| TRI-CITY MEDICAL CENTER | CA | $1,800 | $1,080 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,800 | $1,080 | — | — | 0 insurers |
| FROEDTERT SOUTH INC. | WI | $1,968 | $1,082 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $1,968 | $1,082 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $1,968 | $1,082 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $3,093 | $1,083 | $815 | $2,202 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $3,093 | $1,083 | $815 | $2,202 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $3,093 | $1,083 | $815 | $2,202 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $3,093 | $1,083 | $815 | $2,202 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $3,093 | $1,083 | $815 | $2,202 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $3,093 | $1,083 | $815 | $2,202 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $3,093 | $1,083 | $815 | $2,202 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $3,093 | $1,083 | $815 | $2,202 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $3,093 | $1,083 | $815 | $2,202 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $3,093 | $1,083 | $815 | $2,202 | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $1,461 | $1,084 | $1,242 | $1,417 | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $1,461 | $1,084 | $90.83 | $1,417 | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $5,715 | $1,086 | — | — | 0 insurers |
| OCHSNER STENNIS MEMORIAL HOSPITAL | MS | $1,589 | $1,096 | — | — | 0 insurers |
| CITIZENS MEDICAL CENTER | TX | $2,195 | $1,098 | — | — | 0 insurers |
| OCHSNER WATKINS HOSPITAL | MS | $1,589 | $1,064 | — | — | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $1,822 | $1,064 | $1,020 | $1,786 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $1,822 | $1,064 | $911 | $1,822 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $1,822 | $1,064 | $1,020 | $1,786 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $1,822 | $1,064 | $911 | $1,822 | 0 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $1,099 | — | — | 0 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $1,099 | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $1,833 | $1,100 | — | — | 0 insurers |
| AUBURN COMMUNITY HOSPITAL | NY | $2,449 | $1,102 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER - MARYVILLE | MO | $1,300 | $1,105 | — | — | 0 insurers |
| LALLIE KEMP MEDICAL CENTER | LA | $1,848 | $1,109 | — | — | 0 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $3,499 | $1,051 | $21.83 | $3,499 | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $2,230 | $1,115 | — | — | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $1,745 | $1,047 | $785 | $6,771 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $1,745 | $1,047 | $785 | $6,771 | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $1,745 | $1,047 | $921 | $1,727 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $1,745 | $1,047 | $921 | $1,727 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $1,745 | $1,047 | $921 | $1,727 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $1,745 | $1,047 | $921 | $1,727 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $1,745 | $1,047 | $785 | $6,771 | 0 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $1,745 | $1,047 | $785 | $6,771 | 0 insurers |
| PARKLAND HEALTH CENTER | MO | $1,745 | $1,047 | $923 | $4,587 | 0 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $1,745 | $1,047 | $785 | $6,771 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $1,745 | $1,047 | $921 | $1,727 | 0 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $1,745 | $1,047 | $923 | $4,587 | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $2,616 | $1,046 | — | — | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $2,616 | $1,046 | — | — | 0 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $2,871 | $1,120 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $2,671 | $1,042 | $720 | $2,570 | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $1,876 | $1,126 | $923 | $4,587 | 0 insurers |
| ELLIS HOSPITAL | NY | $2,054 | $1,027 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $1,200 | $1,020 | — | — | 0 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $1,905 | $1,143 | — | — | 0 insurers |
| USC ARCADIA HOSPITAL | CA | $2,903 | $1,016 | — | — | 0 insurers |
| LANDMARK MEDICAL CENTER | RI | $2,414 | $1,014 | $256 | $2,414 | 0 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $3,065 | $1,011 | $297 | $5,088 | 0 insurers |
| WETZEL COUNTY HOSPITAL | WV | $2,309 | $1,155 | — | — | 0 insurers |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER | CA | $4,813 | $1,160 | $678 | $4,813 | 0 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $3,007 | $1,160 | $678 | $3,007 | 0 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $3,007 | $1,160 | $678 | $3,007 | 0 insurers |
