| 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 |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | $1,280 | $1,280 | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | $1,280 | $1,280 | — | — | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | $1,280 | $1,280 | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | $1,280 | $1,280 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $1,483 | $1,261 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $1,483 | $1,261 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $2,522 | $1,286 | — | — | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $3,221 | $1,288 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $3,221 | $1,288 | — | — | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $2,147 | $1,288 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $2,147 | $1,288 | — | — | 0 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | $3,221 | $1,288 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $3,221 | $1,288 | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $4,331 | $1,299 | — | — | 0 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $3,334 | $1,300 | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $2,480 | $1,240 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $1,308 | $110 | $2,728 | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $3,080 | $1,232 | — | — | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $3,080 | $1,232 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $2,522 | $1,312 | — | — | 0 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $3,179 | $1,230 | — | — | 0 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $3,179 | $1,230 | — | — | 0 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $3,179 | $1,230 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $2,047 | $1,228 | $800 | $4,587 | 0 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $1,754 | $1,316 | — | — | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $2,640 | $1,320 | — | — | 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 |
| HOLY CROSS HOSPITAL-JORDAN VALLEY | UT | $3,051 | $1,220 | — | — | 0 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $2,210 | $1,216 | — | — | 0 insurers |
| WELLSPAN CHAMBERSBURG HOSPITAL | PA | $1,662 | $1,330 | — | — | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $2,381 | $1,207 | $2,143 | $2,333 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $2,381 | $1,207 | $1,191 | $9,359 | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,910 | $1,337 | — | — | 0 insurers |
| HOLY FAMILY HOSPITAL | MA | $2,451 | $1,348 | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $2,710 | $1,355 | — | — | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $3,390 | $1,356 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $1,600 | $1,360 | — | — | 0 insurers |
| SUSAN B ALLEN MEMORIAL HOSPITAL | KS | $1,812 | $1,178 | — | — | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $2,817 | $1,366 | $1,944 | $2,225 | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $2,817 | $1,366 | $459 | $29,023 | 0 insurers |
| SOUTH TEXAS HEALTH SYSTEM | TX | $3,421 | $1,368 | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $2,740 | $1,370 | — | — | 0 insurers |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH | LA | $2,346 | $1,376 | $681 | $2,229 | 0 insurers |
| PHYSICIANS MEDICAL CENTER | LA | $2,346 | $1,376 | $681 | $2,229 | 0 insurers |
| ADVENTHEALTH SHAWNEE MISSION | KS | $2,757 | $1,378 | $139 | $2,481 | 0 insurers |
| CARILION MEDICAL CENTER | VA | $3,323 | $1,163 | — | — | 0 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $2,305 | $1,383 | — | — | 0 insurers |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER | CA | $4,813 | $1,160 | $828 | $4,813 | 0 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $5,505 | $1,160 | $828 | $5,505 | 0 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $5,505 | $1,160 | $828 | $5,505 | 0 insurers |
| SHASTA REGIONAL MEDICAL CENTER | CA | $957 | $1,160 | $156 | $957 | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $1,849 | $1,387 | — | — | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $2,317 | $1,390 | $1,043 | $6,771 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $2,317 | $1,390 | $1,043 | $6,771 | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $2,317 | $1,390 | $1,043 | $6,771 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $2,317 | $1,390 | $1,043 | $6,771 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $2,317 | $1,390 | $1,043 | $6,771 | 0 insurers |
