| JAMAICA HOSPITAL MEDICAL CENTER | NY | $930 | $930 | — | — | 0 insurers |
| MERCY GENERAL HOSPITAL | CA | $1,335 | $935 | $650 | $1,335 | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $1,887 | $944 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $1,762 | $916 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $2,713 | $950 | $488 | $1,357 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $2,713 | $950 | $488 | $1,357 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $2,713 | $950 | $488 | $1,357 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $2,713 | $950 | $488 | $1,357 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $2,713 | $950 | $488 | $1,357 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $2,713 | $950 | $488 | $1,357 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $2,713 | $950 | $488 | $1,357 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $2,713 | $950 | $488 | $1,357 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $2,713 | $950 | $488 | $1,357 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $2,713 | $950 | $488 | $1,357 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $2,713 | $950 | $488 | $1,357 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $2,713 | $950 | $488 | $1,357 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $2,713 | $950 | $488 | $1,357 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $2,713 | $950 | $488 | $1,357 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $2,713 | $950 | $488 | $1,357 | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $2,274 | $910 | — | — | 0 insurers |
| ANIMAS SURGICAL HOSPITAL, LLC | CO | — | $959 | $0 | $959 | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $1,762 | $899 | — | — | 0 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $1,478 | $887 | — | — | 0 insurers |
| SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT | OK | $1,181 | $886 | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $1,770 | $885 | — | — | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $1,770 | $885 | — | — | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $1,770 | $885 | — | — | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $1,770 | $885 | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $1,770 | $885 | — | — | 0 insurers |
| ADVOCATE LUTHERAN GENERAL HOSPITAL | IL | $1,770 | $885 | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $1,770 | $885 | — | — | 0 insurers |
| ST TAMMANY PARISH HOSPITAL | LA | $1,644 | $986 | — | — | 0 insurers |
| UPHS MARQUETTE DLP HOSPITAL | MI | $1,679 | $1,007 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $1,262 | $1,010 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $1,262 | $1,010 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $1,262 | $1,010 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | CA | $1,214 | $850 | $580 | $1,214 | 0 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | $1,457 | $1,020 | $610 | $1,166 | 0 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $2,385 | $835 | $485 | $2,027 | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $7,936 | $1,032 | — | — | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $2,129 | $828 | $234 | $1,746 | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $2,129 | $828 | $234 | $26,722 | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $1,762 | $1,040 | — | — | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | $2,631 | $1,052 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $2,631 | $1,052 | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $2,631 | $1,052 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $2,631 | $1,052 | — | — | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | $2,631 | $1,052 | — | — | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $2,762 | $1,055 | $1,657 | $2,182 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $2,762 | $1,055 | $362 | $2,762 | 0 insurers |
