| WALKER BAPTIST MEDICAL CENTER | AL | $3,159 | $1,895 | $695 | $3,017 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $3,159 | $1,895 | $695 | $3,017 | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $3,159 | $1,895 | $695 | $3,017 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $3,159 | $1,895 | $695 | $3,017 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $3,159 | $1,895 | $695 | $3,017 | 0 insurers |
| ALTON MEMORIAL HOSPITAL | IL | $3,159 | $1,895 | $695 | $3,017 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $3,159 | $1,895 | $695 | $3,017 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $3,159 | $1,895 | $695 | $3,017 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $3,159 | $1,895 | $695 | $3,017 | 0 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $3,159 | $1,895 | $695 | $3,017 | 0 insurers |
| PARKLAND HEALTH CENTER | MO | $3,159 | $1,895 | $1,157 | $2,988 | 0 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $3,159 | $1,895 | $695 | $3,017 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $3,159 | $1,895 | $1,157 | $3,017 | 0 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $3,159 | $1,895 | $1,157 | $2,988 | 0 insurers |
| MISSOURI BAPTIST SULLIVAN HOSPITAL | MO | $3,159 | $1,895 | $695 | $3,017 | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $3,159 | $1,895 | $1,157 | $2,988 | 0 insurers |
| ST LUKE'S WARREN HOSPITAL | NJ | $2,423 | $2,011 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS | PA | $2,423 | $2,011 | — | — | 0 insurers |
| ST LUKES HOSPITAL BETHLEHEM | PA | $2,423 | $2,011 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS | PA | $2,423 | $2,011 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - EASTON CAMPUS | PA | $2,423 | $2,011 | — | — | 0 insurers |
| ST LUKE'S MINERS MEMORIAL HOSPITAL | PA | $2,423 | $2,011 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS | PA | $2,423 | $2,011 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - MONROE CAMPUS | PA | $2,423 | $2,011 | — | — | 0 insurers |
| GEISINGER ST. LUKE'S HOSPITAL | PA | $2,423 | $2,011 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - CARBON CAMPUS | PA | $2,423 | $2,011 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $3,159 | $2,527 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $3,159 | $2,527 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $3,159 | $2,527 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $3,159 | $2,527 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $3,159 | $2,527 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $3,159 | $2,527 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $3,159 | $2,527 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $3,159 | $2,527 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $3,159 | $2,527 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $3,159 | $2,527 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $3,159 | $2,527 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $3,159 | $2,527 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $3,159 | $2,527 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $2,249 | $1,259 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $2,249 | $1,259 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $2,249 | $1,259 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $2,249 | $1,259 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $2,249 | $1,259 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $2,249 | $1,259 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $2,249 | $1,259 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $2,249 | $1,259 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $2,249 | $1,259 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $2,249 | $1,259 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $2,249 | $1,259 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $2,249 | $1,259 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $2,249 | $1,259 | — | — | 0 insurers |
| WESTERLY HOSPITAL | RI | $7,581 | $2,729 | — | — | 0 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $1,209 | $846 | — | — | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | $2,994 | $826 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $1,579 | $158 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $7,581 | $3,942 | — | — | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $5,590 | — | — | 0 insurers |
| FLOYD CHEROKEE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| ANDALUSIA HEALTH | AL | — | — | $1,863 | $2,422 | 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 | — | — | $1,863 | $2,422 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $1,863 | $2,329 | 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 |
| 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 |
