| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $1,960 | $749 | $1,176 | $1,548 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $1,960 | $749 | $192 | $1,586 | 0 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $741 | $0 | $883 | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,480 | $740 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $922 | $737 | — | — | 0 insurers |
| UNITY HOSPITAL | NY | $919 | $735 | — | — | 0 insurers |
| UNITY MEDICAL CENTER | TN | $919 | $735 | — | — | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | $761 | $761 | $1,885 | $1,984 | 0 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $1,456 | $728 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $1,456 | $728 | — | — | 0 insurers |
| ST CLARE HOSPITAL | WA | $2,645 | $762 | $1,904 | $1,984 | 0 insurers |
| ST CLARE HOSPITAL | WA | $2,645 | $762 | $455 | $2,004 | 0 insurers |
| AIKEN REGIONAL MEDICAL CENTER | SC | $1,909 | $764 | — | — | 0 insurers |
| SWEETWATER HOSPITAL ASSOCIATION | TN | $1,909 | $764 | — | — | 0 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $1,812 | $725 | — | — | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $1,207 | $724 | $294 | $1,824 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $1,207 | $724 | $294 | $1,824 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $1,207 | $724 | $294 | $1,824 | 0 insurers |
| ALTON MEMORIAL HOSPITAL | IL | $1,207 | $724 | $294 | $1,824 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $1,207 | $724 | $294 | $1,824 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $1,207 | $724 | $294 | $1,824 | 0 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $1,207 | $724 | $294 | $1,824 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $1,207 | $724 | $294 | $2,017 | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $1,225 | $723 | — | — | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $2,063 | $722 | $1,341 | $1,547 | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $2,063 | $722 | $179 | $2,827 | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $898 | $718 | $174 | $898 | 0 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $898 | $718 | $174 | $898 | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $2,751 | $715 | $330 | $2,338 | 0 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $1,006 | $704 | — | — | 0 insurers |
| THE QUEENS MEDICAL CENTER | HI | $1,006 | $704 | — | — | 0 insurers |
| NORTHSIDE HOSPITAL FORSYTH | GA | — | $699 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $1,160 | $696 | $288 | $986 | 0 insurers |
| BAXTER HEALTH | AR | $1,326 | $796 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $1,331 | $799 | — | — | 0 insurers |
| MIDDLESBORO ARH HOSPITAL | KY | $1,151 | $691 | — | — | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $1,359 | $802 | $747 | $1,277 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $1,359 | $802 | $284 | $1,359 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $1,359 | $802 | $747 | $1,277 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $1,359 | $802 | $284 | $1,359 | 0 insurers |
| FROEDTERT COMMUNITY HOSPITAL | WI | $1,458 | $802 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $6,170 | $802 | — | — | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $2,645 | $804 | $1,904 | $1,984 | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $2,645 | $804 | $455 | $2,004 | 0 insurers |
| DEACONESS HOSPITAL INC | IN | $855 | $684 | $181 | $421 | 0 insurers |
| HAZARD ARH REGIONAL MEDICAL CENTER | KY | $1,139 | $683 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $1,270 | $677 | $953 | $1,207 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $1,270 | $677 | $342 | $1,651 | 0 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $958 | $671 | — | — | 0 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $788 | $670 | — | — | 0 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $1,115 | $669 | — | — | 0 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $1,706 | $665 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $1,323 | $662 | — | — | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $1,657 | $829 | — | — | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $1,385 | $845 | $679 | $1,288 | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $1,385 | $845 | $284 | $1,335 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $1,282 | $641 | $795 | $1,026 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $1,282 | $641 | $284 | $1,090 | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $1,225 | $637 | — | — | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $2,280 | $636 | $1,824 | $1,984 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $2,280 | $636 | $178 | $2,280 | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,072 | $858 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $1,072 | $858 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,072 | $858 | — | — | 0 insurers |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER | AK | $1,320 | $858 | — | — | 0 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $6,306 | $631 | — | — | 0 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $6,306 | $631 | — | — | 0 insurers |
| ADVENTHEALTH DADE CITY | FL | $1,048 | $629 | $76.16 | $943 | 0 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $626 | $626 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $1,225 | $625 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,700 | $867 | — | — | 0 insurers |
