| SANFORD WHEATON MEDICAL CENTER | MN | $2,000 | $1,600 | — | — | 0 insurers |
| MISSION REGIONAL MEDICAL CENTER | TX | $6,962 | $1,607 | $351 | $5,569 | 0 insurers |
| MOUNT GRANT GENERAL HOSPITAL | NV | $5,224 | $1,643 | $908 | $5,067 | 0 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $5,224 | $1,643 | $908 | $5,067 | 0 insurers |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR | NY | $1,656 | $1,656 | — | — | 0 insurers |
| WEISER MEMORIAL HOSPITAL | ID | $2,220 | $1,665 | — | — | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $3,070 | $1,535 | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $3,070 | $1,535 | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $3,070 | $1,535 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $2,788 | $1,534 | — | — | 0 insurers |
| COSHOCTON REGIONAL MEDICAL CENTER | OH | $2,172 | $1,513 | $651 | $2,172 | 0 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $2,158 | $1,511 | — | — | 0 insurers |
| THE QUEENS MEDICAL CENTER | HI | $2,158 | $1,511 | — | — | 0 insurers |
| ALTRU HOSPITAL | ND | $2,472 | $1,508 | — | — | 0 insurers |
| MONROE HOSPITAL | IN | $1,731 | $1,731 | — | — | 0 insurers |
| HASKELL REGIONAL HOSPITAL, INC | OK | $1,731 | $1,731 | — | — | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $2,900 | $1,740 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $2,900 | $1,740 | — | — | 0 insurers |
| NORTH VISTA HOSPITAL | NV | $2,235 | $1,749 | $671 | $2,235 | 0 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $4,393 | $1,757 | — | — | 0 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $4,393 | $1,757 | — | — | 0 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $4,393 | $1,757 | — | — | 0 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $4,393 | $1,757 | — | — | 0 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $4,393 | $1,757 | — | — | 0 insurers |
| HENDERSON HOSPITAL | NV | $4,393 | $1,757 | — | — | 0 insurers |
| WEST HENDERSON HOSPITAL | NV | $4,393 | $1,757 | — | — | 0 insurers |
| SOUTH TEXAS HEALTH SYSTEM | TX | $4,408 | $1,763 | — | — | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $2,292 | $1,419 | — | — | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $2,292 | $1,419 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $2,023 | $1,416 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $2,023 | $1,416 | — | — | 0 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $2,020 | $1,414 | — | — | 0 insurers |
| LANDMARK MEDICAL CENTER | RI | $2,235 | $1,799 | $446 | $2,235 | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $2,297 | $1,378 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $2,300 | $1,840 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $2,300 | $1,840 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $2,300 | $1,840 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $2,300 | $1,840 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $2,300 | $1,840 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $2,300 | $1,840 | — | — | 0 insurers |
| HAWARDEN REGIONAL HEALTHCARE | IA | $2,169 | $1,844 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF | CA | $1,343 | $1,343 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | IL | $1,343 | $1,343 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | MO | $1,343 | $1,343 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | OH | $1,343 | $1,343 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | SC | $1,343 | $1,343 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | TX | $1,343 | $1,343 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | WA | $1,343 | $1,343 | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | $1,862 | $1,862 | — | — | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | $1,862 | $1,862 | — | — | 0 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $3,561 | $1,864 | $475 | $3,561 | 0 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $1,728 | $1,296 | — | — | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $4,796 | $1,918 | — | — | 0 insurers |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON | MA | $1,246 | $1,246 | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | $1,241 | $1,241 | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | $1,241 | $1,241 | — | — | 0 insurers |
| COOK CHILDRENS MEDICAL CENTER PROSPER | TX | $1,650 | $1,238 | — | — | 0 insurers |
| GARFIELD COUNTY PUBLIC HOSPITAL DISTRICT #1 | WA | $2,475 | $1,980 | — | — | 0 insurers |
| CASCADE MEDICAL CENTER | WA | $2,475 | $1,980 | — | — | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $1,995 | $1,496 | $3,350 | 0 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $1,995 | $1,496 | $7,646 | 0 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $1,995 | $1,496 | $2,857 | 0 insurers |
| SOUTHWESTERN VERMONT MEDICAL CENTER | VT | $1,718 | $1,203 | — | — | 0 insurers |
| ANTELOPE VALLEY HOSPITAL | CA | $2,000 | $2,000 | — | — | 0 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | — | $2,007 | — | — | 0 insurers |
| DESERT VIEW HOSPITAL | NV | $5,027 | $2,011 | — | — | 0 insurers |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER | CA | $2,235 | $2,058 | $575 | $2,235 | 0 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $2,235 | $2,058 | $575 | $2,235 | 0 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $2,235 | $2,058 | $575 | $2,235 | 0 insurers |
| DESERT VALLEY HOSPITAL | CA | $5,052 | $2,058 | $575 | $5,052 | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN - PORTLAND | OR | $1,137 | $1,137 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $2,244 | $1,122 | — | — | 0 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $2,983 | $2,088 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $2,986 | $2,090 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA | PA | $1,091 | $1,091 | — | — | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $1,677 | $1,090 | — | — | 0 insurers |
| SAINT JOSEPH EAST | KY | $5,279 | $2,120 | $4,804 | $4,804 | 0 insurers |
