| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN | MS | $775 | $233 | — | — | 0 insurers |
| ROME MEMORIAL HOSPITAL, INC | NY | $583 | $235 | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | $240 | $240 | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | $240 | $240 | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | $240 | $240 | — | — | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $392 | $240 | — | — | 0 insurers |
| ASHLEY REGIONAL MEDICAL CENTER | UT | $410 | $226 | — | — | 0 insurers |
| IBERIA MEDICAL CENTER | LA | $404 | $242 | — | — | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $289 | $243 | $261 | $283 | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $289 | $243 | $64.88 | $283 | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $289 | $246 | $261 | $283 | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $289 | $246 | $61.91 | $283 | 0 insurers |
| LALLIE KEMP MEDICAL CENTER | LA | $369 | $221 | — | — | 0 insurers |
| DESERT VIEW HOSPITAL | NV | $629 | $252 | — | — | 0 insurers |
| MAGNOLIA REGIONAL MEDICAL HOSPITAL | AR | $355 | $213 | — | — | 0 insurers |
| AdventHealth Palm Coast | FL | $387 | $213 | $16.87 | $348 | 0 insurers |
| STARR COUNTY MEMORIAL HOSPITAL | TX | $211 | $211 | — | — | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $515 | $258 | — | — | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $497 | $209 | $298 | $422 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $497 | $209 | $62.87 | $497 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $497 | $209 | $298 | $422 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $497 | $209 | $62.87 | $497 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $497 | $209 | $298 | $422 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $497 | $209 | $62.87 | $497 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $497 | $209 | $298 | $422 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $497 | $209 | $62.87 | $497 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $497 | $209 | $298 | $422 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $497 | $209 | $62.87 | $497 | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $713 | $261 | $649 | $649 | 0 insurers |
| SAINT JOSEPH MOUNT STERLING | KY | $713 | $261 | $55.13 | $649 | 0 insurers |
| HOSPITAL COMUNITARIO BUEN SAMARITANO INC | PR | $206 | $206 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $528 | $206 | $233 | $384 | 0 insurers |
| Adventhealth Zephyrhills | FL | $334 | $200 | $21.77 | $237 | 0 insurers |
| ADVENTHEALTH TAMPA | FL | $334 | $200 | $36.73 | $6,461 | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $195 | — | — | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $457 | $274 | $77.86 | $398 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $457 | $274 | $77.86 | $398 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $457 | $274 | $77.86 | $398 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $457 | $274 | $77.86 | $398 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $457 | $274 | $77.86 | $398 | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $363 | $185 | — | — | 0 insurers |
| MCGEHEE HOSPITAL | AR | $270 | $181 | — | — | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $426 | $181 | $311 | $388 | 0 insurers |
| CHI SAINT JOSEPH FLAGET MEMORIAL HOSPITAL | KY | $426 | $181 | $55.13 | $388 | 0 insurers |
| KELL WEST REGIONAL HOSPITAL | TX | $225 | $180 | — | — | 0 insurers |
| ST ANTHONY HOSPITAL | OR | $426 | $290 | $230 | $405 | 0 insurers |
| ST ANTHONY HOSPITAL | OR | $426 | $290 | $45.42 | $405 | 0 insurers |
| ST ANTHONY HOSPITAL | WA | $426 | $290 | $230 | $405 | 0 insurers |
| ST ANTHONY HOSPITAL | WA | $426 | $290 | $45.42 | $405 | 0 insurers |
| ADVENTHEALTH DELAND | FL | $320 | $176 | $16.87 | $288 | 0 insurers |
| AMBERWELL ATCHISON ASSOCIATION | KS | $251 | $176 | $40 | — | 0 insurers |
| LAKE CUMBERLAND REGIONAL HOSPITAL | KY | $739 | $296 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $868 | $304 | $67 | $185 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $868 | $304 | $67 | $185 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $868 | $304 | $67 | $185 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $868 | $304 | $67 | $185 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $868 | $304 | $67 | $185 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $868 | $304 | $67 | $185 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $868 | $304 | $67 | $185 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $868 | $304 | $67 | $185 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $868 | $304 | $67 | $185 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $868 | $304 | $67 | $185 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $868 | $304 | $67 | $185 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $868 | $304 | $67 | $185 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $868 | $304 | $67 | $185 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $868 | $304 | $67 | $185 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $868 | $304 | $67 | $185 | 0 insurers |