| COX BARTON COUNTY HOSPITAL | MO | $1,944 | $620 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $1,740 | $870 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $1,740 | $870 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $1,740 | $870 | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $1,740 | $870 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $1,740 | $870 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $1,740 | $870 | — | — | 0 insurers |
| AURORA MEDICAL CTR MANITOWOC COUNTY | WI | $1,740 | $870 | — | — | 0 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $1,740 | $870 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $1,740 | $870 | — | — | 0 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $1,740 | $870 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $1,740 | $870 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $1,740 | $870 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $1,740 | $870 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $1,740 | $870 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $1,740 | $870 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $1,740 | $870 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $1,740 | $870 | — | — | 0 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $1,548 | $619 | — | — | 0 insurers |
| WEIRTON MEDICAL CENTER, INC | WV | $1,742 | $871 | — | — | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $1,214 | $607 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $1,214 | $607 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $1,214 | $607 | — | — | 0 insurers |
| SPRING VIEW HOSPITAL | KY | $2,210 | $884 | — | — | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $1,255 | $605 | $577 | $1,142 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $1,255 | $605 | $346 | $1,142 | 0 insurers |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER | WA | $1,377 | $895 | — | — | 0 insurers |
| COX MONETT HOSPITAL | MO | $1,944 | $593 | — | — | 0 insurers |
| ADVENTHEALTH OCALA | FL | $987 | $592 | — | — | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $1,409 | $592 | $845 | $1,198 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $1,409 | $592 | $211 | $1,198 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $1,409 | $592 | $845 | $1,198 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $1,409 | $592 | $240 | $1,198 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $1,409 | $592 | $845 | $1,198 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $1,409 | $592 | $197 | $1,198 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $1,409 | $592 | $845 | $1,198 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $1,409 | $592 | $254 | $1,198 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $1,409 | $592 | $845 | $1,198 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $1,409 | $592 | $225 | $1,198 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $2,576 | $902 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $2,576 | $902 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $2,576 | $902 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $2,576 | $902 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $2,576 | $902 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $2,576 | $902 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $2,576 | $902 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $2,576 | $902 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $2,576 | $902 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $2,576 | $902 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $2,576 | $902 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $2,576 | $902 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $2,576 | $902 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $2,576 | $902 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $2,576 | $902 | $473 | $1,315 | 0 insurers |
| TWIN CITY MEDICAL CENTER | OH | $827 | $579 | $323 | $753 | 0 insurers |
| TWIN COUNTY REGIONAL HOSPITAL | VA | $2,281 | $913 | — | — | 0 insurers |
| ST ANTHONY HOSPITAL | OR | $1,340 | $913 | $724 | $1,273 | 0 insurers |
| ST ANTHONY HOSPITAL | OR | $1,340 | $913 | $146 | $1,273 | 0 insurers |
| ST ANTHONY HOSPITAL | WA | $1,340 | $913 | $724 | $1,273 | 0 insurers |
| ST ANTHONY HOSPITAL | WA | $1,340 | $913 | $146 | $1,273 | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $577 | $119 | $377 | 0 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $1,642 | $575 | $193 | $2,500 | 0 insurers |
| Baylor St Lukes Medical Center | TX | $1,637 | $573 | $193 | $2,934 | 0 insurers |
| CHI ST LUKES LAKESIDE HOSPITAL | TX | $1,637 | $573 | $193 | $2,538 | 0 insurers |
| ADVENTHEALTH CENTRAL TEXAS | TX | $1,836 | $918 | $821 | $1,652 | 0 insurers |
| ADVENTHEALTH ROLLINS BROOK | TX | $1,836 | $918 | $821 | $1,652 | 0 insurers |
| UNIONTOWN HOSPITAL | PA | $1,141 | $571 | — | — | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $2,301 | $920 | — | — | 0 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | $2,305 | $922 | — | — | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $1,760 | $563 | $2.05 | $1,584 | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $1,257 | $933 | $1,068 | $1,219 | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $1,257 | $933 | $192 | $1,219 | 0 insurers |
| ELLIS HOSPITAL | NY | $1,110 | $555 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $791 | $554 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $1,170 | $936 | — | — | 0 insurers |
