| FROEDTERT SOUTH INC. | WI | $1,640 | $902 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $1,640 | $902 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $1,640 | $902 | — | — | 0 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $2,245 | $898 | — | — | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $2,132 | $905 | $1,556 | $1,940 | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $2,132 | $905 | $759 | $2,602 | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $2,273 | $909 | — | — | 0 insurers |
| MEMORIAL HOSPITAL | TX | $1,775 | $888 | $536 | $2,717 | 0 insurers |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | TX | $1,775 | $888 | $536 | $2,717 | 0 insurers |
| MEMORIAL HOSPITAL | TX | $1,775 | $888 | $536 | $2,717 | 0 insurers |
| MEMORIAL HOSPITAL | TX | $1,775 | $888 | $536 | $2,717 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | $917 | $917 | $98.94 | $104 | 0 insurers |
| LAKEWOOD HEALTH CENTER | MN | $1,237 | $925 | — | — | 0 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $1,429 | $873 | — | — | 0 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $1,429 | $873 | — | — | 0 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $1,429 | $873 | — | — | 0 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $1,450 | $870 | — | — | 0 insurers |
| ASHLEY REGIONAL MEDICAL CENTER | UT | $1,575 | $866 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH DEVILS LAKE | ND | $2,277 | $956 | $1,640 | $2,163 | 0 insurers |
| CHI ST ALEXIUS HEALTH DEVILS LAKE | ND | $2,277 | $956 | $759 | $2,163 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $2,391 | $837 | $84 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $2,391 | $837 | $84 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $2,391 | $837 | $84 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $2,391 | $837 | $84 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $2,391 | $837 | $84 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $2,391 | $837 | $84 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $2,391 | $837 | $84 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $2,391 | $837 | $84 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $2,391 | $837 | $84 | $232 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $2,391 | $837 | $84 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $2,391 | $837 | $84 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $2,391 | $837 | $84 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $2,391 | $837 | $84 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $2,391 | $837 | $84 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $2,391 | $837 | $84 | $232 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $2,030 | $979 | $934 | $1,847 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $2,030 | $979 | $568 | $1,883 | 0 insurers |
| NEVADA REGIONAL MEDICAL CENTER | MO | $990 | $990 | $297 | $1,681 | 0 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | $2,482 | $993 | $813 | $2,333 | 0 insurers |
| COFFEY COUNTY HOSPITAL | KS | $3,311 | $993 | — | — | 0 insurers |
| COFFEY COUNTY HOSPITAL | KS | $3,311 | $993 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $1,708 | $803 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $2,006 | $802 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $2,006 | $802 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $1,600 | $800 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $1,600 | $800 | — | — | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $1,600 | $800 | — | — | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $1,600 | $800 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $1,600 | $800 | — | — | 0 insurers |
| WETZEL COUNTY HOSPITAL | WV | $1,600 | $800 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $1,600 | $800 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $1,600 | $800 | — | — | 0 insurers |
| HANCOCK COUNTY HEALTH SYSTEM | IA | $4,393 | $1,010 | — | — | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $2,543 | $1,017 | — | — | 0 insurers |
| OCHSNER CHOCTAW GENERAL | AL | $1,025 | $779 | — | — | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $1,940 | $776 | — | — | 0 insurers |
| BRISTOL HOSPITAL | CT | $6,864 | $1,030 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $6,864 | $1,030 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $6,864 | $1,030 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $6,864 | $1,030 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $6,864 | $1,030 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $6,864 | $1,030 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $6,864 | $1,030 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $6,864 | $1,030 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $6,864 | $1,030 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $6,864 | $1,030 | — | — | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $1,100 | $770 | $209 | $4,070 | 0 insurers |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA | TN | $2,356 | $768 | — | — | 0 insurers |
