549 | 0 insurers |
| CENTRAL VERMONT MEDICAL CENTER | VT | $2,550 | $2,550 | — | — | 0 insurers |
| OCHSNER MEDICAL CENTER-HANCOCK | MS | $2,696 | $1,024 | — | — | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $6,402 | $2,561 | — | — | 0 insurers |
| FRANKLIN HOSPITAL | IL | $1,352 | $1,014 | — | — | 0 insurers |
| TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN | TX | $1,008 | $1,008 | — | — | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $1,622 | $1,004 | — | — | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $1,622 | $1,004 | — | — | 0 insurers |
| NORTH CENTRAL SURGICAL CENTER LLP | TX | $1,671 | $1,003 | $919 | $8,427 | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $5,156 | $2,578 | — | — | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | $5,161 | $2,581 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | $5,161 | $2,581 | — | — | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $3,838 | $998 | $483 | $6,695 | 0 insurers |
| RINGGOLD COUNTY HOSPITAL | IA | $1,106 | $995 | — | — | 0 insurers |
| HARRISON MEMORIAL HOSPITAL | KY | $3,708 | $2,596 | — | — | 0 insurers |
| OAKLEAF SURGICAL HOSPITAL | WI | $2,889 | $2,600 | $365 | $2,889 | 0 insurers |
| REGIONAL MEDICAL CENTER | IA | $1,223 | $978 | — | — | 0 insurers |
| GREATER BALTIMORE MEDICAL CENTER | MD | $964 | $964 | — | — | 0 insurers |
| LADD MEMORIAL HOSPITAL | WI | $1,374 | $962 | — | — | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $5,246 | $2,623 | — | — | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $3,114 | $947 | $2,242 | $2,336 | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $3,114 | $947 | $1,836 | $8,080 | 0 insurers |
| SAINT JOSEPH EAST | KY | $2,356 | $946 | $2,144 | $2,144 | 0 insurers |
| SAINT JOSEPH EAST | KY | $2,356 | $946 | $576 | $3,184 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $2,356 | $946 | $2,144 | $2,144 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $2,356 | $946 | $576 | $3,184 | 0 insurers |
| CONEMAUGH NASON MEDICAL CENTER | PA | $2,362 | $945 | — | — | 0 insurers |
| CONEMAUGH MEYERSDALE MEDICAL CENTER | PA | $2,362 | $945 | — | — | 0 insurers |
| EAST VALLEY ER & HOSPITAL | AZ | $2,085 | $938 | — | — | 0 insurers |
| ALEXANDRIA EMERGENCY HOSPITAL | LA | $2,085 | $938 | — | — | 0 insurers |
| ST MARYS HOSPITAL MEDICAL CTR | WI | $2,085 | $938 | — | — | 0 insurers |
| HOLY FAMILY HOSPITAL | MA | $1,690 | $930 | — | — | 0 insurers |
| LIFECARE MEDICAL CENTER | MN | $1,054 | $928 | — | — | 0 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | $1,527 | $916 | — | — | 0 insurers |
| DAVIS MEDICAL CENTER | WV | $1,285 | $900 | — | — | 0 insurers |
| BROADDUS HOSPITAL ASSOCIATION, INC | WV | $1,285 | $900 | — | — | 0 insurers |
| WEBSTER MEMORIAL HOSPITAL | WV | $1,285 | $900 | — | — | 0 insurers |
| ST CLARE HOSPITAL | WA | $3,114 | $898 | $2,242 | $2,336 | 0 insurers |
| ST CLARE HOSPITAL | WA | $3,114 | $898 | $1,836 | $8,080 | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $5,370 | $2,685 | — | — | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $2,378 | $872 | $2,164 | $2,164 | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $2,378 | $872 | $498 | $3,047 | 0 insurers |
| CALDWELL MEDICAL CENTER | KY | $1,140 | $855 | — | — | 0 insurers |
| MEMORIAL HOSPITAL | IL | $1,054 | $843 | — | — | 0 insurers |
| MID VALLEY HOSPITAL & CLINIC | WA | $1,196 | $837 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $4,742 | $2,750 | $2,845 | $4,457 | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $4,742 | $2,750 | $2,086 | $4,457 | 0 insurers |
| BARAGA COUNTY MEMORIAL HOSPITAL | MI | $824 | $824 | — | — | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | $2,967 | $819 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $3,250 | $2,763 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $1,923 | $817 | — | — | 0 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $1,630 | $815 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $1,630 | $815 | — | — | 0 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $2,766 | $1,269 | $4,000 | 0 insurers |
| TOPS SURGICAL SPECIALTY HOSPITAL | TX | $2,312 | $809 | $1 | $5,747 | 0 insurers |
| STEVENS COMMUNITY MEDICAL CENTER | MN | $1,071 | $803 | — | — | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $1,893 | $803 | $1,382 | $1,723 | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $1,893 | $803 | $334 | $3,103 | 0 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $4,132 | $785 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $3,503 | $2,802 | — | — | 0 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | $775 | $775 | — | — | 0 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | $775 | $775 | — | — | 0 insurers |