| CENTINELA HOSPITAL MEDICAL CENTER | CA | $3,808 | $1,160 | $200 | $3,808 | 0 insurers |
| SHASTA REGIONAL MEDICAL CENTER | CA | $2,448 | $1,160 | $399 | $2,448 | 0 insurers |
| OCHSNER SCOTT REGIONAL | MS | $1,589 | $1,001 | — | — | 0 insurers |
| CARILION MEDICAL CENTER | VA | $3,323 | $1,163 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $3,323 | $1,163 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $3,323 | $1,163 | — | — | 0 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $3,323 | $1,163 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $3,323 | $1,163 | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $2,330 | $1,165 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $1,171 | $995 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $1,171 | $995 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER - MARYVILLE | MO | $1,171 | $995 | — | — | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $2,922 | $1,169 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $1,859 | $1,171 | $1,301 | $1,803 | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $1,859 | $1,171 | $781 | $1,803 | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $2,476 | $990 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $1,938 | $988 | $1,434 | $1,744 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $1,938 | $988 | $938 | $1,744 | 0 insurers |
| NORTH VISTA HOSPITAL | NV | $1,553 | $986 | $211 | $1,553 | 0 insurers |
| GENEVA GENERAL HOSPITAL | NY | $2,427 | $971 | — | — | 0 insurers |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES | NY | $2,427 | $971 | — | — | 0 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $1,765 | $971 | — | — | 0 insurers |
| OCHSNER LAIRD HOSPITAL | MS | $1,589 | $969 | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $2,390 | $1,195 | — | — | 0 insurers |
| MERCY MEDICAL CENTER INC | MD | $1,205 | $967 | $82.24 | $1,205 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | WA | $1,205 | $967 | $82.24 | $1,205 | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $1,930 | $965 | — | — | 0 insurers |
| ADVENTHEALTH CENTRAL TEXAS | TX | $1,929 | $964 | $862 | $1,736 | 0 insurers |
| ADVENTHEALTH ROLLINS BROOK | TX | $1,929 | $964 | $862 | $1,736 | 0 insurers |
| FAYETTE MEDICAL CENTER | AL | $1,200 | $1,200 | $1,200 | $1,200 | 0 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $1,374 | $962 | — | — | 0 insurers |
| THE GENERAL | LA | $1,374 | $962 | — | — | 0 insurers |
| AIKEN REGIONAL MEDICAL CENTER | SC | $3,004 | $1,202 | — | — | 0 insurers |
| SWEETWATER HOSPITAL ASSOCIATION | TN | $3,004 | $1,202 | — | — | 0 insurers |
| SOUTH TEXAS HEALTH SYSTEM | TX | $2,398 | $959 | — | — | 0 insurers |
| STEVENS COMMUNITY MEDICAL CENTER | MN | $1,609 | $1,207 | — | — | 0 insurers |
| OCHSNER CHOCTAW GENERAL | AL | $1,589 | $1,207 | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $3,174 | $1,212 | $1,904 | $2,507 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $3,174 | $1,212 | $90.83 | $6,448 | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $1,868 | $1,214 | — | — | 0 insurers |
| DOMINICAN HOSPITAL | CA | $2,103 | $946 | $1,682 | $1,788 | 0 insurers |
| DOMINICAN HOSPITAL | CA | $2,103 | $946 | $678 | $12,953 | 0 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $3,051 | $1,220 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $3,051 | $1,220 | — | — | 0 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $1,526 | $1,221 | — | — | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $1,880 | $940 | — | — | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $3,062 | $1,225 | — | — | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $3,062 | $1,225 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $3,062 | $1,225 | — | — | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $2,450 | $1,225 | — | — | 0 insurers |
| SOUTH COUNTY HOSPITAL INC | RI | $1,561 | $937 | — | — | 0 insurers |
| RANDOLPH HOSPITAL | NC | $4,674 | $935 | — | — | 0 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $3,070 | $1,230 | — | — | 0 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $3,070 | $1,230 | — | — | 0 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $3,070 | $1,230 | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $2,460 | $1,230 | — | — | 0 insurers |