| UCH-MEMORIAL HEALTH SYSTEM | CO | $2,303 | $806 | — | — | 0 insurers |
| LONGS PEAK HOSPITAL | CO | $2,303 | $806 | — | — | 0 insurers |
| UCHEALTH BROOMFIELD HOSPITAL | CO | $2,303 | $806 | — | — | 0 insurers |
| UCHEALTH GRANDVIEW HOSPITAL | CO | $2,303 | $806 | — | — | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | $1,597 | $799 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | $1,597 | $799 | — | — | 0 insurers |
| Adventhealth Zephyrhills | FL | $1,785 | $1,071 | $59.53 | $1,266 | 0 insurers |
| ADVENTHEALTH TAMPA | FL | $1,785 | $1,071 | $293 | $22,856 | 0 insurers |
| CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH | TX | $3,245 | $1,071 | $325 | $2,758 | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $2,147 | $1,074 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $2,147 | $1,074 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $2,147 | $1,074 | — | — | 0 insurers |
| NORTHWEST SURGICAL HOSPITAL | OK | — | $1,077 | — | — | 0 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $2,195 | $1,098 | — | — | 0 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $2,195 | $1,098 | — | — | 0 insurers |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA | TN | $2,345 | $765 | — | — | 0 insurers |
| THOMAS HOSPITAL | AL | $2,211 | $1,106 | — | — | 0 insurers |
| ST ANTHONY HOSPITAL | OR | $1,625 | $1,107 | $878 | $1,544 | 0 insurers |
| ST ANTHONY HOSPITAL | OR | $1,625 | $1,107 | $529 | $1,544 | 0 insurers |
| ST ANTHONY HOSPITAL | WA | $1,625 | $1,107 | $878 | $1,544 | 0 insurers |
| ST ANTHONY HOSPITAL | WA | $1,625 | $1,107 | $529 | $1,544 | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,229 | $737 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $1,229 | $737 | — | — | 0 insurers |
| ABBEVILLE AREA MEDICAL CENTER | SC | $1,049 | $734 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $1,463 | $732 | — | — | 0 insurers |
| CARILION MEDICAL CENTER | VA | $2,077 | $727 | — | — | 0 insurers |
| MUNSON HEALTHCARE CADILLAC HOSPITAL | MI | $1,360 | $1,156 | — | — | 0 insurers |
| USA HEALTH UNIVERSITY HOSPITAL | AL | $1,987 | $696 | — | — | 0 insurers |
| THE UNIVERSITY HOSPITAL | NJ | $1,987 | $696 | — | — | 0 insurers |
| UNIVERSITY HEALTH SYSTEM, INC | TN | $1,987 | $696 | — | — | 0 insurers |
| UCHEALTH HIGHLANDS RANCH HOSPITAL | CO | $2,303 | $691 | — | — | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $1,148 | $689 | — | — | 0 insurers |
| BETSY JOHNSON REGIONAL HOSPITAL | NC | $1,148 | $689 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $1,250 | $688 | — | — | 0 insurers |
| MARGARETVILLE MEMORIAL HOSPITAL | NY | $1,788 | $1,180 | — | — | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $1,117 | $670 | $374 | $1,681 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $1,117 | $670 | $374 | $1,681 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $1,117 | $670 | $374 | $1,681 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,807 | $663 | $1,265 | $1,428 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $1,807 | $663 | $674 | $13,913 | 0 insurers |
| VIRGINIA MASON MEDICAL CENTER | WA | $1,272 | $649 | — | — | 0 insurers |
| CHRISTUS ST FRANCES CABRINI HOSPITAL | LA | $2,483 | $646 | $298 | $2,111 | 0 insurers |
| WESTERLY HOSPITAL | RI | $1,762 | $634 | — | — | 0 insurers |
| CHESHIRE MEDICAL CENTER | NH | $2,250 | $621 | — | — | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $2,129 | $613 | $1,597 | $1,767 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $2,129 | $613 | $658 | $17,563 | 0 insurers |
| USC ARCADIA HOSPITAL | CA | $1,712 | $599 | — | — | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $1,826 | $1,278 | $347 | $1,826 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $2,129 | $583 | $234 | $1,959 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $2,129 | $583 | $234 | $18,884 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $2,129 | $583 | $234 | $1,767 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $2,129 | $583 | $234 | $16,950 | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $1,289 | $1,289 | — | — | 0 insurers |