| SPRING VIEW HOSPITAL | KY | $1,912 | $765 | — | — | 0 insurers |
| CARILION MEDICAL CENTER | VA | $2,178 | $762 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $2,178 | $762 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $2,178 | $762 | — | — | 0 insurers |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER | CA | $3,795 | $759 | $232 | $3,795 | 0 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $2,277 | $759 | $232 | $2,277 | 0 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $2,277 | $759 | $232 | $2,277 | 0 insurers |
| SOUTHERN REGIONAL MEDICAL CENTER | GA | $3,600 | $759 | $505 | $3,600 | 0 insurers |
| MERCY MEDICAL CENTER INC | MD | $2,180 | $759 | $436 | $2,180 | 0 insurers |
| GARDEN CITY HOSPITAL | MI | $1,139 | $759 | $228 | $1,139 | 0 insurers |
| NORTH VISTA HOSPITAL | NV | $759 | $759 | $228 | $759 | 0 insurers |
| MOUNT GRANT GENERAL HOSPITAL | NV | $39 | $759 | $11.7 | $39 | 0 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $39 | $759 | $5.2 | $39 | 0 insurers |
| EAST LIVERPOOL CITY HOSPITAL | OH | $1,800 | $759 | $233 | $1,764 | 0 insurers |
| LOWER BUCKS HOSPITAL | PA | $39 | $759 | $11.7 | $39 | 0 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $39 | $759 | $11.7 | $39 | 0 insurers |
| LANDMARK MEDICAL CENTER | RI | $39 | $759 | $7.78 | $39 | 0 insurers |
| KNAPP MEDICAL CENTER | TX | $3,966 | $759 | $50 | $3,887 | 0 insurers |
| MISSION REGIONAL MEDICAL CENTER | TX | $3,795 | $759 | $481 | $3,074 | 0 insurers |
| HARLINGEN MEDICAL CENTER | TX | $3,795 | $759 | $638 | $3,036 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | WA | $5,184 | $759 | $156 | $5,184 | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $1,885 | $754 | — | — | 0 insurers |
| GATEWAY REGIONAL MEDICAL CENTER | IL | — | $1,050 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $911 | $729 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $911 | $729 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $911 | $729 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $911 | $729 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $911 | $729 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $911 | $729 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $911 | $729 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $911 | $729 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $911 | $729 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $911 | $729 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $911 | $729 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $911 | $729 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $911 | $729 | — | — | 0 insurers |
| CONEMAUGH MINERS MEDICAL CENTER | PA | $2,713 | $1,085 | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $3,636 | $1,091 | — | — | 0 insurers |
| OCHSNER STENNIS MEMORIAL HOSPITAL | MS | $1,025 | $707 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $1,386 | $693 | — | — | 0 insurers |
| OCHSNER WATKINS HOSPITAL | MS | $1,025 | $687 | — | — | 0 insurers |
| UNION HOSPITAL CLINTON | IN | $1,144 | $686 | — | — | 0 insurers |
| AIKEN REGIONAL MEDICAL CENTER | SC | $1,703 | $681 | — | — | 0 insurers |
| SWEETWATER HOSPITAL ASSOCIATION | TN | $1,703 | $681 | — | — | 0 insurers |
| WILKES REGIONAL MEDICAL CENTER | NC | $1,362 | $681 | — | — | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $1,350 | $675 | — | — | 0 insurers |
| HUNT REGIONAL MEDICAL CENTER | TX | $1,036 | $673 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $1,899 | $665 | — | — | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $1,898 | $1,139 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $1,898 | $1,139 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $1,139 | $607 | $683 | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $1,899 | $1,139 | $759 | $1,899 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $1,899 | $1,139 | $759 | $1,899 | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $1,899 | $1,139 | $759 | $1,899 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $1,899 | $1,139 | $759 | $1,899 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $1,899 | $1,139 | $759 | $1,899 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $1,899 | $1,139 | $759 | $1,899 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $1,899 | $1,139 | $759 | $1,899 | 0 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $1,899 | $1,139 | $759 | $1,899 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $1,899 | $1,139 | $759 | $1,899 | 0 insurers |