| MOUNT GRANT GENERAL HOSPITAL | NV | $1,851 | $927 | $322 | $1,851 | 0 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $1,851 | $927 | $322 | $1,851 | 0 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $1,765 | $1,236 | — | — | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $924 | $924 | — | — | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $2,078 | $1,247 | $908 | $10,264 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $2,032 | $914 | — | — | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $2,082 | $1,249 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $2,082 | $1,249 | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $4,177 | $1,253 | — | — | 0 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $3,133 | $1,253 | — | — | 0 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $3,133 | $1,253 | — | — | 0 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $3,133 | $1,253 | — | — | 0 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $3,133 | $1,253 | — | — | 0 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $3,133 | $1,253 | — | — | 0 insurers |
| HENDERSON HOSPITAL | NV | $3,133 | $1,253 | — | — | 0 insurers |
| WEST HENDERSON HOSPITAL | NV | $3,133 | $1,253 | — | — | 0 insurers |
| WESTERLY HOSPITAL | RI | $2,522 | $908 | — | — | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $2,594 | $908 | $1,686 | $1,946 | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $2,594 | $908 | $318 | $5,160 | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $2,092 | $1,255 | $908 | $8,198 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $2,092 | $1,255 | $908 | $8,198 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $2,092 | $1,255 | $908 | $8,198 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $2,092 | $1,255 | $908 | $8,198 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $2,119 | $907 | $1,335 | $2,077 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $2,119 | $907 | $678 | $9,715 | 0 insurers |
| KNAPP MEDICAL CENTER | TX | $3,808 | $906 | $219 | $3,732 | 0 insurers |
| DALLAS MEDICAL CENTER | TX | $2,487 | $906 | $161 | $2,487 | 0 insurers |
| HARLINGEN MEDICAL CENTER | TX | $3,808 | $906 | $115 | $3,046 | 0 insurers |
| SOUTHERN REGIONAL MEDICAL CENTER | GA | $5,396 | $905 | $693 | $5,396 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,157 | $900 | $602 | $1,134 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,157 | $900 | $278 | $1,157 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,157 | $900 | $602 | $1,134 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,157 | $900 | $278 | $1,157 | 0 insurers |
| GARDEN CITY HOSPITAL | MI | $4,318 | $899 | $482 | $4,318 | 0 insurers |
| CENTRAL MAINE MEDICAL CENTER | ME | $3,029 | $894 | $895 | $3,029 | 0 insurers |
| LOWER BUCKS HOSPITAL | PA | $1,851 | $892 | $322 | $1,851 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $3,633 | $1,272 | $962 | $2,672 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $3,633 | $1,272 | $962 | $2,672 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $3,633 | $1,272 | $962 | $2,672 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $3,633 | $1,272 | $962 | $2,672 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $3,633 | $1,272 | $962 | $2,672 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $3,633 | $1,272 | $962 | $2,672 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $3,633 | $1,272 | $962 | $2,672 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $3,633 | $1,272 | $962 | $2,672 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $3,633 | $1,272 | $962 | $2,672 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $3,633 | $1,272 | $962 | $2,672 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $3,633 | $1,272 | $962 | $2,672 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $3,633 | $1,272 | $962 | $2,672 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $3,633 | $1,272 | $962 | $2,672 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $3,633 | $1,272 | $962 | $2,672 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $3,633 | $1,272 | $962 | $2,672 | 0 insurers |
| MARSHALL MEDICAL CENTERS | AL | $890 | $890 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTER | CA | $890 | $890 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTER | TN | $890 | $890 | — | — | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $2,546 | $1,273 | $1,579 | $2,037 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $2,546 | $1,273 | $165 | $7,934 | 0 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $1,598 | $1,278 | — | — | 0 insurers |
| POUDRE VALLEY HOSPITAL | CO | $1,833 | $1,283 | — | — | 0 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $1,833 | $1,283 | — | — | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,863 | $878 | $1,695 | $1,695 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,863 | $878 | $438 | $2,152 | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | $3,878 | $877 | $822 | $12,538 | 0 insurers |