| HIGHPOINT HEALTH-TROUSDALE WITH ASCENSION SAINT | TN | $2,382 | $555 | — | — | 0 insurers |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH | TN | $2,382 | $555 | — | — | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $1,263 | $543 | $884 | $1,263 | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $1,263 | $543 | $316 | $6,343 | 0 insurers |
| SURGICAL INSTITUTE OF READING | PA | — | $538 | $831 | $831 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $1,518 | $531 | $683 | $1,518 | 0 insurers |
| ST LUKE'S REGIONAL MEDICAL CENTER | ID | $1,518 | $531 | $100 | $1,867 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $1,518 | $531 | $653 | $1,518 | 0 insurers |
| ST LUKE'S THE WOODLANDS HOSPITAL | TX | $1,518 | $531 | $100 | $1,727 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $1,518 | $531 | $653 | $1,518 | 0 insurers |
| ST LUKE'S SUGAR LAND HOSPITAL | TX | $1,518 | $531 | $100 | $1,727 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $1,518 | $531 | $653 | $1,518 | 0 insurers |
| ST LUKE'S HOSPITAL AT THE VINTAGE | TX | $1,518 | $531 | $100 | $1,727 | 0 insurers |
| BAPTIST HEALTH DEACONESS MADISONVILLE | KY | $1,122 | $527 | — | — | 0 insurers |
| OCHSNER MEDICAL CENTER-HANCOCK | MS | $1,336 | $508 | — | — | 0 insurers |
| BRISTOL HOSPITAL | CT | $3,369 | $505 | — | — | 0 insurers |
| JOHNSON MEMORIAL HOSPITAL | IN | $3,369 | $505 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $3,369 | $505 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $3,369 | $505 | — | — | 0 insurers |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER | TN | $3,369 | $505 | — | — | 0 insurers |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER | TN | $3,369 | $505 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $3,369 | $505 | — | — | 0 insurers |
| HAWKINS COUNTY MEMORIAL HOSPITAL | TN | $3,369 | $505 | — | — | 0 insurers |
| GREENEVILLE COMMUNITY HOSPITAL | TN | $3,369 | $505 | — | — | 0 insurers |
| JOHNSON CITY MEDICAL CENTER | TN | $3,369 | $505 | — | — | 0 insurers |
| INDIAN PATH COMMUNITY HOSPITAL | TN | $3,369 | $505 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $3,369 | $505 | — | — | 0 insurers |
| HANCOCK COUNTY HOSPITAL | TN | $3,369 | $505 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | VA | $3,369 | $505 | — | — | 0 insurers |
| SMYTH COUNTY COMMUNITY HOSPITAL | VA | $3,369 | $505 | — | — | 0 insurers |
| JOHNSTON MEMORIAL HOSPITAL | VA | $3,369 | $505 | — | — | 0 insurers |
| LONESOME PINE HOSPITAL | VA | $3,369 | $505 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $1,250 | $500 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $1,250 | $500 | — | — | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $1,530 | $499 | $857 | $1,224 | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $1,530 | $499 | $383 | $11,526 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $1,530 | $499 | $857 | $1,224 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $1,530 | $499 | $383 | $11,526 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $1,494 | $498 | $448 | $1,225 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $1,494 | $498 | $433 | $5,960 | 0 insurers |
| HILTON HEAD REGIONAL MEDICAL CENTER | SC | — | $493 | $347 | $777 | 0 insurers |
| EAST COOPER MEDICAL CENTER | SC | — | $493 | $347 | $663 | 0 insurers |
| COASTAL CAROLINA HOSPITAL | SC | — | $493 | $347 | $663 | 0 insurers |
| MONTEFIORE ST LUKE'S CORNWALL | NY | — | $466 | — | — | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $1,165 | $456 | $699 | $1,165 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $1,165 | $456 | $561 | $14,591 | 0 insurers |
| University of Arkansas Medical Sciences | AR | $745 | $447 | — | — | 0 insurers |
