| ST LOUIS CHILDRENS HOSPITAL | MO | $241 | $145 | $19.5 | $205 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $414 | $145 | $28 | $75 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $414 | $145 | $28 | $75 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $414 | $145 | $28 | $75 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $414 | $145 | $28 | $75 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $414 | $145 | $28 | $75 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $414 | $145 | $28 | $75 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $414 | $145 | $28 | $75 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $414 | $145 | $28 | $75 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $414 | $145 | $28 | $75 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $414 | $145 | $28 | $75 | 0 insurers |
| FAYETTE MEDICAL CENTER | AL | $144 | $144 | $144 | $144 | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | $146 | $146 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | $146 | $146 | — | — | 0 insurers |
| PARK NICOLLET METHODIST HOSPITAL | MN | — | $143 | $40.27 | $143 | 0 insurers |
| IBERIA MEDICAL CENTER | LA | $237 | $142 | — | — | 0 insurers |
| OSWEGO HOSPITAL | NY | $198 | $148 | — | — | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $350 | $140 | — | — | 0 insurers |
| ROME MEMORIAL HOSPITAL, INC | NY | $373 | $151 | — | — | 0 insurers |
| SAINT JOSEPH EAST | KY | $379 | $152 | $345 | $345 | 0 insurers |
| SAINT JOSEPH EAST | KY | $379 | $152 | $26.32 | $345 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $379 | $152 | $345 | $345 | 0 insurers |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS | NJ | $379 | $152 | $26.32 | $345 | 0 insurers |
| PENOBSCOT VALLEY HOSPITAL | ME | $169 | $135 | — | — | 0 insurers |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | IL | $135 | $135 | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $671 | $134 | — | — | 0 insurers |
| NORTON HOSPITALS, INC | KY | $671 | $134 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $304 | $155 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $304 | $158 | — | — | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $213 | $131 | — | — | 0 insurers |
| MIZELL MEMORIAL HOSPITAL | AL | $176 | $159 | — | — | 0 insurers |
| ST JOHNS HOSPITAL | IL | $181 | $130 | — | — | 0 insurers |
| HSHS HOLY FAMILY HOSPITAL INC | IL | $181 | $130 | — | — | 0 insurers |
| ST JOSEPH'S HOSPITAL | IL | $181 | $130 | — | — | 0 insurers |
| ST VINCENT HOSPITAL | WI | $181 | $130 | — | — | 0 insurers |
| ADVENTHEALTH FISH MEMORIAL | FL | $235 | $129 | $9.07 | $211 | 0 insurers |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. | TX | $172 | $129 | — | — | 0 insurers |
| HOSPITAL COMUNITARIO BUEN SAMARITANO INC | PR | $129 | $129 | — | — | 0 insurers |
| UPHS MARQUETTE DLP HOSPITAL | MI | $214 | $128 | — | — | 0 insurers |
| WARM SPRINGS MEDICAL CENTER | GA | $255 | $128 | — | — | 0 insurers |
| WARM SPRINGS MEDICAL CENTER | GA | $255 | $128 | — | — | 0 insurers |
| PERSON MEMORIAL HOSPITAL | NC | $318 | $127 | — | — | 0 insurers |
| UNIONTOWN HOSPITAL | PA | $254 | $127 | — | — | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | $146 | $124 | — | — | 0 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | $146 | $124 | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $348 | $122 | — | — | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $348 | $122 | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $348 | $122 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $169 | $169 | — | — | 0 insurers |
| SAINT JOSEPH LONDON | KY | $479 | $171 | $436 | $436 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $479 | $171 | $26.32 | $436 | 0 insurers |
| FORT DUNCAN MEDICAL CENTER | TX | $295 | $118 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $215 | $172 | — | — | 0 insurers |
| MEMORIAL HOSPITAL | IL | $259 | $116 | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | $116 | $116 | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | $116 | $116 | — | — | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | $116 | $116 | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | $116 | $116 | — | — | 0 insurers |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | $165 | $116 | — | — | 0 insurers |
| STORY COUNTY HOSPITAL | IA | $143 | $114 | — | — | 0 insurers |
| STORY COUNTY HOSPITAL | IA | $143 | $114 | — | — | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $366 | $176 | $168 | $333 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $366 | $176 | $26.32 | $333 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $379 | $179 | $345 | $345 | 0 insurers |
| SAINT JOSEPH HOSPITAL | KY | $379 | $179 | $26.32 | $345 | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $304 | $179 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $137 | $109 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $137 | $109 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $137 | $109 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $137 | $109 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $137 | $109 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $137 | $109 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $137 | $109 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $137 | $109 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $137 | $109 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $137 | $109 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $137 | $109 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $137 | $109 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $137 | $109 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTERS | AL | $182 | $182 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTER | CA | $182 | $182 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTER | TN | $182 | $182 | — | — | 0 insurers |