| ALTON MEMORIAL HOSPITAL | IL | $2,317 | $1,390 | $1,043 | $6,771 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $2,317 | $1,390 | $1,043 | $6,771 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $2,317 | $1,390 | $1,043 | $6,771 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $2,317 | $1,390 | $1,043 | $6,771 | 0 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $2,317 | $1,390 | $1,043 | $6,771 | 0 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $2,317 | $1,390 | $1,043 | $6,771 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $2,317 | $1,390 | $1,043 | $6,771 | 0 insurers |
| PROGRESS WEST HOSPITAL | MO | $2,317 | $1,390 | $1,043 | $6,771 | 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 |
| UNIONTOWN HOSPITAL | PA | $2,790 | $1,395 | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $2,800 | $1,400 | — | — | 0 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $1,905 | $1,143 | — | — | 0 insurers |
| OCHSNER LAIRD HOSPITAL | MS | $2,300 | $1,403 | — | — | 0 insurers |
| FROEDTERT SOUTH INC. | WI | $2,067 | $1,137 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $2,067 | $1,137 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $2,067 | $1,137 | — | — | 0 insurers |
| ADVENTHEALTH DADE CITY | FL | $2,346 | $1,408 | $331 | $2,111 | 0 insurers |
| Adventhealth Zephyrhills | FL | $1,891 | $1,134 | $281 | $2,146 | 0 insurers |
| ADVENTHEALTH TAMPA | FL | $1,891 | $1,134 | $6.01 | $3,381 | 0 insurers |
| DEACONESS HOSPITAL INC | IN | $1,764 | $1,411 | $129 | $925 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,814 | $1,411 | $943 | $1,778 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,814 | $1,411 | $435 | $1,814 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,814 | $1,411 | $943 | $1,778 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,814 | $1,411 | $435 | $1,814 | 0 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $1,765 | $1,412 | — | — | 0 insurers |
| WELLSPAN YORK HOSPITAL | PA | $1,767 | $1,414 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $2,246 | $1,123 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $2,246 | $1,123 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $1,897 | $1,423 | — | — | 0 insurers |
| LAKE HEALTH | OH | $1,897 | $1,423 | — | — | 0 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $2,371 | $1,423 | — | — | 0 insurers |
| FAUQUIER HOSPITAL | VA | $3,560 | $1,424 | — | — | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $2,230 | $1,115 | — | — | 0 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | $3,381 | $1,437 | — | — | 0 insurers |
| AUBURN COMMUNITY HOSPITAL | NY | $2,449 | $1,102 | — | — | 0 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $1,099 | — | — | 0 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $1,099 | — | — | 0 insurers |
| CITIZENS MEDICAL CENTER | TX | $2,195 | $1,098 | — | — | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $3,616 | $1,446 | — | — | 0 insurers |
| OCHSNER SCOTT REGIONAL | MS | $2,300 | $1,449 | — | — | 0 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | $2,230 | $1,450 | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $2,416 | $1,450 | — | — | 0 insurers |
| DOMINICAN HOSPITAL | CA | $3,232 | $1,454 | $2,586 | $2,747 | 0 insurers |
| DOMINICAN HOSPITAL | CA | $3,232 | $1,454 | $828 | $12,953 | 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 |
| TRI-CITY MEDICAL CENTER | CA | $1,800 | $1,080 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,800 | $1,080 | — | — | 0 insurers |
| STEVENS COMMUNITY MEDICAL CENTER | MN | $1,969 | $1,477 | — | — | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $1,852 | $1,482 | $719 | $1,852 | 0 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $1,852 | $1,482 | $719 | $1,852 | 0 insurers |
| MARIA PARHAM MEDICAL CENTER | NC | $2,649 | $1,060 | — | — | 0 insurers |
| CARSON TAHOE REGIONAL MEDICAL CENTER | NV | $2,122 | $1,485 | $170 | $1,783 | 0 insurers |
| ADVENTHEALTH SEBRING | FL | $1,759 | $1,055 | $373 | $1,934 | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $2,522 | $1,488 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $1,865 | $1,492 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $1,865 | $1,492 | — | — | 0 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $4,899 | $1,051 | $653 | $4,842 | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $5,521 | $1,049 | — | — | 0 insurers |
| NORTHWEST TEXAS HOSPITAL | TX | $2,616 | $1,046 | — | — | 0 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $4,541 | $1,499 | $297 | $5,088 | 0 insurers |
| PERSON MEMORIAL HOSPITAL | NC | $3,749 | $1,500 | — | — | 0 insurers |
| ST JOHN'S RIVERSIDE HOSPITAL | NY | $1,771 | $1,505 | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $4,331 | $1,516 | — | — | 0 insurers |
| LONGS PEAK HOSPITAL | CO | $4,331 | $1,516 | — | — | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $4,331 | $1,516 | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $4,331 | $1,516 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $2,054 | $1,027 | — | — | 0 insurers |
