| UNM HOSPITAL | NM | $1,859 | $1,023 | — | — | 0 insurers |
| BRISTOL HOSPITAL | CT | $6,817 | $1,023 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $6,817 | $1,023 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $6,817 | $1,023 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $6,817 | $1,023 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $6,817 | $1,023 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $6,817 | $1,023 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $6,817 | $1,023 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $6,817 | $1,023 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $6,817 | $1,023 | — | — | 0 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $6,817 | $1,023 | — | — | 0 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $6,817 | $1,023 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $6,817 | $1,023 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $6,817 | $1,023 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $6,817 | $1,023 | — | — | 0 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $6,817 | $1,023 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $6,817 | $1,023 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $6,817 | $1,023 | — | — | 0 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $1,688 | $1,013 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $2,595 | $1,041 | — | — | 0 insurers |
| HANCOCK COUNTY HEALTH SYSTEM | IA | $4,363 | $1,003 | — | — | 0 insurers |
| DICKENSON COMMUNITY HOSPITAL | VA | $4,363 | $1,003 | — | — | 0 insurers |
| LEE COUNTY COMMUNITY HOSPITAL | VA | $4,363 | $1,003 | — | — | 0 insurers |
| PEACEHEALTH ST JOHN MEDICAL CENTER | WA | $1,534 | $997 | — | — | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $2,621 | $1,048 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $2,621 | $1,048 | — | — | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $1,521 | $989 | — | — | 0 insurers |
| BENSON HOSPITAL | AZ | $2,054 | $986 | — | — | 0 insurers |
| ST CLARE HOSPITAL | WA | $3,704 | $1,068 | $2,667 | $2,778 | 0 insurers |
| ST CLARE HOSPITAL | WA | $3,704 | $1,068 | $614 | $8,225 | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $1,492 | $970 | — | — | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $2,243 | $960 | $1,413 | $2,198 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $2,243 | $960 | $585 | $2,243 | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $2,595 | $1,103 | — | — | 0 insurers |
| REDINGTON FAIRVIEW GENERAL HOSPITAL | ME | $1,253 | $940 | — | — | 0 insurers |
| OCHSNER CHOCTAW GENERAL | AL | $1,228 | $933 | — | — | 0 insurers |
| GOSHEN HOSPITAL | IN | $1,598 | $1,119 | — | — | 0 insurers |
| BAXTER HEALTH | AR | $1,533 | $920 | — | — | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $3,704 | $1,127 | $2,667 | $2,778 | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $3,704 | $1,127 | $614 | $8,225 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $2,243 | $1,137 | $2,018 | $2,198 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $2,243 | $1,137 | $585 | $2,243 | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | $1,140 | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $2,243 | $879 | $605 | $2,198 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $2,243 | $879 | $585 | $2,243 | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $1,004 | $853 | — | — | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $897 | $852 | — | — | 0 insurers |
| TOUCHETTE REGIONAL HOSPITAL INC | IL | $1,370 | $849 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | AR | $3,390 | $848 | — | — | 0 insurers |
| OCHSNER STENNIS MEMORIAL HOSPITAL | MS | $1,228 | $847 | — | — | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $2,097 | $839 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $2,011 | $1,207 | — | — | 0 insurers |
| HIGHLAND HILLS MEDICAL CENTER | MS | $1,653 | $827 | — | — | 0 insurers |
| OCHSNER WATKINS HOSPITAL | MS | $1,228 | $823 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $2,345 | $821 | $281 | $780 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $2,345 | $821 | $281 | $780 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $2,345 | $821 | $281 | $780 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $2,345 | $821 | $281 | $780 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $2,345 | $821 | $281 | $780 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $2,345 | $821 | $281 | $780 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $2,345 | $821 | $281 | $780 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $2,345 | $821 | $281 | $780 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $2,345 | $821 | $281 | $780 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $2,345 | $821 | $281 | $780 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $2,345 | $821 | $281 | $780 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $2,345 | $821 | $281 | $780 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $2,345 | $821 | $281 | $780 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $2,345 | $821 | $281 | $780 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $2,345 | $821 | $281 | $780 | 0 insurers |
| UNIONTOWN HOSPITAL | PA | $1,575 | $788 | — | — | 0 insurers |
| OCHSNER SCOTT REGIONAL | MS | $1,228 | $774 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $1,595 | $1,276 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,595 | $1,276 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $1,595 | $1,276 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $1,595 | $1,276 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $1,595 | $1,276 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $1,595 | $1,276 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $1,595 | $1,276 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $1,595 | $1,276 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $1,595 | $1,276 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $1,595 | $1,276 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $1,595 | $1,276 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,595 | $1,276 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $1,595 | $1,276 | — | — | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $2,503 | $1,277 | — | — | 0 insurers |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER | AK | $1,170 | $761 | — | — | 0 insurers |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER | OR | $1,170 | $761 | — | — | 0 insurers |
| PEACE HARBOR MEDICAL CENTER | OR | $1,170 | $761 | — | — | 0 insurers |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER | WA | $1,170 | $761 | — | — | 0 insurers |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER | WA | $1,170 | $761 | — | — | 0 insurers |
