| RED BAY HOSPITAL | AL | $1,599 | $895 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $1,599 | $895 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $1,599 | $895 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $1,599 | $895 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $1,599 | $895 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $1,599 | $895 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $1,599 | $895 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $1,599 | $895 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $1,599 | $895 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $1,599 | $895 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $1,599 | $895 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $1,599 | $895 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $1,599 | $895 | — | — | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $2,757 | $882 | $404 | $2,481 | 0 insurers |
| TRINITY ROCK ISLAND | IL | $1,076 | $861 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,076 | $861 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $1,076 | $861 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $1,076 | $861 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $1,076 | $861 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $1,076 | $861 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $1,076 | $861 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $1,076 | $861 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $1,076 | $861 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $1,076 | $861 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $1,076 | $861 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,076 | $861 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $1,076 | $861 | — | — | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $2,757 | $855 | $404 | $2,481 | 0 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $2,757 | $855 | $404 | $2,481 | 0 insurers |
| ROANE MEDICAL CENTER | TN | $2,757 | $855 | $404 | $2,481 | 0 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $2,757 | $855 | $404 | $2,481 | 0 insurers |
| LECONTE MEDICAL CENTER | TN | $2,757 | $855 | $404 | $2,481 | 0 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $2,757 | $855 | $404 | $2,481 | 0 insurers |
| CARILION MEDICAL CENTER | VA | $2,690 | $942 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $2,690 | $942 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $2,690 | $942 | — | — | 0 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $2,690 | $942 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $2,690 | $942 | — | — | 0 insurers |
| MERCY HOSPITAL | CA | $2,058 | $823 | — | — | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | $2,058 | $823 | — | — | 0 insurers |
| ST MARY-CORWIN HOSPITAL | CO | $2,058 | $823 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $2,058 | $823 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $2,058 | $823 | — | — | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | $2,058 | $823 | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $2,058 | $823 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $2,058 | $823 | — | — | 0 insurers |
| ST THOMAS MORE HOSPITAL | CO | $2,058 | $823 | — | — | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | $2,058 | $823 | — | — | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $2,058 | $823 | — | — | 0 insurers |
| CENTURA ST. CATHERINE-DODGE CITY | KS | $2,058 | $823 | — | — | 0 insurers |
| BOB WILSON MEMORIAL HOSPITAL | KS | $2,058 | $823 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $1,670 | $1,002 | — | — | 0 insurers |
| MUNSON HEALTHCARE GRAYLING HOSPITAL | MI | $1,200 | $1,020 | — | — | 0 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $1,200 | $1,020 | — | — | 0 insurers |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | MI | $1,200 | $1,020 | — | — | 0 insurers |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | MI | $1,200 | $1,020 | — | — | 0 insurers |
| PAUL OLIVER MEMORIAL HOSPITAL | MI | $1,200 | $1,020 | — | — | 0 insurers |
| KALKASKA MEMORIAL HEALTH CENTER | MI | $1,200 | $1,020 | — | — | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $1,908 | $1,145 | — | — | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | $4,190 | $1,173 | — | — | 0 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $820 | $574 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $1,005 | $553 | — | — | 0 insurers |
| GOOD SAMARITAN HOSPITAL | CA | $1,908 | $1,345 | — | — | 0 insurers |
| NORTHWEST TEXAS HOSPITAL | TX | $897 | $359 | — | — | 0 insurers |
| CONEMAUGH MINERS MEDICAL CENTER | PA | $3,609 | $1,444 | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | $1,523 | — | — | 0 insurers |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER | MN | $1,956 | $1,565 | — | — | 0 insurers |
| CONEMAUGH NASON MEDICAL CENTER | PA | $3,970 | $1,588 | — | — | 0 insurers |
| CONEMAUGH MEYERSDALE MEDICAL CENTER | PA | $3,970 | $1,588 | — | — | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $4,043 | $1,617 | — | — | 0 insurers |
| FAUQUIER HOSPITAL | VA | $4,706 | $1,882 | — | — | 0 insurers |
| WESTERLY HOSPITAL | RI | $5,381 | $1,937 | — | — | 0 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $4,590 | $2,295 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $4,590 | $2,295 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $4,666 | $2,333 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $6,300 | $2,526 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $6,300 | $2,526 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $6,300 | $2,526 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $6,300 | $2,526 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $6,300 | $2,526 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $6,300 | $2,526 | — | — | 0 insurers |
