| ADVOCATE SHERMAN HOSPITAL | IL | $2,740 | $1,370 | — | — | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $2,740 | $1,370 | — | — | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $2,740 | $1,370 | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $2,740 | $1,370 | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $2,740 | $1,370 | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $2,740 | $1,370 | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $2,740 | $1,370 | — | — | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $2,797 | $1,371 | $1,594 | $2,741 | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $2,797 | $1,371 | $979 | $2,741 | 0 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $4,159 | $1,372 | $121 | $3,535 | 0 insurers |
| HAYWOOD REGIONAL MEDICAL CENTER | NC | $3,414 | $1,366 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $3,406 | $1,362 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $3,406 | $1,362 | — | — | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $3,210 | $1,362 | $2,343 | $2,921 | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $3,210 | $1,362 | $231 | $2,921 | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $2,094 | $1,361 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $2,762 | $1,381 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $2,762 | $1,381 | — | — | 0 insurers |
| CRITTENDEN COMMUNITY HOSPITAL | KY | $2,382 | $1,382 | — | — | 0 insurers |
| NATIONAL JEWISH HEALTH | CO | $1,937 | $1,356 | — | — | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $2,773 | $1,387 | $1,719 | $2,218 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $2,773 | $1,387 | $197 | $2,805 | 0 insurers |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER | WA | $2,134 | $1,387 | — | — | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $2,704 | $1,352 | — | — | 0 insurers |
| ANTELOPE VALLEY HOSPITAL | CA | $1,351 | $1,351 | — | — | 0 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | $1,688 | $1,350 | — | — | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $2,070 | $1,346 | — | — | 0 insurers |
| CHI OAKES HOSPITAL | ND | $2,683 | $1,395 | $1,959 | $2,603 | 0 insurers |
| CHI OAKES HOSPITAL | ND | $2,683 | $1,395 | $1,067 | $2,603 | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $3,362 | $1,345 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $2,635 | $1,344 | $1,950 | $2,372 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $2,635 | $1,344 | $242 | $2,372 | 0 insurers |
| CHARLESTON AREA MEDICAL CENTER | WV | $1,791 | $1,343 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $3,993 | $1,398 | $244 | $660 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $3,993 | $1,398 | $244 | $660 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $3,993 | $1,398 | $244 | $660 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $3,993 | $1,398 | $244 | $660 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $3,993 | $1,398 | $244 | $660 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $3,993 | $1,398 | $244 | $660 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $3,993 | $1,398 | $244 | $660 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $3,993 | $1,398 | $244 | $660 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $3,993 | $1,398 | $244 | $660 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $3,993 | $1,398 | $244 | $660 | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $2,797 | $1,343 | $1,678 | $2,741 | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $2,797 | $1,343 | $1,203 | $2,741 | 0 insurers |
| CALDWELL MEDICAL CENTER | KY | $1,870 | $1,402 | — | — | 0 insurers |
| LINCOLN HEALTH HOSPITAL | CO | $2,817 | $1,335 | — | — | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $4,376 | $1,331 | $3,151 | $3,282 | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $4,376 | $1,331 | $274 | $3,282 | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $3,323 | $1,329 | — | — | 0 insurers |
| OPTIM MEDICAL CENTER - SCREVEN | GA | $1,328 | $1,328 | $212 | $952 | 0 insurers |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | TX | $4,050 | $1,418 | $196 | $3,645 | 0 insurers |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | TX | $4,050 | $1,418 | $196 | $3,645 | 0 insurers |
| ST ANTHONY HOSPITAL | OR | $2,086 | $1,421 | $1,126 | $1,982 | 0 insurers |
| ST ANTHONY HOSPITAL | OR | $2,086 | $1,421 | $214 | $1,982 | 0 insurers |
| ST ANTHONY HOSPITAL | WA | $2,086 | $1,421 | $1,126 | $1,982 | 0 insurers |
| ST ANTHONY HOSPITAL | WA | $2,086 | $1,421 | $214 | $1,982 | 0 insurers |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER | WA | $2,027 | $1,318 | — | — | 0 insurers |
| GRANVILLE HEALTH SYSTEMS | NC | $1,639 | $1,311 | — | — | 0 insurers |
| F W HUSTON MEDICAL CENTER | KS | $1,800 | $1,440 | — | — | 0 insurers |
| SHARE MEDICAL CENTER | OK | $1,995 | $1,297 | — | — | 0 insurers |