| CARILION STONEWALL JACKSON HOSPITAL | VA | $1,696 | $1,018 | $390 | $1,931 | 0 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $1,355 | $1,016 | — | — | 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 |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $2,596 | $1,532 | $1,428 | $2,440 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $2,596 | $1,532 | $254 | $6,796 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $2,596 | $1,532 | $1,428 | $2,440 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $2,596 | $1,532 | $254 | $6,796 | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $1,555 | $1,011 | — | — | 0 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $2,526 | $1,010 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER | MO | $1,673 | $1,004 | $800 | $4,587 | 0 insurers |
| PETERSON REGIONAL MEDICAL CENTER | TX | $2,200 | $1,540 | — | — | 0 insurers |
| OCHSNER WATKINS HOSPITAL | MS | $2,300 | $1,541 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $2,583 | $1,550 | — | — | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $2,106 | $992 | $1,916 | $1,916 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $2,106 | $992 | $495 | $2,152 | 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 | $3,184 | $986 | $211 | $3,184 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $2,817 | $986 | $1,268 | $2,817 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $2,817 | $986 | $352 | $5,160 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $2,817 | $986 | $1,211 | $2,817 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $2,817 | $986 | $352 | $5,160 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $2,817 | $986 | $1,211 | $2,817 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $2,817 | $986 | $335 | $5,160 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $2,817 | $986 | $1,211 | $2,817 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $2,817 | $986 | $335 | $5,160 | 0 insurers |
| WELLSPAN GOOD SAMARITAN HOSPITAL | PA | $1,948 | $1,558 | — | — | 0 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $2,230 | $1,561 | — | — | 0 insurers |
| GROSSMONT HOSPITAL | CA | $2,087 | $1,565 | — | — | 0 insurers |
| SHARP MEMORIAL HOSPITAL | CA | $2,087 | $1,565 | — | — | 0 insurers |
| SHARP CHULA VISTA MEDICAL CENTER | CA | $2,087 | $1,565 | — | — | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $1,568 | $1,568 | — | — | 0 insurers |
| GENEVA GENERAL HOSPITAL | NY | $2,427 | $971 | — | — | 0 insurers |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES | NY | $2,427 | $971 | — | — | 0 insurers |
| DELTA COUNTY MEMORIAL HOSPITAL | CO | $1,614 | $968 | — | — | 0 insurers |
| MERCY MEDICAL CENTER INC | MD | $1,205 | $967 | $126 | $1,205 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | WA | $1,174 | $967 | $126 | $1,174 | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $2,752 | $963 | — | — | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $1,926 | $963 | $1,194 | $1,541 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $1,926 | $963 | $254 | $7,934 | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $2,596 | $1,584 | $1,272 | $2,414 | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $2,596 | $1,584 | $254 | $3,908 | 0 insurers |
| FAYETTE MEDICAL CENTER | AL | $959 | $959 | $959 | $959 | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $959 | $959 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $959 | $959 | — | — | 0 insurers |
| OCHSNER STENNIS MEMORIAL HOSPITAL | MS | $2,300 | $1,587 | — | — | 0 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $1,590 | $417 | $3,000 | 0 insurers |
| REGIONAL MEDICAL CENTER | IA | $1,988 | $1,590 | — | — | 0 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $2,371 | $948 | — | — | 0 insurers |
| ADVENTHEALTH FISH MEMORIAL | FL | $1,720 | $946 | $392 | $2,236 | 0 insurers |
| SOUTH COUNTY HOSPITAL INC | RI | $1,561 | $937 | — | — | 0 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $2,307 | $1,615 | — | — | 0 insurers |
| THE QUEENS MEDICAL CENTER | HI | $2,307 | $1,615 | — | — | 0 insurers |
| MOUNT GRANT GENERAL HOSPITAL | NV | $4,296 | $927 | $110 | $4,167 | 0 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $4,296 | $927 | $110 | $4,167 | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | $5,859 | $1,617 | — | — | 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 |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $1,672 | $920 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $2,157 | $917 | — | — | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $3,263 | $910 | $2,610 | $2,839 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $3,263 | $910 | $750 | $6,040 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $3,094 | $910 | $2,228 | $2,537 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $3,094 | $910 | $650 | $8,422 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $2,799 | $1,635 | $1,567 | $2,743 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $2,799 | $1,635 | $1,184 | $2,799 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $2,799 | $1,635 | $1,567 | $2,743 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $2,799 | $1,635 | $1,184 | $2,799 | 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 |