| OCHSNER LAIRD HOSPITAL | MS | $1,228 | $749 | — | — | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $2,243 | $1,310 | $1,256 | $2,198 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $2,243 | $1,310 | $585 | $2,198 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $2,243 | $1,310 | $1,256 | $2,198 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $2,243 | $1,310 | $585 | $2,198 | 0 insurers |
| LOS ALAMOS MEDICAL CENTER | NM | $2,203 | $1,322 | — | — | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $2,243 | $626 | $1,794 | $1,951 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $2,243 | $626 | $561 | $2,925 | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $2,850 | $1,425 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $2,850 | $1,425 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $2,850 | $1,425 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $2,850 | $1,425 | — | — | 0 insurers |
| AURORA MEDICAL CTR MANITOWOC COUNTY | WI | $2,850 | $1,425 | — | — | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $2,850 | $1,425 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $2,850 | $1,425 | — | — | 0 insurers |
| AURORA LAKELAND MEDICAL CENTER | WI | $2,850 | $1,425 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $2,850 | $1,425 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $2,850 | $1,425 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $2,850 | $1,425 | — | — | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $1,533 | $613 | — | — | 0 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $820 | $574 | — | — | 0 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $1,476 | $1,476 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $702 | $562 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $702 | $562 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $702 | $562 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $702 | $562 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $702 | $562 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $702 | $562 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $702 | $562 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $702 | $562 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $702 | $562 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $702 | $562 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $702 | $562 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $702 | $562 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $702 | $562 | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $1,170 | $550 | — | — | 0 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $3,780 | $1,512 | — | — | 0 insurers |
| ASHLEY REGIONAL MEDICAL CENTER | UT | $2,803 | $1,542 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $3,872 | $1,553 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $3,872 | $1,553 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $3,872 | $1,553 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $3,872 | $1,553 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $3,872 | $1,553 | — | — | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $1,229 | $479 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - RICE LAKE | WI | $487 | $463 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER | WI | $487 | $463 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) | WI | $487 | $463 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - WESTON | WI | $487 | $463 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - EAU CLAIRE | WI | $487 | $463 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - MINOCQUA | WI | $487 | $463 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - RIVER REGION | WI | $487 | $463 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE | WI | $487 | $463 | — | — | 0 insurers |
| FLAMBEAU HOSPITAL | WI | $487 | $463 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | WI | $487 | $463 | — | — | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $922 | $444 | $424 | $839 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $922 | $444 | $258 | $1,883 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $913 | $430 | $831 | $831 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $913 | $430 | $575 | $1,826 | 0 insurers |
| OCHSNER RUSH HOSPITAL | MS | $1,228 | $430 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $403 | $403 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $403 | $403 | — | — | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $922 | $391 | $673 | $839 | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $922 | $391 | $585 | $2,602 | 0 insurers |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $385 | $385 | — | — | 0 insurers |
| SAINT JOSEPH EAST | KY | $913 | $367 | $831 | $831 | 0 insurers |
| SAINT JOSEPH EAST | KY | $913 | $367 | $575 | $1,826 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $913 | $367 | $831 | $831 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $913 | $367 | $575 | $1,826 | 0 insurers |
| MUNSON HEALTHCARE GRAYLING HOSPITAL | MI | $2,000 | $1,700 | — | — | 0 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $2,000 | $1,700 | — | — | 0 insurers |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | MI | $2,000 | $1,700 | — | — | 0 insurers |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | MI | $2,000 | $1,700 | — | — | 0 insurers |
| PAUL OLIVER MEMORIAL HOSPITAL | MI | $2,000 | $1,700 | — | — | 0 insurers |
| KALKASKA MEMORIAL HEALTH CENTER | MI | $2,000 | $1,700 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL | IL | $2,364 | $1,702 | — | — | 0 insurers |
| HSHS GOOD SHEPHERD HOSPITAL INC | IL | $2,364 | $1,702 | — | — | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $922 | $338 | $839 | $839 | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $922 | $338 | $396 | $1,883 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $904 | $323 | $823 | $823 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $904 | $323 | $585 | $2,602 | 0 insurers |
| COLUMBIA BASIN HOSPITAL | WA | $1,916 | $1,724 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $2,172 | $1,737 | — | — | 0 insurers |
| WALLOWA MEMORIAL HOSPITAL | OR | $1,935 | $1,742 | $1,838 | $1,896 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $2,243 | $1,745 | $1,166 | $2,198 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $2,243 | $1,745 | $585 | $2,198 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $2,243 | $1,745 | $1,166 | $2,198 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $2,243 | $1,745 | $585 | $2,198 | 0 insurers |
| UCSF HEALTH ST. MARY'S HOSPITAL | CA | $388 | $272 | $233 | $2,552 | 0 insurers |
| TEXOMA MEDICAL CENTER | TX | $2,379 | $1,784 | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $1,234 | $247 | — | — | 0 insurers |
| NORTON HOSPITALS, INC | KY | $1,234 | $247 | — | — | 0 insurers |
| UCSF HEALTH SAINT FRANCIS HOSPITAL | CA | $333 | $233 | $200 | $2,552 | 0 insurers |