| GREENE COUNTY HOSPITAL | AL | $2,308 | $1,292 | — | — | 0 insurers |
| GREENE COUNTY HOSPITAL | AL | $2,308 | $1,292 | — | — | 0 insurers |
| GREENE COUNTY MEDICAL CENTER | IA | $2,308 | $1,292 | — | — | 0 insurers |
| GREENE COUNTY MEDICAL CENTER | IA | $2,308 | $1,292 | — | — | 0 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | $2,069 | $1,448 | — | — | 0 insurers |
| RANDOLPH HOSPITAL | NC | $6,450 | $1,290 | — | — | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $2,145 | $1,287 | $239 | $2,250 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $2,145 | $1,287 | $239 | $2,250 | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $2,145 | $1,287 | $239 | $2,250 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $2,145 | $1,287 | $239 | $2,250 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $2,145 | $1,287 | $239 | $2,250 | 0 insurers |
| ALTON MEMORIAL HOSPITAL | IL | $2,145 | $1,287 | $239 | $2,250 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $2,145 | $1,287 | $239 | $2,250 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $2,145 | $1,287 | $239 | $2,250 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $2,145 | $1,287 | $239 | $2,250 | 0 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $2,145 | $1,287 | $239 | $2,250 | 0 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $2,145 | $1,287 | $239 | $2,250 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $2,145 | $1,287 | $239 | $2,250 | 0 insurers |
| PROGRESS WEST HOSPITAL | MO | $2,145 | $1,287 | $235 | $5,549 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $3,505 | $1,286 | $2,454 | $2,769 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $3,505 | $1,286 | $307 | $3,877 | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $2,311 | $1,456 | $1,618 | $2,242 | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $2,311 | $1,456 | $971 | $2,242 | 0 insurers |
| CLEVELAND AREA HOSPITAL | OK | $1,460 | $1,460 | — | — | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $5,347 | $1,465 | $588 | $4,919 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $5,347 | $1,465 | $300 | $10,686 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $5,347 | $1,465 | $588 | $4,438 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $5,347 | $1,465 | $220 | $7,195 | 0 insurers |
| WETZEL COUNTY HOSPITAL | WV | $2,538 | $1,269 | — | — | 0 insurers |
| NORTHSIDE HOSPITAL FORSYTH | GA | — | $1,267 | — | — | 0 insurers |
| STARR REGIONAL MEDICAL CENTER ATHENS | TN | $6,462 | $1,267 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER | MO | $2,106 | $1,264 | $235 | $5,549 | 0 insurers |
| MISSOURI BAPTIST SULLIVAN HOSPITAL | MO | $2,106 | $1,264 | $239 | $2,250 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,622 | $1,262 | $843 | $1,590 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $1,622 | $1,262 | $389 | $1,590 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,622 | $1,262 | $843 | $1,590 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $1,622 | $1,262 | $389 | $1,590 | 0 insurers |
| ST CLARE HOSPITAL | WA | $4,376 | $1,261 | $3,151 | $3,282 | 0 insurers |
| ST CLARE HOSPITAL | WA | $4,376 | $1,261 | $274 | $3,282 | 0 insurers |
| LORING HOSPITAL | IA | $1,575 | $1,260 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $2,778 | $1,481 | $2,084 | $2,639 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $2,778 | $1,481 | $206 | $2,667 | 0 insurers |
| ST LUKES HOSPITAL | MN | $2,245 | $1,257 | — | — | 0 insurers |
| DELTA MEMORIAL HOSPITAL | AR | $1,568 | $1,255 | — | — | 0 insurers |
| RALEIGH GENERAL HOSPITAL | WV | $3,135 | $1,254 | — | — | 0 insurers |
| SUSAN B ALLEN MEMORIAL HOSPITAL | KS | $1,929 | $1,254 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $2,478 | $1,487 | $235 | $5,549 | 0 insurers |
| HIGHPOINT HEALTH-TROUSDALE WITH ASCENSION SAINT | TN | $6,476 | $1,489 | — | — | 0 insurers |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH | TN | $6,476 | $1,489 | — | — | 0 insurers |
| CARILION STONEWALL JACKSON HOSPITAL | VA | $2,085 | $1,251 | $226 | $2,002 | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | $1,250 | $1,250 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | $1,250 | $1,250 | — | — | 0 insurers |
| BAYLOR SCOTT AND WHITE ORTHOPEDIC AND SPINE HOSPI | TX | $2,078 | $1,247 | $976 | $8,427 | 0 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $1,766 | $1,236 | — | — | 0 insurers |
| THE GENERAL | LA | $1,766 | $1,236 | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | $1,890 | $1,512 | $250 | $267 | 0 insurers |