| CARILION STONEWALL JACKSON HOSPITAL | VA | $1,899 | $1,139 | $437 | $1,823 | 0 insurers |
| HOLY CROSS HOSPITAL - SALT LAKE | UT | $2,852 | $1,141 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $2,852 | $1,141 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $2,255 | $1,150 | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | $650 | — | — | 0 insurers |
| OCHSNER SCOTT REGIONAL | MS | $1,025 | $646 | — | — | 0 insurers |
| KAISER PERMANENTE CENTRAL HOSPITAL | WA | $1,864 | $1,156 | $1,271 | $1,271 | 0 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $3,314 | $1,160 | — | — | 0 insurers |
| OCHSNER LAIRD HOSPITAL | MS | $1,025 | $625 | — | — | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $1,594 | $622 | — | — | 0 insurers |
| CHI OAKES HOSPITAL | ND | $2,277 | $1,184 | $1,662 | $2,209 | 0 insurers |
| CHI OAKES HOSPITAL | ND | $2,277 | $1,184 | $759 | $2,209 | 0 insurers |
| NORTHWEST TEXAS HOSPITAL | TX | $1,536 | $614 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-STUTTGART | AR | $2,440 | $610 | — | — | 0 insurers |
| TIPPAH COUNTY HOSPITAL | MS | $1,193 | $1,193 | — | — | 0 insurers |
| TOUCHETTE REGIONAL HOSPITAL INC | IL | $971 | $602 | — | — | 0 insurers |
| JACKSON GENERAL HOSPITAL | WV | $2,400 | $1,200 | — | — | 0 insurers |
| HIGHPOINT HEALTH-TROUSDALE WITH ASCENSION SAINT | TN | $2,553 | $595 | — | — | 0 insurers |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH | TN | $2,553 | $595 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $2,278 | $1,215 | $1,709 | $2,164 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $2,278 | $1,215 | $600 | $3,029 | 0 insurers |
| PEACE HARBOR MEDICAL CENTER | OR | $1,879 | $1,221 | — | — | 0 insurers |
| LADD MEMORIAL HOSPITAL | WI | $825 | $578 | — | — | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $1,898 | $577 | $1,366 | $1,423 | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $1,898 | $577 | $759 | $3,340 | 0 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $820 | $574 | — | — | 0 insurers |
| FRANKFORT REGIONAL MEDICAL CENTER | KY | $1,244 | $1,244 | $759 | $1,883 | 0 insurers |
| BELLEVUE HOSPITAL CENTER | NY | — | $1,247 | — | — | 0 insurers |
| SAN GORGONIO MEMORIAL HOSPITAL | CA | $2,765 | $553 | — | — | 0 insurers |
| BELL HOSPITAL | MI | $915 | $549 | — | — | 0 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | $2,088 | $1,253 | — | — | 0 insurers |
| BAXTER HEALTH | AR | $912 | $547 | — | — | 0 insurers |
| ST CLARE HOSPITAL | WA | $1,898 | $547 | $1,366 | $1,423 | 0 insurers |
| ST CLARE HOSPITAL | WA | $1,898 | $547 | $759 | $3,340 | 0 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $2,052 | $546 | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $3,636 | $1,273 | — | — | 0 insurers |
| LONGS PEAK HOSPITAL | CO | $3,636 | $1,273 | — | — | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $3,636 | $1,273 | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $3,636 | $1,273 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA | AR | $2,102 | $525 | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE | IL | $1,494 | $523 | — | — | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $1,303 | $521 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $1,303 | $521 | — | — | 0 insurers |
| WILLAPA HARBOR HOSPITAL | WA | $1,838 | $1,286 | — | — | 0 insurers |
| TRIGG COUNTY HOSPITAL | KY | $1,275 | $510 | — | — | 0 insurers |
| AdventHealth Palm Coast | FL | $924 | $508 | $197 | $1,784 | 0 insurers |
| BROADLAWNS MEDICAL CENTER | IA | $1,296 | $1,296 | — | — | 0 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | $835 | $501 | $155 | $1,518 | 0 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | $835 | $501 | $152 | $1,518 | 0 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | $835 | $501 | $198 | $1,518 | 0 insurers |
| ALTRU HOSPITAL | ND | $2,136 | $1,303 | — | — | 0 insurers |
| ROME MEMORIAL HOSPITAL, INC | NY | $3,236 | $1,306 | — | — | 0 insurers |
| IBERIA MEDICAL CENTER | LA | $805 | $483 | — | — | 0 insurers |
| ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER | NE | $503 | $483 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $2,277 | $1,321 | $1,366 | $2,140 | 0 insurers |