| EAST COOPER MEDICAL CENTER | SC | $4,252 | $877 | $707 | $8,579 | 0 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $877 | $717 | $1,611 | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $2,522 | $1,286 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $2,060 | $876 | — | — | 0 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $1,250 | $875 | $525 | $1,513 | 0 insurers |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC | ID | $1,250 | $875 | $500 | $2,094 | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $3,221 | $1,288 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $3,221 | $1,288 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $3,221 | $1,288 | — | — | 0 insurers |
| Adventhealth Zephyrhills | FL | $1,450 | $870 | $164 | $1,932 | 0 insurers |
| ADVENTHEALTH TAMPA | FL | $1,450 | $870 | $6.01 | $3,381 | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | $2,153 | $861 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $2,153 | $861 | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $2,153 | $861 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $2,153 | $861 | — | — | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | $2,153 | $861 | — | — | 0 insurers |
| ADVENTHEALTH SEBRING | FL | $2,180 | $1,308 | $413 | $1,962 | 0 insurers |
| SAINT JOHN HOSPITAL | KS | $2,228 | $854 | $139 | $1,894 | 0 insurers |
| PROVIDENCE MEDICAL CENTER | KS | $2,904 | $854 | $139 | $2,683 | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $1,308 | $70.33 | $2,728 | 0 insurers |
| COSHOCTON REGIONAL MEDICAL CENTER | OH | $2,230 | $853 | $394 | $2,186 | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $2,522 | $1,312 | — | — | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $2,640 | $1,320 | — | — | 0 insurers |
| ADVENTHEALTH WATERMAN | FL | $2,409 | $1,325 | $413 | $3,282 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $1,966 | $832 | $1,278 | $1,278 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $1,966 | $832 | $0.65 | $3,462 | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $2,060 | $826 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $2,057 | $825 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $2,057 | $825 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $2,057 | $825 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $2,057 | $825 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $2,057 | $825 | — | — | 0 insurers |
| ADVENTHEALTH DELAND | FL | $1,488 | $819 | $210 | $1,846 | 0 insurers |
| MERCY HOSPITAL | CA | $2,037 | $815 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $2,037 | $815 | — | — | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $2,087 | $814 | — | — | 0 insurers |
| JACKSON HEALTH SYSTEM | FL | $4,804 | $809 | $779 | $779 | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $3,390 | $1,356 | — | — | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $3,394 | $1,358 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $1,600 | $1,360 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $2,000 | $800 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $2,000 | $800 | — | — | 0 insurers |
| HSHS ST CLARE MEMORIAL HOSPITAL | WI | $2,068 | $1,365 | — | — | 0 insurers |
| BAXTER HEALTH | AR | $1,310 | $786 | — | — | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,550 | $786 | $1,395 | $1,519 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,550 | $786 | $1,078 | $9,359 | 0 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $2,305 | $1,383 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,977 | $1,384 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $1,458 | $778 | $1,094 | $1,385 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $1,458 | $778 | $798 | $3,506 | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $1,550 | $775 | — | — | 0 insurers |
| ADVENTHEALTH OCALA | FL | $1,285 | $771 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $1,740 | $1,392 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $1,740 | $1,392 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $1,740 | $1,392 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $1,740 | $1,392 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $1,740 | $1,392 | — | — | 0 insurers |
| WELLSPAN YORK HOSPITAL | PA | $1,746 | $1,397 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $2,795 | $1,398 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $2,795 | $1,398 | — | — | 0 insurers |
| COX MEDICAL CENTERS | MO | $3,033 | $764 | — | — | 0 insurers |
| COX MEDICAL CENTER BRANSON | MO | $3,033 | $764 | — | — | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $1,958 | $762 | $215 | $1,606 | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $1,958 | $762 | $86.1 | $9,971 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,939 | $760 | $524 | $1,900 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,939 | $760 | $524 | $8,190 | 0 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $1,878 | $1,409 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $1,878 | $1,409 | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | $1,764 | $1,411 | $83.25 | $925 | 0 insurers |