| MARIA PARHAM MEDICAL CENTER | NC | $3,783 | $1,513 | — | — | 0 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $1,791 | $1,522 | — | — | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $4,106 | $1,215 | $3,326 | $3,326 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $4,106 | $1,215 | $216 | $3,326 | 0 insurers |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER | AK | $2,347 | $1,526 | — | — | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $2,879 | $1,209 | $1,727 | $2,447 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $2,879 | $1,209 | $230 | $2,447 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $2,879 | $1,209 | $1,727 | $2,447 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $2,879 | $1,209 | $204 | $2,447 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $2,879 | $1,209 | $1,727 | $2,447 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $2,879 | $1,209 | $199 | $2,447 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $2,879 | $1,209 | $1,727 | $2,447 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $2,879 | $1,209 | $197 | $2,447 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $2,879 | $1,209 | $1,727 | $2,447 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $2,879 | $1,209 | $197 | $2,447 | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $2,417 | $1,209 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $2,417 | $1,209 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $2,417 | $1,209 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $2,193 | $1,206 | — | — | 0 insurers |
| JACKSON COUNTY REGIONAL HEALTH CENTER | IA | $1,539 | $1,539 | — | — | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $5,347 | $1,540 | $4,010 | $4,438 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $5,347 | $1,540 | $220 | $7,195 | 0 insurers |
| STARR COUNTY MEMORIAL HOSPITAL | TX | $1,200 | $1,200 | — | — | 0 insurers |
| UNION GENERAL HOSPITAL | GA | $2,381 | $1,191 | — | — | 0 insurers |
| SLEEPY EYE MEDICAL CENTER | MN | $4,864 | $1,190 | — | — | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $3,386 | $1,185 | $1,693 | $1,693 | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $3,386 | $1,185 | $203 | $1,693 | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $1,691 | $1,184 | $194 | $1,691 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $5,315 | $1,563 | $3,827 | $4,358 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $5,315 | $1,563 | $292 | $4,941 | 0 insurers |
| POINTE COUPEE GENERAL HOSPITAL | LA | $1,294 | $1,164 | — | — | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $2,673 | $1,577 | $1,470 | $2,513 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $2,673 | $1,577 | $197 | $2,513 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $2,673 | $1,577 | $1,470 | $2,513 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $2,673 | $1,577 | $197 | $2,513 | 0 insurers |
| CITIZENS MEDICAL CENTER | TX | $3,161 | $1,581 | — | — | 0 insurers |
| SIOUX FALLS SPECIALTY HOSPITAL | SD | $1,545 | $1,159 | $122 | $1,545 | 0 insurers |
| Adventhealth Zephyrhills | FL | $1,929 | $1,157 | $118 | $1,710 | 0 insurers |
| ADVENTHEALTH TAMPA | FL | $1,929 | $1,157 | $2.95 | $1,736 | 0 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $2,437 | $1,584 | — | — | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $1,985 | $1,588 | $258 | $1,985 | 0 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $1,985 | $1,588 | $258 | $1,985 | 0 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $2,648 | $1,589 | — | — | 0 insurers |
| METHODIST HOSPITAL UNION COUNTY | KY | $1,767 | $1,149 | — | — | 0 insurers |
| WAYNE COUNTY HOSPITAL | IA | $1,758 | $1,143 | — | — | 0 insurers |
| THE PHYSICIANS' HOSPITAL IN ANADARKO | OK | $2,664 | $1,599 | $525 | $2,664 | 0 insurers |
| RURAL WELLNESS STROUD HOSPITAL | OK | $2,664 | $1,599 | $525 | $3,464 | 0 insurers |
| RURAL WELLNESS FAIRFAX HOSPITAL | OK | $2,664 | $1,599 | $525 | $3,197 | 0 insurers |
| CHI ST ALEXIUS HEALTH DEVILS LAKE | ND | $3,813 | $1,601 | $2,745 | $3,622 | 0 insurers |
| CHI ST ALEXIUS HEALTH DEVILS LAKE | ND | $3,813 | $1,601 | $1,449 | $3,622 | 0 insurers |
| ELKVIEW GENERAL HOSPITAL | OK | $1,893 | $1,136 | — | — | 0 insurers |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA | TN | $4,949 | $1,613 | — | — | 0 insurers |
| BUCHANAN COUNTY HEALTH CENTER | IA | $1,903 | $1,617 | — | — | 0 insurers |
| BUCHANAN COUNTY HEALTH CENTER | IA | $1,903 | $1,617 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,860 | $1,116 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,860 | $1,116 | — | — | 0 insurers |
| WAYNE HOSPITAL | OH | $2,170 | $1,628 | — | — | 0 insurers |
| ADVENTHEALTH DADE CITY | FL | $1,837 | $1,102 | $134 | $1,653 | 0 insurers |
| FORT DUNCAN MEDICAL CENTER | TX | $2,754 | $1,102 | — | — | 0 insurers |
| HAWARDEN REGIONAL HEALTHCARE | IA | $1,293 | $1,099 | — | — | 0 insurers |
| BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH | TX | $1,817 | $1,090 | $854 | $8,427 | 0 insurers |
| BAYLOR MEDICAL CENTER AT TROPHY CLUB | TX | $1,817 | $1,090 | $854 | $8,427 | 0 insurers |
