| ST JOHNS HOSPITAL | IL | $1,633 | $1,176 | — | — | 0 insurers |
| HSHS HOLY FAMILY HOSPITAL INC | IL | $1,633 | $1,176 | — | — | 0 insurers |
| ST JOSEPH'S HOSPITAL | IL | $1,633 | $1,176 | — | — | 0 insurers |
| ST VINCENT HOSPITAL | WI | $1,633 | $1,176 | — | — | 0 insurers |
| HSHS ST ELIZABETH'S HOSPITAL | IL | $1,633 | $1,176 | — | — | 0 insurers |
| MARINERS HOSPITAL | FL | $1,813 | $1,178 | — | — | 0 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $2,346 | $1,173 | — | — | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $2,428 | $1,166 | $1,457 | $2,380 | 0 insurers |
| CHI HEALTH - MERCY CORNING | IA | $2,428 | $1,166 | $286 | $2,380 | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $2,428 | $1,190 | $1,384 | $2,380 | 0 insurers |
| CHI HEALTH MISSOURI VALLEY | IA | $2,428 | $1,190 | $286 | $2,380 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $5,835 | $1,196 | $1,050 | $4,201 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $5,835 | $1,196 | $246 | $4,201 | 0 insurers |
| GUTHRIE COUNTY HOSPITAL | IA | $1,197 | $1,197 | — | — | 0 insurers |
| HOMESTEAD HOSPITAL | FL | $1,843 | $1,198 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $1,912 | $1,147 | $280 | $7,486 | 0 insurers |
| UPHS MARQUETTE DLP HOSPITAL | MI | $2,008 | $1,205 | — | — | 0 insurers |
| BEAR VALLEY COMMUNITY HOSPITAL | CA | $1,628 | $1,140 | — | — | 0 insurers |
| BROADLAWNS MEDICAL CENTER | IA | $1,136 | $1,136 | — | — | 0 insurers |
| UNIONTOWN HOSPITAL | PA | $2,270 | $1,135 | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | $1,135 | $1,135 | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | $1,135 | $1,135 | — | — | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | $1,135 | $1,135 | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | $1,135 | $1,135 | — | — | 0 insurers |
| SIOUX CENTER HEALTH | IA | $1,263 | $1,225 | — | — | 0 insurers |
| SIOUX CENTER HEALTH | IA | $1,263 | $1,225 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,864 | $1,118 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,864 | $1,118 | — | — | 0 insurers |
| NEVADA REGIONAL MEDICAL CENTER | MO | $1,112 | $1,112 | $334 | $2,019 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $2,767 | $1,245 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $2,208 | $1,104 | — | — | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $2,208 | $1,104 | — | — | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $2,208 | $1,104 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $2,208 | $1,104 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $2,208 | $1,104 | — | — | 0 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $3,132 | $1,253 | — | — | 0 insurers |
| SAN GORGONIO MEMORIAL HOSPITAL | CA | $5,463 | $1,093 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $2,368 | $1,263 | $1,776 | $2,249 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $2,368 | $1,263 | $227 | $2,273 | 0 insurers |
| UNITED MEDICAL CENTER | DC | $2,167 | $1,084 | — | — | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $2,167 | $1,084 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $2,167 | $1,084 | — | — | 0 insurers |
| WETZEL COUNTY HOSPITAL | WV | $2,167 | $1,084 | — | — | 0 insurers |
| ST MARYS HOSPITAL MEDICAL CTR | WI | $2,398 | $1,079 | — | — | 0 insurers |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $1,071 | $1,071 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $5,001 | $1,283 | $2,500 | $2,500 | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $5,001 | $1,283 | $227 | $2,500 | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $2,140 | $1,284 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $2,140 | $1,284 | — | — | 0 insurers |
| BAYLOR EMERGENCY MEDICAL CENTER AT AUBREY | TX | $1,769 | $1,062 | — | — | 0 insurers |
| UNION HOSPITAL CLINTON | IN | $1,761 | $1,056 | — | — | 0 insurers |
| MUNSON HEALTHCARE MANISTEE HOSPITAL | MI | $1,229 | $1,044 | — | — | 0 insurers |
| BOZEMAN HEALTH DEACONESS HOSPITAL | MT | $1,295 | $1,036 | $273 | $1,295 | 0 insurers |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER | MT | $1,295 | $1,036 | $273 | $1,295 | 0 insurers |
| HAWARDEN REGIONAL HEALTHCARE | IA | $1,549 | $1,316 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER | MO | $1,721 | $1,033 | $280 | $7,486 | 0 insurers |
| THREE RIVERS HEALTH | MI | $1,871 | $1,029 | $1,504 | $1,504 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $5,835 | $1,325 | $1,050 | $4,201 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $5,835 | $1,325 | $246 | $4,201 | 0 insurers |
| SAN MATEO MEDICAL CENTER | CA | $2,052 | $1,026 | — | — | 0 insurers |
| SAN MATEO MEDICAL CENTER | CA | $2,052 | $1,026 | — | — | 0 insurers |
| BAXTER HEALTH | AR | $1,704 | $1,023 | — | — | 0 insurers |
| UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | $1,664 | $1,331 | — | — | 0 insurers |
| BURKE MEDICAL CENTER | GA | $1,433 | $1,021 | — | — | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $2,428 | $1,020 | $1,457 | $2,064 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $2,428 | $1,020 | $245 | $2,064 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $2,428 | $1,020 | $1,457 | $2,064 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $2,428 | $1,020 | $245 | $2,064 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $2,428 | $1,020 | $1,457 | $2,064 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $2,428 | $1,020 | $245 | $2,064 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $2,428 | $1,020 | $1,457 | $2,064 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $2,428 | $1,020 | $245 | $2,064 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $2,428 | $1,020 | $1,457 | $2,064 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $2,428 | $1,020 | $245 | $2,064 | 0 insurers |
| GRAND ITASCA CLINIC AND HOSPITAL | MN | $2,383 | $1,013 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $1,687 | $1,012 | $280 | $7,486 | 0 insurers |
| MISSOURI BAPTIST SULLIVAN HOSPITAL | MO | $1,687 | $1,012 | $179 | $15,478 | 0 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $2,024 | $1,012 | — | — | 0 insurers |
| ARKANSAS METHODIST MEDICAL CENTER | AR | $2,698 | $1,349 | — | — | 0 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | $1,000 | $1,000 | — | — | 0 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $1,420 | $994 | — | — | 0 insurers |
| BUNKIE GENERAL HOSPITAL | LA | $986 | $986 | — | — | 0 insurers |
| LONGS PEAK HOSPITAL | CO | $2,812 | $984 | — | — | 0 insurers |
| READING HOSPITAL | PA | $1,392 | $975 | — | — | 0 insurers |
| READING HOSPITAL | PA | $1,392 | $975 | — | — | 0 insurers |
| ST LUKES HOSPITAL | MN | $1,725 | $966 | — | — | 0 insurers |
| ALAMEDA HOSPITAL | CA | $1,907 | $953 | $953 | $1,430 | 0 insurers |
| HIGHLAND HOSPITAL | CA | $1,907 | $953 | $953 | $1,430 | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $2,373 | $949 | — | — | 0 insurers |
| SANFORD USD MEDICAL CENTER | SD | $1,763 | $1,411 | — | — | 0 insurers |
| WYOMING COUNTY | NY | $2,351 | $941 | — | — | 0 insurers |
| WYTHE COUNTY COMMUNITY HOSPITAL | VA | $2,351 | $941 | — | — | 0 insurers |
| SANFORD HILLSBORO | ND | $1,169 | $935 | — | — | 0 insurers |
| JOHNSON COUNTY HEALTHCARE CENTER | WY | $930 | $930 | — | — | 0 insurers |
| MCKENZIE HEALTH SYSTEM | MI | $1,161 | $929 | — | — | 0 insurers |
| SOUTH TEXAS HEALTH SYSTEM | TX | $2,315 | $926 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $1,840 | $920 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $1,840 | $920 | — | — | 0 insurers |
| COLLETON MEDICAL CENTER | SC | $919 | $919 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $1,827 | $914 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $1,305 | $913 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $1,305 | $913 | — | — | 0 insurers |
| PIONEER MEDICAL CENTER | MT | $904 | $904 | — | — | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $2,577 | $902 | — | — | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $2,577 | $902 | — | — | 0 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $8,994 | $899 | — | — | 0 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $8,994 | $899 | — | — | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $1,492 | $895 | $179 | $15,478 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $1,492 | $895 | $179 | $15,478 | 0 insurers |
| BARNES JEWISH HOSPITAL | MO | $1,492 | $895 | $280 | $1,592 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $1,492 | $895 | $179 | $15,478 | 0 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $1,492 | $895 | $179 | $15,478 | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $1,492 | $895 | $280 | $1,592 | 0 insurers |
| PROGRESS WEST HOSPITAL | MO | $1,492 | $895 | $280 | $7,486 | 0 insurers |
| SAUK PRAIRIE HOSPITAL | WI | $1,631 | $892 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $1,773 | $886 | — | — | 0 insurers |
| NORTON-KING'S DAUGHTERS' HEALTH | IN | $6,663 | $1,466 | — | — | 0 insurers |
| RUSSELL REGIONAL HOSPITAL | KS | $1,033 | $878 | — | — | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $1,462 | $877 | $179 | $15,478 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $1,462 | $877 | $179 | $15,478 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $1,462 | $877 | $179 | $15,478 | 0 insurers |
| ALTON MEMORIAL HOSPITAL | IL | $1,462 | $877 | $179 | $15,478 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $1,462 | $877 | $179 | $15,478 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $1,462 | $877 | $179 | $15,478 | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $2,192 | $877 | — | — | 0 insurers |