| SAINT MICHAEL'S MEDICAL CENTER | NJ | $2,553 | $432 | $340 | $2,553 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $1,496 | $428 | $449 | $1,077 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $1,496 | $428 | $254 | $3,377 | 0 insurers |
| LANDMARK MEDICAL CENTER | RI | $2,428 | $417 | $371 | $2,307 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $971 | $408 | $583 | $825 | 0 insurers |
| CHI HEALTH MERCY COUNCIL BLUFFS | IA | $971 | $408 | $146 | $1,852 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $971 | $408 | $583 | $825 | 0 insurers |
| CHI HEALTH BERGAN MERCY | NE | $971 | $408 | $165 | $1,852 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $971 | $408 | $583 | $825 | 0 insurers |
| CHI HEALTH IMMANUEL | NE | $971 | $408 | $136 | $1,852 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $971 | $408 | $583 | $825 | 0 insurers |
| CHI HEALTH MIDLANDS | NE | $971 | $408 | $175 | $1,852 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $971 | $408 | $583 | $825 | 0 insurers |
| CHI HEALTH LAKESIDE | NE | $971 | $408 | $155 | $1,852 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $1,451 | $405 | $1,161 | $1,262 | 0 insurers |
| NORTHRIDGE HOSPITAL MEDICAL CENTER | CA | $1,451 | $405 | $363 | $5,811 | 0 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $2,089 | $1,462 | — | — | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $865 | $398 | $614 | $649 | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $865 | $398 | $208 | $1,852 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $865 | $398 | $614 | $649 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $865 | $398 | $208 | $1,852 | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $1,514 | $389 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $1,514 | $389 | $459 | $783 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $2,220 | $389 | $1,887 | $2,220 | 0 insurers |
| ST ANTHONY REGIONAL HOSPITAL & NURSING HOME | IA | $2,220 | $389 | $462 | $1,887 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $2,220 | $389 | $839 | $2,220 | 0 insurers |
| BURLESON ST JOSEPH HEALTH CENTER | TX | $2,220 | $389 | $488 | $1,998 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $2,220 | $389 | $769 | $2,220 | 0 insurers |
| MADISON ST JOSEPH HEALTH CENTER | TX | $2,220 | $389 | $283 | $1,998 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $2,220 | $389 | $1,515 | $2,220 | 0 insurers |
| GRIMES ST JOSEPH HEALTH CENTER | TX | $2,220 | $389 | $670 | $2,464 | 0 insurers |
| HAVASU REGIONAL MEDICAL CENTER | AZ | $2,463 | $1,478 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $1,514 | $385 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $1,514 | $385 | $459 | $783 | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | $1,338 | $375 | — | — | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $1,263 | $371 | $909 | $1,036 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $1,263 | $371 | $265 | $26,377 | 0 insurers |
| GARDEN CITY HOSPITAL | MI | $2,653 | $370 | $198 | $2,653 | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | MI | $663 | $332 | — | — | 0 insurers |
| EATON RAPIDS MEDICAL CENTER | MI | $663 | $332 | — | — | 0 insurers |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | MI | $663 | $332 | — | — | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $2,389 | $1,553 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $1,496 | $307 | $449 | $1,077 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $1,496 | $307 | $449 | $3,377 | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $2,251 | $1,576 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $2,251 | $1,576 | — | — | 0 insurers |
| BAPTIST HEALTH MEDICAL CENTER- CONWAY | AR | $1,136 | $284 | — | — | 0 insurers |
| BETHESDA HOSPITAL EAST | FL | $2,438 | $1,585 | — | — | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $2,476 | $1,609 | — | — | 0 insurers |