| KNAPP MEDICAL CENTER | TX | $3,808 | $906 | $175 | $3,732 | 0 insurers |
| DALLAS MEDICAL CENTER | TX | $4,145 | $906 | $269 | $3,316 | 0 insurers |
| HARLINGEN MEDICAL CENTER | TX | $5,477 | $906 | $276 | $4,382 | 0 insurers |
| SOUTHERN REGIONAL MEDICAL CENTER | GA | $6,653 | $905 | $854 | $6,653 | 0 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $3,281 | $1,641 | — | — | 0 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $3,281 | $1,641 | — | — | 0 insurers |
| AdventHealth Palm Coast | FL | $1,632 | $897 | $210 | $1,903 | 0 insurers |
| HAYWOOD REGIONAL MEDICAL CENTER | NC | $4,123 | $1,649 | — | — | 0 insurers |
| CENTRAL MAINE MEDICAL CENTER | ME | $2,761 | $894 | $828 | $2,761 | 0 insurers |
| LOWER BUCKS HOSPITAL | PA | $3,184 | $892 | $110 | $2,547 | 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 |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $4,157 | $1,663 | — | — | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | $2,840 | $877 | $822 | $12,538 | 0 insurers |
| EAST COOPER MEDICAL CENTER | SC | $5,741 | $877 | $707 | $8,579 | 0 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $877 | $717 | $1,611 | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $2,157 | $865 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $2,157 | $865 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $2,157 | $865 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $2,157 | $865 | — | — | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $1,730 | $865 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $2,157 | $865 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $2,156 | $865 | — | — | 0 insurers |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE | TX | $2,799 | $1,679 | $826 | $3,361 | 0 insurers |
| ST GABRIELS HOSPITAL | MN | $1,724 | $862 | $149 | $1,684 | 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 |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $2,334 | $857 | $1,634 | $1,844 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $2,334 | $857 | $828 | $8,109 | 0 insurers |
| SAINT JOHN HOSPITAL | KS | $2,974 | $854 | $139 | $2,528 | 0 insurers |
| PROVIDENCE MEDICAL CENTER | KS | $2,975 | $854 | $139 | $2,749 | 0 insurers |
| POUDRE VALLEY HOSPITAL | CO | $2,416 | $1,691 | — | — | 0 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $2,416 | $1,691 | — | — | 0 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $2,423 | $1,696 | — | — | 0 insurers |
| SAINT JOSEPH EAST | KY | $2,106 | $846 | $1,916 | $1,916 | 0 insurers |
| SAINT JOSEPH EAST | KY | $2,106 | $846 | $515 | $2,584 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $2,106 | $846 | $1,916 | $1,916 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $2,106 | $846 | $515 | $2,584 | 0 insurers |
| OSWEGO HOSPITAL | NY | $1,123 | $843 | — | — | 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 |
| VIRGINIA MASON MEDICAL CENTER | WA | $3,361 | $1,714 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $2,858 | $1,715 | $893 | $4,587 | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $2,724 | $1,716 | $1,907 | $2,642 | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $2,724 | $1,716 | $1,144 | $2,642 | 0 insurers |
| ADVENTHEALTH DELAND | FL | $1,485 | $817 | $210 | $1,846 | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $4,319 | $1,728 | — | — | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $4,319 | $1,728 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $4,319 | $1,728 | — | — | 0 insurers |
| MERCY HOSPITAL | CA | $2,037 | $815 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $2,037 | $815 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $2,167 | $1,734 | — | — | 0 insurers |
| JACKSON HEALTH SYSTEM | FL | $18,074 | $809 | $1,797 | $3,428 | 0 insurers |
| ALAMEDA HOSPITAL | CA | $1,617 | $809 | $647 | $1,213 | 0 insurers |
| HIGHLAND HOSPITAL | CA | $1,617 | $809 | $647 | $1,213 | 0 insurers |
| OCHSNER RUSH HOSPITAL | MS | $2,300 | $805 | — | — | 0 insurers |
| SOUTHWESTERN VERMONT MEDICAL CENTER | VT | $2,483 | $1,738 | — | — | 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 |