| SAINT FRANCIS BARTLETT MEDICAL CENTER | TN | $1,168 | $876 | — | — | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $2,069 | $875 | $1,241 | $1,759 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $2,069 | $875 | $149 | $1,448 | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $1,729 | $865 | — | — | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $2,157 | $863 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $1,076 | $861 | — | — | 0 insurers |
| GATEWAY REGIONAL MEDICAL CENTER | IL | — | $857 | — | — | 0 insurers |
| SIDNEY HEALTH CENTER | MT | $1,382 | $856 | — | — | 0 insurers |
| LANAI COMMUNITY HOSPITAL | HI | $2,171 | $847 | — | — | 0 insurers |
| KULA HOSPITAL | HI | $2,171 | $847 | — | — | 0 insurers |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY | NY | $844 | $844 | — | — | 0 insurers |
| STEPHENS MEMORIAL HOSPITAL | TX | $835 | $835 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $2,128 | $830 | $447 | $1,596 | 0 insurers |
| NORTHEASTERN NEVADA REGIONAL HOSPITAL | NV | $2,186 | $1,530 | — | — | 0 insurers |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN | MS | $5,100 | $1,530 | — | — | 0 insurers |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. | AZ | $1,366 | $820 | — | — | 0 insurers |
| SANFORD LUVERNE MEDICAL CENTER | MN | $1,022 | $818 | — | — | 0 insurers |
| SANFORD CLEAR LAKE MEDICAL CENTER | SD | $1,022 | $818 | — | — | 0 insurers |
| SANFORD HOSPITAL WEBSTER - CAH | SD | $1,022 | $818 | — | — | 0 insurers |
| UNITY HOSPITAL | NY | $1,022 | $818 | — | — | 0 insurers |
| UNITY MEDICAL CENTER | TN | $1,022 | $818 | — | — | 0 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $1,225 | $808 | — | — | 0 insurers |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN | NY | $800 | $800 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $1,333 | $800 | — | — | 0 insurers |
| SANFORD CANBY MEDICAL CENTER | MN | $997 | $798 | — | — | 0 insurers |
| SANFORD CHAMBERLAIN MEDICAL CENTER | SD | $997 | $797 | — | — | 0 insurers |
| SANFORD WORTHINGTON MEDICAL CENTER | MN | $970 | $776 | — | — | 0 insurers |
| RANGE REGIONAL HEALTH SERVICES | MN | $1,824 | $775 | — | — | 0 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $1,276 | $766 | — | — | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $1,531 | $765 | — | — | 0 insurers |
| HUNT REGIONAL MEDICAL CENTER | TX | $2,445 | $1,590 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $2,280 | $1,596 | — | — | 0 insurers |
| NORTHWEST TEXAS HOSPITAL | TX | $1,882 | $753 | — | — | 0 insurers |
| GARFIELD COUNTY PUBLIC HOSPITAL DISTRICT #1 | WA | $2,007 | $1,606 | — | — | 0 insurers |
| CASCADE MEDICAL CENTER | WA | $2,007 | $1,606 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $2,128 | $745 | $413 | $958 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $2,128 | $745 | $413 | $958 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $2,128 | $745 | $413 | $958 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $2,128 | $745 | $413 | $958 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $2,128 | $745 | $413 | $958 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $2,128 | $745 | $413 | $958 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $2,128 | $745 | $413 | $958 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $2,128 | $745 | $413 | $958 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $2,128 | $745 | $413 | $958 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $2,128 | $745 | $413 | $958 | 0 insurers |
| AURORA MEDICAL CTR WASHINGTON COUNTY | WI | $1,488 | $744 | — | — | 0 insurers |
| HOLY CROSS HOSPITAL-JORDAN VALLEY | UT | $4,023 | $1,609 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $926 | $741 | — | — | 0 insurers |
| ADVENTHEALTH WATERMAN | FL | $2,936 | $1,615 | $271 | $2,643 | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $1,471 | $735 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $1,471 | $735 | — | — | 0 insurers |
| SANFORD TRACY MEDICAL CENTER | MN | $918 | $735 | — | — | 0 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $1,321 | $726 | — | — | 0 insurers |
| GENEVA GENERAL HOSPITAL | NY | $1,816 | $726 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $3,261 | $1,630 | — | — | 0 insurers |
| MERCY HOSPITAL | CA | $4,083 | $1,633 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $4,083 | $1,633 | — | — | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $4,083 | $1,633 | — | — | 0 insurers |