| ST CROIX REGIONAL MEDICAL CENTER | WI | $1,950 | $1,072 | — | — | 0 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $2,116 | $1,058 | — | — | 0 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $2,116 | $1,058 | — | — | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $1,047 | $222 | $1,781 | 0 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $1,047 | $222 | $1,695 | 0 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $1,047 | $222 | $1,579 | 0 insurers |
| BENSON HOSPITAL | AZ | $2,165 | $1,039 | — | — | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $2,788 | $1,022 | $2,537 | $2,537 | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $2,788 | $1,022 | $227 | $2,537 | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | $3,269 | $1,013 | — | — | 0 insurers |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE | TN | $4,061 | $1,011 | — | — | 0 insurers |
| CARILION MEDICAL CENTER | VA | $2,869 | $1,004 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $2,869 | $1,004 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $2,869 | $1,004 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $2,869 | $1,004 | — | — | 0 insurers |
| APPLETON AREA HEALTH | MN | $1,783 | $998 | — | — | 0 insurers |
| THEDACARE REGIONAL MED CTR - NEENAH | WI | $1,783 | $998 | — | — | 0 insurers |
| THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC | WI | $1,783 | $998 | — | — | 0 insurers |
| THEDACARE MEDICAL CENTER - BERLIN INC | WI | $1,783 | $998 | — | — | 0 insurers |
| COX BARTON COUNTY HOSPITAL | MO | $3,117 | $994 | — | — | 0 insurers |
| CHATUGE REGIONAL HOSPITAL | GA | $1,985 | $992 | — | — | 0 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $981 | $981 | — | — | 0 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $1,615 | $969 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,209 | $967 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $1,209 | $967 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,209 | $967 | — | — | 0 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $955 | $955 | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $5,020 | $954 | — | — | 0 insurers |
| HOLMES COUNTY HOSPITAL AND CLINICS | MS | $2,377 | $951 | — | — | 0 insurers |
| COX MONETT HOSPITAL | MO | $3,117 | $951 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $1,890 | $945 | — | — | 0 insurers |
| RUSSELL REGIONAL HOSPITAL | KS | $1,103 | $937 | — | — | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | $1,860 | $930 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | $1,860 | $930 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $3,612 | $927 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $3,612 | $927 | $224 | $2,828 | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $3,612 | $918 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $3,612 | $918 | $222 | $2,828 | 0 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | $1,527 | $916 | — | — | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $1,479 | $916 | — | — | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $1,544 | $911 | — | — | 0 insurers |
| ST MARY-CORWIN HOSPITAL | CO | $2,264 | $905 | — | — | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $2,264 | $905 | — | — | 0 insurers |
| BOB WILSON MEMORIAL HOSPITAL | KS | $2,264 | $905 | — | — | 0 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $2,310 | $901 | — | — | 0 insurers |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | AR | $1,168 | $900 | — | — | 0 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | $1,280 | $896 | $288 | $1,779 | 0 insurers |
| CONEMAUGH MINERS MEDICAL CENTER | PA | $2,235 | $894 | — | — | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $1,458 | $894 | — | — | 0 insurers |
| DAVIS MEDICAL CENTER | WV | $1,272 | $890 | — | — | 0 insurers |
| BROADDUS HOSPITAL ASSOCIATION, INC | WV | $1,272 | $890 | — | — | 0 insurers |
| WEBSTER MEMORIAL HOSPITAL | WV | $1,272 | $890 | — | — | 0 insurers |
| BUNKIE GENERAL HOSPITAL | LA | $890 | $890 | — | — | 0 insurers |
| HUTCHINSON HEALTH | MN | — | $886 | $886 | $3,214 | 0 insurers |
| TOUCHETTE REGIONAL HOSPITAL INC | IL | $1,428 | $885 | — | — | 0 insurers |
| CIMARRON MEMORIAL HOSPITAL | OK | $1,255 | $879 | $489 | $1,013 | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $2,186 | $874 | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $4,353 | $871 | — | — | 0 insurers |
| NORTON HOSPITALS, INC | KY | $4,353 | $871 | — | — | 0 insurers |
| ADVENTHEALTH OCALA | FL | $1,449 | $869 | — | — | 0 insurers |
| SAN GORGONIO MEMORIAL HOSPITAL | CA | $4,322 | $864 | — | — | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $1,462 | $854 | $819 | $1,433 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $1,462 | $854 | $307 | $1,433 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $1,462 | $854 | $819 | $1,433 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $1,462 | $854 | $307 | $1,433 | 0 insurers |