| CHI ST ALEXIUS HEALTH WILLISTON | ND | $2,277 | $1,321 | $759 | $2,140 | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $1,898 | $1,329 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $1,898 | $1,329 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $925 | $463 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $925 | $463 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $925 | $463 | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $925 | $463 | — | — | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $925 | $463 | — | — | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $925 | $463 | — | — | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $925 | $463 | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $925 | $463 | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $925 | $463 | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $925 | $463 | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $925 | $463 | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $925 | $463 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $925 | $463 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $925 | $463 | — | — | 0 insurers |
| AURORA MEDICAL CTR MANITOWOC COUNTY | WI | $925 | $463 | — | — | 0 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $925 | $463 | — | — | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $925 | $463 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $925 | $463 | — | — | 0 insurers |
| AURORA LAKELAND MEDICAL CENTER | WI | $925 | $463 | — | — | 0 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $925 | $463 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $925 | $463 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $925 | $463 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $925 | $463 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $925 | $463 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $925 | $463 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $925 | $463 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $925 | $463 | — | — | 0 insurers |
| JACKSON PURCHASE MEDICAL CENTER | KY | $3,345 | $1,338 | — | — | 0 insurers |
| EMANUEL MEDICAL CENTER | GA | $3,357 | $1,343 | — | — | 0 insurers |
| DLP SWAIN COUNTY HOSPITAL LLC | NC | $3,357 | $1,343 | — | — | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $3,369 | $1,348 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $3,369 | $1,348 | — | — | 0 insurers |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE | TN | $1,797 | $447 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | CA | $620 | $434 | $254 | $620 | 0 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $854 | $427 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $854 | $427 | — | — | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $3,440 | $1,376 | — | — | 0 insurers |
| WEISER MEMORIAL HOSPITAL | ID | $562 | $421 | — | — | 0 insurers |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER | WA | $2,123 | $1,380 | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $1,100 | $420 | $660 | $869 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $1,100 | $420 | $209 | $1,100 | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | $1,351 | $419 | — | — | 0 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | $835 | $417 | $145 | $1,518 | 0 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | $835 | $417 | $118 | $1,829 | 0 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | $835 | $417 | $109 | $1,518 | 0 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | $835 | $417 | $103 | $1,518 | 0 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | $835 | $417 | $270 | $1,518 | 0 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | $835 | $417 | $170 | $1,518 | 0 insurers |
| NOVANT PRINCE WILLIAM MEDICAL CENTER | VA | $835 | $417 | $170 | $1,518 | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $1,042 | $417 | — | — | 0 insurers |
| LAKE CUMBERLAND REGIONAL HOSPITAL | KY | $3,502 | $1,401 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $2,581 | $1,420 | — | — | 0 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $759 | $380 | — | — | 0 insurers |
| BOCA RATON REGIONAL HOSPITAL | FL | $579 | $376 | — | — | 0 insurers |
| PENDER COMMUNITY HOSPITAL | NE | $835 | $376 | $214 | $810 | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $2,277 | $1,435 | $1,594 | $2,209 | 0 insurers |
| CHI ST ALEXIUS HEALTH DICKINSON | ND | $2,277 | $1,435 | $759 | $2,209 | 0 insurers |
| OCHSNER RUSH HOSPITAL | MS | $1,025 | $359 | — | — | 0 insurers |
| HAYWOOD REGIONAL MEDICAL CENTER | NC | $3,637 | $1,455 | — | — | 0 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | $2,079 | $1,455 | — | — | 0 insurers |
| SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT | OK | $1,955 | $1,466 | — | — | 0 insurers |
| KELL WEST REGIONAL HOSPITAL | TX | $610 | $322 | — | — | 0 insurers |