| RUTHERFORD REGIONAL MEDICAL CENTER | NC | $4,084 | $1,634 | — | — | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | $843 | $717 | — | — | 0 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | $843 | $717 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $1,417 | $709 | — | — | 0 insurers |
| FORT DUNCAN MEDICAL CENTER | TX | $1,769 | $708 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $1,656 | $704 | — | — | 0 insurers |
| MEMORIAL HOSPITAL | TX | $1,402 | $701 | $168 | $1,327 | 0 insurers |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | TX | $1,402 | $701 | $168 | $1,327 | 0 insurers |
| MEMORIAL HOSPITAL | TX | $1,402 | $701 | $168 | $1,327 | 0 insurers |
| MEMORIAL HOSPITAL | TX | $1,402 | $701 | $168 | $1,327 | 0 insurers |
| ST CHRISTOPHER'S HOSPITAL FOR CHILDREN | PA | $1,392 | $696 | — | — | 0 insurers |
| ST CHRISTOPHER'S HOSPITAL FOR CHILDREN | PA | $1,392 | $696 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $1,730 | $694 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $1,730 | $694 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $1,730 | $694 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $1,730 | $694 | — | — | 0 insurers |
| GREENE COUNTY HOSPITAL | AL | $689 | $689 | — | — | 0 insurers |
| GREENE COUNTY HOSPITAL | AL | $689 | $689 | — | — | 0 insurers |
| GREENE COUNTY MEDICAL CENTER | IA | $689 | $689 | — | — | 0 insurers |
| GREENE COUNTY MEDICAL CENTER | IA | $689 | $689 | — | — | 0 insurers |
| STEWART MEMORIAL COMMUNITY HOSPITAL | IA | $689 | $689 | — | — | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $1,374 | $687 | — | — | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $3,430 | $686 | — | — | 0 insurers |
| NORTON HOSPITALS, INC | KY | $3,430 | $686 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $5,835 | $1,669 | $1,050 | $4,201 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $5,835 | $1,669 | $246 | $4,201 | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $1,699 | $681 | — | — | 0 insurers |
| FORT LOUDOUN MEDICAL CENTER | TN | $2,128 | $681 | — | — | 0 insurers |
| HIAWATHA COMMUNITY HOSPITAL | KS | $1,042 | $677 | $375 | $990 | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $1,656 | $664 | — | — | 0 insurers |
| ST NICHOLAS HOSPITAL | WI | $1,000 | $660 | — | — | 0 insurers |
| HSHS ST CLARE MEMORIAL HOSPITAL | WI | $1,000 | $660 | — | — | 0 insurers |
| CUMBERLAND MEDICAL CENTER | TN | $2,128 | $660 | — | — | 0 insurers |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | TN | $2,128 | $660 | — | — | 0 insurers |
| ROANE MEDICAL CENTER | TN | $2,128 | $660 | — | — | 0 insurers |
| METHODIST MEDICAL CENTER OF OAK RIDGE | TN | $2,128 | $660 | — | — | 0 insurers |
| LECONTE MEDICAL CENTER | TN | $2,128 | $660 | — | — | 0 insurers |
| FORT SANDERS REGIONAL MEDICAL CENTER | TN | $2,128 | $660 | — | — | 0 insurers |
| HOULTON REGIONAL HOSPITAL | ME | $694 | $659 | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $1,311 | $655 | — | — | 0 insurers |
| WAYNE HOSPITAL | OH | $2,265 | $1,699 | — | — | 0 insurers |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER | CO | $1,889 | $1,700 | — | — | 0 insurers |
| HUMBOLDT COUNTY MEMORIAL HOSPITAL | IA | $650 | $650 | — | — | 0 insurers |
| HUMBOLDT COUNTY MEMORIAL HOSPITAL | IA | $650 | $650 | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $1,296 | $648 | — | — | 0 insurers |
| SANFORD WHEATON MEDICAL CENTER | MN | $810 | $648 | — | — | 0 insurers |
| SPENCER MUNICIPAL HOSPITAL | IA | $860 | $645 | $201 | $762 | 0 insurers |
| MONUMENT HEALTH RAPID CITY HOSPITAL | SD | $1,710 | $1,710 | $519 | $1,641 | 0 insurers |
| SLEEPY EYE MEDICAL CENTER | MN | $4,900 | $1,713 | — | — | 0 insurers |
| PARKWEST MEDICAL CENTER | TN | $2,128 | $639 | $141 | $1,916 | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $1,269 | $635 | — | — | 0 insurers |
| HOLY FAMILY MEMORIAL | WI | — | $1,732 | $222 | $3,087 | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $1,226 | $613 | — | — | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $2,069 | $612 | $1,241 | $1,676 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $2,069 | $612 | $259 | $1,676 | 0 insurers |
| EAST VALLEY ER & HOSPITAL | AZ | $3,867 | $1,740 | — | — | 0 insurers |
| ALEXANDRIA EMERGENCY HOSPITAL | LA | $3,867 | $1,740 | — | — | 0 insurers |
| STEWART MEMORIAL COMMUNITY HOSPITAL | IA | $611 | $611 | — | — | 0 insurers |
| BELL HOSPITAL | MI | $2,094 | $604 | — | — | 0 insurers |
| NORTHSIDE HOSPITAL FORSYTH | GA | — | $602 | — | — | 0 insurers |
| UCF LAKE NONA HOSPITAL | FL | $1,753 | $1,753 | $2,335 | $2,384 | 0 insurers |
| COX BARTON COUNTY HOSPITAL | MO | $1,872 | $597 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $994 | $596 | — | — | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $1,469 | $587 | — | — | 0 insurers |
