| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $1,755 | $614 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $1,755 | $614 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $1,755 | $614 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $1,755 | $614 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $1,755 | $614 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $1,755 | $614 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $1,755 | $614 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $1,755 | $614 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $1,755 | $614 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $1,755 | $614 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $1,755 | $614 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $1,755 | $614 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $1,755 | $614 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $1,755 | $614 | $473 | $1,315 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $1,755 | $614 | $473 | $1,315 | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $1,225 | $625 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $1,048 | $629 | $393 | $891 | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $1,491 | $596 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $1,225 | $637 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $577 | $64.55 | $377 | 0 insurers |
| ALTRU HOSPITAL | ND | $1,070 | $653 | — | — | 0 insurers |
| JACKSON PURCHASE MEDICAL CENTER | KY | $1,425 | $570 | — | — | 0 insurers |
| WYOMING COUNTY | NY | $1,657 | $663 | — | — | 0 insurers |
| WYTHE COUNTY COMMUNITY HOSPITAL | VA | $1,657 | $663 | — | — | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $647 | $550 | $584 | $634 | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $647 | $550 | $139 | $733 | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,091 | $546 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,342 | $684 | — | — | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $647 | $543 | $584 | $634 | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $647 | $543 | $395 | $876 | 0 insurers |
| POMERENE HOSPITAL | OH | $668 | $534 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $705 | $529 | — | — | 0 insurers |
| CASTLEVIEW HOSPITAL | UT | $960 | $528 | — | — | 0 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $615 | $527 | — | — | 0 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $615 | $527 | — | — | 0 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $615 | $527 | — | — | 0 insurers |
| TWIN COUNTY REGIONAL HOSPITAL | VA | $1,774 | $709 | — | — | 0 insurers |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER | CA | $2,266 | $511 | $92.79 | $2,266 | 0 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $3,392 | $511 | $92.79 | $3,392 | 0 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $3,392 | $511 | $92.79 | $3,392 | 0 insurers |
| SHASTA REGIONAL MEDICAL CENTER | CA | $1,406 | $511 | $92.79 | $1,406 | 0 insurers |
| SOUTH TEXAS HEALTH SYSTEM | TX | $1,806 | $722 | — | — | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $1,225 | $723 | — | — | 0 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | — | $499 | — | — | 0 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $741 | $0 | $741 | 0 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $471 | — | — | 0 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $471 | — | — | 0 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $2,332 | $463 | $222 | $1,865 | 0 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $770 | $462 | $175 | $1,824 | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $1,233 | $777 | $863 | $1,196 | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $1,233 | $777 | $518 | $1,196 | 0 insurers |
| LANDMARK MEDICAL CENTER | RI | $1,250 | $447 | $88.51 | $1,187 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $869 | $435 | $539 | $695 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $869 | $435 | $150 | $861 | 0 insurers |
| NORTH VISTA HOSPITAL | NV | $1,252 | $434 | $96.96 | $1,252 | 0 insurers |
| WELLINGTON REGIONAL MEDICAL CENTER | FL | $564 | $423 | — | — | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | $2,045 | $818 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $2,045 | $818 | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $2,045 | $818 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $2,045 | $818 | — | — | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | $2,045 | $818 | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | $410 | — | — | 0 insurers |
| MOUNT GRANT GENERAL HOSPITAL | NV | $2,332 | $408 | $64.55 | $2,262 | 0 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $2,332 | $408 | $64.55 | $2,262 | 0 insurers |
| KNAPP MEDICAL CENTER | TX | $2,457 | $399 | $113 | $2,408 | 0 insurers |
| GARDEN CITY HOSPITAL | MI | $1,886 | $396 | $182 | $1,886 | 0 insurers |
| CENTRAL MAINE MEDICAL CENTER | ME | $886 | $394 | $266 | $886 | 0 insurers |
| GRANVILLE HEALTH SYSTEMS | NC | $492 | $394 | — | — | 0 insurers |
| LOWER BUCKS HOSPITAL | PA | $2,332 | $393 | $64.55 | $1,865 | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $5,060 | $374 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $531 | $372 | — | — | 0 insurers |
| GATEWAY REGIONAL MEDICAL CENTER | IL | — | $371 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $451 | $361 | — | — | 0 insurers |
| Baylor St Lukes Medical Center | TX | $1,002 | $351 | $104 | $2,934 | 0 insurers |
| CHI ST LUKES LAKESIDE HOSPITAL | TX | $1,002 | $351 | $104 | $2,538 | 0 insurers |
| LIBERTY REGIONAL MEDICAL CENTER | GA | $458 | $344 | — | — | 0 insurers |
| FLUSHING HOSPITAL MEDICAL CENTER | NY | $336 | $336 | — | — | 0 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $1,377 | $895 | — | — | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $647 | $317 | $369 | $634 | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $647 | $317 | $226 | $634 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $902 | $316 | $406 | $902 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $902 | $316 | $99.22 | $3,268 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $902 | $316 | $388 | $902 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $902 | $316 | $90.2 | $2,827 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $902 | $316 | $388 | $902 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $902 | $316 | $72.16 | $2,827 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $902 | $316 | $388 | $902 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $902 | $316 | $72.16 | $2,827 | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $507 | $314 | — | — | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $783 | $313 | — | — | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $647 | $311 | $388 | $634 | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $647 | $311 | $278 | $634 | 0 insurers |
| METHODIST HOSPITALS INC | IN | $1,314 | $920 | $224 | $1,130 | 0 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $1,330 | $931 | — | — | 0 insurers |