| SAINT JOSEPH EAST | KY | $1,863 | $748 | $1,695 | $1,695 | 0 insurers |
| SAINT JOSEPH EAST | KY | $1,863 | $748 | $455 | $2,584 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,863 | $748 | $1,695 | $1,695 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,863 | $748 | $455 | $2,584 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | $1,494 | $747 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | $1,494 | $747 | — | — | 0 insurers |
| SOUTHWESTERN VERMONT MEDICAL CENTER | VT | $2,032 | $1,422 | — | — | 0 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $2,371 | $1,423 | — | — | 0 insurers |
| WALLOWA MEMORIAL HOSPITAL | OR | $1,581 | $1,423 | $1,502 | $1,549 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $2,475 | $728 | $1,782 | $2,030 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $2,475 | $728 | $520 | $8,422 | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $2,373 | $722 | $1,708 | $1,779 | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $2,373 | $722 | $1,063 | $4,676 | 0 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $1,698 | $1,444 | — | — | 0 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | $2,230 | $1,450 | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $4,177 | $1,462 | — | — | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $4,177 | $1,462 | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $4,177 | $1,462 | — | — | 0 insurers |
| BELL HOSPITAL | MI | $1,166 | $700 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $1,833 | $1,466 | — | — | 0 insurers |
| ADVENTHEALTH FISH MEMORIAL | FL | $2,085 | $695 | — | — | 0 insurers |
| AdventHealth Palm Coast | FL | $1,256 | $691 | $210 | $1,903 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,879 | $690 | $1,315 | $1,484 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,879 | $690 | $678 | $8,109 | 0 insurers |
| ST CLARE HOSPITAL | WA | $2,373 | $684 | $1,708 | $1,779 | 0 insurers |
| ST CLARE HOSPITAL | WA | $2,373 | $684 | $1,063 | $4,676 | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $1,852 | $1,482 | $592 | $1,852 | 0 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $1,852 | $1,482 | $592 | $1,852 | 0 insurers |
| THOMAS HOSPITAL | AL | $2,964 | $1,482 | — | — | 0 insurers |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | $4,242 | $1,485 | — | — | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $2,522 | $1,488 | — | — | 0 insurers |
| GROSSMONT HOSPITAL | CA | $1,988 | $1,491 | — | — | 0 insurers |
| SHARP MEMORIAL HOSPITAL | CA | $1,988 | $1,491 | — | — | 0 insurers |
| SHARP CHULA VISTA MEDICAL CENTER | CA | $1,988 | $1,491 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $1,865 | $1,492 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $1,865 | $1,492 | — | — | 0 insurers |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL | VT | $889 | $667 | — | — | 0 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $2,500 | $666 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $1,330 | $665 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $1,330 | $665 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $1,330 | $665 | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $1,330 | $665 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $1,330 | $665 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $1,330 | $665 | — | — | 0 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $1,330 | $665 | — | — | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $1,330 | $665 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $1,330 | $665 | — | — | 0 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $1,330 | $665 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $1,330 | $665 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $1,330 | $665 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $1,330 | $665 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $1,330 | $665 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $1,330 | $665 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $1,330 | $665 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $1,330 | $665 | — | — | 0 insurers |
| CARILION STONEWALL JACKSON HOSPITAL | VA | $1,098 | $659 | $253 | $1,054 | 0 insurers |
| OSWEGO HOSPITAL | NY | $2,005 | $1,504 | — | — | 0 insurers |
| ST JOHN'S RIVERSIDE HOSPITAL | NY | $1,771 | $1,505 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $2,523 | $1,514 | $893 | $2,145 | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $1,367 | $642 | — | — | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $1,808 | $633 | $814 | $1,808 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $1,808 | $633 | $352 | $5,160 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $1,808 | $633 | $777 | $1,808 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $1,808 | $633 | $352 | $5,160 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $1,808 | $633 | $777 | $1,808 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $1,808 | $633 | $335 | $5,160 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $1,808 | $633 | $777 | $1,808 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $1,808 | $633 | $335 | $5,160 | 0 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $1,141 | $628 | — | — | 0 insurers |