| SAINT JOSEPH EAST | KY | $5,279 | $2,120 | $1,290 | $4,804 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $5,279 | $2,120 | $4,804 | $4,804 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $5,279 | $2,120 | $1,290 | $4,804 | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $1,645 | $1,069 | — | — | 0 insurers |
| CENTRAL VERMONT MEDICAL CENTER | VT | $2,144 | $2,144 | — | — | 0 insurers |
| BAYLOR EMERGENCY MEDICAL CENTER AT AUBREY | TX | $3,653 | $2,192 | — | — | 0 insurers |
| ST JOSEPHS AREA HEALTH SERVICES | MN | $1,620 | $1,003 | $800 | $1,539 | 0 insurers |
| BELL HOSPITAL | MI | $1,610 | $966 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $2,320 | $2,728 | $2,728 | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $2,467 | $863 | — | — | 0 insurers |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS | TX | $1,046 | $837 | — | — | 0 insurers |
| THE HOSPITALS OF PROVIDENCE HORIZON CITY CAMPUS | TX | $1,046 | $837 | — | — | 0 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $1,026 | $821 | — | — | 0 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $2,395 | $2,395 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $1,687 | $793 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $938 | $750 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $1,402 | $748 | $1,052 | $1,332 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $1,402 | $748 | $911 | $5,398 | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $1,480 | $740 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $1,480 | $740 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $1,480 | $740 | — | — | 0 insurers |
| MISSION COMMUNITY HOSPITAL | CA | $3,803 | $2,472 | — | — | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | $1,442 | $721 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | $1,442 | $721 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,440 | $720 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | GA | $1,429 | $715 | — | — | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $5,279 | $2,487 | $4,804 | $4,804 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $5,279 | $2,487 | $1,240 | $4,804 | 0 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $1,695 | $712 | — | — | 0 insurers |
| SOUTH CENTRAL HEALTH | ND | $1,695 | $712 | — | — | 0 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $4,985 | $2,493 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $4,985 | $2,493 | — | — | 0 insurers |
| SANFORD USD MEDICAL CENTER | SD | $3,122 | $2,498 | — | — | 0 insurers |
| COX MONETT HOSPITAL | MO | $2,269 | $692 | — | — | 0 insurers |
| TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN | TX | $2,552 | $2,552 | — | — | 0 insurers |
| NORTHWEST TEXAS HOSPITAL | TX | $1,526 | $610 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $988 | $593 | — | — | 0 insurers |
| COX MEDICAL CENTERS | MO | $2,269 | $572 | — | — | 0 insurers |
| COX MEDICAL CENTER BRANSON | MO | $2,269 | $572 | — | — | 0 insurers |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN | MS | $1,905 | $572 | — | — | 0 insurers |
| LAKE REGION HEALTHCARE CORPORATION | MN | $4,044 | $2,629 | — | — | 0 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $1,344 | $538 | — | — | 0 insurers |
| COQUILLE VALLEY HOSPITAL | OR | — | $2,679 | $796 | $2,679 | 0 insurers |
| ST LUKE'S WARREN HOSPITAL | NJ | $627 | $520 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS | PA | $627 | $520 | — | — | 0 insurers |
| ST LUKES HOSPITAL BETHLEHEM | PA | $627 | $520 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS | PA | $627 | $520 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - EASTON CAMPUS | PA | $627 | $520 | — | — | 0 insurers |
| ST LUKE'S MINERS MEMORIAL HOSPITAL | PA | $627 | $520 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS | PA | $627 | $520 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - MONROE CAMPUS | PA | $627 | $520 | — | — | 0 insurers |
| GEISINGER ST. LUKE'S HOSPITAL | PA | $627 | $520 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - CARBON CAMPUS | PA | $627 | $520 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $4,913 | $491 | — | — | 0 insurers |
| MOLOKAI GENERAL HOSPITAL | HI | $3,872 | $2,710 | — | — | 0 insurers |
| MEMORIAL HOSPITAL | IL | $6,033 | $2,715 | — | — | 0 insurers |
| WESTFIELD MEMORIAL HOSPITAL, INC | NY | $2,069 | $455 | — | — | 0 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | $1,044 | $418 | — | — | 0 insurers |
| MAURY REGIONAL HOSPITAL | TN | $1,018 | $417 | — | — | 0 insurers |
| ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS | WI | $967 | $406 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $960 | $384 | — | — | 0 insurers |
| ALAMEDA HOSPITAL | CA | $758 | $379 | $303 | $568 | 0 insurers |
| HIGHLAND HOSPITAL | CA | $758 | $379 | $303 | $568 | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | GA | $4,031 | $2,822 | — | — | 0 insurers |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM | AL | $1,466 | $367 | — | — | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $906 | $362 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $906 | $362 | — | — | 0 insurers |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | KY | $578 | $347 | — | — | 0 insurers |
| RIVER'S EDGE HOSPITAL & CLINIC | MN | $3,596 | $2,877 | — | — | 0 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $2,941 | $2,941 | — | — | 0 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | $3,686 | $2,949 | — | — | 0 insurers |
| ERLANGER MEDICAL CENTER | TN | $465 | $246 | — | — | 0 insurers |
| LALLIE KEMP MEDICAL CENTER | LA | $338 | $203 | — | — | 0 insurers |
| INTEGRIS HEALTH PONCA CITY | OK | $3,813 | $3,012 | — | — | 0 insurers |
| COMMUNITY HOSPITAL, LLC | OK | $3,813 | $3,012 | — | — | 0 insurers |
| INTEGRIS COMMUNITY HOSPITAL - COUNCIL CROSSING | OK | $3,813 | $3,012 | — | — | 0 insurers |
| MAGNOLIA REGIONAL MEDICAL HOSPITAL | AR | $303 | $182 | — | — | 0 insurers |
| RANDOLPH HOSPITAL | NC | $750 | $150 | — | — | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $221 | $77.49 | $144 | $166 | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $221 | $77.49 | $14.73 | $9,158 | 0 insurers |