| SAINT JOSEPH LONDON | KY | $882 | $315 | $803 | $803 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $882 | $315 | $759 | $2,602 | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | GA | $2,124 | $1,487 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $797 | $311 | $167 | $598 | 0 insurers |
| SINAI-GRACE HOSPITAL | MI | $400 | $300 | — | — | 0 insurers |
| HARPER UNIVERSITY HOSPITAL | MI | $400 | $300 | $93 | $1,031 | 0 insurers |
| DETROIT RECEIVING HOSPITAL | MI | $400 | $300 | — | — | 0 insurers |
| HURON VALLEY-SINAI HOSPITAL | MI | $400 | $300 | $93 | $1,031 | 0 insurers |
| CHILDREN'S HOSPITAL OF MICHIGAN | MI | $400 | $300 | — | — | 0 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $540 | $297 | — | — | 0 insurers |
| MID-COLUMBIA MEDICAL CENTER | OR | $725 | $290 | — | — | 0 insurers |
| WILLAMETTE VALLEY MEDICAL CENTER | OR | $725 | $290 | — | — | 0 insurers |
| WILSON MEDICAL CENTER | KS | $722 | $289 | — | — | 0 insurers |
| WILSON MEDICAL CENTER | NC | $722 | $289 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $1,518 | $1,518 | — | — | 0 insurers |
| DELTA MEMORIAL HOSPITAL | AR | $1,898 | $1,518 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $1,898 | $1,518 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $1,898 | $1,518 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $1,898 | $1,518 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $1,898 | $1,518 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $1,898 | $1,518 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $1,898 | $1,518 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $1,898 | $1,518 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $1,898 | $1,518 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $1,898 | $1,518 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $1,898 | $1,518 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,898 | $1,518 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $1,898 | $1,518 | — | — | 0 insurers |
| SAINT JOSEPH EAST | KY | $3,822 | $1,535 | $3,478 | $3,478 | 0 insurers |
| SAINT JOSEPH EAST | KY | $3,822 | $1,535 | $759 | $3,478 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $3,822 | $1,535 | $3,478 | $3,478 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $3,822 | $1,535 | $759 | $3,478 | 0 insurers |
| RUTHERFORD REGIONAL MEDICAL CENTER | NC | $3,849 | $1,540 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $504 | $257 | $373 | $454 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $504 | $257 | $373 | $1,204 | 0 insurers |
| BEAR VALLEY COMMUNITY HOSPITAL | CA | $349 | $244 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $229 | $229 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $229 | $229 | — | — | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $620 | $228 | $434 | $490 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $620 | $228 | $232 | $2,181 | 0 insurers |
| TRISTAR SUMMIT MEDICAL CENTER | TN | $1,578 | $1,578 | — | — | 0 insurers |
| AMBERWELL ATCHISON ASSOCIATION | KS | $2,277 | $1,594 | $40 | — | 0 insurers |
| ST LUKE COMMUNITY HOSPITAL | MT | $2,000 | $1,600 | — | — | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $4,391 | $1,609 | $3,996 | $3,996 | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $4,391 | $1,609 | $759 | $3,996 | 0 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $1,832 | $183 | — | — | 0 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $1,832 | $183 | — | — | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $620 | $182 | $446 | $508 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $620 | $182 | $130 | $4,446 | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $2,493 | $1,620 | — | — | 0 insurers |
| BEEBE MEDICAL CENTER | DE | $1,925 | $1,636 | — | — | 0 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $2,536 | $1,674 | — | — | 0 insurers |
| REDINGTON FAIRVIEW GENERAL HOSPITAL | ME | $133 | $99.75 | — | — | 0 insurers |
| JACKSON HOSPITAL | FL | $630 | $98.5 | — | — | 0 insurers |
| GOSHEN HOSPITAL | IN | $2,447 | $1,713 | — | — | 0 insurers |
| RUSSELL REGIONAL HOSPITAL | KS | $100 | $85 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $232 | $81.2 | $86 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $232 | $81.2 | $86 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $232 | $81.2 | $86 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $232 | $81.2 | $86 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $232 | $81.2 | $86 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $232 | $81.2 | $86 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $232 | $81.2 | $86 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $232 | $81.2 | $86 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $232 | $81.2 | $86 | $232 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $232 | $81.2 | $86 | $232 | 0 insurers |