| OCHSNER CHOCTAW GENERAL | AL | $2,300 | $1,748 | — | — | 0 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $4,374 | $1,750 | — | — | 0 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $4,374 | $1,750 | — | — | 0 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $4,374 | $1,750 | — | — | 0 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $4,374 | $1,750 | — | — | 0 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $4,374 | $1,750 | — | — | 0 insurers |
| HENDERSON HOSPITAL | NV | $4,374 | $1,750 | — | — | 0 insurers |
| WEST HENDERSON HOSPITAL | NV | $4,374 | $1,750 | — | — | 0 insurers |
| BAXTER HEALTH | AR | $1,310 | $786 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $2,004 | $782 | $720 | $2,570 | 0 insurers |
| FROEDTERT COMMUNITY HOSPITAL | WI | $1,421 | $782 | — | — | 0 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $1,116 | $781 | $525 | $1,513 | 0 insurers |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC | ID | $1,116 | $781 | $500 | $2,094 | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $2,875 | $1,762 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $1,660 | $780 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $2,224 | $778 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $2,224 | $778 | — | — | 0 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $2,224 | $778 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $2,224 | $778 | — | — | 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 |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $2,898 | $777 | $1,565 | $2,434 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $2,898 | $777 | $140 | $4,808 | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $1,550 | $775 | — | — | 0 insurers |
| ADVENTHEALTH OCALA | FL | $1,285 | $771 | — | — | 0 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $1,100 | $770 | — | — | 0 insurers |
| THE GENERAL | LA | $1,100 | $770 | — | — | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $1,973 | $770 | — | — | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $1,958 | $762 | $215 | $1,606 | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $1,958 | $762 | $133 | $9,971 | 0 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | $2,229 | $1,783 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $1,370 | $754 | — | — | 0 insurers |
| ADVENTHEALTH CENTRAL TEXAS | TX | $1,495 | $748 | $668 | $1,346 | 0 insurers |
| ADVENTHEALTH ROLLINS BROOK | TX | $1,495 | $748 | $668 | $1,346 | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $2,767 | $1,799 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $2,767 | $1,799 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $1,469 | $735 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $1,469 | $735 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $1,469 | $735 | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $4,737 | $1,810 | $2,842 | $3,742 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $4,737 | $1,810 | $140 | $6,448 | 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 |
| MERCY GILBERT MEDICAL CENTER | AZ | $2,898 | $713 | $1,565 | $2,231 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $2,898 | $713 | $140 | $4,808 | 0 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $2,289 | $1,831 | — | — | 0 insurers |
| RANDOLPH HOSPITAL | NC | $3,513 | $703 | — | — | 0 insurers |
| BELL HOSPITAL | MI | $1,166 | $700 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER | MO | $3,076 | $1,846 | $893 | $4,587 | 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 |
| SANFORD USD MEDICAL CENTER | SD | $2,327 | $1,862 | — | — | 0 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $2,500 | $666 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | $2,353 | $1,882 | — | — | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $2,550 | $1,892 | $2,168 | $2,474 | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $2,550 | $1,892 | $140 | $2,474 | 0 insurers |
| TEXOMA MEDICAL CENTER | TX | $2,530 | $1,898 | — | — | 0 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $2,884 | $1,903 | — | — | 0 insurers |
| RUTHERFORD REGIONAL MEDICAL CENTER | NC | $1,590 | $636 | — | — | 0 insurers |
| MEMORIAL HOSPITAL | TX | $3,828 | $1,914 | $277 | $3,625 | 0 insurers |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | TX | $3,828 | $1,914 | $277 | $3,625 | 0 insurers |
| MEMORIAL HOSPITAL | TX | $3,828 | $1,914 | $277 | $3,625 | 0 insurers |
| MEMORIAL HOSPITAL | TX | $3,828 | $1,914 | $277 | $3,625 | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $3,192 | $1,915 | $908 | $8,198 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $3,192 | $1,915 | $908 | $8,198 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $3,192 | $1,915 | $908 | $8,198 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $3,192 | $1,915 | $908 | $8,198 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $3,192 | $1,915 | $908 | $10,264 | 0 insurers |
| HOLY FAMILY MEMORIAL | WI | — | $627 | $98.11 | $1,141 | 0 insurers |