| PARK NICOLLET METHODIST HOSPITAL | MN | — | $587 | $337 | $821 | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $724 | $579 | — | — | 0 insurers |
| DALE MEDICAL CENTER | AL | $828 | $579 | — | — | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $1,155 | $577 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $1,142 | $571 | — | — | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $7,244 | $1,782 | $2,825 | $5,578 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $7,244 | $1,782 | $238 | $5,578 | 0 insurers |
| ESSENTIA HEALTH DULUTH | MN | $766 | $566 | — | — | 0 insurers |
| ESSENTIA HEALTH SANDSTONE | MN | $766 | $566 | — | — | 0 insurers |
| ESSENTIA HEALTH ADA | MN | $766 | $566 | — | — | 0 insurers |
| ESSENTIA HEALTH HOLY TRINITY HOSPITAL | MN | $766 | $566 | — | — | 0 insurers |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER | MN | $766 | $566 | — | — | 0 insurers |
| ESSENTIA HEALTH MOOSE LAKE | MN | $766 | $566 | — | — | 0 insurers |
| ESSENTIA HEALTH FOSSTON | MN | $766 | $566 | — | — | 0 insurers |
| ESSENTIA HEALTH DEER RIVER | MN | $766 | $566 | — | — | 0 insurers |
| ESSENTIA HEALTH | ND | $766 | $566 | — | — | 0 insurers |
| SHARE MEDICAL CENTER | OK | $870 | $565 | — | — | 0 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $4,472 | $1,789 | — | — | 0 insurers |
| CONEMAUGH MEMORIAL MEDICAL CENTER | PA | $1,380 | $552 | — | — | 0 insurers |
| SOUTHWESTERN VERMONT MEDICAL CENTER | VT | $788 | $552 | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $1,102 | $551 | — | — | 0 insurers |
| BLESSING HOSPITAL | IL | $3,010 | $1,806 | — | — | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | $3,010 | $1,806 | — | — | 0 insurers |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES | NY | $1,355 | $542 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $675 | $540 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $675 | $540 | — | — | 0 insurers |
| CENTRAL VERMONT MEDICAL CENTER | VT | $539 | $539 | — | — | 0 insurers |
| JOHNSON COUNTY HEALTHCARE CENTER | WY | $536 | $536 | — | — | 0 insurers |
| SPRINGHILL MEDICAL CENTER | LA | $1,568 | $533 | — | — | 0 insurers |
| HURON VALLEY-SINAI HOSPITAL | MI | $2,429 | $1,822 | $93 | $461 | 0 insurers |
| GOSHEN HOSPITAL | IN | $2,603 | $1,822 | — | — | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $4,557 | $1,823 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $4,557 | $1,823 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $944 | $529 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $944 | $529 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $944 | $529 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $944 | $529 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $944 | $529 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $944 | $529 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $944 | $529 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $944 | $529 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $944 | $529 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $944 | $529 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $944 | $529 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $944 | $529 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $944 | $529 | — | — | 0 insurers |
| AdventHealth Palm Coast | FL | $960 | $528 | $70.56 | $1,189 | 0 insurers |
| TRINITY - BETTENDORF | IA | $657 | $526 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $654 | $523 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $654 | $523 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $654 | $523 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $654 | $523 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $654 | $523 | — | — | 0 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | $1,298 | $519 | — | — | 0 insurers |
| SALINE MEMORIAL HOSPITAL | AR | $1,728 | $518 | — | — | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $3,621 | $1,836 | $2,897 | $3,549 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $3,621 | $1,836 | $132 | $3,549 | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | $516 | $516 | — | — | 0 insurers |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER | MN | $766 | $515 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | $1,837 | $1,837 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | $1,837 | $1,837 | — | — | 0 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $638 | $511 | — | — | 0 insurers |
| AHN EMERUS WESTMORELAND, LLC | PA | $681 | $510 | — | — | 0 insurers |
| LAKE REGION HEALTHCARE CORPORATION | MN | $781 | $507 | — | — | 0 insurers |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | MN | $766 | $505 | — | — | 0 insurers |
| APPLETON AREA HEALTH | MN | $885 | $495 | — | — | 0 insurers |