| 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 | — | — | $1,264 | $5,347 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $1,154 | $2,236 | 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 | — | — | $1,264 | $5,347 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $1,863 | $1,863 | 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 | — | — | $1,264 | $5,347 | 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 | — | — | $1,863 | $1,863 | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $1,264 | $3,032 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $1,137 | $5,990 | 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 | — | — | $1,863 | $4,844 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $1,863 | $4,844 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $1,863 | $4,844 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $1,863 | $4,844 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $505 | $9,968 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $1,137 | $6,781 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $1,137 | $5,088 | 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 |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 0 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $1,863 | $3,726 | 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 | — | — | $1,137 | $5,290 | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | — | — | — | — | 0 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $1,584 | $1,956 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| AdventHealth Porter | CO | — | — | $1,826 | $3,447 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $1,826 | $3,447 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $1,826 | $3,447 | 0 insurers |
| AdventHealth Parker | CO | — | — | $1,826 | $3,447 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $1,826 | $3,447 | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 0 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $1,264 | $1,264 | 0 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | — | — | — | — | 0 insurers |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT | CT | — | — | — | — | 0 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $1,863 | $8,715 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $1,863 | $8,715 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $1,118 | $5,962 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $1,863 | $4,938 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $1,770 | $4,070 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $1,863 | $2,534 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $1,118 | $5,962 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $1,118 | $5,962 | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $1,863 | $4,211 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $1,118 | $5,962 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $1,863 | $2,907 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $1,863 | $4,136 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $1,863 | $4,136 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $1,770 | $2,702 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $1,118 | $3,633 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $1,863 | $4,938 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $1,863 | $2,869 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $1,863 | $2,907 | 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 | — | — | $1,845 | $2,702 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $1,863 | $4,136 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $1,863 | $2,329 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $1,863 | $2,869 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $1,845 | $2,702 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $1,770 | $2,702 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $1,491 | $2,702 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $1,863 | $2,702 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $1,863 | $1,863 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $1,863 | $2,702 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $1,863 | $2,329 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $1,863 | $2,702 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $1,845 | $3,913 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $1,863 | $2,869 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $1,118 | $3,633 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $1,826 | $2,907 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $1,491 | $2,702 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $1,863 | $2,534 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $1,863 | $2,329 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $1,863 | $2,869 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $1,863 | $2,702 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $1,826 | $2,907 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $1,264 | $1,264 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $1,863 | $4,211 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $1,863 | $2,702 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $1,863 | $4,211 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $1,863 | $3,167 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $1,863 | $2,702 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $1,863 | $2,702 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $1,863 | $2,534 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $1,863 | $2,869 | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $1,845 | $2,702 | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $1,118 | $3,633 | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $1,118 | $5,962 