| KANSAS MEDICAL CENTER LLC | KS | $460 | $276 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $707 | $276 | $358 | $1,280 | 0 insurers |
| BRIDGTON HOSPITAL | ME | $886 | $274 | $266 | $803 | 0 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $541 | $271 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $541 | $271 | — | — | 0 insurers |
| RUMFORD HOSPITAL | ME | $886 | $256 | $257 | $803 | 0 insurers |
| KAISER PERMANENTE CENTRAL HOSPITAL | WA | $407 | $252 | $277 | $277 | 0 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $1,400 | $980 | — | — | 0 insurers |
| THE QUEENS MEDICAL CENTER | HI | $1,400 | $980 | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $1,234 | $247 | — | — | 0 insurers |
| NORTON HOSPITALS, INC | KY | $1,234 | $247 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $302 | $242 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $302 | $242 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $302 | $242 | — | — | 0 insurers |
| TMC- BONHAM HOSPITAL | TX | $799 | $240 | — | — | 0 insurers |
| COX MONETT HOSPITAL | MO | $772 | $236 | — | — | 0 insurers |
| VALLEY MEDICAL CENTER | WA | $301 | $211 | $120 | $3,100 | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $2,549 | $1,022 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $2,549 | $1,022 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $2,549 | $1,022 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $2,549 | $1,022 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $2,549 | $1,022 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $2,549 | $1,022 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $1,050 | $200 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $1,050 | $200 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER BEACHES | FL | $1,050 | $200 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER - NASSAU | FL | $1,050 | $200 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $248 | $198 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $248 | $198 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $248 | $198 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $248 | $198 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $248 | $198 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $248 | $198 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $248 | $198 | — | — | 0 insurers |
| COX MEDICAL CENTERS | MO | $772 | $195 | — | — | 0 insurers |
| COX MEDICAL CENTER BRANSON | MO | $772 | $195 | — | — | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $603 | $193 | $2.05 | $1,116 | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $603 | $187 | $2.05 | $1,211 | 0 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $603 | $187 | $2.05 | $1,116 | 0 insurers |
| ROANE MEDICAL CENTER | TN | $603 | $187 | $2.05 | $1,116 | 0 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $603 | $187 | $2.05 | $1,028 | 0 insurers |
| LECONTE MEDICAL CENTER | TN | $603 | $187 | $2.05 | $1,116 | 0 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $603 | $187 | $2.05 | $1,038 | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $184 | $93.31 | $843 | 0 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $184 | $93.31 | $722 | 0 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $184 | $93.31 | $747 | 0 insurers |
| DESOTO REGIONAL HEALTH SYSTEM | LA | $260 | $182 | — | — | 0 insurers |
| NEW YORK-PRESBYTERIAN HOSPITAL | NY | — | $1,054 | $92 | $1,937 | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $2,549 | $1,083 | — | — | 0 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $190 | $143 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $1,450 | $1,088 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $1,453 | $1,090 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $1,453 | $1,090 | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | $1,095 | $1,095 | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | $1,095 | $1,095 | — | — | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | $1,095 | $1,095 | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | $1,095 | $1,095 | — | — | 0 insurers |
| AIKEN REGIONAL MEDICAL CENTER | SC | $2,793 | $1,117 | — | — | 0 insurers |
| SWEETWATER HOSPITAL ASSOCIATION | TN | $2,793 | $1,117 | — | — | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $1,835 | $1,125 | — | — | 0 insurers |
| BELLA VISTA HOSPITAL | PR | $100 | $100 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $204 | $95.88 | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $229 | $80.15 | — | — | 0 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $79 | $79 | — | — | 0 insurers |
| WEST CALCASIEU CAMERON HOSPITAL | LA | $1,555 | $1,166 | — | — | 0 insurers |
| OSWEGO HOSPITAL | NY | $1,575 | $1,181 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $2,230 | $1,249 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $2,230 | $1,249 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $2,230 | $1,249 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $2,230 | $1,249 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $2,230 | $1,249 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $2,230 | $1,249 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $2,230 | $1,249 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $2,230 | $1,249 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $2,230 | $1,249 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $2,230 | $1,249 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $2,230 | $1,249 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $2,230 | $1,249 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $2,230 | $1,249 | — | — | 0 insurers |
| VALLEY VIEW MEDICAL CENTER | AZ | $2,243 | $1,346 | — | — | 0 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $3,630 | $1,452 | — | — | 0 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $3,630 | $1,452 | — | — | 0 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $3,630 | $1,452 | — | — | 0 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $3,630 | $1,452 | — | — | 0 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $3,630 | $1,452 | — | — | 0 insurers |
| HENDERSON HOSPITAL | NV | $3,630 | $1,452 | — | — | 0 insurers |
| WEST HENDERSON HOSPITAL | NV | $3,630 | $1,452 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $2,704 | $1,487 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $2,704 | $1,487 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | $1,928 | $1,542 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $3,190 | $1,595 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $3,190 | $1,595 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $3,190 | $1,595 | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $3,190 | $1,595 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $3,190 | $1,595 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $3,190 | $1,595 | — | — | 0 insurers |