| BEEBE MEDICAL CENTER | DE | $645 | $548 | — | — | 0 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $1,715 | $943 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $1,400 | $546 | $358 | $1,280 | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $1,760 | $546 | $2.05 | $1,584 | 0 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $1,760 | $546 | $2.05 | $1,584 | 0 insurers |
| ROANE MEDICAL CENTER | TN | $1,760 | $546 | $2.05 | $1,584 | 0 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $1,760 | $546 | $2.05 | $1,584 | 0 insurers |
| LECONTE MEDICAL CENTER | TN | $1,760 | $546 | $2.05 | $1,584 | 0 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $1,760 | $546 | $2.05 | $1,584 | 0 insurers |
| METHODIST HOSPITALS INC | IN | $779 | $545 | $330 | $916 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $2,025 | $543 | $1,094 | $1,701 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $2,025 | $543 | $172 | $1,701 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,063 | $539 | $957 | $1,042 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $1,063 | $539 | $282 | $1,042 | 0 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $954 | $954 | — | — | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | $2,387 | $955 | — | — | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $1,559 | $956 | — | — | 0 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $887 | $532 | — | — | 0 insurers |
| PARKWEST MEDICAL CENTER | TN | $1,760 | $528 | $2.05 | $1,584 | 0 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $1,066 | $527 | — | — | 0 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $1,066 | $527 | — | — | 0 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $1,066 | $527 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | CA | $752 | $526 | $178 | $752 | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $964 | $964 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $1,209 | $967 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $1,229 | $522 | — | — | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $1,213 | $522 | $849 | $1,213 | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $1,213 | $522 | $160 | $1,534 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $1,327 | $520 | $178 | $2,083 | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $543 | $516 | — | — | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,088 | $513 | $990 | $990 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $1,088 | $513 | $256 | $990 | 0 insurers |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER | CA | $1,710 | $511 | $149 | $1,710 | 0 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $2,572 | $511 | $149 | $2,572 | 0 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $2,572 | $511 | $149 | $2,572 | 0 insurers |
| SHASTA REGIONAL MEDICAL CENTER | CA | $1,583 | $511 | $149 | $1,583 | 0 insurers |
| FORT DUNCAN MEDICAL CENTER | TX | $1,272 | $509 | — | — | 0 insurers |
| HEYWOOD HOSPITAL - | MA | $981 | $981 | $376 | $907 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | $1,258 | $503 | $112 | $1,069 | 0 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | $1,974 | $987 | $158 | $1,915 | 0 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | $1,974 | $987 | $158 | $1,915 | 0 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | $1,974 | $987 | $158 | $1,915 | 0 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | $1,974 | $987 | $158 | $1,915 | 0 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | $1,974 | $987 | $158 | $1,915 | 0 insurers |
| NOVANT PRINCE WILLIAM MEDICAL CENTER | VA | $1,974 | $987 | $158 | $1,915 | 0 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $1,497 | $988 | — | — | 0 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | — | $499 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER | MO | $831 | $499 | $288 | $986 | 0 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $831 | $499 | $288 | $986 | 0 insurers |
| CARILION MEDICAL CENTER | VA | $1,424 | $498 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $1,424 | $498 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $1,424 | $498 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $1,424 | $498 | — | — | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $2,025 | $498 | $1,094 | $1,559 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $2,025 | $498 | $192 | $1,576 | 0 insurers |
| LASALLE GENERAL HOSPITAL | LA | $828 | $497 | — | — | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $1,166 | $493 | $758 | $758 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $1,166 | $493 | $176 | $828 | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $1,229 | $493 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $1,229 | $493 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $1,229 | $493 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $1,229 | $493 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $1,229 | $493 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $1,229 | $493 | — | — | 0 insurers |
| NATIONAL JEWISH HEALTH | CO | $1,426 | $998 | — | — | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $1,997 | $999 | — | — | 0 insurers |