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $1,863 | $4,136 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $1,863 | $5,590 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $1,863 | $7,453 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $1,863 | $3,726 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $1,264 | $1,264 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $1,863 | $4,938 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $1,956 | $2,329 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $1,154 | $1,956 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $1,131 | $1,956 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $1,131 | $1,956 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $1,131 | $1,956 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $1,264 | $3,693 | 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 |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $1,131 | $2,795 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $905 | $1,956 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $1,474 | $4,658 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $1,036 | $5,180 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $1,863 | $1,938 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $1,131 | $1,956 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $973 | $2,497 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $0.75 | $1,516 | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $1,863 | $1,956 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $1,863 | $1,863 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $1,863 | $1,863 | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $1,863 | $1,956 | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $1,863 | $6,521 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $1,863 | $3,969 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $1,137 | $2,050 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $1,863 | $3,969 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $1,863 | $4,422 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $1,863 | $3,969 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $1,863 | $3,969 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $1,863 | $1,900 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $1,863 | $3,969 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $1,863 | $3,969 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $1,863 | $3,969 | 0 insurers |
| MEMORIAL HOSPITAL | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $1,137 | $2,050 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $1,832 | $3,002 | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $1,863 | $3,969 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $1,863 | $8,845 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $1,863 | $1,863 | 0 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $1,137 | $2,050 | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $1,863 | $3,969 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $1,863 | $3,969 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $4,658 | $4,658 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $1,863 | $3,969 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $1,863 | $1,938 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $1,863 | $1,956 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $1,516 | $5,180 | 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 |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $644 | $4,602 | 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 | — | — | $1,137 | $2,050 | 0 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 0 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $1,863 | $2,984 | 0 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 0 insurers |
| NORTON SCOTT 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 |
| JONES REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $758 | $758 | 0 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $531 | $3,167 | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | — | — | — | — | 0 insurers |
| WESLEY MEDICAL CENTER | KS | — | — | $1,863 | $2,984 | 0 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | — | — | — | — | 0 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $531 | $13,527 | 0 insurers |
| COMMUNITY MEMORIAL HEALTHCARE, INC. | KS | — | — | $1,863 | $1,863 | 0 insurers |
| HANOVER HOSPITAL | KS | — | — | $1,863 | $4,658 | 0 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | — | — | 0 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $644 | $4,602 | 0 insurers |
| UOFL HEALTH - SHELBYVILLE HOSPITAL | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH EDGEWOOD | KY | — | — | $644 | $4,602 | 0 insurers |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH FLORENCE | KY | — | — | $644 | $4,602 | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | — | — | — | — | 0 insurers |
| UNIVERSITY OF KENTUCKY HOSPITAL | KY | — | — | $505 | $4,658 | 0 insurers |
| NORTON HOSPITALS, INC | KY | — | — | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | — | — | — | — | 0 insurers |
| GEORGETOWN COMMUNITY HOSPITAL | KY | — | — | $1,807 | $6,229 | 0 insurers |
| TRISTAR GREENVIEW REGIONAL HOSPITAL | KY | — | — | $1,264 | $2,459 | 0 insurers |