| BEEBE MEDICAL CENTER | DE | $3,006 | $2,555 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $6,300 | $2,678 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $5,381 | $2,798 | — | — | 0 insurers |
| HOLY FAMILY HOSPITAL | MA | $5,224 | $2,873 | — | — | 0 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $5,224 | $2,873 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $5,224 | $2,873 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $5,224 | $2,873 | — | — | 0 insurers |
| ST NICHOLAS HOSPITAL | WI | $4,504 | $2,973 | — | — | 0 insurers |
| FROEDTERT COMMUNITY HOSPITAL | WI | $5,475 | $3,011 | — | — | 0 insurers |
| FROEDTERT SOUTH INC. | WI | $6,441 | $3,543 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $4,730 | $4,021 | — | — | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $4,662 | $4,429 | — | — | 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 | — | — | $897 | $1,166 | 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 | — | — | $897 | $1,166 | 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 | — | — | $897 | $1,121 | 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 |
| 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 |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $897 | $2,574 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $870 | $1,345 | 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 | — | — | $897 | $2,574 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $897 | $897 | 0 insurers |
| SUTTER SANTA ROSA REGIONAL 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 | — | — | $897 | $2,574 | 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 | — | — | $897 | $897 | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $897 | $2,152 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $583 | $2,883 | 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 | — | — | $897 | $2,332 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $897 | $2,332 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $897 | $2,332 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $897 | $2,332 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $399 | $4,798 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $583 | $3,264 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $807 | $2,515 | 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 | — | — | $897 | $1,794 | 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 | — | — | $583 | $2,547 | 0 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| AdventHealth Porter | CO | — | — | $879 | $1,659 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $879 | $1,659 | 0 insurers |
| AdventHealth Littleton | CO | — | — | $879 | $1,659 | 0 insurers |
| AdventHealth Parker | CO | — | — | $879 | $1,659 | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $879 | $1,659 | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | — | — | — | — | 0 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $497 | $2,179 | 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 | — | — | $897 | $4,195 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $897 | $4,195 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $538 | $2,870 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $897 | $2,377 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $852 | $1,959 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $897 | $1,220 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $538 | $2,870 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $538 | $2,870 | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $897 | $2,027 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $538 | $2,870 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $106 | $112 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $897 | $1,991 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $897 | $1,991 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $852 | $1,345 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $538 | $1,749 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $897 | $2,377 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $897 | $1,381 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $897 | $1,399 | 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 | — | — | $897 | $897 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $897 | $1,991 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $897 | $1,121 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $107 | $109 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $897 | $897 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $852 | $1,345 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $718 | $1,300 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $897 | $1,300 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $116 | $118 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $107 | $109 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $897 | $1,121 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $897 | $1,300 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $897 | $897 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $897 | $1,381 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $538 | $1,749 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $106 | $112 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $718 | $1,300 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $897 | $1,220 | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | — | — | $897 | $1,121 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $897 | $1,381 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $897 | $1,300 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $879 | $1,399 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $897 | $1,300 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $897 | $2,027 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $897 | $1,300 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $897 | $2,027 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $897 | $1,525 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $897 | $1,300 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $897 | $1,300 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $897 | $1,220 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $897 | $1,381 | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $888 | $1,345 | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $538 | $1,749 | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $538 | $2,870 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $897 | $1,991 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $897 | $2,691 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $897 | $3,587 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $897 | $1,794 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $888 | $1,345 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $897 | $2,377 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $942 | $1,121 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $897 | $942 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $897 | $942 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $897 | $942 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $897 | $942 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $897 | $1,778 | 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 | — | — | $839 | $1,058 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $583 | $942 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $897 | $2,242 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $735 | $2,493 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $897 | $933 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $897 | $942 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $4,732 | $4,732 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $468 | $1,202 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $673 | $1,076 | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $897 | $942 | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $897 | $897 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $897 | $897 | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $897 | $942 | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $897 | $3,139 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $897 | $1,910 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $807 | $1,345 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $897 | $1,910 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $897 | $3,139 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $897 | $1,910 | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $897 | $1,910 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $897 | $915 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $897 | $1,910 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $897 | $1,910 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $897 | $1,910 | 0 insurers |
| MEMORIAL HOSPITAL | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $807 | $1,345 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $897 | $1,445 | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $897 | $1,910 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $897 | $6,278 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $897 | $897 | 0 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $807 | $1,345 | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $897 | $1,910 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $897 | $1,910 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $2,242 | $2,242 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $897 | $1,910 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $897 | $933 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $897 | $942 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $897 | $2,493 | 0 insurers |
| PARKVIEW DEKALB HOSPITAL | IN | — | — | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF SOUTH BEND | IN | — | — | — | — | 0 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | — | — | — | — | 0 insurers |
| COMMUNITY HOSPITAL EAST | IN | — | — | — | — | 0 insurers |
| DEACONESS HOSPITAL INC | IN | — | — | — | — | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $239 | $2,215 | 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 | — | — | $807 | $1,345 | 0 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 0 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $897 | $897 | 0 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | — | — | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $538 | $538 | 0 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $377 | $1,525 | 0 insurers |
| ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. | KS | — | — | — | — | 0 insurers |
| WESLEY MEDICAL CENTER | KS | — | — | $897 | $897 | 0 insurers |
| ADVENTHEALTH SOUTH OVERLAND PARK, INC | KS | — | — | $377 | $6,511 | 0 insurers |
| WAMEGO HEALTH CENTER | KS | — | — | — | — | 0 insurers |
| COMMUNITY MEMORIAL HEALTHCARE, INC. | KS | — | — | $897 | $897 | 0 insurers |
| HANOVER HOSPITAL | KS | — | — | $897 | $2,242 | 0 insurers |
| KINGMAN HEALTHCARE CENTER | KS | — | — | $2,126 | $2,126 | 0 insurers |
| ST ELIZABETH FT THOMAS | KY | — | — | $239 | $2,215 | 0 insurers |
| UOFL HEALTH - SHELBYVILLE HOSPITAL | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH EDGEWOOD | KY | — | — | $239 | $2,215 | 0 insurers |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH FLORENCE | KY | — | — | $239 | $2,215 | 0 insurers |
| JENNIE STUART MEDICAL CENTER | KY | — | — | — | — | 0 insurers |
| UNIVERSITY OF KENTUCKY HOSPITAL | KY | — | — | $239 | $2,242 | 0 insurers |
| NORTON HOSPITALS, INC | KY | — | — | — | — | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | — | — | — | — | 0 insurers |