| FRYE REGIONAL MEDICAL CENTER | NC | $1,566 | $626 | — | — | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,463 | $626 | $922 | $1,434 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $1,463 | $626 | $805 | $9,715 | 0 insurers |
| OCH REGIONAL MEDICAL CENTER | MS | $970 | $621 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $3,865 | $1,933 | — | — | 0 insurers |
| BARNES-KASSON COUNTY HOSPITAL | PA | $2,780 | $1,946 | — | — | 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 |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $577 | $577 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | $1,978 | $1,978 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | $1,978 | $1,978 | — | — | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $1,958 | $564 | $1,469 | $1,625 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $1,958 | $564 | $133 | $9,228 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $9,657 | $1,980 | $2,897 | $6,953 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $9,657 | $1,980 | $135 | $6,953 | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | $1,814 | $562 | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,432 | $561 | $387 | $1,403 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,432 | $561 | $387 | $8,190 | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $1,120 | $560 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $1,120 | $560 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $1,120 | $560 | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $1,120 | $560 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $1,120 | $560 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $1,120 | $560 | — | — | 0 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $1,120 | $560 | — | — | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $1,120 | $560 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $1,120 | $560 | — | — | 0 insurers |
| AURORA LAKELAND MEDICAL CENTER | WI | $1,120 | $560 | — | — | 0 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $1,120 | $560 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $1,120 | $560 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $1,120 | $560 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $1,120 | $560 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $1,120 | $560 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $1,120 | $560 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $1,120 | $560 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $1,120 | $560 | — | — | 0 insurers |
| COX MEDICAL CENTERS | MO | $2,204 | $555 | — | — | 0 insurers |
| COX MEDICAL CENTER BRANSON | MO | $2,204 | $555 | — | — | 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 | $133 | $12,615 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $2,016 | $2,016 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK | AR | $2,078 | $519 | — | — | 0 insurers |
| BAPTIST HEALTH - FORT SMITH | AR | $2,078 | $519 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,036 | $518 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | AR | $2,055 | $514 | — | — | 0 insurers |
| LAKE CUMBERLAND REGIONAL HOSPITAL | KY | $1,260 | $504 | — | — | 0 insurers |
| MISSION COMMUNITY HOSPITAL | CA | $3,157 | $2,052 | — | — | 0 insurers |
| MISSION COMMUNITY HOSPITAL | CA | $3,157 | $2,052 | — | — | 0 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $4,815 | $482 | — | — | 0 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $4,815 | $482 | — | — | 0 insurers |
| ADVENTHEALTH WATERMAN | FL | $3,752 | $2,064 | $413 | $3,377 | 0 insurers |
| BAPTIST MEDICAL CENTER BEACHES | FL | $2,503 | $476 | — | — | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $5,177 | $2,071 | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | $2,090 | $2,090 | — | — | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $1,406 | $450 | $633 | $2,610 | 0 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $2,097 | $2,097 | — | — | 0 insurers |
| AIKEN REGIONAL MEDICAL CENTER | SC | $1,112 | $445 | — | — | 0 insurers |
| SWEETWATER HOSPITAL ASSOCIATION | TN | $1,112 | $445 | — | — | 0 insurers |
| ST THOMAS MORE HOSPITAL | CO | $1,109 | $444 | — | — | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | $2,100 | $2,100 | — | — | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | $2,100 | $2,100 | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | $2,100 | $2,100 | — | — | 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 |
| ALTRU HOSPITAL | ND | $712 | $434 | — | — | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $1,069 | $428 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $4,235 | $424 | — | — | 0 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $414 | $414 | — | — | 0 insurers |