| THEDACARE REGIONAL MED CTR - NEENAH | WI | $885 | $495 | — | — | 0 insurers |
| THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC | WI | $885 | $495 | — | — | 0 insurers |
| THEDACARE MEDICAL CENTER - WILD ROSE | WI | $885 | $495 | — | — | 0 insurers |
| THEDACARE MEDICAL CENTER - NEW LONDON | WI | $885 | $495 | — | — | 0 insurers |
| THEDACARE MEDICAL CENTER-WAUPACA | WI | $885 | $495 | — | — | 0 insurers |
| THEDACARE MEDICAL CENTER - SHAWANO | WI | $885 | $495 | — | — | 0 insurers |
| THEDACARE MEDICAL CENTER - BERLIN INC | WI | $885 | $495 | — | — | 0 insurers |
| GROSSMONT HOSPITAL | CA | $2,478 | $1,858 | — | — | 0 insurers |
| SHARP MEMORIAL HOSPITAL | CA | $2,478 | $1,858 | — | — | 0 insurers |
| SHARP CHULA VISTA MEDICAL CENTER | CA | $2,478 | $1,858 | — | — | 0 insurers |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR | CA | $2,478 | $1,858 | — | — | 0 insurers |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES | MN | $766 | $492 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $4,671 | $1,868 | — | — | 0 insurers |
| ESSENTIA HEALTH VIRGINIA | MN | $766 | $481 | — | — | 0 insurers |
| MARY BRIDGE CHILDREN'S HOSPITAL | WA | $1,194 | $478 | — | — | 0 insurers |
| HEYWOOD HOSPITAL - | MA | $467 | $467 | $262 | $496 | 0 insurers |
| ATHOL MEMORIAL HOSPITAL | MA | $467 | $467 | $267 | $290 | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | $1,613 | $452 | — | — | 0 insurers |
| LADD MEMORIAL HOSPITAL | WI | $2,722 | $1,905 | — | — | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $525 | $446 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $525 | $446 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER - MARYVILLE | MO | $525 | $446 | — | — | 0 insurers |
| ALTRU HOSPITAL | ND | $725 | $442 | — | — | 0 insurers |
| MULTICARE COVINGTON MEDICAL CENTER | WA | $1,086 | $434 | — | — | 0 insurers |
| STEVENS COMMUNITY MEDICAL CENTER | MN | $576 | $432 | — | — | 0 insurers |
| ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS | WI | $1,024 | $430 | — | — | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $2,428 | $425 | $413 | $2,428 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $2,428 | $425 | $262 | $2,064 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $2,428 | $425 | $413 | $2,428 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $2,428 | $425 | $280 | $2,186 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $2,428 | $425 | $413 | $2,428 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $2,428 | $425 | $280 | $2,186 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $2,428 | $425 | $413 | $2,428 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $2,428 | $425 | $280 | $2,696 | 0 insurers |
| GOOD SAMARITAN HOSPITAL | CA | $422 | $420 | — | — | 0 insurers |
| BON SECOURS COMMUNITY HOSPITAL | NY | $14,135 | $420 | — | — | 0 insurers |
| ST ANTHONY COMMUNITY HOSPITAL | NY | $14,135 | $420 | — | — | 0 insurers |
| CASTLEVIEW HOSPITAL | UT | $3,516 | $1,934 | — | — | 0 insurers |
| MULTICARE AUBURN MEDICAL CENTER | WA | $1,038 | $415 | — | — | 0 insurers |
| TACOMA GENERAL ALLENMORE HOSPITAL | WA | $1,038 | $415 | — | — | 0 insurers |
| RALEIGH GENERAL HOSPITAL | WV | $1,027 | $411 | — | — | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $7,244 | $1,941 | $2,825 | $6,085 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $7,244 | $1,941 | $238 | $6,085 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $5,835 | $1,943 | $1,167 | $4,785 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $5,835 | $1,943 | $133 | $4,960 | 0 insurers |
| HIGHLAND HILLS MEDICAL CENTER | MS | $3,889 | $1,945 | — | — | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $403 | $255 | $571 | 0 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $403 | $255 | $487 | 0 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $403 | $255 | $487 | 0 insurers |
| AURORA MEDICAL CTR MANITOWOC COUNTY | WI | $799 | $399 | — | — | 0 insurers |
| Adventhealth Zephyrhills | FL | $3,256 | $1,953 | $271 | $2,310 | 0 insurers |
| ADVENTHEALTH TAMPA | FL | $3,256 | $1,953 | $2.5 | $2,930 | 0 insurers |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER | NJ | $995 | $398 | — | — | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $395 | $10 | $290 | 0 insurers |
| TRISTAR SUMMIT MEDICAL CENTER | TN | $1,960 | $1,960 | — | — | 0 insurers |
| INTEGRIS HEALTH PONCA CITY | OK | $2,488 | $1,965 | — | — | 0 insurers |
| COMMUNITY HOSPITAL, LLC | OK | $2,488 | $1,965 | — | — | 0 insurers |
| INTEGRIS COMMUNITY HOSPITAL - COUNCIL CROSSING | OK | $2,488 | $1,965 | — | — | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $636 | $382 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $475 | $380 | — | — | 0 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | $943 | $377 | $286 | $886 | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | MN | $470 | $376 | — | — | 0 insurers |