| TRINITY ROCK ISLAND | IL | $204 | $163 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $204 | $163 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $204 | $163 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $204 | $163 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $204 | $163 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $204 | $163 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $204 | $163 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $204 | $163 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $204 | $163 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $204 | $163 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $204 | $163 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $204 | $163 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $204 | $163 | — | — | 0 insurers |
| CHICOT MEMORIAL MEDICAL CENTER | AR | $161 | $161 | — | — | 0 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $467 | $308 | — | — | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $159 | $64.88 | $159 | 0 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $159 | $64.88 | $159 | 0 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $159 | $64.88 | $159 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $441 | $157 | $401 | $401 | 0 insurers |
| SAINT JOSEPH LONDON | KY | $441 | $157 | $55.13 | $401 | 0 insurers |
| ADVENTHEALTH SEBRING | FL | $253 | $152 | $21.77 | $228 | 0 insurers |
| LINCOLN HEALTH HOSPITAL | CO | $316 | $150 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - RICE LAKE | WI | $155 | $148 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER | WI | $155 | $148 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) | WI | $155 | $148 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - WESTON | WI | $155 | $148 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - EAU CLAIRE | WI | $155 | $148 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - MINOCQUA | WI | $155 | $148 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - RIVER REGION | WI | $155 | $148 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE | WI | $155 | $148 | — | — | 0 insurers |
| FLAMBEAU HOSPITAL | WI | $155 | $148 | — | — | 0 insurers |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | WI | $155 | $148 | — | — | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $289 | $142 | $165 | $283 | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $289 | $142 | $64.88 | $283 | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $201 | $141 | — | — | 0 insurers |
| KAISER PERMANENTE CENTRAL HOSPITAL | WA | $225 | $140 | $154 | $154 | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $289 | $139 | $173 | $283 | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $289 | $139 | $64.88 | $283 | 0 insurers |
| VALLEY VIEW MEDICAL CENTER | AZ | $231 | $139 | — | — | 0 insurers |
| TMC- BONHAM HOSPITAL | TX | $460 | $138 | — | — | 0 insurers |
| MEMORIAL MEDICAL CENTER | NM | $228 | $137 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $223 | $134 | — | — | 0 insurers |
| WASHINGTON REGIONAL MEDICAL CENTER | AR | $175 | $131 | — | — | 0 insurers |
| RALEIGH GENERAL HOSPITAL | WV | $326 | $130 | — | — | 0 insurers |
| SPRING VIEW HOSPITAL | KY | $863 | $345 | — | — | 0 insurers |
| ST MARY-CORWIN HOSPITAL | CO | $299 | $120 | — | — | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $299 | $120 | — | — | 0 insurers |
| BOB WILSON MEMORIAL HOSPITAL | KS | $299 | $120 | — | — | 0 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $872 | $349 | — | — | 0 insurers |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL | IL | $352 | $352 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $163 | $114 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $163 | $114 | — | — | 0 insurers |
| JENNIE M MELHAM MEMORIAL MEDICAL CENTER | NE | $113 | $113 | — | — | 0 insurers |
| MAUI MEMORIAL MEDICAL CENTER | HI | $928 | $362 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | $299 | $97.32 | $58.39 | $13,993 | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | $929 | $372 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $929 | $372 | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $929 | $372 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $929 | $372 | — | — | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | $929 | $372 | — | — | 0 insurers |