| WILLAPA HARBOR HOSPITAL | WA | $4,582 | $3,207 | — | — | 0 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $5,360 | $3,484 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $4,600 | $3,680 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $4,600 | $3,680 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $4,600 | $3,680 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $4,600 | $3,680 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $4,600 | $3,680 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $4,600 | $3,680 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $4,600 | $3,680 | — | — | 0 insurers |
| JACKSON COUNTY REGIONAL HEALTH CENTER | IA | $3,882 | $3,882 | — | — | 0 insurers |
| AHN EMERUS WESTMORELAND, LLC | PA | $5,298 | $3,974 | — | — | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | $3,084 | $4,640 | — | — | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $12,249 | $4,900 | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | $8,681 | $5,643 | $9,088 | $14,143 | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $8,270 | $6,616 | — | — | 0 insurers |
| HOSPITAL FOR SPECIAL SURGERY | NY | $9,298 | $9,298 | $448 | $2,197 | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| ANDALUSIA HEALTH | AL | — | — | $1,386 | $1,802 | 0 insurers |
| RIVERVIEW REGIONAL MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| RUSSELL MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | — | — | — | — | 0 insurers |
| VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS | AL | — | — | $1,442 | $1,875 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $2,539 | $6,642 | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| ST JOSEPH'S HOSPITAL | AZ | — | — | — | — | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | — | — | $766 | $804 | 0 insurers |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | — | — | $788 | $9,180 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | — | — | $701 | $14,438 | 0 insurers |
| HONORHEALTH TEMPE MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH DEER VALLEY MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | — | — | $766 | $14,438 | 0 insurers |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | — | — | $766 | $8,205 | 0 insurers |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| BENSON HOSPITAL | AZ | — | — | — | — | 0 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | — | — | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | — | — | $568 | $3,148 | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | — | — | $568 | $2,780 | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| CHI ST VINCENT MORRILTON | AR | — | — | $568 | $2,699 | 0 insurers |
| PENINSULA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP | CA | — | — | — | — | 0 insurers |
| SUTTER AMADOR HOSPITAL | CA | — | — | — | — | 0 insurers |
| MERCY GENERAL HOSPITAL | CA | — | — | $725 | $23,269 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | — | — | $460 | $7,821 | 0 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | — | — | $822 | $2,471 | 0 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL | CA | — | — | — | — | 0 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | — | — | $661 | $15,004 | 0 insurers |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER | CA | — | — | $4,018 | $4,307 | 0 insurers |
| ST JOHNS REGIONAL MEDICAL CENTER | CA | — | — | $877 | $16,750 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | — | — | $460 | $8,422 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | — | — | $460 | $5,331 | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | — | — | — | — | 0 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | — | — | $460 | $9,715 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | — | — | $460 | $6,040 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $1,150 | $7,512 | 0 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 0 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | — | — | $460 | $8,039 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | — | — | $460 | $9,968 | 0 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | — | — | $460 | $29,023 | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | — | — | $460 | $6,610 | 0 insurers |
| UCSF HEALTH SAINT FRANCIS HOSPITAL | CA | — | — | $706 | $20,938 | 0 insurers |
| ST MARY MEDICAL CENTER | CA | — | — | $766 | $8,205 | 0 insurers |
| SEQUOIA HOSPITAL | CA | — | — | $460 | $14,570 | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | — | — | $460 | $7,439 | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | — | — | $718 | $3,623 | 0 insurers |
| DOMINICAN HOSPITAL | CA | — | — | $460 | $12,953 | 0 insurers |
| SIERRA VIEW MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | — | — | $914 | $9,359 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $2,365 | $18,025 | 0 insurers |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | CA | — | — | — | — | 0 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 0 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP | CA | — | — | — | — | 0 insurers |
| SUTTER TRACY COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| NORTHBAY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | — | — | $460 | $9,971 | 0 insurers |
| SUTTER COAST HOSPITAL | CA | — | — | — | — | 0 insurers |
| STANFORD HEALTH CARE | CA | — | — | $2,352 | $6,448 | 0 insurers |
| MERCY MEDICAL CENTER | CA | — | — | $644 | $12,552 | 0 insurers |
| UCSF HEALTH ST. MARY'S HOSPITAL | CA | — | — | $713 | $20,938 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $1,276 | $6,762 | 0 insurers |
| EDEN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SUTTER AUBURN FAITH HOSPITAL | CA | — | — | — | — | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | — | — | $460 | $12,615 | 0 insurers |
| SUTTER DELTA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL LOS BANOS | CA | — | — | — | — | 0 insurers |