| JACKSON COUNTY REGIONAL HEALTH CENTER | IA | $70 | $70 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $3,100 | $1,736 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $3,100 | $1,736 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $3,100 | $1,736 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $3,100 | $1,736 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $3,100 | $1,736 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $3,100 | $1,736 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $3,100 | $1,736 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $3,100 | $1,736 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $3,100 | $1,736 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $3,100 | $1,736 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $3,100 | $1,736 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $3,100 | $1,736 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $3,100 | $1,736 | — | — | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $2,835 | $1,738 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $621 | $62.1 | — | — | 0 insurers |
| Adventhealth Zephyrhills | FL | $2,929 | $1,757 | $69.87 | $2,078 | 0 insurers |
| ADVENTHEALTH TAMPA | FL | $2,929 | $1,757 | $322 | $3,170 | 0 insurers |
| SHARE MEDICAL CENTER | OK | $2,721 | $1,768 | — | — | 0 insurers |
| STEPHENS MEMORIAL HOSPITAL | TX | $1,777 | $1,777 | — | — | 0 insurers |
| ST JOSEPHS AREA HEALTH SERVICES | MN | $2,875 | $1,780 | $572 | $2,731 | 0 insurers |
| ADVENTHEALTH SEBRING | FL | $2,985 | $1,791 | $248 | $2,686 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $3,822 | $1,800 | $3,478 | $3,478 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $3,822 | $1,800 | $759 | $3,478 | 0 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $2,605 | $1,823 | — | — | 0 insurers |
| THE GENERAL | LA | $2,605 | $1,823 | — | — | 0 insurers |
| CHICOT MEMORIAL MEDICAL CENTER | AR | $1,898 | $1,898 | — | — | 0 insurers |
| TWIN CITY MEDICAL CENTER | OH | $2,733 | $1,913 | $1,066 | $2,487 | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $4,975 | $1,990 | — | — | 0 insurers |
| HANOVER HOSPITAL | KS | $1,993 | $1,993 | $759 | $3,424 | 0 insurers |
| CJW MEDICAL CENTER | VA | $1,993 | $1,993 | $759 | $3,424 | 0 insurers |
| HENRICO DOCTORS' HOSPITAL | VA | $1,993 | $1,993 | $759 | $3,424 | 0 insurers |
| DOYLESTOWN HOSPITAL | PA | $2,000 | $2,000 | — | — | 0 insurers |
| RINGGOLD COUNTY HOSPITAL | IA | $2,272 | $2,045 | — | — | 0 insurers |
| WAYNE HOSPITAL | OH | $2,817 | $2,113 | — | — | 0 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $3,090 | $2,163 | — | — | 0 insurers |
| MIDDLESBORO ARH HOSPITAL | KY | $3,608 | $2,165 | — | — | 0 insurers |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | KY | $3,717 | $2,230 | — | — | 0 insurers |
| HARLAN ARH HOSPITAL | KY | $3,717 | $2,230 | — | — | 0 insurers |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | KY | $3,717 | $2,230 | — | — | 0 insurers |
| HSHS ST ELIZABETH'S HOSPITAL | IL | $3,098 | $2,231 | — | — | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $2,255 | $2,255 | — | — | 0 insurers |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS | NY | $2,267 | $2,267 | — | — | 0 insurers |
| WHITESBURG ARH HOSPITAL | KY | $3,789 | $2,273 | — | — | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $2,277 | — | — | 0 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | $2,294 | $2,294 | $1,508 | $3,226 | 0 insurers |
| HAZARD ARH REGIONAL MEDICAL CENTER | KY | $3,824 | $2,294 | — | — | 0 insurers |
| CASTLEVIEW HOSPITAL | UT | $4,210 | $2,316 | — | — | 0 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $4,726 | $2,363 | — | — | 0 insurers |
| HEYWOOD HOSPITAL - | MA | $2,374 | $2,374 | $759 | $3,226 | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | $2,395 | $2,395 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | $2,395 | $2,395 | — | — | 0 insurers |
| MORGAN COUNTY ARH HOSPITAL | KY | $4,055 | $2,433 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $4,934 | $2,467 | — | — | 0 insurers |
| CONEMAUGH NASON MEDICAL CENTER | PA | $6,214 | $2,486 | — | — | 0 insurers |
| CONEMAUGH MEYERSDALE MEDICAL CENTER | PA | $6,214 | $2,486 | — | — | 0 insurers |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER | KS | $3,328 | $2,496 | — | — | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | $3,307 | $2,811 | — | — | 0 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | $3,307 | $2,811 | — | — | 0 insurers |