| OCHSNER CHOCTAW GENERAL | AL | $141 | $107 | — | — | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $264 | $106 | — | — | 0 insurers |
| PENDER COMMUNITY HOSPITAL | NE | $409 | $184 | $105 | $397 | 0 insurers |
| ST NICHOLAS HOSPITAL | WI | $279 | $184 | — | — | 0 insurers |
| HSHS ST CLARE MEMORIAL HOSPITAL | WI | $279 | $184 | — | — | 0 insurers |
| TIPPAH COUNTY HOSPITAL | MS | $105 | $105 | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $348 | $104 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $139 | $104 | — | — | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | PA | $232 | $185 | $0 | $185 | 0 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $259 | $104 | — | — | 0 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $157 | $102 | — | — | 0 insurers |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. | TX | $202 | $101 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $471 | $188 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $201 | $101 | — | — | 0 insurers |
| CARILION STONEWALL JACKSON HOSPITAL | VA | $316 | $190 | $23.96 | $303 | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $247 | $98.8 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $247 | $98.8 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $252 | $98.28 | $111 | $183 | 0 insurers |
| SPARTA COMMUNITY HOSPITAL | IL | $191 | $191 | $19.13 | $182 | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $162 | $97.37 | — | — | 0 insurers |
| OCHSNER STENNIS MEMORIAL HOSPITAL | MS | $141 | $97.29 | — | — | 0 insurers |
| JACKSON PURCHASE MEDICAL CENTER | KY | $484 | $193 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | MN | $243 | $195 | — | — | 0 insurers |
| SYRACUSE AREA HEALTH | NE | $243 | $195 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL, INC | NY | $243 | $195 | — | — | 0 insurers |
| OCHSNER WATKINS HOSPITAL | MS | $141 | $94.47 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $116 | $92.95 | — | — | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $92.94 | — | — | 0 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | $198 | $198 | $70.31 | $132 | 0 insurers |
| NORTHWEST TEXAS HOSPITAL | TX | $496 | $198 | — | — | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $258 | $90.41 | $168 | $194 | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $258 | $90.41 | $24.72 | $194 | 0 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $510 | $199 | — | — | 0 insurers |
| OCHSNER SCOTT REGIONAL | MS | $141 | $88.83 | — | — | 0 insurers |
| WAYNE HOSPITAL | OH | $116 | $87 | — | — | 0 insurers |
| MUNSON HEALTHCARE GRAYLING HOSPITAL | MI | $238 | $203 | — | — | 0 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $238 | $203 | — | — | 0 insurers |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | MI | $238 | $203 | — | — | 0 insurers |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | MI | $238 | $203 | — | — | 0 insurers |
| PAUL OLIVER MEMORIAL HOSPITAL | MI | $238 | $203 | — | — | 0 insurers |
| KALKASKA MEMORIAL HEALTH CENTER | MI | $238 | $203 | — | — | 0 insurers |
| CITIZENS MEDICAL CENTER | TX | $173 | $86.5 | — | — | 0 insurers |
| OCHSNER LAIRD HOSPITAL | MS | $141 | $86.01 | — | — | 0 insurers |
| TWIN CITY MEDICAL CENTER | OH | $291 | $204 | $113 | $265 | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $140 | $84 | $17.16 | $140 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $140 | $84 | $17.16 | $140 | 0 insurers |
| RED BAY HOSPITAL | AL | $150 | $84 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $150 | $84 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $150 | $84 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $150 | $84 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $150 | $84 | — | — | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $140 | $84 | $17.16 | $140 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $150 | $84 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $150 | $84 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $150 | $84 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $150 | $84 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $150 | $84 | — | — | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $140 | $84 | $17.16 | $140 | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $150 | $84 | — | — | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $140 | $84 | $17.16 | $140 | 0 insurers |
| LIBERTY REGIONAL MEDICAL CENTER | GA | $112 | $84 | — | — | 0 insurers |
| ALTON MEMORIAL HOSPITAL | IL | $140 | $84 | $17.16 | $140 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $140 | $84 | $17.16 | $140 | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $150 | $84 | — | — | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $140 | $84 | $17.16 | $140 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $140 | $84 | $17.16 | $140 | 0 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $140 | $84 | $17.16 | $140 | 0 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $140 | $84 | $17.16 | $140 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $140 | $84 | $30.98 | $191 | 0 insurers |
| PROGRESS WEST HOSPITAL | MO | $140 | $84 | $19.5 | $205 | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $150 | $84 | — | — | 0 insurers |