| LINCOLNHEALTH | ME | $775 | $775 | — | — | 0 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | $775 | $775 | — | — | 0 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | $775 | $775 | — | — | 0 insurers |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | $775 | $775 | — | — | 0 insurers |
| MEMORIAL HOSPITAL, THE | NH | $775 | $775 | — | — | 0 insurers |
| HOULTON REGIONAL HOSPITAL | ME | $813 | $772 | — | — | 0 insurers |
| SANFORD SHELDON MEDICAL CENTER | IA | $3,522 | $2,818 | — | — | 0 insurers |
| SANFORD VERMILLION MEDICAL CENTER | SD | $3,522 | $2,818 | — | — | 0 insurers |
| BRISTOL HOSPITAL | CT | $5,051 | $758 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $5,051 | $758 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $5,051 | $758 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $5,051 | $758 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $5,051 | $758 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $5,051 | $758 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $5,051 | $758 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $5,051 | $758 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $5,051 | $758 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $5,051 | $758 | — | — | 0 insurers |
| ADVENTHEALTH DELAND | FL | $2,207 | $737 | — | — | 0 insurers |
| ADVENTHEALTH WATERMAN | FL | $2,207 | $737 | — | — | 0 insurers |
| ADVENTHEALTH FISH MEMORIAL | FL | $2,207 | $737 | — | — | 0 insurers |
| AdventHealth Palm Coast | FL | $2,207 | $737 | — | — | 0 insurers |
| ADVENTHEALTH SHAWNEE MISSION | KS | $2,207 | $737 | — | — | 0 insurers |
| ADVENTHEALTH CENTRAL TEXAS | TX | $2,207 | $737 | — | — | 0 insurers |
| ADVENTHEALTH ROLLINS BROOK | TX | $2,207 | $737 | — | — | 0 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $1,045 | $732 | — | — | 0 insurers |
| TIPPAH COUNTY HOSPITAL | MS | $722 | $722 | — | — | 0 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $946 | $710 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $5,641 | $2,877 | — | — | 0 insurers |
| CHICOT MEMORIAL MEDICAL CENTER | AR | $702 | $702 | — | — | 0 insurers |
| THREE RIVERS HOSPITAL | WA | $692 | $692 | — | — | 0 insurers |
| LEGENT ORTHOPEDIC + SPINE | TX | $5,748 | $2,903 | — | — | 0 insurers |
| LEGENT ORTHOPEDIC HOSPITAL | TX | $5,748 | $2,903 | — | — | 0 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $3,417 | $2,905 | — | — | 0 insurers |
| SOUTHWESTERN VERMONT MEDICAL CENTER | VT | $956 | $669 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $4,857 | $2,914 | — | — | 0 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $4,883 | $2,930 | — | — | 0 insurers |
| OCHSNER CHOCTAW GENERAL | AL | $840 | $638 | — | — | 0 insurers |
| WHITESBURG ARH HOSPITAL | KY | $1,046 | $628 | — | — | 0 insurers |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | KY | $1,046 | $628 | — | — | 0 insurers |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | KY | $1,046 | $628 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $895 | $627 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $895 | $627 | — | — | 0 insurers |
| HUGGINS HOSPITAL | NH | $1,250 | $625 | — | — | 0 insurers |
| HOLMES COUNTY HOSPITAL AND CLINICS | MS | $1,545 | $618 | — | — | 0 insurers |
| GOOD SAMARITAN HOSPITAL | CA | $1,317 | $2,969 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $709 | $603 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $709 | $603 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTERS | AL | $2,983 | $2,983 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTER | CA | $2,983 | $2,983 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTER | TN | $2,983 | $2,983 | — | — | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $5,986 | $2,993 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $5,986 | $2,993 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $5,986 | $2,993 | — | — | 0 insurers |
| NORTHERN INYO HOSPITAL | CA | — | $582 | $358 | $824 | 0 insurers |
| OCHSNER STENNIS MEMORIAL HOSPITAL | MS | $840 | $580 | — | — | 0 insurers |
| DALLAS COUNTY MEDICAL CENTER | AR | $883 | $574 | — | — | 0 insurers |
| VILLAGES REGIONAL HOSPITAL, THE | FL | $5,014 | $3,008 | $41.06 | $8,832 | 0 insurers |
| OCHSNER WATKINS HOSPITAL | MS | $840 | $563 | — | — | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $832 | $554 | $450 | $815 | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | $832 | $554 | $200 | $815 | 0 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $3,787 | $3,030 | — | — | 0 insurers |
| BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH | TX | $906 | $544 | $498 | $8,427 | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $1,552 | $543 | — | — | 0 insurers |
| HEYWOOD HOSPITAL - | MA | $539 | $539 | $1,400 | $5,368 | 0 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $7,614 | $3,046 | — | — | 0 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $7,614 | $3,046 | — | — | 0 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $7,614 | $3,046 | — | — | 0 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $7,614 | $3,046 | — | — | 0 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $7,614 | $3,046 | — | — | 0 insurers |