| FAUQUIER HOSPITAL | VA | $4,554 | $1,822 | — | — | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $2,605 | $1,824 | $334 | $3,485 | 0 insurers |
| COAL COUNTY GENERAL HOSPITAL, INC. | OK | $2,568 | $1,926 | — | — | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $4,835 | $1,934 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $1,956 | $387 | $526 | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $731 | $73.11 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $3,530 | $1,977 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $3,530 | $1,977 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $3,530 | $1,977 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $3,530 | $1,977 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $3,530 | $1,977 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $3,530 | $1,977 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $3,530 | $1,977 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $3,530 | $1,977 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $3,530 | $1,977 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $3,530 | $1,977 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $3,530 | $1,977 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $3,530 | $1,977 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $3,530 | $1,977 | — | — | 0 insurers |
| ALTRU HOSPITAL | ND | $3,628 | $2,213 | — | — | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $3,750 | $2,250 | $1,017 | $3,750 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $3,750 | $2,250 | $1,017 | $3,750 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $3,750 | $2,250 | $1,017 | $3,750 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $3,750 | $2,250 | $1,017 | $3,750 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $3,750 | $2,250 | $1,017 | $3,750 | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $6,044 | $2,418 | — | — | 0 insurers |
| ST LUKE'S WARREN HOSPITAL | NJ | $2,921 | $2,425 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS | PA | $2,921 | $2,425 | — | — | 0 insurers |
| ST LUKES HOSPITAL BETHLEHEM | PA | $2,921 | $2,425 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS | PA | $2,921 | $2,425 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - EASTON CAMPUS | PA | $2,921 | $2,425 | — | — | 0 insurers |
| ST LUKE'S MINERS MEMORIAL HOSPITAL | PA | $2,921 | $2,425 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS | PA | $2,921 | $2,425 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - MONROE CAMPUS | PA | $2,921 | $2,425 | — | — | 0 insurers |
| GEISINGER ST. LUKE'S HOSPITAL | PA | $2,921 | $2,425 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - CARBON CAMPUS | PA | $2,921 | $2,425 | — | — | 0 insurers |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | IL | $2,450 | $2,450 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $5,420 | $2,710 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $5,420 | $2,710 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $5,420 | $2,710 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $5,420 | $2,710 | — | — | 0 insurers |
| CARILION STONEWALL JACKSON HOSPITAL | VA | $4,566 | $2,740 | $1,050 | $4,383 | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $3,231 | $3,231 | — | — | 0 insurers |
| WESTERLY HOSPITAL | RI | $9,979 | $3,592 | — | — | 0 insurers |
| HAVASU REGIONAL MEDICAL CENTER | AZ | $6,520 | $3,912 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $9,979 | $5,089 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $9,979 | $5,189 | — | — | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $9,979 | $5,888 | — | — | 0 insurers |
| Memorial Satilla Health | GA | $7,242 | $7,242 | $526 | $1,369 | 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 | — | — | $1,304 | $1,695 | 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 | — | — | $526 | $1,695 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $585 | $585 | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $1,304 | $5,761 | 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 |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | 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 |
| 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 | — | — | $585 | $3,742 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $526 | $1,956 | 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 | — | — | $585 | $3,742 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $1,304 | $1,304 | 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 | — | — | $585 | $3,742 | 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 | — | — | $1,304 | $1,304 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $585 | $3,129 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $526 | $4,192 | 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 | — | — | $1,304 | $3,390 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $1,304 | $3,390 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $1,304 | $3,390 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $1,304 | $3,390 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $1,304 | $6,976 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $526 | $4,745 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $1,436 | $30,586 | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | — | — | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $526 | $3,657 | 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 |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 0 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $1,304 | $2,608 | 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 | — | — | $526 | $3,702 | 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 |
| ST MARY-CORWIN HOSPITAL | CO | — | — | — | — | 0 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $373 | $1,369 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 0 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $87.73 | $1,985 | 0 insurers |
| AdventHealth Porter | CO | — | — | $877 | $2,412 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $877 | $2,412 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $877 | $2,412 | 0 insurers |