| HEYWOOD HOSPITAL - | MA | $206 | $206 | $30.98 | $132 | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $81.67 | $30.98 | $81.67 | 0 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $81.67 | $30.98 | $81.67 | 0 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $81.67 | $30.98 | $81.67 | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $280 | $208 | $238 | $272 | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $280 | $208 | $30.98 | $272 | 0 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $163 | $81.42 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $108 | $81 | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | $77 | — | — | 0 insurers |
| ALTRU HOSPITAL | ND | $124 | $75.64 | — | — | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $186 | $74.4 | — | — | 0 insurers |
| SIOUX FALLS SPECIALTY HOSPITAL | SD | $98.8 | $74.1 | $29.43 | $98.8 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $730 | $216 | $591 | $591 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $730 | $216 | $30.98 | $591 | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $136 | $69.36 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $86 | $68.8 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $86 | $68.8 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $86 | $68.8 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $86 | $68.8 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $86 | $68.8 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $86 | $68.8 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $86 | $68.8 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $86 | $68.8 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $86 | $68.8 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $86 | $68.8 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $86 | $68.8 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $86 | $68.8 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $86 | $68.8 | — | — | 0 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $104 | $68.64 | — | — | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $370 | $222 | — | — | 0 insurers |
| KAISER PERMANENTE CENTRAL HOSPITAL | WA | $108 | $66.74 | $73.37 | $73.37 | 0 insurers |
| HELEN KELLER HOSPITAL | AL | $224 | $224 | — | — | 0 insurers |
| HUNTSVILLE HOSPITAL | AL | $224 | $224 | — | — | 0 insurers |
| ATHENS LIMESTONE HOSPITAL | AL | $224 | $224 | — | — | 0 insurers |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS | AL | $224 | $224 | — | — | 0 insurers |
| JOHNSON COUNTY HEALTHCARE CENTER | WY | $226 | $226 | — | — | 0 insurers |
| ST JOHN'S RIVERSIDE HOSPITAL | NY | $266 | $226 | — | — | 0 insurers |
| BELL HOSPITAL | MI | $383 | $230 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $108 | $59.4 | — | — | 0 insurers |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM | AL | $233 | $58.25 | — | — | 0 insurers |
| TMC- BONHAM HOSPITAL | TX | $188 | $56.1 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $78 | $54.6 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $78 | $54.6 | — | — | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $108 | $54 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $76.24 | $53.37 | — | — | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $86.08 | $51.65 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $86.08 | $51.65 | — | — | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $596 | $238 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $596 | $238 | — | — | 0 insurers |
| MISSOURI DELTA MEDICAL CENTER | MO | $202 | $50.5 | — | — | 0 insurers |
| PAMPA REGIONAL MEDICAL CENTER | TX | $267 | $50 | $26.95 | $213 | 0 insurers |
| ASHLEY REGIONAL MEDICAL CENTER | UT | $439 | $241 | — | — | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $258 | $245 | — | — | 0 insurers |
| RIO GRANDE HOSPITAL | CO | $249 | $249 | $25.76 | $113 | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA | PA | $250 | $250 | — | — | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | $252 | $252 | — | — | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | $252 | $252 | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | $252 | $252 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $393 | $255 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $393 | $255 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN - PORTLAND | OR | $258 | $258 | — | — | 0 insurers |
| WAYNE COUNTY HOSPITAL | IA | $401 | $261 | — | — | 0 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | $272 | $272 | $19.74 | $32.53 | 0 insurers |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON | MA | $275 | $275 | — | — | 0 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $324 | $276 | — | — | 0 insurers |
| LANAI COMMUNITY HOSPITAL | HI | $729 | $284 | — | — | 0 insurers |
| KULA HOSPITAL | HI | $729 | $284 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF | CA | $295 | $295 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | IL | $295 | $295 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | MO | $295 | $295 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | OH | $295 | $295 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | SC | $295 | $295 | — | — | 0 insurers |
| SHRINERS HOSPITALS FOR CHILDREN | TX | $295 | $295 | — | — | 0 insurers |
| SHRINERS HOSPITAL FOR CHILDREN | WA | $295 | $295 | — | — | 0 insurers |
| UP HEALTH SYSTEM PORTAGE | MI | $493 | $296 | — | — | 0 insurers |
| FIELD HEALTH SYSTEM | MS | $401 | $301 | — | — | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $730 | $309 | $475 | $475 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $730 | $309 | $27.52 | $511 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $811 | $310 | $487 | $641 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $811 | $310 | $13.01 | $641 | 0 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | $627 | $314 | $33.18 | $608 | 0 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | $692 | $346 | $30.98 | $671 | 0 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | $692 | $346 | $30.98 | $671 | 0 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | $692 | $346 | $30.98 | $671 | 0 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | $692 | $346 | $30.98 | $671 | 0 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | $692 | $346 | $30.98 | $671 | 0 insurers |