| HOLY FAMILY MEMORIAL | WI | — | $627 | $98.11 | $1,141 | 0 insurers |
| WELLSPAN GOOD SAMARITAN HOSPITAL | PA | $1,925 | $1,540 | — | — | 0 insurers |
| WELLSPAN CHAMBERSBURG HOSPITAL | PA | $1,925 | $1,540 | — | — | 0 insurers |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL | PA | $1,925 | $1,540 | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $1,764 | $617 | — | — | 0 insurers |
| WILLAPA HARBOR HOSPITAL | WA | $2,210 | $1,547 | — | — | 0 insurers |
| ST LUKE'S WARREN HOSPITAL | NJ | $740 | $614 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS | PA | $740 | $614 | — | — | 0 insurers |
| ST LUKES HOSPITAL BETHLEHEM | PA | $740 | $614 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS | PA | $740 | $614 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - EASTON CAMPUS | PA | $740 | $614 | — | — | 0 insurers |
| ST LUKE'S MINERS MEMORIAL HOSPITAL | PA | $740 | $614 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS | PA | $740 | $614 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - MONROE CAMPUS | PA | $740 | $614 | — | — | 0 insurers |
| GEISINGER ST. LUKE'S HOSPITAL | PA | $740 | $614 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - CARBON CAMPUS | PA | $740 | $614 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $2,583 | $1,550 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | GA | $3,101 | $1,551 | — | — | 0 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $1,515 | $606 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $1,208 | $604 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $1,208 | $604 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $1,208 | $604 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $1,952 | $1,561 | — | — | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $2,115 | $590 | $1,692 | $1,840 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $2,115 | $590 | $486 | $6,040 | 0 insurers |
| PARK NICOLLET METHODIST HOSPITAL | MN | — | $1,573 | $1,572 | $3,158 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $1,966 | $582 | $1,592 | $1,592 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $1,966 | $582 | $0.65 | $3,196 | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $1,666 | $1,583 | — | — | 0 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $1,590 | $417 | $3,000 | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $4,365 | $567 | — | — | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $1,958 | $564 | $1,469 | $1,625 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $1,958 | $564 | $86.1 | $9,228 | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | $1,814 | $562 | — | — | 0 insurers |
| OCHSNER RUSH HOSPITAL | MS | $1,589 | $556 | — | — | 0 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | $4,026 | $1,610 | — | — | 0 insurers |
| BAYLOR MEDICAL CENTER AT TROPHY CLUB | TX | $2,687 | $1,612 | $1,478 | $8,427 | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $2,317 | $1,622 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $2,317 | $1,622 | — | — | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $1,958 | $537 | $215 | $1,801 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $1,958 | $537 | $215 | $8,942 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $1,958 | $537 | $215 | $1,625 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $1,958 | $537 | $86.1 | $12,615 | 0 insurers |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE | TX | $2,710 | $1,626 | $826 | $3,361 | 0 insurers |
| TWIN COUNTY REGIONAL HOSPITAL | VA | $4,069 | $1,628 | — | — | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $865 | $528 | $424 | $804 | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $865 | $528 | $165 | $3,908 | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,036 | $518 | — | — | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $865 | $510 | $476 | $813 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $865 | $510 | $165 | $6,796 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $865 | $510 | $476 | $813 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $865 | $510 | $165 | $6,796 | 0 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $2,765 | $1,659 | $908 | $8,198 | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | AR | $2,003 | $501 | — | — | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $807 | $500 | — | — | 0 insurers |