| AURORA MEDICAL CTR MANITOWOC COUNTY | WI | $3,190 | $1,595 | — | — | 0 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $3,190 | $1,595 | — | — | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $3,190 | $1,595 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $3,190 | $1,595 | — | — | 0 insurers |
| AURORA LAKELAND MEDICAL CENTER | WI | $3,190 | $1,595 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $3,190 | $1,595 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $3,190 | $1,595 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $3,190 | $1,595 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $3,190 | $1,595 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $3,190 | $1,595 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $3,190 | $1,595 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $3,190 | $1,595 | — | — | 0 insurers |
| CHESAPEAKE GENERAL HOSPITAL | VA | $2,805 | $1,683 | — | — | 0 insurers |
| WELLSPAN GOOD SAMARITAN HOSPITAL | PA | $2,142 | $1,714 | — | — | 0 insurers |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL | PA | $2,142 | $1,714 | — | — | 0 insurers |
| SANFORD USD MEDICAL CENTER | SD | $2,216 | $1,773 | — | — | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $2,664 | $1,865 | $112 | $3,803 | 0 insurers |
| SANFORD WESTBROOK MEDICAL CENTER | MN | $2,431 | $1,945 | — | — | 0 insurers |
| SANFORD TRACY MEDICAL CENTER | MN | $2,431 | $1,945 | — | — | 0 insurers |
| SANFORD CANBY MEDICAL CENTER | MN | $2,610 | $2,088 | — | — | 0 insurers |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | $4,254 | $2,765 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $5,376 | $3,494 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $5,376 | $3,494 | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | $6,280 | $4,082 | $237 | $4,201 | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | $8,164 | $5,306 | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| ANDALUSIA HEALTH | AL | — | — | $345 | $448 | 0 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| RUSSELL MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| BALDWIN HEALTH | AL | — | — | — | — | 0 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | — | — | — | — | 0 insurers |
| VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS | AL | — | — | $359 | $736 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $368 | $368 | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $291 | $1,250 | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| ST JOSEPH'S HOSPITAL | AZ | — | — | — | — | 0 insurers |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH TEMPE MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH DEER VALLEY MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| BENSON HOSPITAL | AZ | — | — | — | — | 0 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | — | — | — | — | 0 insurers |
| OUACHITA COUNTY MEDICAL CENTER | AR | $100 | — | — | — | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| LAWRENCE MEMORIAL HOSPITAL | AR | — | — | — | — | 0 insurers |
| BRADLEY COUNTY MEDICAL CENTER | AR | — | — | — | — | 0 insurers |
| PENINSULA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP | CA | — | — | — | — | 0 insurers |
| SUTTER AMADOR HOSPITAL | CA | — | — | — | — | 0 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS | CA | — | — | — | — | 0 insurers |
| CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL | CA | — | — | — | — | 0 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $77.01 | $1,476 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $116 | $214 | 0 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 0 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 0 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| RONALD REAGAN UCLA MEDICAL CENTER | CA | — | — | $77.01 | $1,476 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $588 | $588 | 0 insurers |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | CA | — | — | — | — | 0 insurers |
| MERCY HOSPITAL | CA | — | — | — | — | 0 insurers |
| ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP | CA | — | — | — | — | 0 insurers |
| SUTTER TRACY COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| NORTHBAY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| LAC/HARBOR-UCLA MED CENTER | CA | — | — | $77.01 | $1,476 | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | — | — | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | — | — | — | — | 0 insurers |
| SUTTER COAST HOSPITAL | CA | — | — | — | — | 0 insurers |
| STANFORD HEALTH CARE | CA | — | — | $585 | $672 | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $77.01 | $1,225 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $334 | $1,653 | 0 insurers |
| EDEN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SUTTER AUBURN FAITH HOSPITAL | CA | — | — | — | — | 0 insurers |
| SUTTER DELTA MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL LOS BANOS | CA | — | — | — | — | 0 insurers |
| SUTTER DAVIS HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - LOS ALAMITOS | CA | — | — | $514 | $1,337 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $514 | $1,337 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $514 | $1,337 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $514 | $1,337 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $17 | $2,776 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $334 | $1,871 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $442 | $1,626 | 0 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 0 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 0 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 0 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 0 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 0 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 0 insurers |
| TEMECULA VALLEY HOSPITAL | CA | $1,491 | — | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 0 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $585 | $1,170 | 0 insurers |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO | CA | — | — | — | — | 0 insurers |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY | CA | — | — | — | — | 0 insurers |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB | CA | — | — | $334 | $1,607 | 0 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 0 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $116 | $898 | 0 insurers |
| AdventHealth Porter | CO | — | — | $148 | $849 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $148 | $849 | 0 insurers |
| AdventHealth Littleton | CO | — | — | $148 | $849 | 0 insurers |