| NOVANT PRINCE WILLIAM MEDICAL CENTER | VA | $692 | $346 | $30.98 | $671 | 0 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $467 | $350 | — | — | 0 insurers |
| LAKE HEALTH | OH | $467 | $350 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $927 | $372 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $927 | $372 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $927 | $372 | — | — | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $927 | $372 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $927 | $372 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $927 | $372 | — | — | 0 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | $623 | $374 | $30.98 | $604 | 0 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | $623 | $374 | $30.98 | $604 | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $927 | $394 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL OF MICHIGAN | MI | $529 | $397 | — | — | 0 insurers |
| COOPER UNIVERSITY HOSPITAL | NJ | $407 | $407 | — | — | 0 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | $692 | $415 | $30.98 | $671 | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $621 | $466 | — | — | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $758 | $531 | $17.71 | $597 | 0 insurers |
| BELLEVUE HOSPITAL CENTER | NY | — | $819 | — | — | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | $932 | $932 | $28.08 | $38.73 | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | $3,402 | $939 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - RICE LAKE | WI | $1,594 | $1,514 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER | WI | $1,594 | $1,514 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) | WI | $1,594 | $1,514 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - WESTON | WI | $1,594 | $1,514 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - EAU CLAIRE | WI | $1,594 | $1,514 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - MINOCQUA | WI | $1,594 | $1,514 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - RIVER REGION | WI | $1,594 | $1,514 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE | WI | $1,594 | $1,514 | — | — | 0 insurers |
| FLAMBEAU HOSPITAL | WI | $1,594 | $1,514 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | WI | $1,594 | $1,514 | — | — | 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 | — | — | $30.98 | $40.27 | 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 | — | — | $27.88 | $40.27 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $30.98 | $30.98 | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $30.98 | $305 | 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 |
| 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 |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL | CA | — | — | $27.54 | $88.91 | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $27.26 | $41.51 | 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 | — | — | $27.54 | $88.91 | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $30.98 | $30.98 | 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 | — | — | $27.54 | $88.91 | 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 | — | — | $30.98 | $308 | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $27.54 | $74.35 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $20.14 | $406 | 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 | — | — | $30.98 | $80.55 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $30.98 | $80.55 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $30.98 | $80.55 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $30.98 | $80.55 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $30.98 | $166 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $20.14 | $329 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $27.88 | $374 | 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 |
| TEMECULA VALLEY HOSPITAL | CA | $434 | — | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 0 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $30.98 | $61.96 | 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 | — | — | $20.14 | $406 | 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 |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $4.65 | $103 | 0 insurers |
| AdventHealth Porter | CO | — | — | $30.36 | $105 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $30.36 | $105 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | — | — | — | — | 0 insurers |
| AdventHealth Littleton | CO | — | — | $30.36 | $105 | 0 insurers |
| AdventHealth Parker | CO | — | — | $30.36 | $105 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $30.36 | $105 | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | — | — | — | — | 0 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | — | — | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | — | — | — | — | 0 insurers |