| SUTTER DAVIS HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - LOS ALAMITOS | CA | — | — | $2,068 | $8,064 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $2,068 | $8,064 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $2,068 | $8,064 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $2,068 | $8,064 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | — | — | $460 | $9,205 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $362 | $16,400 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $1,344 | $7,527 | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $1,473 | $6,370 | 0 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 0 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 0 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 0 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 0 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 0 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | — | — | — | — | 0 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 0 insurers |
| TEMECULA VALLEY HOSPITAL | CA | $835 | — | — | — | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | — | — | $781 | $2,471 | 0 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 0 insurers |
| MARK TWAIN MEDICAL CENTER | CA | — | — | $460 | $460 | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $2,352 | $8,407 | 0 insurers |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO | CA | — | — | — | — | 0 insurers |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | CA | — | — | — | — | 0 insurers |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB | CA | — | — | $1,275 | $6,762 | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | — | — | — | — | 0 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $1,650 | $8,132 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 0 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $751 | $3,700 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | — | — | $704 | $6,796 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | — | — | $822 | $2,471 | 0 insurers |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| AdventHealth Porter | CO | — | — | $618 | $4,314 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $618 | $4,314 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $618 | $4,314 | 0 insurers |
| AdventHealth Parker | CO | — | — | $618 | $4,314 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $618 | $4,314 | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 0 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $948 | $9,998 | 0 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | — | — | — | — | 0 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $1,211 | $8,388 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $1,211 | $8,128 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $1,652 | $11,217 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $1,679 | $4,450 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $1,595 | $3,668 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $1,950 | $22,342 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $1,652 | $5,769 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $1,652 | $11,217 | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $1,950 | $13,231 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $1,595 | $7,939 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $1,950 | $8,971 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $1,679 | $3,728 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $1,679 | $3,728 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $2,050 | $8,240 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $1,652 | $11,217 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $1,679 | $4,450 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $1,950 | $8,253 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $1,950 | $21,065 | 0 insurers |
| BARTOW REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MORTON PLANT HOSPITAL | FL | — | — | — | — | 0 insurers |
| TAMPA GENERAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA AVENTURA HOSPITAL | FL | — | — | $1,950 | $9,160 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $1,679 | $3,728 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $2,887 | $8,971 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $1,950 | $21,913 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $1,950 | $9,160 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $2,050 | $8,240 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $1,950 | $14,306 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $1,950 | $21,913 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $1,950 | $9,160 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $1,950 | $301,840 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $2,250 | $35,535 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $1,950 | $17,276 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $2,050 | $6,802 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $1,950 | $22,342 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $1,652 | $11,217 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $1,950 | $8,971 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $1,950 | $14,306 | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $1,950 | $23,513 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $1,950 | $15,319 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $1,950 | $15,164 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $1,950 | $17,276 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $2,250 | $40,673 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $1,950 | $12,418 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $1,495 | $16,600 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $1,950 | $12,418 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $1,950 | $13,231 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $2,250 | $40,673 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $1,638 | $7,480 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $1,950 | $21,913 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $1,950 | $22,342 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $1,638 | $8,253 | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $2,050 | $6,802 | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $1,652 | $11,217 | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $1,652 | $11,108 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $1,679 | $3,728 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $1,950 | $21,065 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $1,950 | $14,538 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $1,950 | $8,971 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $1,950 | $9,160 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $1,679 | $4,450 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $8,105 | $27,625 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $1,150 | $7,512 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $1,582 | $10,045 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $1,409 | $10,045 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $1,582 | $10,045 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $1,497 | $5,063 | 0 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC | GA | — | — | — | — | 0 insurers |
| BURKE MEDICAL CENTER | GA | — | — | — | — | 0 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $1,150 | $7,512 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $1,150 | $16,800 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $927 | $4,243 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $1,671 | $5,063 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $1,521 | $1,582 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | — | — | $167 | $3,073 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $1,582 | $10,045 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $2,550 | $2,800 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $77.65 | $3,423 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $806 | $806 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $1,392 | $1,876 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | — | — | $518 | $9,158 | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $1,723 | $4,652 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $1,723 | $3,952 | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 0 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | — | — | — | — | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $1,723 | $1,809 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $821 | $6,031 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $821 | $8,334 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $1,723 | $3,946 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $821 | $8,334 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $1,723 | $7,272 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $821 | $8,334 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $821 | $8,334 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $1,723 | $5,339 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $821 | $8,334 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $821 | $8,334 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $821 | $8,334 | 0 insurers |
| MEMORIAL HOSPITAL | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $1,723 | $3,946 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $1,723 | $4,164 | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | — | — | $766 | $19,364 | 0 insurers |
| EDWARD HOSPITAL | IL | — | — | $1,723 | $2,776 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $821 | $8,334 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $1,723 | $4,566 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $1,723 | $4,652 | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $1,723 | $3,946 | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $821 | $8,334 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $821 | $8,334 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $3,121 | $4,704 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $821 | $8,334 | 0 insurers |
| METHODIST HOSPITALS INC | IN | — | — | $1,408 | $3,884 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $1,535 | $1,597 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $1,392 | $1,876 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $1,546 | $16,223 | 0 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 0 insurers |
| RIVERVIEW HEALTH | IN | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | $700 | $700 | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $1,594 | $3,938 | 0 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE NORTHWEST INDIANA | IN | — | — | $1,723 | $3,946 | 0 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 0 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $364 | $379 | 0 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | — | — | $704 | $3,259 | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | — | — | $460 | $8,463 | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 0 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $2,173 | $3,412 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | — | — | $1,082 | $4,168 | 0 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $1,512 | $3,918 | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | — | — | — | — | 0 insurers |
| LABETTE HEALTH | KS | — | — | — | — | 0 insurers |
| WESLEY MEDICAL CENTER | KS | — | — | $364 | $379 | 0 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | — | — | — | — | 0 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $1,522 | $11,052 | 0 insurers |
| WAMEGO HEALTH CENTER | KS | — | — | — | — | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | — | — | $718 | $3,623 | 0 insurers |
| COMMUNITY MEMORIAL HEALTHCARE, INC. | KS | — | — | $1,602 | $3,520 | 0 insurers |
| HANOVER HOSPITAL | KS | — | — | $1,597 | $11,680 | 0 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | $647 | $650 | 0 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $1,594 | $3,938 | 0 insurers |
| SAINT JOSEPH LONDON | KY | — | — | — | — | 0 insurers |