| AdventHealth Parker | CO | — | — | $877 | $2,412 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $877 | $2,412 | 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 |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 0 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $1,278 | $3,169 | 0 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 0 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $1,304 | $6,099 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $1,304 | $6,099 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $585 | $4,173 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $1,304 | $3,455 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $1,239 | $2,848 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $1,304 | $1,773 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $585 | $4,173 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $585 | $4,173 | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $1,304 | $2,947 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $585 | $4,173 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $106 | $112 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $1,304 | $2,895 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $1,304 | $2,895 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $110 | $113 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $585 | $2,543 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $1,304 | $3,455 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $1,304 | $2,008 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $1,304 | $2,034 | 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 | — | — | $1,291 | $1,956 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $1,304 | $2,895 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $98.94 | $104 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $1,304 | $2,008 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $1,291 | $1,956 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $110 | $113 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $1,043 | $1,891 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $1,304 | $1,891 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $1,291 | $1,956 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $1,304 | $1,891 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $1,304 | $1,630 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $1,304 | $1,891 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $585 | $585 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $1,304 | $2,008 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $585 | $2,543 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $1,278 | $2,034 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $1,043 | $1,891 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $1,304 | $1,773 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $1,304 | $1,630 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $1,304 | $2,008 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $1,304 | $1,891 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $1,278 | $2,034 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $107 | $109 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $1,304 | $2,947 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $107 | $109 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $1,304 | $2,947 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $1,304 | $2,217 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $1,304 | $1,891 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $1,304 | $1,891 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $1,304 | $1,773 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $1,304 | $2,008 | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $1,291 | $1,956 | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $585 | $2,543 | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $585 | $4,173 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $1,304 | $2,895 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $105 | $111 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $1,304 | $5,216 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $1,304 | $2,608 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $118 | $118 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $1,304 | $3,455 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $1,369 | $1,630 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $294 | $2,192 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $294 | $2,192 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $294 | $2,192 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $585 | $2,584 | 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 |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $526 | $1,956 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $614 | $1,369 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $1,304 | $3,260 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $480 | $3,625 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $1,304 | $1,356 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $294 | $2,192 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $554 | $554 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $322 | $1,747 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $978 | $1,565 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $585 | $1,369 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $1,304 | $1,707 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $1,304 | $1,304 | 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 | — | — | $1,304 | $1,369 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $639 | $4,564 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $639 | $2,777 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $526 | $4,834 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $639 | $2,777 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $1,239 | $5,891 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $639 | $2,777 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $639 | $2,777 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $1,304 | $1,330 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE | IL | — | — | — | — | 0 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $639 | $2,777 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $639 | $2,777 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $639 | $2,777 | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $526 | $4,834 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $780 | $2,101 | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | — | — | — | — | 0 insurers |
| EDWARD HOSPITAL | IL | — | — | $780 | $2,101 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $639 | $2,777 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $602 | $9,128 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $1,304 | $1,707 | 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 | — | — | $526 | $4,834 | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $639 | $2,777 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $639 | $2,777 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $585 | $3,260 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $639 | $2,777 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $1,304 | $1,356 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $585 | $1,369 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $1,160 | $3,625 | 0 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 0 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | — | — | — | — | 0 insurers |