| EMANUEL MEDICAL CENTER | GA | $4,181 | $1,672 | — | — | 0 insurers |
| DLP SWAIN COUNTY HOSPITAL LLC | NC | $4,181 | $1,672 | — | — | 0 insurers |
| FAUQUIER HOSPITAL | VA | $4,195 | $1,678 | — | — | 0 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $2,398 | $1,679 | — | — | 0 insurers |
| THE QUEENS MEDICAL CENTER | HI | $2,398 | $1,679 | — | — | 0 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $4,815 | $482 | — | — | 0 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $4,815 | $482 | — | — | 0 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $1,354 | $474 | $275 | $4,168 | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $4,233 | $1,693 | — | — | 0 insurers |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | TX | $1,305 | $457 | $264 | $1,392 | 0 insurers |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | TX | $1,305 | $457 | $264 | $1,392 | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $1,406 | $450 | $633 | $2,610 | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $3,361 | $1,714 | — | — | 0 insurers |
| ST THOMAS MORE HOSPITAL | CO | $1,109 | $444 | — | — | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $1,406 | $436 | $633 | $2,604 | 0 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $1,406 | $436 | $633 | $2,610 | 0 insurers |
| ROANE MEDICAL CENTER | TN | $1,406 | $436 | $633 | $2,610 | 0 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $1,406 | $436 | $633 | $2,610 | 0 insurers |
| LECONTE MEDICAL CENTER | TN | $1,406 | $436 | $633 | $2,610 | 0 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $1,406 | $436 | $633 | $2,610 | 0 insurers |
| BAPTIST MEDICAL CENTER BEACHES | FL | $2,279 | $433 | — | — | 0 insurers |
| HILLS & DALES GENERAL HOSPITAL | MI | $1,874 | $431 | — | — | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $1,069 | $428 | — | — | 0 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | $1,069 | $428 | — | — | 0 insurers |
| UNIONTOWN HOSPITAL | PA | $3,471 | $1,736 | — | — | 0 insurers |
| ADVENTHEALTH SHAWNEE MISSION | KS | $849 | $424 | $139 | $2,105 | 0 insurers |
| UNM HOSPITAL | NM | $769 | $423 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $2,177 | $1,742 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $2,177 | $1,742 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $2,177 | $1,742 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $2,177 | $1,742 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $2,177 | $1,742 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $2,177 | $1,742 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $2,177 | $1,742 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $2,177 | $1,742 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $2,177 | $1,742 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $2,177 | $1,742 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $2,177 | $1,742 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $2,177 | $1,742 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $2,177 | $1,742 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $1,824 | $414 | $547 | $1,313 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $1,824 | $414 | $87.59 | $5,512 | 0 insurers |
| PETERSON REGIONAL MEDICAL CENTER | TX | $2,500 | $1,750 | — | — | 0 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $2,518 | $1,763 | — | — | 0 insurers |
| BALDWIN HEALTH | AL | $3,400 | $1,768 | — | — | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $3,400 | $1,768 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $3,400 | $1,768 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $3,400 | $1,768 | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $3,400 | $1,768 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $3,400 | $1,768 | — | — | 0 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | $2,229 | $1,783 | — | — | 0 insurers |
| ST JOHNS HOSPITAL | IL | $2,481 | $1,786 | — | — | 0 insurers |
| HSHS HOLY FAMILY HOSPITAL INC | IL | $2,481 | $1,786 | — | — | 0 insurers |
| ST JOSEPH'S HOSPITAL | IL | $2,481 | $1,786 | — | — | 0 insurers |
| ST VINCENT HOSPITAL | WI | $2,481 | $1,786 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $1,824 | $374 | $547 | $1,313 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $1,824 | $374 | $87.59 | $5,512 | 0 insurers |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR | NY | $1,794 | $1,794 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $3,593 | $1,797 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | $2,253 | $1,802 | — | — | 0 insurers |