| RALEIGH GENERAL HOSPITAL | WV | $1,227 | $491 | — | — | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $1,402 | $491 | $701 | $701 | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $1,402 | $491 | $84.14 | $1,127 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $2,854 | $999 | $1,284 | $2,854 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $2,854 | $999 | $188 | $3,268 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $2,854 | $999 | $1,227 | $2,854 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $2,854 | $999 | $188 | $2,854 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $2,854 | $999 | $1,227 | $2,854 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $2,854 | $999 | $188 | $2,854 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $2,854 | $999 | $1,227 | $2,854 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $2,854 | $999 | $188 | $2,854 | 0 insurers |
| COX MEDICAL CENTERS | MO | $1,944 | $490 | — | — | 0 insurers |
| COX MEDICAL CENTER BRANSON | MO | $1,944 | $490 | — | — | 0 insurers |
| HIGHPOINT HEALTH-TROUSDALE WITH ASCENSION SAINT | TN | $4,330 | $1,009 | — | — | 0 insurers |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH | TN | $4,330 | $1,009 | — | — | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $479 | $335 | $1,083 | 0 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $479 | $335 | $1,031 | 0 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $479 | $335 | $960 | 0 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | $676 | $473 | $204 | $1,526 | 0 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $471 | — | — | 0 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $471 | — | — | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | $938 | $469 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | $938 | $469 | — | — | 0 insurers |
| ADVENTHEALTH DELAND | FL | $842 | $463 | $98.05 | $860 | 0 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $2,332 | $463 | $311 | $1,865 | 0 insurers |
| VALLEY VIEW MEDICAL CENTER | AZ | $1,713 | $1,028 | — | — | 0 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | $1,714 | $1,028 | $158 | $1,663 | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $1,584 | $1,030 | — | — | 0 insurers |
| MERCY HOSPITAL | CA | $2,577 | $1,031 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $2,577 | $1,031 | — | — | 0 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $650 | $455 | $488 | $790 | 0 insurers |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC | ID | $650 | $455 | $341 | $972 | 0 insurers |
| Adventhealth Zephyrhills | FL | $756 | $453 | $68.91 | $900 | 0 insurers |
| ADVENTHEALTH TAMPA | FL | $756 | $453 | $112 | $1,575 | 0 insurers |
| BRISTOL HOSPITAL | CT | $3,015 | $452 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $3,015 | $452 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $3,015 | $452 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $3,015 | $452 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $3,015 | $452 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $3,015 | $452 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $3,015 | $452 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $3,015 | $452 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $3,015 | $452 | — | — | 0 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $3,015 | $452 | — | — | 0 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $3,015 | $452 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $3,015 | $452 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $3,015 | $452 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $3,015 | $452 | — | — | 0 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $3,015 | $452 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $3,015 | $452 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $3,015 | $452 | — | — | 0 insurers |
| ADVENTHEALTH WATERMAN | FL | $1,888 | $1,038 | $214 | $1,699 | 0 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $1,126 | $450 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $1,126 | $450 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL-JORDAN VALLEY | UT | $1,126 | $450 | — | — | 0 insurers |
| LANDMARK MEDICAL CENTER | RI | $1,846 | $447 | $211 | $1,754 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $2,989 | $1,046 | $324 | $875 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $2,989 | $1,046 | $324 | $875 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $2,989 | $1,046 | $324 | $875 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $2,989 | $1,046 | $324 | $875 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $2,989 | $1,046 | $324 | $875 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $2,989 | $1,046 | $324 | $875 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $2,989 | $1,046 | $324 | $875 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $2,989 | $1,046 | $324 | $875 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $2,989 | $1,046 | $324 | $875 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $2,989 | $1,046 | $324 | $875 | 0 insurers |
| WESTERLY HOSPITAL | RI | $1,225 | $441 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $1,912 | $1,052 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $1,912 | $1,052 | — | — | 0 insurers |
| SAINT JOSEPH EAST | KY | $1,088 | $437 | $990 | $990 | 0 insurers |
| SAINT JOSEPH EAST | KY | $1,088 | $437 | $266 | $990 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,088 | $437 | $990 | $990 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $1,088 | $437 | $266 | $990 | 0 insurers |