| ELLIS HOSPITAL | NY | $1,672 | $836 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $2,138 | $834 | $385 | $1,374 | 0 insurers |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | MI | $979 | $832 | — | — | 0 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $8,302 | $830 | — | — | 0 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $8,302 | $830 | — | — | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | $2,070 | $828 | $187 | $1,760 | 0 insurers |
| WEIRTON MEDICAL CENTER, INC | WV | $1,654 | $827 | — | — | 0 insurers |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN | MS | $2,712 | $814 | — | — | 0 insurers |
| ANAHEIM COMMUNITY HOSPITAL, LLC | CA | $2,032 | $813 | — | — | 0 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $2,319 | $812 | $229 | $4,500 | 0 insurers |
| CAREWELL HEALTH MEDICAL CENTER | NJ | $946 | $804 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $1,544 | $803 | — | — | 0 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $1,137 | $796 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $1,544 | $787 | — | — | 0 insurers |
| COX MEDICAL CENTERS | MO | $3,117 | $786 | — | — | 0 insurers |
| COX MEDICAL CENTER BRANSON | MO | $3,117 | $786 | — | — | 0 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $1,110 | $777 | — | — | 0 insurers |
| BAXTER HEALTH | AR | $1,287 | $772 | — | — | 0 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $1,097 | $768 | $716 | $1,097 | 0 insurers |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC | ID | $1,097 | $768 | $216 | $1,066 | 0 insurers |
| PAMPA REGIONAL MEDICAL CENTER | TX | $4,018 | $763 | $95.08 | $3,215 | 0 insurers |
| OCH REGIONAL MEDICAL CENTER | MS | $1,190 | $762 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $940 | $752 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $940 | $752 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $940 | $752 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $940 | $752 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $940 | $752 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $940 | $752 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $940 | $752 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $940 | $752 | — | — | 0 insurers |
| BELLA VISTA HOSPITAL | PR | $750 | $750 | — | — | 0 insurers |
| Baylor St Lukes Medical Center | TX | $2,139 | $749 | $166 | $2,017 | 0 insurers |
| CHI ST LUKES LAKESIDE HOSPITAL | TX | $2,139 | $749 | $166 | $2,261 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $3,583 | $735 | $1,075 | $2,580 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $3,583 | $735 | $119 | $3,514 | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $1,044 | $731 | — | — | 0 insurers |
| PUTNAM GENERAL HOSPITAL | GA | $1,461 | $731 | — | — | 0 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $1,738 | $730 | — | — | 0 insurers |
| SOUTH CENTRAL HEALTH | ND | $1,738 | $730 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $1,193 | $716 | — | — | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $2,040 | $714 | $1,326 | $1,530 | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $2,040 | $714 | $222 | $2,812 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $1,476 | $712 | $679 | $1,343 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $1,476 | $712 | $407 | $1,343 | 0 insurers |
| CONEMAUGH NASON MEDICAL CENTER | PA | $1,757 | $703 | — | — | 0 insurers |
| CONEMAUGH MEYERSDALE MEDICAL CENTER | PA | $1,757 | $703 | — | — | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,380 | $700 | $1,242 | $1,352 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,380 | $700 | $307 | $2,540 | 0 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $1,741 | $696 | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $1,809 | $691 | $1,085 | $1,429 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $1,809 | $691 | $251 | $1,809 | 0 insurers |
| UCSF HEALTH SAINT FRANCIS HOSPITAL | CA | $979 | $685 | $347 | $7,012 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $1,925 | $674 | $866 | $1,925 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $1,925 | $674 | $174 | $2,812 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $1,925 | $674 | $828 | $1,925 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $1,925 | $674 | $174 | $2,812 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $1,925 | $674 | $828 | $1,925 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $1,925 | $674 | $154 | $2,812 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $1,925 | $674 | $828 | $1,925 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $1,925 | $674 | $154 | $2,812 | 0 insurers |
| UCSF HEALTH ST. MARY'S HOSPITAL | CA | $955 | $669 | $347 | $8,732 | 0 insurers |
| COFFEY COUNTY HOSPITAL | KS | $2,228 | $668 | — | — | 0 insurers |