| FRANKFORT REGIONAL MEDICAL CENTER | KY | — | — | $1,264 | $2,143 | 0 insurers |
| THREE RIVERS MEDICAL CENTER | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH GRANT | KY | — | — | $644 | $4,602 | 0 insurers |
| OPELOUSAS GENERAL HEALTH SYSTEM | LA | — | — | — | — | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | — | — | $1,238 | $2,211 | 0 insurers |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL | LA | — | — | $1,238 | $1,769 | 0 insurers |
| CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM | LA | — | — | $1,238 | $1,769 | 0 insurers |
| BYRD REGIONAL HOSPITAL | LA | — | — | $1,826 | $4,900 | 0 insurers |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL | LA | — | — | $1,238 | $1,769 | 0 insurers |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL | LA | — | — | $632 | $3,500 | 0 insurers |
| CHRISTUS COUSHATTA HEALTH CARE CENTER | LA | — | — | $1,264 | $1,264 | 0 insurers |
| NORTHERN LIGHT MERCY HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT A R GOULD HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT MAINE COAST HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT C A DEAN HOSPITAL | ME | — | — | — | — | 0 insurers |
| LINCOLNHEALTH | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT MAYO HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | — | — | — | — | 0 insurers |
| NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | — | — | — | — | 0 insurers |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | — | — | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | — | — | — | — | 0 insurers |
| LAWRENCE GENERAL HOSPITAL | MA | — | — | — | — | 0 insurers |
| LAWRENCE GENERAL HOSPITAL | MA | — | — | — | — | 0 insurers |
| SAINT ANNE'S HOSPITAL | MA | — | — | — | — | 0 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | — | — | — | — | 0 insurers |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH | MA | — | — | $1,863 | $3,412 | 0 insurers |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL | MA | — | — | — | — | 0 insurers |
| HOLY FAMILY HOSPITAL | MA | — | — | — | — | 0 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM | MA | — | — | $3,652 | $3,652 | 0 insurers |
| BETH ISRAEL DEACONESS MEDICAL CENTER | MA | — | — | $1,863 | $3,690 | 0 insurers |
| SOUTH SHORE HOSPITAL | MA | — | — | $1,264 | $1,863 | 0 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON | MA | — | — | $758 | $758 | 0 insurers |
| COREWELL HEALTH ZEELAND HOSPITAL | MI | — | — | — | — | 0 insurers |
| LAKELAND HOSPITAL, ST JOSEPH | MI | — | — | — | — | 0 insurers |
| SPECTRUM HEALTH | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH WATERVLIET HOSPITAL | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH BIG RAPIDS HOSPITAL | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH LUDINGTON HOSPITAL | MI | — | — | — | — | 0 insurers |
| BEAUMONT HOSPITAL ROYAL OAK | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH WAYNE HOSPITAL | MI | — | — | — | — | 0 insurers |
| COREWELL HEALTH TRENTON HOSPITAL | MI | — | — | — | — | 0 insurers |
| OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP | MI | — | — | $1,863 | $3,969 | 0 insurers |
| COREWELL HEALTH PENNOCK HOSPITAL | MI | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH DULUTH | MN | — | — | — | — | 0 insurers |
| SANFORD WORTHINGTON MEDICAL CENTER | MN | — | — | — | — | 0 insurers |
| ALOMERE HEALTH | MN | — | — | — | — | 0 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | — | — | — | — | 0 insurers |
| WINONA HEALTH SERVICES | MN | — | — | — | — | 0 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH VIRGINIA | MN | — | — | — | — | 0 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES | MN | — | — | — | — | 0 insurers |
| MAHNOMEN HEALTH CENTER | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH SANDSTONE | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH ADA | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH HOLY TRINITY HOSPITAL | MN | — | — | — | — | 0 insurers |
| NORTH VALLEY HEALTH CENTER | MN | — | — | $1,516 | $5,573 | 0 insurers |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH MOOSE LAKE | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH FOSSTON | MN | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH DEER RIVER | MN | — | — | — | — | 0 insurers |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL | MN | — | — | — | — | 0 insurers |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL | MN | — | — | — | — | 0 insurers |
| TISHOMINGO HEALTH SERVICES INC | MS | — | — | $1,863 | $5,590 | 0 insurers |
| NORTH MISSISSIPPI MEDICAL CENTER-GILMORE AMORY | MS | — | — | $1,863 | $5,590 | 0 insurers |
| GEORGE REGIONAL HEALTH SYSTEM | MS | — | — | $1,863 | $4,658 | 0 insurers |
| ALLIANCE HEALTH CENTER | MS | — | — | $531 | $3,726 | 0 insurers |
| PONTOTOC HEALTH SERVICE INC CAH | MS | — | — | $1,863 | $5,590 | 0 insurers |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY | MO | — | — | $1,137 | $5,657 | 0 insurers |
| NORTHEAST REGIONAL MEDICAL CENTER | MO | — | — | — | — | 0 insurers |
| BOONE HOSPITAL CENTER | MO | — | — | $1,863 | $3,447 | 0 insurers |