| NORTH VISTA HOSPITAL | NV | $1,825 | $434 | $178 | $1,825 | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $1,680 | $431 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $1,680 | $431 | $173 | $874 | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $1,680 | $427 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $1,680 | $427 | $338 | $874 | 0 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $2,127 | $1,064 | — | — | 0 insurers |
| MERCY MEDICAL CENTER INC | MD | $1,599 | $426 | $152 | $1,599 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | WA | $1,253 | $426 | $152 | $1,253 | 0 insurers |
| KAISER PERMANENTE CENTRAL HOSPITAL | WA | $685 | $425 | $467 | $467 | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | $3,810 | $1,067 | — | — | 0 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $1,001 | $420 | — | — | 0 insurers |
| SOUTH CENTRAL HEALTH | ND | $1,001 | $420 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $2,147 | $1,074 | — | — | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $533 | $415 | $277 | $522 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $533 | $415 | $128 | $533 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $533 | $415 | $277 | $522 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $533 | $415 | $128 | $533 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $706 | $412 | $395 | $692 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $706 | $412 | $254 | $706 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $706 | $412 | $395 | $692 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $706 | $412 | $254 | $706 | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | $410 | — | — | 0 insurers |
| MOUNT GRANT GENERAL HOSPITAL | NV | $635 | $408 | $110 | $635 | 0 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $635 | $408 | $110 | $635 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $1,029 | $402 | $617 | $1,029 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $1,029 | $402 | $178 | $1,973 | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $827 | $401 | $571 | $653 | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $827 | $401 | $160 | $2,917 | 0 insurers |
| SOUTHERN REGIONAL MEDICAL CENTER | GA | $2,735 | $399 | $269 | $2,735 | 0 insurers |
| KNAPP MEDICAL CENTER | TX | $1,767 | $399 | $188 | $1,732 | 0 insurers |
| AdventHealth Palm Coast | FL | $724 | $398 | $98.05 | $886 | 0 insurers |
| CENTRAL MAINE MEDICAL CENTER | ME | $892 | $394 | $267 | $892 | 0 insurers |
| LOWER BUCKS HOSPITAL | PA | $635 | $393 | $110 | $635 | 0 insurers |
| VALLEY MEDICAL CENTER | WA | $560 | $392 | $223 | $3,124 | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $962 | $385 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $962 | $385 | — | — | 0 insurers |
| TRISTAR SUMMIT MEDICAL CENTER | TN | $1,105 | $1,105 | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $1,902 | $380 | — | — | 0 insurers |
| NORTON HOSPITALS, INC | KY | $1,902 | $380 | — | — | 0 insurers |
| SAINT JOHN HOSPITAL | KS | $1,370 | $376 | $218 | $1,165 | 0 insurers |
| PROVIDENCE MEDICAL CENTER | KS | $1,370 | $376 | $176 | $1,266 | 0 insurers |
| EAST LIVERPOOL CITY HOSPITAL | OH | $1,886 | $376 | $96.23 | $1,848 | 0 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $2,786 | $1,114 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $464 | $371 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $464 | $371 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $464 | $371 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $464 | $371 | — | — | 0 insurers |
| JACKSON PURCHASE MEDICAL CENTER | KY | $2,811 | $1,124 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $1,904 | $362 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $1,904 | $362 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER BEACHES | FL | $1,904 | $362 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER - NASSAU | FL | $1,904 | $362 | — | — | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $1,741 | $1,132 | — | — | 0 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $468 | $351 | — | — | 0 insurers |
| WILSON MEDICAL CENTER | KS | $2,849 | $1,140 | — | — | 0 insurers |
| WILSON MEDICAL CENTER | NC | $2,849 | $1,140 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $576 | $346 | — | — | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $1,166 | $345 | $944 | $944 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $1,166 | $345 | $175 | $1,067 | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $2,871 | $1,148 | — | — | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $2,876 | $1,150 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $2,876 | $1,150 | — | — | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $910 | $334 | $828 | $828 | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $910 | $334 | $190 | $828 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $999 | $333 | $300 | $819 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $999 | $333 | $178 | $1,973 | 0 insurers |
| GROSSMONT HOSPITAL | CA | $1,547 | $1,160 | — | — | 0 insurers |
| SHARP MEMORIAL HOSPITAL | CA | $1,547 | $1,160 | — | — | 0 insurers |
| SHARP CHULA VISTA MEDICAL CENTER | CA | $1,547 | $1,160 | — | — | 0 insurers |
| THOMAS HOSPITAL | AL | $2,328 | $1,164 | — | — | 0 insurers |