| TOUCHETTE REGIONAL HOSPITAL INC | IL | $144 | $89.28 | — | — | 0 insurers |
| PENDER COMMUNITY HOSPITAL | NE | $857 | $386 | $220 | $831 | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $198 | $77.23 | — | — | 0 insurers |
| BARNES-KASSON COUNTY HOSPITAL | PA | $561 | $392 | — | — | 0 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $74.61 | — | — | 0 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $74.61 | — | — | 0 insurers |
| HUGGINS HOSPITAL | NH | $791 | $396 | — | — | 0 insurers |
| ADVENTHEALTH FISH MEMORIAL | FL | $129 | $70.92 | $21.77 | $179 | 0 insurers |
| WARM SPRINGS MEDICAL CENTER | GA | $140 | $70 | — | — | 0 insurers |
| WARM SPRINGS MEDICAL CENTER | GA | $140 | $70 | — | — | 0 insurers |
| OSWEGO HOSPITAL | NY | $531 | $398 | — | — | 0 insurers |
| STARR REGIONAL MEDICAL CENTER ATHENS | TN | $340 | $68.04 | — | — | 0 insurers |
| SPRINGHILL MEDICAL CENTER | LA | $195 | $66.18 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $162 | $64.8 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $162 | $64.8 | — | — | 0 insurers |
| GARDEN GROVE HOSPITAL & MEDICAL CENTER | CA | $286 | $64 | $60.97 | $286 | 0 insurers |
| WEST ANAHEIM MEDICAL CENTER | CA | $286 | $64 | $60.97 | $286 | 0 insurers |
| LA PALMA INTERCOMMUNITY HOSPITAL | CA | $286 | $64 | $55.79 | $286 | 0 insurers |
| SHERMAN OAKS HOSPITAL | CA | $206 | $64 | $55.79 | $206 | 0 insurers |
| MERCY MEDICAL CENTER INC | MD | $272 | $64 | $35.62 | $272 | 0 insurers |
| NORTH VISTA HOSPITAL | NV | $475 | $64 | $21.16 | $475 | 0 insurers |
| MOUNT GRANT GENERAL HOSPITAL | NV | $230 | $64 | $51.9 | $230 | 0 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $913 | $64 | $38.93 | $730 | 0 insurers |
| COSHOCTON REGIONAL MEDICAL CENTER | OH | $233 | $64 | $36.44 | $228 | 0 insurers |
| LOWER BUCKS HOSPITAL | PA | $230 | $64 | $51.9 | $230 | 0 insurers |
| ROXBOROUGH MEMORIAL HOSPITAL | PA | $230 | $64 | $51.9 | $230 | 0 insurers |
| LANDMARK MEDICAL CENTER | RI | $286 | $64 | $52.85 | $272 | 0 insurers |
| KNAPP MEDICAL CENTER | TX | $776 | $64 | $45.42 | $760 | 0 insurers |
| HARLINGEN MEDICAL CENTER | TX | $587 | $64 | $54.5 | $470 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | WA | $629 | $64 | $24.6 | $629 | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $130 | $61.1 | — | — | 0 insurers |
| DELTA MEMORIAL HOSPITAL | AR | $511 | $409 | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $155 | $54.25 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $447 | $447 | — | — | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $943 | $455 | $434 | $858 | 0 insurers |
| CHI SAINT JOSEPH BEREA NF | KY | $943 | $455 | $55.13 | $858 | 0 insurers |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI | TN | $1,663 | $487 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $501 | $501 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $501 | $501 | — | — | 0 insurers |
| LANAI COMMUNITY HOSPITAL | HI | $1,327 | $518 | — | — | 0 insurers |
| KULA HOSPITAL | HI | $1,327 | $518 | — | — | 0 insurers |
| BRUSHY CREEK FAMILY HOSPITAL LLC | TX | $614 | $552 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $1,120 | $627 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $1,120 | $627 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $1,120 | $627 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $1,120 | $627 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $1,120 | $627 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $1,120 | $627 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $1,120 | $627 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $1,120 | $627 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $1,120 | $627 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $1,120 | $627 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $1,120 | $627 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $1,120 | $627 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $1,120 | $627 | — | — | 0 insurers |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER | NC | $1,314 | $657 | $69.49 | $1,275 | 0 insurers |
| TWIN COUNTY REGIONAL HOSPITAL | VA | $1,800 | $720 | — | — | 0 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | $1,450 | $725 | $64.88 | $1,407 | 0 insurers |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER | NC | $1,450 | $725 | $64.88 | $1,407 | 0 insurers |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | NC | $1,450 | $725 | $64.88 | $1,407 | 0 insurers |
| NOVANT HEALTH MINT HILL MEDICAL CENTER | NC | $1,450 | $725 | $64.88 | $1,407 | 0 insurers |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER | NC | $1,450 | $725 | $64.88 | $1,407 | 0 insurers |