| AdventHealth Parker | CO | — | — | $148 | $849 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $148 | $849 | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | — | — | — | — | 0 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $112 | $2,751 | 0 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 0 insurers |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT | CT | — | — | — | — | 0 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $131 | $2,085 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $131 | $2,021 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $411 | $1,336 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $402 | $1,106 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $397 | $912 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $1,914 | $1,954 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $207 | $1,336 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $411 | $1,336 | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $397 | $1,336 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $344 | $927 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $344 | $927 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | — | — | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $411 | $866 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $402 | $1,106 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | — | — | 0 insurers |
| BARTOW REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MORTON PLANT HOSPITAL | FL | — | — | — | — | 0 insurers |
| TAMPA GENERAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA AVENTURA HOSPITAL | FL | — | — | — | — | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $349 | $927 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $2,057 | $2,100 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $2,026 | $2,069 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $2,057 | $2,100 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $2,057 | $2,100 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $2,057 | $2,100 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $411 | $866 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | — | — | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $1,906 | $2,007 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $2,111 | $2,155 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $2,057 | $2,100 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $1,885 | $1,984 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | — | — | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $2,057 | $2,100 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $2,057 | $2,100 | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $411 | $866 | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $411 | $1,336 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $344 | $927 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $2,029 | $2,136 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | — | — | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $402 | $1,106 | 0 insurers |
| ADVENTHEALTH RIVERVIEW | FL | — | — | $603 | $603 | 0 insurers |
| ADVENTHEALTH WAUCHULA | FL | — | — | $608 | $608 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $2,194 | $2,435 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $180 | $180 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $194 | $493 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $194 | $493 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $194 | $493 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $110 | $738 | 0 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | GA | — | — | — | — | 0 insurers |
| BURKE MEDICAL CENTER | GA | — | — | — | — | 0 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $1,010 | $1,053 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $160 | $160 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $22.21 | $876 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $147 | $1,155 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $378 | $393 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $194 | $493 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $65.5 | $669 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $59.03 | $294 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $389 | $466 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $428 | $544 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $428 | $428 | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 0 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | — | — | — | — | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $428 | $450 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $92.12 | $1,499 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $92.12 | $1,456 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $149 | $1,131 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $92.12 | $1,456 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $149 | $1,131 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $92.12 | $1,456 | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $92.12 | $1,456 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $428 | $437 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $92.12 | $1,456 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $92.12 | $1,456 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $92.12 | $1,456 | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $149 | $1,131 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $316 | $690 | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | — | — | — | — | 0 insurers |
| EDWARD HOSPITAL | IL | — | — | $316 | $690 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $92.12 | $1,456 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $350 | $556 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $428 | $544 | 0 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS | IL | — | — | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $149 | $1,131 | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $92.12 | $1,456 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $92.12 | $1,456 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $350 | $444 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $92.12 | $1,456 | 0 insurers |
| LAWRENCE COUNTY MEMORIAL HOSPITAL | IL | $842 | — | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $382 | $397 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $389 | $466 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $184 | $1,047 | 0 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 0 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | $109 | $421 | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $396 | $979 | 0 insurers |
| PARKVIEW HUNTINGTON HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW WHITLEY HOSPITAL | IN | — | — | — | — | 0 insurers |
| PARKVIEW NOBLE HOSPITAL | IN | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE NORTHWEST INDIANA | IN | — | — | $149 | $1,131 | 0 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 0 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $172 | $336 | 0 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | — | — | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | — | — | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | — | — | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | — | — | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | — | — | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | — | — | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | — | — | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 0 insurers |