| ST JOHN'S RIVERSIDE HOSPITAL | NY | $1,919 | $1,631 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $1,651 | $1,651 | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | $545 | $191 | — | — | 0 insurers |
| SENTARA NORFOLK GENERAL HOSPITAL | VA | $196 | $98.24 | — | — | 0 insurers |
| SENTARA OBICI HOSPITAL | VA | $196 | $98.24 | — | — | 0 insurers |
| SENTARA LEIGH HOSPITAL | VA | $196 | $98.24 | — | — | 0 insurers |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL | VA | $196 | $98.24 | — | — | 0 insurers |
| SENTARA CAREPLEX HOSPITAL | VA | $196 | $98.24 | — | — | 0 insurers |
| SENTARA NORTHERN VIRGINIA MEDICAL CENTER | VA | $196 | $98.24 | — | — | 0 insurers |
| SENTARA PRINCESS ANNE HOSPITAL | VA | $196 | $98.24 | — | — | 0 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $2,544 | $1,781 | — | — | 0 insurers |
| THE QUEENS MEDICAL CENTER | HI | $2,544 | $1,781 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $2,243 | $1,795 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $638 | $63.84 | — | — | 0 insurers |
| VALLEY PRESBYTERIAN HOSPITAL | CA | — | $1,824 | $383 | $4,441 | 0 insurers |
| HUDSON VALLEY HOSPITAL CENTER | NY | — | $1,824 | $383 | $4,441 | 0 insurers |
| WELLINGTON REGIONAL MEDICAL CENTER | FL | $2,464 | $1,848 | — | — | 0 insurers |
| RED BAY HOSPITAL | AL | $3,450 | $1,932 | — | — | 0 insurers |
| SANTA CLARA VALLEY MEDICAL CENTER | CA | $3,450 | $1,932 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | CA | $3,450 | $1,932 | — | — | 0 insurers |
| SUTTER MEDICAL CENTER, SACRAMENTO | CA | $3,450 | $1,932 | — | — | 0 insurers |
| SUTTER ROSEVILLE MEDICAL CENTER | CA | $3,450 | $1,932 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | CA | $3,450 | $1,932 | — | — | 0 insurers |
| FRESNO SURGICAL HOSPITAL | CA | $3,450 | $1,932 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL MANTECA | CA | $3,450 | $1,932 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | CA | $3,450 | $1,932 | — | — | 0 insurers |
| MT SAN RAFAEL HOSPITAL | CO | $3,450 | $1,932 | — | — | 0 insurers |
| SANTA ROSA MEDICAL CENTER | FL | $3,450 | $1,932 | — | — | 0 insurers |
| COMMUNITY HOSPITAL SOUTH, INC. | IN | $3,450 | $1,932 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL WESTSIDE | OR | $3,450 | $1,932 | — | — | 0 insurers |
| GRINNELL REGIONAL MEDICAL CENTER | IA | $2,450 | $1,960 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $2,561 | $2,049 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $2,621 | $2,097 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $2,621 | $2,097 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $2,621 | $2,097 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $2,621 | $2,097 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $2,621 | $2,097 | — | — | 0 insurers |
| COOPER UNIVERSITY HOSPITAL | NJ | $2,133 | $2,133 | — | — | 0 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $4,280 | $2,140 | — | — | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | $2,535 | $2,155 | — | — | 0 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | $2,535 | $2,155 | — | — | 0 insurers |
| TRINITY ROCK ISLAND | IL | $2,696 | $2,157 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $2,696 | $2,157 | — | — | 0 insurers |
| ESSENTIA HEALTH VIRGINIA | MN | $3,623 | $2,275 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $2,367 | $2,367 | — | — | 0 insurers |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | FL | $2,367 | $2,367 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $4,740 | $2,370 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $4,740 | $2,370 | — | — | 0 insurers |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | MN | $3,623 | $2,391 | — | — | 0 insurers |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER | MN | $3,623 | $2,438 | — | — | 0 insurers |