| BALDWIN HEALTH | AL | $4,100 | $2,132 | — | — | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $4,100 | $2,132 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $4,100 | $2,132 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $4,100 | $2,132 | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $4,100 | $2,132 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $4,100 | $2,132 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $2,669 | $2,135 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $2,669 | $2,135 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $2,669 | $2,135 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $2,669 | $2,135 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $2,669 | $2,135 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $2,669 | $2,135 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $2,669 | $2,135 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $2,669 | $2,135 | — | — | 0 insurers |
| BROADLAWNS MEDICAL CENTER | IA | $389 | $389 | — | — | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $889 | $373 | $533 | $756 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $889 | $373 | $133 | $3,259 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $889 | $373 | $533 | $756 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $889 | $373 | $151 | $3,259 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $889 | $373 | $533 | $756 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $889 | $373 | $124 | $3,259 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $889 | $373 | $533 | $756 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $889 | $373 | $160 | $3,259 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $889 | $373 | $533 | $756 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $889 | $373 | $142 | $3,259 | 0 insurers |
| BRISTOL HOSPITAL | CT | $2,407 | $361 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $2,407 | $361 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $2,407 | $361 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $2,407 | $361 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $2,407 | $361 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $2,407 | $361 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $2,407 | $361 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $2,407 | $361 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $2,407 | $361 | — | — | 0 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $2,407 | $361 | — | — | 0 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $2,407 | $361 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $2,407 | $361 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $2,407 | $361 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $2,407 | $361 | — | — | 0 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $2,407 | $361 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $2,407 | $361 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $2,407 | $361 | — | — | 0 insurers |
| NORTHSIDE HOSPITAL FORSYTH | GA | — | $360 | — | — | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $2,006 | $351 | $1,705 | $2,006 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $2,006 | $351 | $352 | $4,168 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $2,006 | $351 | $758 | $2,006 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $2,006 | $351 | $352 | $2,888 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $2,006 | $351 | $695 | $2,006 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $2,006 | $351 | $256 | $4,168 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $2,006 | $351 | $1,369 | $2,006 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $2,006 | $351 | $352 | $4,168 | 0 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $824 | $346 | — | — | 0 insurers |
| SOUTH CENTRAL HEALTH | ND | $824 | $346 | — | — | 0 insurers |
| Baylor St Lukes Medical Center | TX | $970 | $340 | $288 | $2,700 | 0 insurers |
| CHI ST LUKES LAKESIDE HOSPITAL | TX | $970 | $340 | $288 | $3,392 | 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 |
| 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 |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $365 | $274 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $1,440 | $274 | — | — | 0 insurers |
| BUENA VISTA REGIONAL MEDICAL CENTER | IA | $250 | $250 | $111 | $1,368 | 0 insurers |
| CHESAPEAKE GENERAL HOSPITAL | VA | $410 | $246 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $425 | $213 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $350 | $175 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $350 | $175 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $350 | $175 | — | — | 0 insurers |
| STEPHENS MEMORIAL HOSPITAL | TX | $172 | $172 | — | — | 0 insurers |
| ROME MEMORIAL HOSPITAL, INC | NY | $373 | $151 | — | — | 0 insurers |