| NOVANT PRINCE WILLIAM MEDICAL CENTER | VA | $1,450 | $725 | $64.88 | $1,407 | 0 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | $1,304 | $782 | $64.88 | $1,265 | 0 insurers |
| NOVANT HEALTH MEDICAL PARK HOSPITAL | NC | $1,304 | $782 | $64.88 | $1,265 | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $1,063 | $789 | $904 | $1,031 | 0 insurers |
| YAVAPAI REGIONAL MEDICAL CENTER | AZ | $1,063 | $789 | $64.88 | $1,031 | 0 insurers |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER | NC | $1,450 | $870 | $64.88 | $1,407 | 0 insurers |
| HARPER UNIVERSITY HOSPITAL | MI | $1,401 | $1,051 | $64.88 | $93 | 0 insurers |
| HURON VALLEY-SINAI HOSPITAL | MI | $1,401 | $1,051 | $39.47 | $115 | 0 insurers |
| DETROIT RECEIVING HOSPITAL | MI | $1,527 | $1,145 | — | — | 0 insurers |
| SINAI-GRACE HOSPITAL | MI | $1,541 | $1,156 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL OF MICHIGAN | MI | $1,541 | $1,156 | — | — | 0 insurers |
| FRANKFORT REGIONAL MEDICAL CENTER | KY | $1,188 | $1,188 | $55.13 | $74.61 | 0 insurers |
| ST LUKE'S WARREN HOSPITAL | NJ | $1,710 | $1,419 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS | PA | $1,710 | $1,419 | — | — | 0 insurers |
| ST LUKES HOSPITAL BETHLEHEM | PA | $1,710 | $1,419 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS | PA | $1,710 | $1,419 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - EASTON CAMPUS | PA | $1,710 | $1,419 | — | — | 0 insurers |
| ST LUKE'S MINERS MEMORIAL HOSPITAL | PA | $1,710 | $1,419 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS | PA | $1,710 | $1,419 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - MONROE CAMPUS | PA | $1,710 | $1,419 | — | — | 0 insurers |
| GEISINGER ST. LUKE'S HOSPITAL | PA | $1,710 | $1,419 | — | — | 0 insurers |
| ST LUKE'S HOSPITAL - CARBON CAMPUS | PA | $1,710 | $1,419 | — | — | 0 insurers |
| HCA FLORIDA PUTNAM HOSPITAL | FL | $1,938 | $1,938 | $58.8 | $81.1 | 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 | — | — | $64.88 | $84.34 | 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 | — | — | $58.39 | $84.34 | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $64.88 | $64.88 | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| ALASKA REGIONAL HOSPITAL | AK | — | — | $64.88 | $639 | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| ST JOSEPH'S HOSPITAL | AZ | — | — | — | — | 0 insurers |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH TEMPE MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH DEER VALLEY MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER | AZ | — | — | — | — | 0 insurers |
| BENSON HOSPITAL | AZ | — | — | — | — | 0 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | — | — | — | — | 0 insurers |
| 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 | — | — | $2,069 | $2,543 | 0 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $55.56 | $97.32 | 0 insurers |
| USC VERDUGO HILLS HOSPITAL | CA | — | — | — | — | 0 insurers |
| NOVATO COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| STANFORD HEALTH CARE TRI-VALLEY | CA | — | — | $64.88 | $64.88 | 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 |
| 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 | — | — | $64.88 | $644 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $42.17 | $851 | 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 | — | — | $64.88 | $169 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $64.88 | $169 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $64.88 | $169 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $64.88 | $169 | 0 insurers |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL | CA | — | — | — | — | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $64.88 | $347 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $42.17 | $689 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | — | — | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | — | — | $159 | $766 | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $58.39 | $784 | 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 |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | — | — | — | — | 0 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $64.88 | $130 | 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 | — | — | $42.17 | $851 | 0 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | — | — | $41.33 | $68.12 | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | — | — | — | — | 0 insurers |
| BOULDER COMMUNITY HEALTH | CO | — | — | $9.73 | $219 | 0 insurers |
| AdventHealth Porter | CO | — | — | $63.58 | $219 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $63.58 | $219 | 0 insurers |
| AdventHealth Littleton | CO | — | — | $63.58 | $219 | 0 insurers |