| ANTELOPE VALLEY HOSPITAL | CA | $2,511 | $2,511 | — | — | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $6,502 | $2,601 | — | — | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $6,502 | $2,601 | — | — | 0 insurers |
| UCHEALTH GREELEY HOSPITAL | CO | $4,436 | $2,662 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $5,330 | $2,665 | — | — | 0 insurers |
| ESSENTIA HEALTH DULUTH | MN | $3,623 | $2,677 | — | — | 0 insurers |
| ESSENTIA HEALTH SANDSTONE | MN | $3,623 | $2,677 | — | — | 0 insurers |
| ESSENTIA HEALTH ADA | MN | $3,623 | $2,677 | — | — | 0 insurers |
| ESSENTIA HEALTH HOLY TRINITY HOSPITAL | MN | $3,623 | $2,677 | — | — | 0 insurers |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER | MN | $3,623 | $2,677 | — | — | 0 insurers |
| ESSENTIA HEALTH MOOSE LAKE | MN | $3,623 | $2,677 | — | — | 0 insurers |
| ESSENTIA HEALTH FOSSTON | MN | $3,623 | $2,677 | — | — | 0 insurers |
| ESSENTIA HEALTH DEER RIVER | MN | $3,623 | $2,677 | — | — | 0 insurers |
| ESSENTIA HEALTH | ND | $3,623 | $2,677 | — | — | 0 insurers |
| NEW YORK-PRESBYTERIAN/QUEENS | NY | — | $2,892 | $408 | $7,754 | 0 insurers |
| NEW YORK-PRESBYTERIAN HOSPITAL | NY | — | $2,892 | $455 | $7,707 | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $5,990 | $2,995 | — | — | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $5,990 | $2,995 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $5,990 | $2,995 | — | — | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $5,220 | $3,132 | $367 | $4,437 | 0 insurers |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | NC | $7,269 | $3,635 | $363 | $7,051 | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $7,280 | $3,640 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $7,280 | $3,640 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $4,730 | $3,784 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $11,125 | $3,894 | $2,058 | $5,563 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $11,125 | $3,894 | $2,058 | $5,563 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $11,125 | $3,894 | $2,058 | $5,563 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $11,125 | $3,894 | $2,058 | $5,563 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $11,125 | $3,894 | $2,058 | $5,563 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $11,125 | $3,894 | $2,058 | $5,563 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $11,125 | $3,894 | $2,058 | $5,563 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $11,125 | $3,894 | $2,058 | $5,563 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $11,125 | $3,894 | $2,058 | $5,563 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $11,125 | $3,894 | $2,058 | $5,563 | 0 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $5,192 | $3,894 | — | — | 0 insurers |
| UH REGIONAL HOSPITALS | OH | $5,192 | $3,894 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $5,192 | $3,894 | — | — | 0 insurers |
| UH ST JOHN MEDICAL CENTER | OH | $5,192 | $3,894 | — | — | 0 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | $5,192 | $3,894 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | $5,192 | $3,894 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | $5,192 | $3,894 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $5,192 | $3,894 | — | — | 0 insurers |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | NC | $6,935 | $4,161 | $362 | $6,727 | 0 insurers |
| KENNEDY KRIEGER INSTITUTE | MD | $7,633 | $6,106 | — | — | 0 insurers |
| BALDWIN HEALTH | AL | $12,530 | $6,516 | — | — | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $12,530 | $6,516 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $12,530 | $6,516 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $12,530 | $6,516 | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $12,530 | $6,516 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $12,530 | $6,516 | — | — | 0 insurers |
| CEDARS-SINAI MEDICAL CENTER | CA | $19,161 | $12,455 | $1,567 | $2,495 | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| THE EAST ALABAMA HEALTHCARE AUTHORITY | AL | — | — | — | — | 0 insurers |