| CARLE RICHLAND MEMORIAL HOSPITAL | IL | $2,860 | $2,860 | — | — | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $3,021 | $2,870 | — | — | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | $3,036 | $3,036 | — | — | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | $3,036 | $3,036 | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | $3,036 | $3,036 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $6,017 | $3,069 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $6,017 | $3,129 | — | — | 0 insurers |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | IL | $3,180 | $3,180 | — | — | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $3,188 | $3,188 | — | — | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $6,017 | $3,550 | — | — | 0 insurers |
| BUNKIE GENERAL HOSPITAL | LA | $3,775 | $3,775 | — | — | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $6,329 | $3,797 | — | — | 0 insurers |
| THREE RIVERS HOSPITAL | WA | $4,142 | $4,142 | — | — | 0 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | $5,413 | $5,413 | — | — | 0 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | $5,413 | $5,413 | — | — | 0 insurers |
| LINCOLNHEALTH | ME | $5,413 | $5,413 | — | — | 0 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | $5,413 | $5,413 | — | — | 0 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | $5,413 | $5,413 | — | — | 0 insurers |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | $5,413 | $5,413 | — | — | 0 insurers |
| MEMORIAL HOSPITAL, THE | NH | $5,413 | $5,413 | — | — | 0 insurers |
| ST LUKE'S WARREN HOSPITAL | NJ | $18,757 | $15,568 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS | PA | $18,757 | $15,568 | — | — | 0 insurers |
| ST LUKES HOSPITAL BETHLEHEM | PA | $18,757 | $15,568 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS | PA | $18,757 | $15,568 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - EASTON CAMPUS | PA | $18,757 | $15,568 | — | — | 0 insurers |
| ST LUKE'S MINERS MEMORIAL HOSPITAL | PA | $18,757 | $15,568 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS | PA | $18,757 | $15,568 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - MONROE CAMPUS | PA | $18,757 | $15,568 | — | — | 0 insurers |
| GEISINGER ST. LUKE'S HOSPITAL | PA | $18,757 | $15,568 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - CARBON CAMPUS | PA | $18,757 | $15,568 | — | — | 0 insurers |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL | NJ | $20,699 | $20,699 | — | — | 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 | — | — | $759 | $987 | 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 | — | — | $683 | $987 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $759 | $759 | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $759 | $7,476 | 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 |
| MT. GRAHAM REGIONAL MEDICAL CENTER | AZ | $3,286 | — | — | — | 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 |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | — | — | — | — | 0 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $232 | $2,178 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $683 | $1,077 | 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 | — | — | $232 | $2,178 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $759 | $759 | 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 | — | — | $232 | $2,178 | 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 | — | — | $759 | $759 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $232 | $1,822 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $493 | $2,440 | 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 | — | — | $759 | $1,974 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $759 | $1,974 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $759 | $1,974 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $759 | $1,974 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $741 | $4,061 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $493 | $2,762 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $1,864 | $4,439 | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $683 | $2,129 | 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 |
| CEDAR-SINAI MARINA DEL REY HOSPITAL | CA | — | — | — | — | 0 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 0 insurers |
| TEMECULA VALLEY HOSPITAL | CA | $2,273 | — | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 0 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $759 | $1,518 | 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 | — | — | $493 | $2,155 | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | — | — | — | — | 0 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST MARY-CORWIN HOSPITAL | CO | — | — | — | — | 0 insurers |