| SSM ST CLARE HEALTH CENTER | MO | — | — | $1,264 | $2,236 | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS | MO | — | — | $1,264 | $2,236 | 0 insurers |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS | MO | — | — | $1,264 | $2,236 | 0 insurers |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL | MO | — | — | $1,264 | $5,212 | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | — | — | — | — | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | MO | — | — | $1,590 | $3,261 | 0 insurers |
| LEE'S SUMMIT MEDICAL CENTER | MO | — | — | $1,264 | $1,264 | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | — | — | $1,046 | $1,407 | 0 insurers |
| PRAIRIE COMMUNITY CAH | MT | — | — | — | — | 0 insurers |
| HOLY ROSARY HOSPITAL | MT | — | — | — | — | 0 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | — | — | $1,046 | $1,407 | 0 insurers |
| PENDER COMMUNITY HOSPITAL | NE | — | — | — | — | 0 insurers |
| CARSON VALLEY HEALTH | NV | — | — | — | — | 0 insurers |
| ELLIOT HOSPITAL | NH | — | — | $1,863 | $10,656 | 0 insurers |
| FRISBIE MEMORIAL HOSPITAL | NH | — | — | $1,041 | $3,322 | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | — | — | — | — | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | — | — | — | — | 0 insurers |
| CATHOLIC MEDICAL CENTER | NH | — | — | $1,041 | $11,023 | 0 insurers |
| MEMORIAL HOSPITAL, THE | NH | — | — | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | — | — | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | — | — | — | — | 0 insurers |
| CAREWELL HEALTH MEDICAL CENTER | NJ | — | — | — | — | 0 insurers |
| JEFFERSON STRATFORD HOSPITAL | NJ | — | — | — | — | 0 insurers |
| CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER | NM | — | — | $1,264 | $2,527 | 0 insurers |
| PRESBYTERIAN ESPANOLA HOSPITAL | NM | — | — | — | — | 0 insurers |
| PRESBYTERIAN HOSPITAL | NM | — | — | — | — | 0 insurers |
| PRESBYTERIAN SANTA FE MEDICAL CENTER | NM | — | — | — | — | 0 insurers |
| OLEAN GENERAL HOSPITAL | NY | — | — | $1,390 | $5,998 | 0 insurers |
| GARNET HEALTH MEDICAL CENTER | NY | — | — | — | — | 0 insurers |
| ST JAMES HOSPITAL | NY | — | — | — | — | 0 insurers |
| MONTEFIORE NEW ROCHELLE HOSPITAL | NY | — | — | — | — | 0 insurers |
| NICHOLAS H NOYES MEMORIAL HOSPITAL | NY | — | — | — | — | 0 insurers |
| GARNET HEALTH MEDICAL CENTER CATSKILLS | NY | — | — | — | — | 0 insurers |
| GARNET HEALTH MEDICAL CENTER CATSKILLS | NY | — | — | — | — | 0 insurers |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE | NC | — | — | $1,863 | $2,236 | 0 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | — | — | $1,863 | $3,726 | 0 insurers |
| ADVENTHEALTH HENDERSONVILLE | NC | — | — | $1,264 | $5,590 | 0 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | — | — | $1,863 | $3,726 | 0 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | — | — | — | — | 0 insurers |
| WAKEMED, RALEIGH CAMPUS | NC | — | — | — | — | 0 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | — | — | $1,863 | $3,726 | 0 insurers |
| THE MCDOWELL HOSPITAL | NC | — | — | $1,863 | $2,609 | 0 insurers |
| SENTARA ALBEMARLE MEDICAL CENTER | NC | — | — | — | — | 0 insurers |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER | NC | — | — | $1,826 | $4,490 | 0 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | — | — | $1,863 | $3,726 | 0 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | — | — | $1,996 | $4,490 | 0 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | — | — | $1,863 | $3,726 | 0 insurers |
| WAKEMED, CARY HOSPITAL | NC | — | — | — | — | 0 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | — | — | $1,863 | $3,726 | 0 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | — | — | $1,863 | $3,726 | 0 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | — | — | $1,863 | $3,726 | 0 insurers |
| ANGEL MEDICAL CENTER | NC | — | — | $2,236 | $2,236 | 0 insurers |
| BLUE RIDGE REGIONAL HOSPITAL | NC | — | — | $1,863 | $2,236 | 0 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | — | — | — | — | 0 insurers |
| ESSENTIA HEALTH | ND | — | — | — | — | 0 insurers |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC | OH | — | — | $1,516 | $5,366 | 0 insurers |
| RIVERSIDE METHODIST HOSPITAL | OH | — | — | $1,863 | $1,863 | 0 insurers |
| LIMA MEMORIAL HEALTH SYSTEM | OH | — | — | $1,264 | $8,567 | 0 insurers |
| OHIOHEALTH O'BLENESS HOSPITAL | OH | — | — | $1,863 | $1,882 | 0 insurers |
| GRANT MEDICAL CENTER | OH | — | — | $1,863 | $1,863 | 0 insurers |
| KETTERING HEALTH GREENE MEMORIAL | OH | — | — | $1,425 | $5,006 | 0 insurers |
| UNIVERSITY OF TOLEDO MEDICAL CENTER | OH | — | — | — | — | 0 insurers |
| MIAMI VALLEY HOSPITAL | OH | — | — | $1,516 | $5,573 | 0 insurers |
| FISHER-TITUS HOSPITAL | OH | — | — | — | — | 0 insurers |
| VAN WERT COUNTY HOSPITAL | OH | — | — | $1,863 | $1,900 | 0 insurers |
| UH REGIONAL HOSPITALS | OH | — | — | — | — | 0 insurers |
| ATRIUM MEDICAL CENTER | OH | — | — | $1,516 | $5,686 | 0 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | — | — | — | — | 0 insurers |
| AULTMAN HOSPITAL | OH | — | — | $1,118 | $3,726 | 0 insurers |
| OHIO STATE UNIVERSITY STATE HEALTH SYSTEM | OH | $660 | — | — | — | 0 insurers |
| OHIOHEALTH MANSFIELD HOSPITAL | OH | — | — | $1,863 | $1,938 | 0 insurers |
| UH ST JOHN MEDICAL CENTER | OH | — | — | — | — | 0 insurers |
| ALLIANCE COMMUNITY HOSPITAL | OH | — | — | $531 | $3,726 | 0 insurers |
| FORT HAMILTON HUGHES MEMORIAL HOSPITAL | OH | — | — | $1,425 | $5,006 | 0 insurers |