| GEORGETOWN COMMUNITY HOSPITAL | KY | — | — | $502 | $2,948 | 0 insurers |
| TRISTAR GREENVIEW REGIONAL HOSPITAL | KY | — | — | $897 | $1,184 | 0 insurers |
| FRANKFORT REGIONAL MEDICAL CENTER | KY | — | — | $239 | $1,031 | 0 insurers |
| THREE RIVERS MEDICAL CENTER | KY | — | — | — | — | 0 insurers |
| ST ELIZABETH GRANT | KY | — | — | $239 | $2,215 | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | — | — | $879 | $1,570 | 0 insurers |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL | LA | — | — | $879 | $1,256 | 0 insurers |
| CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM | LA | — | — | $879 | $1,256 | 0 insurers |
| BYRD REGIONAL HOSPITAL | LA | — | — | $879 | $2,359 | 0 insurers |
| CHRISTUS OCHSNER LAKE AREA HOSPITAL | LA | — | — | $879 | $1,256 | 0 insurers |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL | LA | — | — | $0.01 | $2,484 | 0 insurers |
| ST JAMES PARISH HOSPITAL | LA | — | — | — | — | 0 insurers |
| CHRISTUS COUSHATTA HEALTH CARE CENTER | LA | — | — | $897 | $897 | 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 | — | — | $897 | $965 | 0 insurers |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL | MA | — | — | — | — | 0 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM | MA | — | — | $965 | $965 | 0 insurers |
| BETH ISRAEL DEACONESS MEDICAL CENTER | MA | — | — | $897 | $1,206 | 0 insurers |
| HEYWOOD HOSPITAL - | MA | — | — | $942 | $942 | 0 insurers |
| SOUTH SHORE HOSPITAL | MA | — | — | $897 | $965 | 0 insurers |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON | MA | — | — | $538 | $965 | 0 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | — | — | — | — | 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 |
| HARPER UNIVERSITY 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 |
| Henry Ford Health Warren Hospital | MI | — | — | — | — | 0 insurers |
| HURON VALLEY-SINAI HOSPITAL | MI | — | — | — | — | 0 insurers |
| OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP | MI | — | — | $897 | $1,910 | 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 | — | — | $897 | $2,683 | 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 | — | — | $897 | $2,691 | 0 insurers |
| NORTH MISSISSIPPI MEDICAL CENTER-GILMORE AMORY | MS | — | — | $897 | $2,691 | 0 insurers |
| GEORGE REGIONAL HEALTH SYSTEM | MS | — | — | $897 | $2,242 | 0 insurers |
| ALLIANCE HEALTH CENTER | MS | — | — | $377 | $1,794 | 0 insurers |
| PONTOTOC HEALTH SERVICE INC CAH | MS | — | — | $897 | $2,691 | 0 insurers |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY | MO | — | — | $807 | $4,015 | 0 insurers |
| NORTHEAST REGIONAL MEDICAL CENTER | MO | — | — | — | — | 0 insurers |
| BOONE HOSPITAL CENTER | MO | — | — | $897 | $1,659 | 0 insurers |
| SSM ST CLARE HEALTH CENTER | MO | — | — | $897 | $1,076 | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS | MO | — | — | $897 | $1,076 | 0 insurers |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS | MO | — | — | $897 | $1,076 | 0 insurers |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL | MO | — | — | $879 | $3,700 | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | — | — | — | — | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | MO | — | — | $765 | $1,570 | 0 insurers |
| LEE'S SUMMIT MEDICAL CENTER | MO | — | — | $888 | $1,363 | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | — | — | $961 | $999 | 0 insurers |
| PRAIRIE COMMUNITY CAH | MT | — | — | — | — | 0 insurers |
| HOLY ROSARY HOSPITAL | MT | — | — | — | — | 0 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | — | — | $961 | $999 | 0 insurers |
| PENDER COMMUNITY HOSPITAL | NE | — | — | — | — | 0 insurers |
| CARSON VALLEY HEALTH | NV | — | — | — | — | 0 insurers |
| ELLIOT HOSPITAL | NH | — | — | $897 | $5,130 | 0 insurers |
| FRISBIE MEMORIAL HOSPITAL | NH | — | — | $739 | $1,599 | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | — | — | — | — | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | — | — | — | — | 0 insurers |
| CATHOLIC MEDICAL CENTER | NH | — | — | $739 | $1,599 | 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 | — | — | $897 | $1,794 | 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 | — | — | $721 | $2,887 | 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 | — | — | $897 | $4,732 | 0 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | — | — | $897 | $1,794 | 0 insurers |
| ADVENTHEALTH HENDERSONVILLE | NC | — | — | $870 | $2,691 | 0 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | — | — | $897 | $1,794 | 0 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | — | — | — | — | 0 insurers |
| WAKEMED, RALEIGH CAMPUS | NC | — | — | — | — | 0 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | — | — | $897 | $1,794 | 0 insurers |
| THE MCDOWELL HOSPITAL | NC | — | — | $897 | $4,732 | 0 insurers |
| SENTARA ALBEMARLE MEDICAL CENTER | NC | — | — | — | — | 0 insurers |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER | NC | — | — | $879 | $2,161 | 0 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | — | — | $897 | $1,794 | 0 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | — | — | $961 | $2,161 | 0 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | — | — | $897 | $1,794 | 0 insurers |
| WAKEMED, CARY HOSPITAL | NC | — | — | — | — | 0 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | — | — | $897 | $1,794 | 0 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | — | — | $897 | $1,794 | 0 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | — | — | $897 | $1,794 | 0 insurers |
| HIGHLANDS CASHIERS HOSPITAL | NC | — | — | $4,732 | $4,732 | 0 insurers |
| ANGEL MEDICAL CENTER | NC | — | — | $1,076 | $4,732 | 0 insurers |
| BLUE RIDGE REGIONAL HOSPITAL | NC | — | — | $897 | $4,732 | 0 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | — | — | — | — | 0 insurers |