| USC ARCADIA HOSPITAL | CA | $3,346 | $1,171 | — | — | 0 insurers |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA | TN | $3,607 | $1,176 | — | — | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $681 | $313 | $484 | $511 | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $681 | $313 | $163 | $861 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $681 | $313 | $484 | $511 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $681 | $313 | $163 | $861 | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $364 | $309 | $329 | $357 | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $364 | $309 | $77.97 | $412 | 0 insurers |
| TRINITY ROCK ISLAND | IL | $384 | $307 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $384 | $307 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $384 | $307 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $384 | $307 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $384 | $307 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $384 | $307 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $384 | $307 | — | — | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $364 | $306 | $329 | $357 | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $364 | $306 | $222 | $493 | 0 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | $1,974 | $1,184 | $158 | $1,915 | 0 insurers |
| MEMORIAL MEDICAL CENTER | NM | $508 | $305 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $1,332 | $302 | $400 | $959 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $1,332 | $302 | $194 | $1,332 | 0 insurers |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE | TX | $502 | $301 | $220 | $465 | 0 insurers |
| UNM HOSPITAL | NM | $542 | $298 | — | — | 0 insurers |
| OSWEGO HOSPITAL | NY | $1,592 | $1,194 | — | — | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | $1,197 | $1,197 | — | — | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | $1,197 | $1,197 | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | $1,197 | $1,197 | — | — | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $4,414 | $1,209 | $486 | $4,061 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $4,414 | $1,209 | $178 | $4,414 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $4,414 | $1,209 | $486 | $3,664 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $4,414 | $1,209 | $165 | $3,936 | 0 insurers |
| CAREWELL HEALTH MEDICAL CENTER | NJ | $1,424 | $1,210 | — | — | 0 insurers |
| BRIDGTON HOSPITAL | ME | $892 | $276 | $267 | $892 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $752 | $276 | $526 | $594 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $752 | $276 | $178 | $1,976 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $1,332 | $273 | $400 | $959 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $1,332 | $273 | $194 | $1,332 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $532 | $271 | $394 | $479 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $532 | $271 | $394 | $695 | 0 insurers |
| STARR REGIONAL MEDICAL CENTER ATHENS | TN | $1,384 | $271 | — | — | 0 insurers |
| BELLA VISTA HOSPITAL | PR | $260 | $260 | — | — | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $1,478 | $259 | $1,256 | $1,478 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $1,478 | $259 | $188 | $2,193 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $1,478 | $259 | $559 | $1,478 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $1,478 | $259 | $325 | $1,330 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $1,478 | $259 | $512 | $1,478 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $1,478 | $259 | $188 | $2,193 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $1,478 | $259 | $1,009 | $1,478 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $1,478 | $259 | $391 | $2,193 | 0 insurers |
| RUMFORD HOSPITAL | ME | $892 | $258 | $259 | $892 | 0 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | $2,466 | $1,233 | $158 | $2,392 | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $426 | $256 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $426 | $256 | — | — | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $753 | $245 | $422 | $602 | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $753 | $245 | $178 | $1,534 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $753 | $245 | $422 | $602 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $753 | $245 | $178 | $1,534 | 0 insurers |
| ST THOMAS MORE HOSPITAL | CO | $3,136 | $1,254 | — | — | 0 insurers |
| SAINT JOSEPH LONDON | KY | $630 | $225 | $573 | $573 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $630 | $225 | $89.97 | $728 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $3,234 | $1,268 | $873 | $3,169 | 0 insurers |
| HOLY FAMILY MEMORIAL | WI | — | $1,268 | $134 | $2,259 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $4,414 | $1,271 | $3,311 | $3,664 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $4,414 | $1,271 | $165 | $4,023 | 0 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $814 | $217 | — | — | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $707 | $208 | $509 | $580 | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $1,607 | $1,286 | — | — | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $3,242 | $1,297 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $3,242 | $1,297 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | $1,298 | $1,298 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | $1,298 | $1,298 | — | — | 0 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $340 | $187 | — | — | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $364 | $178 | $207 | $357 | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $364 | $178 | $127 | $357 | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $5,060 | $176 | — | — | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $364 | $175 | $218 | $357 | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $364 | $175 | $157 | $357 | 0 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $1,886 | $1,320 | — | — | 0 insurers |