| AdventHealth Parker | CO | — | — | $63.58 | $219 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $63.58 | $219 | 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 |
| RIO GRANDE HOSPITAL | CO | — | — | $53.95 | $237 | 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 | — | — | $64.88 | $303 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $64.88 | $303 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $38.93 | $208 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $64.88 | $172 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $61.64 | $142 | 0 insurers |
| HCA FLORIDA CITRUS HOSPITAL | FL | — | — | $58.8 | $88.24 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $38.93 | $573 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $38.93 | $208 | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA HIGHLANDS HOSPITAL | FL | — | — | $64.88 | $147 | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $38.93 | $208 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA TWIN CITIES HOSPITAL | FL | — | — | $74.74 | $78.67 | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $64.88 | $144 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $64.88 | $144 | 0 insurers |
| HCA FLORIDA JFK HOSPITAL | FL | — | — | $77.62 | $79.26 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH ROCKLEDGE HOSPITAL | FL | — | — | $38.93 | $127 | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $64.88 | $172 | 0 insurers |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER | FL | — | — | $58.8 | $99.92 | 0 insurers |
| HCA FLORIDA OSCEOLA HOSPITAL | FL | — | — | $58.8 | $101 | 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 | — | — | $64.23 | $97.32 | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH HEART OF FLORIDA | FL | — | — | $64.88 | $144 | 0 insurers |
| HCA FLORIDA LAKE CITY HOSPITAL | FL | — | — | $58.8 | $81.1 | 0 insurers |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | FL | — | — | $75.05 | $76.63 | 0 insurers |
| HCA FLORIDA MERCY HOSPITAL | FL | — | — | $64.88 | $64.88 | 0 insurers |
| PALM BEACH GARDENS MEDICAL CENTER | FL | — | — | $77.62 | $79.26 | 0 insurers |
| HCA FLORIDA MEMORIAL HOSPITAL | FL | — | — | $51.9 | $94.08 | 0 insurers |
| HCA FLORIDA ST PETERSBURG HOSPITAL | FL | — | — | $64.88 | $64.88 | 0 insurers |
| HCA FLORIDA NORTHWEST HOSPITAL | FL | — | — | $64.88 | $64.88 | 0 insurers |
| HCA FLORIDA TRINITY HOSPITAL | FL | — | — | $75.05 | $76.63 | 0 insurers |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | FL | — | — | $58.8 | $81.1 | 0 insurers |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | FL | — | — | $58.8 | $94.08 | 0 insurers |
| HCA FLORIDA KENDALL HOSPITAL | FL | — | — | $64.23 | $136 | 0 insurers |
| HCA FLORIDA BLAKE HOSPITAL | FL | — | — | $58.8 | $99.92 | 0 insurers |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL | FL | — | — | $38.93 | $127 | 0 insurers |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | FL | — | — | $58.8 | $101 | 0 insurers |
| HCA FLORIDA ORANGE PARK HOSPITAL | FL | — | — | $51.9 | $94.08 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA WEST HOSPITAL | FL | — | — | $64.88 | $64.88 | 0 insurers |
| HCA FLORIDA FAWCETT HOSPITAL | FL | — | — | $58.8 | $99.92 | 0 insurers |
| HCA FLORIDA NORTHSIDE HOSPITAL | FL | — | — | $75.05 | $76.63 | 0 insurers |
| HCA FLORIDA GULF COAST HOSPITAL | FL | — | — | $58.8 | $101 | 0 insurers |
| HCA FLORIDA BRANDON HOSPITAL | FL | — | — | $58.8 | $94.08 | 0 insurers |
| HCA FLORIDA LAWNWOOD HOSPITAL | FL | — | — | $77.04 | $78.66 | 0 insurers |
| HCA FLORIDA LARGO HOSPITAL | FL | — | — | $58.8 | $94.08 | 0 insurers |
| HCA FLORIDA RAULERSON HOSPITAL | FL | — | — | $60.01 | $147 | 0 insurers |
| HCA FLORIDA CAPITAL HOSPITAL | FL | — | — | $58.8 | $110 | 0 insurers |
| HCA FLORIDA BAYONET POINT HOSPITAL | FL | — | — | $58.8 | $94.08 | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA SOUTH SHORE HOSPITAL | FL | — | — | $64.88 | $64.88 | 0 insurers |
| HCA FLORIDA OAK HILL HOSPITAL | FL | — | — | $58.8 | $88.24 | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA ENGLEWOOD HOSPITAL | FL | — | — | $75.05 | $76.63 | 0 insurers |
| HCA FLORIDA PALMS WEST HOSPITAL | FL | — | — | $77.62 | $79.26 | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH MELBOURNE HOSPITAL | FL | — | — | $38.93 | $127 | 0 insurers |
| ORLANDO HEALTH ST CLOUD HOSPITAL | FL | — | — | $38.93 | $208 | 0 insurers |
| ADVENTHEALTH WESLEY CHAPEL | FL | — | — | $64.88 | $144 | 0 insurers |
| HCA FLORIDA POINCIANA HOSPITAL | FL | — | — | $58.8 | $195 | 0 insurers |