| ANDALUSIA HEALTH | AL | — | — | $322 | $418 | 0 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| LAWRENCE MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| RUSSELL MEDICAL CENTER | AL | — | — | — | — | 0 insurers |
| GROVE HILL MEMORIAL HOSPITAL | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| EAMC - LANIER | AL | — | — | — | — | 0 insurers |
| J PAUL JONES HOSPITAL | AL | — | — | $486 | $486 | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 0 insurers |
| TANNER MEDICAL CENTER-EAST ALABAMA | AL | — | — | — | — | 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 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 |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK | CA | — | — | — | — | 0 insurers |
| SUTTER SOLANO MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| DOCTORS HOSPITAL OF MANTECA | CA | — | — | $1,334 | $1,390 | 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 | — | — | $549 | $549 | 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 |
| SUTTER COAST HOSPITAL | CA | — | — | — | — | 0 insurers |
| STANFORD HEALTH CARE | CA | — | — | $546 | $2,037 | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | — | — | — | — | 0 insurers |
| UCLA WEST VALLEY MEDICAL CENTER | CA | — | — | $480 | $1,618 | 0 insurers |
| MEMORIALCARE LONG BEACH MEDICAL CENTER | CA | — | — | $312 | $1,543 | 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 | — | — | $480 | $1,248 | 0 insurers |
| MEMORIAL MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| UCI HEALTH - FOUNTAIN VALLEY | CA | — | — | $480 | $1,248 | 0 insurers |
| UCI HEALTH-LAKEWOOD | CA | — | — | $480 | $1,248 | 0 insurers |
| UCI HEALTH - PLACENTIA LINDA | CA | — | — | $480 | $1,248 | 0 insurers |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER | CA | — | — | $249 | $2,591 | 0 insurers |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER | CA | — | — | $312 | $1,747 | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | — | — | — | — | 0 insurers |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER | CA | — | — | $432 | $1,311 | 0 insurers |
| KECK HOSPITAL OF USC | CA | — | — | — | — | 0 insurers |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ | CA | — | — | — | — | 0 insurers |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR | CA | — | — | — | — | 0 insurers |
| L A DOWNTOWN MEDICAL CENTER | CA | — | — | — | — | 0 insurers |
| SUTTER SURGICAL HOSPITAL - NORTH VALLEY | CA | — | — | — | — | 0 insurers |
| COAST PLAZA HOSPITAL | CA | — | — | — | — | 0 insurers |
| TEMECULA VALLEY HOSPITAL | CA | $2,710 | — | — | — | 0 insurers |
| SUTTER LAKESIDE HOSPITAL | CA | — | — | — | — | 0 insurers |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND | CA | — | — | $546 | $1,092 | 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 | — | — | $312 | $1,363 | 0 insurers |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | CO | — | — | — | — | 0 insurers |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | — | — | — | — | 0 insurers |
| AdventHealth Porter | CO | — | — | $386 | $728 | 0 insurers |
| ADVENTHEALTH AVISTA | CO | — | — | $390 | $736 | 0 insurers |
| AdventHealth Littleton | CO | — | — | $386 | $728 | 0 insurers |
| ST ANTHONY SUMMIT MEDICAL CENTER | CO | — | — | — | — | 0 insurers |
| ADVENTHEALTH CASTLE ROCK | CO | — | — | $386 | $728 | 0 insurers |
| RIO GRANDE HOSPITAL | CO | — | — | $2,064 | $2,831 | 0 insurers |
| BAYHEALTH MEDICAL CENTER, KENT CAMPUS | DE | — | — | $416 | $1,947 | 0 insurers |
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | DE | — | — | $403 | $1,886 | 0 insurers |
| ORLANDO HEALTH | FL | — | — | $383 | $1,247 | 0 insurers |
| ADVENTHEALTH ORLANDO | FL | — | — | $390 | $1,033 | 0 insurers |
| ADVENTHEALTH NEW SMYRNA BEACH | FL | — | — | $370 | $851 | 0 insurers |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL | FL | — | — | $383 | $1,523 | 0 insurers |