| SYRACUSE AREA HEALTH | NE | $470 | $376 | — | — | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL, INC | NY | $470 | $376 | — | — | 0 insurers |
| CODY REGIONAL HEALTH | WY | $436 | $371 | — | — | 0 insurers |
| JACKSON PURCHASE MEDICAL CENTER | KY | $4,957 | $1,983 | — | — | 0 insurers |
| TIPPAH COUNTY HOSPITAL | MS | $367 | $367 | — | — | 0 insurers |
| SINAI-GRACE HOSPITAL | MI | $2,648 | $1,986 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL OF MICHIGAN | MI | $2,648 | $1,986 | — | — | 0 insurers |
| JACKSON COUNTY REGIONAL HEALTH CENTER | IA | $359 | $359 | — | — | 0 insurers |
| STORY COUNTY HOSPITAL | IA | $355 | $355 | — | — | 0 insurers |
| STORY COUNTY HOSPITAL | IA | $355 | $355 | — | — | 0 insurers |
| REDINGTON FAIRVIEW GENERAL HOSPITAL | ME | $472 | $354 | — | — | 0 insurers |
| POTTSTOWN HOSPITAL | PA | $1,392 | $348 | — | — | 0 insurers |
| POTTSTOWN HOSPITAL | PA | $1,392 | $348 | — | — | 0 insurers |
| PHOENIXVILLE HOSPITAL | PA | $1,392 | $348 | — | — | 0 insurers |
| PHOENIXVILLE HOSPITAL | PA | $1,392 | $348 | — | — | 0 insurers |
| LAKE CUMBERLAND REGIONAL HOSPITAL | KY | $870 | $348 | — | — | 0 insurers |
| OCH REGIONAL MEDICAL CENTER | MS | $3,136 | $2,007 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH TURTLE LAKE | ND | $486 | $345 | $345 | $461 | 0 insurers |
| CHI ST ALEXIUS HEALTH TURTLE LAKE | ND | $486 | $345 | $315 | $481 | 0 insurers |
| SOVAH HEALTH DANVILLE | VA | $5,040 | $2,016 | — | — | 0 insurers |
| SGMC HEALTH | GA | $2,692 | $2,019 | — | — | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $474 | $332 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $944 | $330 | $170 | $472 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $944 | $330 | $170 | $472 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $944 | $330 | $170 | $472 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $944 | $330 | $170 | $472 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $944 | $330 | $170 | $472 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $944 | $330 | $170 | $472 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $944 | $330 | $170 | $472 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $944 | $330 | $170 | $472 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $944 | $330 | $170 | $472 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $944 | $330 | $170 | $472 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $944 | $330 | $170 | $472 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $944 | $330 | $170 | $472 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $944 | $330 | $170 | $472 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $944 | $330 | $170 | $472 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $944 | $330 | $170 | $472 | 0 insurers |
| DOCTORS HOSPITAL | OH | $3,112 | $2,023 | — | — | 0 insurers |
| OHIOHEALTH SHELBY HOSPITAL | OH | $3,112 | $2,023 | — | — | 0 insurers |
| BAPTIST HEALTH - FORT SMITH | AR | $1,313 | $328 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $404 | $323 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $404 | $323 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $404 | $323 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $404 | $323 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $404 | $323 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $404 | $323 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $404 | $323 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $404 | $323 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $404 | $323 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $404 | $323 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $404 | $323 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $404 | $323 | — | — | 0 insurers |
| JONES REGIONAL MEDICAL CENTER | IA | $404 | $323 | — | — | 0 insurers |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL | PA | — | $322 | — | — | 0 insurers |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL | PA | — | $322 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $401 | $320 | — | — | 0 insurers |
| HUTCHINSON HEALTH | MN | — | $320 | $271 | $12,882 | 0 insurers |
| BAPTIST MEDICAL CENTER SOUTH | AL | $1,666 | $317 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE | FL | $1,666 | $317 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER BEACHES | FL | $1,666 | $317 | — | — | 0 insurers |
| BAPTIST MEDICAL CENTER - NASSAU | FL | $1,666 | $317 | — | — | 0 insurers |
| REGIONAL MEDICAL CENTER | IA | $395 | $316 | — | — | 0 insurers |