| COFFEY COUNTY HOSPITAL | KS | $2,228 | $668 | — | — | 0 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $1,203 | $662 | — | — | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,397 | $658 | $1,271 | $1,271 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,397 | $658 | $237 | $1,610 | 0 insurers |
| WELLSPAN YORK HOSPITAL | PA | $2,225 | $658 | — | — | 0 insurers |
| WELLSPAN GOOD SAMARITAN HOSPITAL | PA | $2,225 | $658 | — | — | 0 insurers |
| WELLSPAN WAYNESBORO HOSPITAL | PA | $2,225 | $658 | — | — | 0 insurers |
| WELLSPAN CHAMBERSBURG HOSPITAL | PA | $2,225 | $658 | — | — | 0 insurers |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL | PA | $2,225 | $658 | — | — | 0 insurers |
| KAISER PERMANENTE CENTRAL HOSPITAL | WA | $1,047 | $649 | $714 | $714 | 0 insurers |
| TMC- BONHAM HOSPITAL | TX | $2,164 | $649 | — | — | 0 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | $1,068 | $641 | — | — | 0 insurers |
| MONROE COUNTY HOSPITAL | AL | $1,597 | $639 | — | — | 0 insurers |
| MONROE COUNTY HOSPITAL | IA | $1,597 | $639 | — | — | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | $2,281 | $639 | — | — | 0 insurers |
| BRISTOL HOSPITAL | CT | $4,245 | $637 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $4,245 | $637 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $4,245 | $637 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $4,245 | $637 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $4,245 | $637 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $4,245 | $637 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $4,245 | $637 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $4,245 | $637 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $4,245 | $637 | — | — | 0 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $4,245 | $637 | — | — | 0 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $4,245 | $637 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $4,245 | $637 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $4,245 | $637 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $4,245 | $637 | — | — | 0 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $4,245 | $637 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $4,245 | $637 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $4,245 | $637 | — | — | 0 insurers |
| HANCOCK COUNTY HEALTH SYSTEM | IA | $2,716 | $625 | — | — | 0 insurers |
| SAINT JOSEPH LONDON | KY | $1,748 | $624 | $1,591 | $1,591 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $1,748 | $624 | $219 | $2,026 | 0 insurers |
| CARSON TAHOE REGIONAL MEDICAL CENTER | NV | $890 | $623 | $71.2 | $748 | 0 insurers |
| UNIONTOWN HOSPITAL | PA | $1,244 | $622 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $4,778 | $621 | — | — | 0 insurers |
| VALLEY MEDICAL CENTER | WA | $884 | $619 | $249 | $1,642 | 0 insurers |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM | AL | $2,442 | $611 | — | — | 0 insurers |
| PARK NICOLLET METHODIST HOSPITAL | MN | — | $607 | $607 | $1,628 | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $2,315 | $602 | $225 | $2,251 | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $1,500 | $600 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $1,500 | $600 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | AR | $2,335 | $584 | — | — | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $1,814 | $580 | $105 | $1,633 | 0 insurers |
| CLINTON REGIONAL HOSPITAL | OK | $725 | $580 | — | — | 0 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $771 | $578 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $722 | $578 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $722 | $578 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $722 | $578 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $722 | $578 | — | — | 0 insurers |
| MISSOURI DELTA MEDICAL CENTER | MO | $2,262 | $566 | — | — | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $1,814 | $562 | $126 | $1,633 | 0 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $1,814 | $562 | $105 | $1,633 | 0 insurers |
| ROANE MEDICAL CENTER | TN | $1,814 | $562 | $105 | $1,633 | 0 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $1,814 | $562 | $105 | $1,633 | 0 insurers |
| LECONTE MEDICAL CENTER | TN | $1,814 | $562 | $105 | $1,633 | 0 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $1,814 | $562 | $105 | $1,633 | 0 insurers |
| SAINT JOSEPH EAST | KY | $1,397 | $561 | $1,271 | $1,271 | 0 insurers |
| SAINT JOSEPH EAST | KY | $1,397 | $561 | $237 | $1,530 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,397 | $561 | $1,271 | $1,271 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,397 | $561 | $237 | $1,530 | 0 insurers |
| WESTERLY HOSPITAL | RI | $1,544 | $556 | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,407 | $552 | $380 | $1,379 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,407 | $552 | $272 | $2,474 | 0 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $2,885 | $548 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $2,885 | $548 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER BEACHES | FL | $2,885 | $548 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER - NASSAU | FL | $2,885 | $548 | — | — | 0 insurers |