| HENDERSON HOSPITAL | NV | $7,614 | $3,046 | — | — | 0 insurers |
| WEST HENDERSON HOSPITAL | NV | $7,614 | $3,046 | — | — | 0 insurers |
| OCHSNER SCOTT REGIONAL | MS | $840 | $529 | — | — | 0 insurers |
| OCH REGIONAL MEDICAL CENTER | MS | $826 | $529 | — | — | 0 insurers |
| OCHSNER LAIRD HOSPITAL | MS | $840 | $512 | — | — | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $1,308 | $510 | — | — | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $655 | $486 | $332 | $694 | 0 insurers |
| THOMAS HOSPITAL | AL | $6,193 | $3,097 | — | — | 0 insurers |
| PENOBSCOT VALLEY HOSPITAL | ME | $602 | $481 | — | — | 0 insurers |
| CAROLINA EAST MEDICAL CENTER | NC | $798 | $479 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $995 | $468 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $921 | $461 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $921 | $461 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $921 | $461 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $900 | $450 | — | — | 0 insurers |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL | VT | $585 | $439 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $857 | $429 | — | — | 0 insurers |
| BEAR VALLEY COMMUNITY HOSPITAL | CA | $579 | $405 | — | — | 0 insurers |
| SAINT JOSEPH LONDON | KY | $1,129 | $403 | $1,027 | $1,027 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $1,129 | $403 | $161 | $2,936 | 0 insurers |
| FIELD HEALTH SYSTEM | MS | $528 | $396 | — | — | 0 insurers |
| WILLAPA HARBOR HOSPITAL | WA | $4,550 | $3,185 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER BEACHES | FL | $2,064 | $392 | — | — | 0 insurers |
| AIKEN REGIONAL MEDICAL CENTER | SC | $979 | $392 | — | — | 0 insurers |
| SWEETWATER HOSPITAL ASSOCIATION | TN | $979 | $392 | — | — | 0 insurers |
| PAMPA REGIONAL MEDICAL CENTER | TX | $2,062 | $391 | $309 | $2,031 | 0 insurers |
| BARNESVILLE HOSPITAL ASSOCIATION, INC | OH | $756 | $378 | — | — | 0 insurers |
| BERKELEY MEDICAL CENTER | WV | $756 | $378 | — | — | 0 insurers |
| WESTERLY HOSPITAL | RI | $1,040 | $374 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $614 | $368 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $614 | $368 | — | — | 0 insurers |
| COFFEY COUNTY HOSPITAL | KS | $1,188 | $356 | — | — | 0 insurers |
| COFFEY COUNTY HOSPITAL | KS | $1,188 | $356 | — | — | 0 insurers |
| BRAXTON COUNTY MEMORIAL HOSPITAL, INC | WV | $705 | $353 | — | — | 0 insurers |
| POTOMAC VALLEY HOSPITAL | WV | $705 | $353 | — | — | 0 insurers |
| JACKSON GENERAL HOSPITAL | WV | $657 | $329 | — | — | 0 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $780 | $328 | — | — | 0 insurers |
| SOUTH CENTRAL HEALTH | ND | $780 | $328 | — | — | 0 insurers |
| MENA REGIONAL HEALTH SYSTEM | AR | $524 | $314 | — | — | 0 insurers |
| UNITY HOSPITAL | NY | $390 | $312 | — | — | 0 insurers |
| UNITY MEDICAL CENTER | TN | $390 | $312 | — | — | 0 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $6,566 | $3,283 | — | — | 0 insurers |
| OCHSNER RUSH HOSPITAL | MS | $840 | $294 | — | — | 0 insurers |
| HIAWATHA COMMUNITY HOSPITAL | KS | $436 | $283 | $157 | $1,749 | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | $848 | $263 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $5,550 | $3,330 | — | — | 0 insurers |
| RUSSELL MEDICAL CENTER | AL | $686 | $247 | — | — | 0 insurers |
| AUBURN COMMUNITY HOSPITAL | NY | $3,702 | $239 | — | — | 0 insurers |
| ELKVIEW GENERAL HOSPITAL | OK | $393 | $236 | — | — | 0 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $662 | $232 | $423 | $8,788 | 0 insurers |
| CEDAR PARK REGIONAL MEDICAL CENTER | TX | $600 | $216 | — | — | 0 insurers |
| ARKANSAS METHODIST MEDICAL CENTER | AR | $429 | $214 | — | — | 0 insurers |
| BALDWIN HEALTH | AL | $6,510 | $3,385 | — | — | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $6,510 | $3,385 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $6,510 | $3,385 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $6,510 | $3,385 | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $6,510 | $3,385 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $6,510 | $3,385 | — | — | 0 insurers |
| WESTFIELD MEMORIAL HOSPITAL, INC | NY | $882 | $194 | — | — | 0 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | $314 | $188 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK | AR | $13,568 | $3,392 | — | — | 0 insurers |