| OVIEDO MEDICAL CENTER | FL | — | — | $58.8 | $260 | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | — | — | $74.05 | $75.61 | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| HCA FLORIDA UNIVERSITY HOSPITAL | FL | — | — | $64.88 | $64.88 | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $64.88 | $172 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $68.12 | $81.1 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $55.56 | $77.86 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $32.67 | $191 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER | GA | $114 | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM | GA | — | — | $32.67 | $191 | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $32.67 | $191 | 0 insurers |
| ADVENTHEALTH MURRAY | GA | — | — | $64.88 | $162 | 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 | — | — | $55.56 | $113 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $42.17 | $77.86 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $64.88 | $162 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $53.2 | $180 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $64.88 | $67.48 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $32.67 | $191 | 0 insurers |
| BLUE RIDGE MEDICAL CENTER | GA | — | — | $84.06 | $84.06 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $33.88 | $86.94 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $54.38 | $165 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $64.88 | $68.12 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $64.88 | $189 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $64.88 | $64.88 | 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 | — | — | $64.88 | $68.12 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $64.88 | $227 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $64.88 | $138 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $58.39 | $535 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $64.88 | $138 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $64.88 | $652 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $64.88 | $138 | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $64.88 | $138 | 0 insurers |
| OSF HEART OF MARY MEDICAL CENTER | IL | — | — | $64.88 | $66.18 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $64.88 | $138 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $64.88 | $138 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $64.88 | $138 | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $58.39 | $535 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $64.88 | $110 | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | — | — | — | — | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | — | — | — | — | 0 insurers |
| EDWARD HOSPITAL | IL | — | — | $64.88 | $110 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $64.88 | $138 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $64.88 | $454 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $64.88 | $189 | 0 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 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 | — | — | $58.39 | $535 | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $64.88 | $138 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $64.88 | $138 | 0 insurers |
| MERCY HARVARD HOSPITAL | IL | — | — | $64.88 | $246 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $64.88 | $138 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $64.88 | $67.48 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $64.88 | $68.12 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $64.88 | $185 | 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 | — | — | $53.68 | $69.49 | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $25.95 | $160 | 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 | — | — | $58.39 | $535 | 0 insurers |
| COMMUNITY HOSPITAL OF BREMEN INC | IN | — | — | — | — | 0 insurers |
| PARKVIEW WABASH HOSPITAL, INC | IN | — | — | — | — | 0 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $64.88 | $153 | 0 insurers |
| PARKVIEW LAGRANGE HOSPITAL | IN | — | — | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | — | — | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | — | — | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | — | — | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | — | — | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | — | — | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | — | — | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | — | — | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 0 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $38.93 | $83.79 | 0 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $27.25 | $145 | 0 insurers |
| HUTCHINSON REGIONAL MEDICAL CENTER INC | KS | — | — | — | — | 0 insurers |
| ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC. | KS | — | — | — | — | 0 insurers |