| PARKWEST MEDICAL CENTER | TN | $1,814 | $544 | $105 | $1,633 | 0 insurers |
| LAKE MARTIN COMMUNITY HOSPITAL | AL | $710 | $533 | — | — | 0 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | $1,223 | $520 | — | — | 0 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | $1,223 | $520 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $1,223 | $520 | — | — | 0 insurers |
| SNOQUALMIE VALLEY HOSPITAL | WA | $893 | $518 | — | — | 0 insurers |
| LIBERTY REGIONAL MEDICAL CENTER | GA | $685 | $514 | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | $500 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $1,223 | $490 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $1,223 | $490 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $1,223 | $490 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $1,223 | $490 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $1,223 | $490 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $1,223 | $490 | — | — | 0 insurers |
| MAGNOLIA REGIONAL MEDICAL HOSPITAL | AR | $816 | $490 | — | — | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $2,774 | $485 | $2,358 | $2,774 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $2,774 | $485 | $223 | $3,947 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $2,774 | $485 | $1,049 | $2,774 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $2,774 | $485 | $294 | $2,497 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $2,774 | $485 | $961 | $2,774 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $2,774 | $485 | $294 | $3,947 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $2,774 | $485 | $1,893 | $2,774 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $2,774 | $485 | $294 | $3,947 | 0 insurers |
| HOSPITAL COMUNITARIO BUEN SAMARITANO INC | PR | $468 | $468 | — | — | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $1,426 | $465 | $725 | $1,141 | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $1,426 | $465 | $293 | $1,976 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $1,426 | $465 | $725 | $1,141 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $1,426 | $465 | $293 | $1,976 | 0 insurers |
| MADISON MEMORIAL HOSPITAL | ID | $546 | $464 | — | — | 0 insurers |
| MADISON HOSPITAL | MN | $546 | $464 | — | — | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $1,691 | $453 | $913 | $1,420 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $1,691 | $453 | $237 | $1,691 | 0 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | $1,132 | $453 | — | — | 0 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $452 | $0 | $452 | 0 insurers |
| HOULTON REGIONAL HOSPITAL | ME | $469 | $446 | — | — | 0 insurers |
| GOOD SAMARITAN HOSPITAL | CA | $4,342 | $443 | — | — | 0 insurers |
| BON SECOURS COMMUNITY HOSPITAL | NY | $4,342 | $443 | — | — | 0 insurers |
| ST ANTHONY COMMUNITY HOSPITAL | NY | $4,342 | $443 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $1,776 | $439 | $941 | $1,451 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $1,776 | $439 | $258 | $1,698 | 0 insurers |
| HIGHLAND HILLS MEDICAL CENTER | MS | $860 | $430 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $610 | $427 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $610 | $427 | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $1,196 | $419 | — | — | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $1,691 | $416 | $913 | $1,302 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $1,691 | $416 | $237 | $1,691 | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $808 | $412 | — | — | 0 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $1,776 | $407 | $941 | $1,451 | 0 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $1,776 | $407 | $258 | $1,698 | 0 insurers |
| ST MARY MEDICAL CENTER | CA | $1,776 | $407 | $941 | $1,451 | 0 insurers |
| ST MARY MEDICAL CENTER | CA | $1,776 | $407 | $258 | $1,698 | 0 insurers |
| HOSPITAL FOR SPECIAL SURGERY | NY | $400 | $400 | $51.73 | $179 | 0 insurers |
| LALLIE KEMP MEDICAL CENTER | LA | $629 | $378 | — | — | 0 insurers |
| BRIDGTON HOSPITAL | ME | $1,148 | $356 | $345 | $1,148 | 0 insurers |
| SEVIER COUNTY MEDICAL CENTER | AR | $588 | $353 | — | — | 0 insurers |
| MAGEE GENERAL HOSPITAL | MS | $1,016 | $353 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $344 | $230 | $265 | 0 insurers |
| RUMFORD HOSPITAL | ME | $1,148 | $333 | $333 | $1,148 | 0 insurers |