| SANFORD USD MEDICAL CENTER | SD | $4,283 | $3,426 | — | — | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $667 | $117 | $567 | $667 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $667 | $117 | $367 | $8,788 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $667 | $117 | $252 | $667 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $667 | $117 | $147 | $4,479 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $667 | $117 | $231 | $667 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $667 | $117 | $84.98 | $8,788 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $667 | $117 | $455 | $667 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $667 | $117 | $242 | $8,788 | 0 insurers |
| ESKENAZI HEALTH | IN | $110 | $110 | — | — | 0 insurers |
| ESKENAZI HEALTH | IN | $110 | $110 | — | — | 0 insurers |
| ESKENAZI HEALTH | IN | $110 | $110 | — | — | 0 insurers |
| HIGHPOINT HEALTH-TROUSDALE WITH ASCENSION SAINT | TN | $14,895 | $3,471 | — | — | 0 insurers |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH | TN | $14,895 | $3,471 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $218 | $109 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $218 | $109 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $218 | $109 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $4,372 | $3,498 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $4,372 | $3,498 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $4,372 | $3,498 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $4,372 | $3,498 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $4,372 | $3,498 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $10,045 | $3,516 | $1,673 | $4,646 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $10,045 | $3,516 | $1,673 | $4,646 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $10,045 | $3,516 | $1,673 | $4,646 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $10,045 | $3,516 | $1,673 | $4,646 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $10,045 | $3,516 | $1,673 | $4,646 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $10,045 | $3,516 | $1,673 | $4,646 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $10,045 | $3,516 | $1,673 | $4,646 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $10,045 | $3,516 | $1,673 | $4,646 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $10,045 | $3,516 | $1,673 | $4,646 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $10,045 | $3,516 | $1,673 | $4,646 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $10,045 | $3,516 | $1,673 | $4,646 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $10,045 | $3,516 | $1,673 | $4,646 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $10,045 | $3,516 | $1,673 | $4,646 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $10,045 | $3,516 | $1,673 | $4,646 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $10,045 | $3,516 | $1,673 | $4,646 | 0 insurers |
| HASKELL REGIONAL HOSPITAL, INC | OK | $3,528 | $3,528 | — | — | 0 insurers |
| SPRING VIEW HOSPITAL | KY | $8,902 | $3,561 | — | — | 0 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | $5,513 | $3,583 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | $4,538 | $3,630 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | AR | $14,631 | $3,658 | — | — | 0 insurers |
| MAGNOLIA REGIONAL HEALTH CENTER | MS | $10,905 | $3,708 | — | — | 0 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $3,750 | $3,750 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $4,705 | $3,764 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $4,705 | $3,764 | — | — | 0 insurers |
| SHARP MEMORIAL HOSPITAL | CA | $5,059 | $3,794 | — | — | 0 insurers |
| NATIONAL PARK MEDICAL CENTER | AR | $12,954 | $3,886 | — | — | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $9,788 | $3,915 | — | — | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $9,788 | $3,915 | — | — | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $9,788 | $3,915 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $9,788 | $3,915 | — | — | 0 insurers |
| D W MCMILLAN MEMORIAL HOSPITAL | AL | $6,615 | $3,969 | — | — | 0 insurers |
| ATMORE COMMUNITY HOSPITAL | AL | $6,615 | $3,969 | — | — | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | $4,678 | $3,976 | — | — | 0 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | $4,678 | $3,976 | — | — | 0 insurers |
| BUENA VISTA REGIONAL MEDICAL CENTER | IA | $4,010 | $4,010 | $1,785 | $4,963 | 0 insurers |
| BAPTIST HEALTH - FORT SMITH | AR | $16,155 | $4,039 | — | — | 0 insurers |
| ELITE HOSPITAL KINGWOOD | TX | $8,088 | $4,044 | — | — | 0 insurers |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER | WA | $6,319 | $4,107 | — | — | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $4,126 | $822 | $7,281 | 0 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $4,126 | $822 | $8,104 | 0 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $4,126 | $822 | $6,455 | 0 insurers |
| SIOUX FALLS SPECIALTY HOSPITAL | SD | $5,614 | $4,210 | $637 | $5,614 | 0 insurers |
| MIZELL MEMORIAL HOSPITAL | AL | $4,861 | $4,375 | — | — | 0 insurers |