| GRIFFIN HOSPITAL | CT | $262 | — | — | — | 0 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $30.98 | $145 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $30.98 | $145 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $18.59 | $99.14 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $30.98 | $82.1 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $29.43 | $67.68 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $28.08 | $42.13 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $18.59 | $275 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $18.59 | $99.14 | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $30.98 | $30.98 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $18.59 | $99.14 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $28.08 | $48.33 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $30.98 | $68.78 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $30.98 | $68.78 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $77.62 | $79.26 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $18.59 | $60.41 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $30.98 | $82.1 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $28.08 | $47.71 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $28.08 | $48.33 | 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 | — | — | $80.61 | $82.3 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $30.98 | $68.78 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $28.08 | $38.73 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $75.05 | $76.63 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $30.98 | $30.98 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $77.62 | $79.26 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $24.78 | $44.92 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $28.08 | $44.92 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $30.98 | $30.98 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $28.08 | $44.92 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $28.08 | $38.73 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $28.08 | $44.92 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $30.67 | $65.06 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $28.08 | $47.71 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $18.59 | $60.41 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $28.08 | $48.33 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $24.78 | $44.92 | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $28.08 | $42.13 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $30.98 | $30.98 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $28.08 | $44.92 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $28.08 | $48.33 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $30.98 | $30.98 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $77.04 | $78.66 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $75.05 | $76.63 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $28.66 | $70.01 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $30.98 | $30.98 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $28.08 | $44.92 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $30.98 | $30.98 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $28.08 | $42.13 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $28.08 | $47.71 | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $30.67 | $46.47 | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $18.59 | $60.41 | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $18.59 | $99.14 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $30.98 | $68.78 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $28.08 | $92.94 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $30.98 | $30.98 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $28.08 | $61.96 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $30.98 | $30.98 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $30.98 | $82.1 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $32.53 | $38.73 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $26.53 | $37.18 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS | GA | $805 | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $15.6 | $91.06 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $15.6 | $91.06 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $15.6 | $91.06 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $30.98 | $77.45 | 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 | — | — | $26.53 | $53.93 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $30.98 | $36.56 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $30.98 | $77.45 | 0 insurers |
| SOUTHEAST GEORGIA HEALTH SYSTEM -- CAMDEN CAMPUS | GA | $805 | — | — | — | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $25.4 | $86.12 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $30.98 | $32.22 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $15.6 | $91.06 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $40.13 | $40.13 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $16.18 | $41.51 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $30.98 | $32.53 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $30.98 | $90.39 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $30.98 | $30.98 | 0 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | — | — | — | — | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $30.98 | $32.53 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $30.98 | $108 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $30.98 | $65.99 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $27.88 | $255 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $30.98 | $65.99 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $30.98 | $311 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $30.98 | $65.99 | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $30.98 | $65.99 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $30.98 | $31.6 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $30.98 | $65.99 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $30.98 | $65.99 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $30.98 | $65.99 | 0 insurers |