| THE GENERAL | LA | $1,886 | $1,320 | — | — | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $531 | $156 | $112 | $4,029 | 0 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $153 | $153 | — | — | 0 insurers |
| REDINGTON FAIRVIEW GENERAL HOSPITAL | ME | $177 | $133 | — | — | 0 insurers |
| ADVENTHEALTH SHAWNEE MISSION | KS | $2,725 | $1,362 | $137 | $2,452 | 0 insurers |
| CARLE RICHLAND MEMORIAL HOSPITAL | IL | $1,365 | $1,365 | — | — | 0 insurers |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN | MS | $397 | $119 | — | — | 0 insurers |
| UCSF HEALTH ST. MARY'S HOSPITAL | CA | $1,959 | $1,371 | $178 | $2,971 | 0 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | $3,445 | $1,378 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $3,445 | $1,378 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $1,846 | $1,385 | — | — | 0 insurers |
| ELIZABETHTOWN COMMUNITY HOSPITAL | NY | $99 | $99 | — | — | 0 insurers |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR | NY | $94 | $94 | — | — | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $1,418 | $1,418 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $80 | $64 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $80 | $64 | — | — | 0 insurers |
| HOLY FAMILY HOSPITAL | MA | $2,595 | $1,427 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $87 | $60.9 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $87 | $60.9 | — | — | 0 insurers |
| ST LUKE COMMUNITY HOSPITAL | MT | $65 | $52 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | $1,824 | $1,459 | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | $1,468 | $1,468 | — | — | 0 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | $1,473 | $1,473 | — | — | 0 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | $1,473 | $1,473 | — | — | 0 insurers |
| LINCOLNHEALTH | ME | $1,473 | $1,473 | — | — | 0 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | $1,473 | $1,473 | — | — | 0 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | $1,473 | $1,473 | — | — | 0 insurers |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | $1,473 | $1,473 | — | — | 0 insurers |
| MEMORIAL HOSPITAL, THE | NH | $1,473 | $1,473 | — | — | 0 insurers |
| SANFORD USD MEDICAL CENTER | SD | $1,869 | $1,495 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $1,872 | $1,497 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $1,872 | $1,497 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $1,872 | $1,497 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $1,872 | $1,497 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $1,872 | $1,497 | — | — | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $3,534 | $1,513 | $178 | $3,463 | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $3,804 | $1,522 | — | — | 0 insurers |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | IL | $1,533 | $1,533 | — | — | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $2,226 | $1,558 | $208 | $3,803 | 0 insurers |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $1,564 | $1,564 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $2,411 | $1,567 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $2,411 | $1,567 | — | — | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $3,711 | $1,588 | $2,338 | $3,637 | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $1,900 | $1,615 | — | — | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $4,193 | $1,677 | — | — | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $4,193 | $1,677 | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $3,410 | $1,705 | — | — | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $3,410 | $1,705 | — | — | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $3,410 | $1,705 | — | — | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $3,410 | $1,705 | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $3,410 | $1,705 | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $3,410 | $1,705 | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $3,410 | $1,705 | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $3,410 | $1,705 | — | — | 0 insurers |
| WELLSPAN YORK HOSPITAL | PA | $2,142 | $1,714 | — | — | 0 insurers |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL | PA | $2,142 | $1,714 | — | — | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $4,414 | $1,717 | $486 | $3,619 | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $4,414 | $1,717 | $165 | $3,619 | 0 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $2,148 | $1,718 | — | — | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | $4,338 | $1,735 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $4,338 | $1,735 | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $4,338 | $1,735 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $4,338 | $1,735 | — | — | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | $4,338 | $1,735 | — | — | 0 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | $1,788 | $1,788 | — | — | 0 insurers |
| CARLE EUREKA HOSPITAL | IL | $1,788 | $1,788 | — | — | 0 insurers |
| UPHS MARQUETTE DLP HOSPITAL | MI | $3,055 | $1,833 | — | — | 0 insurers |