| HOLY FAMILY HOSPITAL | MA | $3,702 | $2,036 | — | — | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $2,428 | $2,040 | $2,192 | $2,380 | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $2,428 | $2,040 | $1,481 | $3,289 | 0 insurers |
| SPRING VIEW HOSPITAL | KY | $746 | $299 | — | — | 0 insurers |
| ADVENTHEALTH FISH MEMORIAL | FL | $540 | $297 | $123 | $1,189 | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $486 | $296 | $238 | $452 | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $486 | $296 | $102 | $599 | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $618 | $290 | — | — | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $2,428 | $2,064 | $2,192 | $2,380 | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $2,428 | $2,064 | $520 | $2,750 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $486 | $287 | $267 | $457 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $486 | $287 | $112 | $599 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $486 | $287 | $267 | $457 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $486 | $287 | $112 | $599 | 0 insurers |
| FROEDTERT COMMUNITY HOSPITAL | WI | $3,758 | $2,067 | — | — | 0 insurers |
| MAINEHEALTH MAINE MEDICAL CENTER | ME | $2,070 | $2,070 | — | — | 0 insurers |
| MAINEHEALTH PEN BAY HOSPITAL | ME | $2,070 | $2,070 | — | — | 0 insurers |
| LINCOLNHEALTH | ME | $2,070 | $2,070 | — | — | 0 insurers |
| MAINEHEALTH WALDO HOSPITAL | ME | $2,070 | $2,070 | — | — | 0 insurers |
| MAINEHEALTH STEPHENS HOSPITAL | ME | $2,070 | $2,070 | — | — | 0 insurers |
| MAINEHEALTH FRANKLIN HOSPITAL | ME | $2,070 | $2,070 | — | — | 0 insurers |
| PHYSICIANS CENTRE,THE | TX | $256 | $256 | — | — | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $486 | $248 | $359 | $437 | 0 insurers |
| CHI ST ALEXIUS HEALTH | ND | $486 | $248 | $266 | $437 | 0 insurers |
| ALLEN HOSPITAL | IA | $308 | $247 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $308 | $247 | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $698 | $244 | — | — | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $486 | $243 | $301 | $389 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $486 | $243 | $112 | $599 | 0 insurers |
| REDINGTON FAIRVIEW GENERAL HOSPITAL | ME | $318 | $239 | — | — | 0 insurers |
| MEMORIAL HOSPITAL WEST | FL | $226 | $226 | — | — | 0 insurers |
| PLAINS REGIONAL MEDICAL CENTER | NM | $226 | $226 | — | — | 0 insurers |
| KINGMAN HEALTHCARE CENTER | KS | $448 | $224 | $179 | $404 | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $486 | $223 | $345 | $364 | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $486 | $223 | $117 | $599 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $486 | $223 | $345 | $364 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $486 | $223 | $117 | $599 | 0 insurers |
| VALLEY MEDICAL CENTER | WA | $314 | $220 | $125 | $1,547 | 0 insurers |
| MANNING REGIONAL HEALTHCARE CENTER | IA | $306 | $217 | — | — | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | $785 | $217 | — | — | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | $785 | $217 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $419 | $210 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $419 | $210 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $419 | $210 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER- CONWAY | AR | $720 | $180 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA | AR | $719 | $180 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS | AR | $711 | $178 | — | — | 0 insurers |
| JACKSON HOSPITAL | FL | $4,234 | $177 | — | — | 0 insurers |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | TX | $495 | $173 | $198 | $495 | 0 insurers |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | TX | $495 | $173 | $198 | $495 | 0 insurers |
| CARILION MEDICAL CENTER | VA | $479 | $167 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $479 | $167 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $479 | $167 | — | — | 0 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $479 | $167 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $479 | $167 | — | — | 0 insurers |
| MCKENZIE HEALTH SYSTEM | MI | $207 | $166 | — | — | 0 insurers |
| BAPTIST HEALTH - VAN BUREN | AR | $650 | $163 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-HOT SPRINGS COUNTY | AR | $562 | $140 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-STUTTGART | AR | $474 | $119 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK | AR | $458 | $115 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK | AR | $402 | $100 | — | — | 0 insurers |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS | NY | $82.08 | $82.08 | — | — | 0 insurers |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM | AL | $300 | $75 | — | — | 0 insurers |