| JOHNSON COUNTY HEALTHCARE CENTER | WY | $326 | $326 | — | — | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $960 | $320 | $288 | $787 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $960 | $320 | $216 | $5,215 | 0 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $3,062 | $317 | — | — | 0 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $3,062 | $317 | — | — | 0 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $3,062 | $317 | — | — | 0 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $314 | $314 | — | — | 0 insurers |
| PARADISE VALLEY HOSPITAL | CA | $3,008 | $305 | $305 | $3,008 | 0 insurers |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER | CA | $3,851 | $305 | $305 | $3,851 | 0 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $2,409 | $305 | $305 | $2,409 | 0 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $2,409 | $305 | $305 | $2,409 | 0 insurers |
| CHINO VALLEY MEDICAL CENTER | CA | $4,738 | $305 | $290 | $4,738 | 0 insurers |
| SAN DIMAS COMMUNITY HOSPITAL | CA | $4,738 | $305 | $290 | $4,738 | 0 insurers |
| CENTINELA HOSPITAL MEDICAL CENTER | CA | $2,444 | $305 | $200 | $2,444 | 0 insurers |
| SHERMAN OAKS HOSPITAL | CA | $1,136 | $305 | $305 | $1,136 | 0 insurers |
| MONTCLAIR HOSPITAL MEDICAL CENTER | CA | $4,738 | $305 | $290 | $4,738 | 0 insurers |
| SHASTA REGIONAL MEDICAL CENTER | CA | $3,341 | $305 | $305 | $4,500 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $762 | $298 | $457 | $762 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $762 | $298 | $269 | $2,594 | 0 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $283 | — | — | 0 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $283 | — | — | 0 insurers |
| SURGEONS CHOICE MEDICAL CENTER | MI | $1,225 | $280 | — | — | 0 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $3,131 | $276 | $221 | $2,505 | 0 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $1,000 | $266 | — | — | 0 insurers |
| LANDMARK MEDICAL CENTER | RI | $3,289 | $266 | $237 | $3,125 | 0 insurers |
| NORTH VISTA HOSPITAL | NV | $4,675 | $259 | $184 | $4,675 | 0 insurers |
| MID VALLEY HOSPITAL & CLINIC | WA | $367 | $257 | — | — | 0 insurers |
| MERCY MEDICAL CENTER INC | MD | $4,702 | $254 | $198 | $4,702 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | WA | $8,368 | $254 | $198 | $8,368 | 0 insurers |
| MOUNT GRANT GENERAL HOSPITAL | NV | $3,671 | $243 | $195 | $3,561 | 0 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $3,671 | $243 | $195 | $3,561 | 0 insurers |
| SOUTHERN REGIONAL MEDICAL CENTER | GA | $1,645 | $238 | $211 | $1,645 | 0 insurers |
| KNAPP MEDICAL CENTER | TX | $2,732 | $238 | $167 | $2,677 | 0 insurers |
| MISSION REGIONAL MEDICAL CENTER | TX | $3,382 | $238 | $233 | $2,706 | 0 insurers |
| HARLINGEN MEDICAL CENTER | TX | $3,950 | $238 | $233 | $3,160 | 0 insurers |
| GARDEN CITY HOSPITAL | MI | $1,432 | $236 | $127 | $1,432 | 0 insurers |
| HILLS & DALES GENERAL HOSPITAL | MI | $1,025 | $236 | — | — | 0 insurers |
| CENTRAL MAINE MEDICAL CENTER | ME | $1,148 | $235 | $235 | $1,148 | 0 insurers |
| LOWER BUCKS HOSPITAL | PA | $3,131 | $234 | $188 | $2,505 | 0 insurers |
| MADISON PARISH HOSPITAL | LA | $461 | $231 | — | — | 0 insurers |
| SAINT JOHN HOSPITAL | KS | $5,342 | $224 | $131 | $4,274 | 0 insurers |
| PROVIDENCE MEDICAL CENTER | KS | $5,342 | $224 | $131 | $4,936 | 0 insurers |
| EAST LIVERPOOL CITY HOSPITAL | OH | $2,542 | $224 | $129 | $2,491 | 0 insurers |
| COSHOCTON REGIONAL MEDICAL CENTER | OH | $1,937 | $224 | $225 | $1,898 | 0 insurers |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR | NY | $223 | $223 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $353 | $212 | — | — | 0 insurers |
| ST LUKE COMMUNITY HOSPITAL | MT | $259 | $207 | — | — | 0 insurers |
| HIAWATHA COMMUNITY HOSPITAL | KS | $312 | $203 | $112 | $521 | 0 insurers |
| REDINGTON FAIRVIEW GENERAL HOSPITAL | ME | $262 | $197 | — | — | 0 insurers |
| TIPPAH COUNTY HOSPITAL | MS | $195 | $195 | — | — | 0 insurers |
| TALLAHATCHIE GENERAL HOSPITAL-CAH | MS | $194 | $194 | — | — | 0 insurers |
| LIFECARE MEDICAL CENTER | MN | $199 | $175 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $218 | $174 | — | — | 0 insurers |
| WINDOM AREA HEALTH | MN | $255 | $174 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $296 | $172 | $178 | $278 | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $296 | $172 | $130 | $278 | 0 insurers |
| ACADIA ST LANDRY | LA | $222 | $167 | — | — | 0 insurers |
| AUBURN COMMUNITY HOSPITAL | NY | $1,695 | $156 | — | — | 0 insurers |
| SOUTHWESTERN VERMONT MEDICAL CENTER | VT | $178 | $125 | — | — | 0 insurers |
| BUCHANAN GENERAL HOSPITAL | VA | $354 | $124 | — | — | 0 insurers |
| FIRST CARE HEALTH CENTER | ND | $115 | $115 | — | — | 0 insurers |
| FIRST CARE HEALTH CENTER | ND | $115 | $115 | — | — | 0 insurers |
| COX BARTON COUNTY HOSPITAL | MO | $286 | $91.36 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $138 | $69 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $138 | $69 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $138 | $69 | — | — | 0 insurers |