| BRISTOL HOSPITAL | CT | $2,312 | $347 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $2,312 | $347 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $2,312 | $347 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $2,312 | $347 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $2,312 | $347 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $2,312 | $347 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $2,312 | $347 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $2,312 | $347 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $2,312 | $347 | — | — | 0 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $2,312 | $347 | — | — | 0 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $2,312 | $347 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $2,312 | $347 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $2,312 | $347 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $2,312 | $347 | — | — | 0 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $2,312 | $347 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $2,312 | $347 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $2,312 | $347 | — | — | 0 insurers |
| Baylor St Lukes Medical Center | TX | $986 | $345 | $288 | $2,700 | 0 insurers |
| CHI ST LUKES LAKESIDE HOSPITAL | TX | $986 | $345 | $288 | $3,392 | 0 insurers |
| HANCOCK COUNTY HEALTH SYSTEM | IA | $1,479 | $340 | — | — | 0 insurers |
| DICKENSON COMMUNITY HOSPITAL | VA | $1,479 | $340 | — | — | 0 insurers |
| LEE COUNTY COMMUNITY HOSPITAL | VA | $1,479 | $340 | — | — | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $797 | $335 | $478 | $677 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $797 | $335 | $120 | $3,259 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $797 | $335 | $478 | $677 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $797 | $335 | $135 | $3,259 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $797 | $335 | $478 | $677 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $797 | $335 | $112 | $3,259 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $797 | $335 | $478 | $677 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $797 | $335 | $143 | $3,259 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $797 | $335 | $478 | $677 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $797 | $335 | $128 | $3,259 | 0 insurers |
| NORTHSIDE HOSPITAL FORSYTH | GA | — | $329 | — | — | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $3,692 | $1,846 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $3,692 | $1,846 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $3,692 | $1,846 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $2,845 | $1,849 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $2,845 | $1,849 | — | — | 0 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $749 | $299 | — | — | 0 insurers |
| BROADLAWNS MEDICAL CENTER | IA | $290 | $290 | — | — | 0 insurers |
| RALEIGH GENERAL HOSPITAL | WV | $710 | $284 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $1,103 | $283 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $1,103 | $283 | $674 | $3,148 | 0 insurers |
| CHI ST VINCENT MORRILTON | AR | $1,103 | $281 | — | — | 0 insurers |
| CHI ST VINCENT MORRILTON | AR | $1,103 | $281 | $309 | $2,421 | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $1,103 | $280 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $1,103 | $280 | $674 | $2,421 | 0 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $655 | $275 | — | — | 0 insurers |
| SOUTH CENTRAL HEALTH | ND | $655 | $275 | — | — | 0 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $269 | $269 | — | — | 0 insurers |
| ALTRU HOSPITAL | ND | $425 | $259 | — | — | 0 insurers |
| CHESAPEAKE GENERAL HOSPITAL | VA | $410 | $246 | — | — | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $1,364 | $239 | $1,159 | $1,364 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $1,364 | $239 | $352 | $4,168 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $1,364 | $239 | $516 | $1,364 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $1,364 | $239 | $300 | $2,888 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $1,364 | $239 | $473 | $1,364 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $1,364 | $239 | $174 | $4,168 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $1,364 | $239 | $931 | $1,364 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $1,364 | $239 | $352 | $4,168 | 0 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $1,253 | $238 | — | — | 0 insurers |
| CARSON TAHOE REGIONAL MEDICAL CENTER | NV | $324 | $227 | $25.96 | $273 | 0 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $236 | $177 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $288 | $144 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $288 | $144 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $288 | $144 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $277 | $139 | — | — | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $208 | $129 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $1,080 | $108 | — | — | 0 insurers |