| ORLANDO HEALTH BAYFRONT HOSPITAL | FL | — | — | $383 | $1,247 | 0 insurers |
| MEASE DUNEDIN HOSPITAL | FL | — | — | — | — | 0 insurers |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL | FL | — | — | $370 | $1,247 | 0 insurers |
| WINTER HAVEN HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH NORTH PINELLAS | FL | — | — | $390 | $865 | 0 insurers |
| MORTON PLANT NORTH BAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| ST ANTHONYS HOSPITAL | FL | — | — | — | — | 0 insurers |
| AdventHealth Carrollwood | FL | — | — | $390 | $865 | 0 insurers |
| ST JOSEPHS HOSPITAL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH LAKE WALES | FL | — | — | $390 | $1,033 | 0 insurers |
| BARTOW REGIONAL MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MORTON PLANT HOSPITAL | FL | — | — | — | — | 0 insurers |
| SOUTH FLORIDA BAPTIST HOSPITAL | FL | — | — | — | — | 0 insurers |
| DELRAY MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| MEASE COUNTRYSIDE HOSPITAL | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| ST MARY'S MEDICAL CENTER | FL | — | — | — | — | 0 insurers |
| SARASOTA MEMORIAL HOSPITAL - VENICE | FL | — | — | — | — | 0 insurers |
| BAYCARE HOSPITAL WESLEY CHAPEL | FL | — | — | — | — | 0 insurers |
| ADVENTHEALTH PALM COAST PARKWAY | FL | — | — | $390 | $1,033 | 0 insurers |
| JAY HOSPITAL | FL | — | — | — | — | 0 insurers |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL | FL | — | — | — | — | 0 insurers |
| NICKLAUS CHILDREN'S HOSPITAL | FL | — | — | $2,048 | $2,273 | 0 insurers |
| Memorial Satilla Health | GA | — | — | $1,334 | $1,362 | 0 insurers |
| EMORY UNIVERSITY HOSPITAL | GA | — | — | — | — | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER, INC | GA | — | — | $367 | $386 | 0 insurers |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL | GA | — | — | — | — | 0 insurers |
| NGMC BARROW, LLC | GA | — | — | $367 | $386 | 0 insurers |
| EMORY DECATUR HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| FAIRVIEW PARK HOSPITAL | GA | — | — | $1,334 | $1,390 | 0 insurers |
| MEMORIAL HEALTH MEADOWS HOSPITAL | GA | — | — | $1,334 | $1,362 | 0 insurers |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE | GA | — | — | $327 | $818 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | — | — | — | — | 0 insurers |
| ADVENTHEALTH REDMOND | GA | — | — | $388 | $1,078 | 0 insurers |
| EMORY HILLANDALE HOSPITAL | GA | — | — | — | — | 0 insurers |
| EMORY JOHNS CREEK HOSPITAL | GA | — | — | — | — | 0 insurers |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC | GA | — | — | $353 | $367 | 0 insurers |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | GA | — | — | $367 | $386 | 0 insurers |
| TAYLOR REGIONAL HOSPITAL | GA | — | — | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | — | — | — | — | 0 insurers |
| ARCHBOLD BROOKS | GA | — | — | $243 | $874 | 0 insurers |
| WILCOX MEMORIAL HOSPITAL | HI | — | — | $398 | $398 | 0 insurers |
| KAHUKU MEDICAL CENTER | HI | — | — | — | — | 0 insurers |
| ST JOSEPH REGIONAL MEDICAL CENTER | ID | — | — | $415 | $483 | 0 insurers |
| NORTH CANYON MEDICAL CENTER | ID | — | — | — | — | 0 insurers |
| CASSIA REGIONAL HOSPITAL | ID | — | — | — | — | 0 insurers |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | IL | — | — | $400 | $3,555 | 0 insurers |
| OSF SAINT KATHARINE MEDICAL CENTER | IL | — | — | $400 | $400 | 0 insurers |
| CARLE HEALTH PROCTOR HOSPITAL | IL | — | — | — | — | 0 insurers |
| BLESSING HOSPITAL | IL | — | — | — | — | 0 insurers |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA | IL | — | — | $400 | $420 | 0 insurers |
| OSF SAINT ANTHONY'S HEALTH CENTER | IL | — | — | $400 | $1,400 | 0 insurers |
| ST MARY MEDICAL CENTER | IL | — | — | $400 | $1,359 | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE | IL | — | — | $400 | $440 | 0 insurers |
| SAINT FRANCIS MEDICAL CENTER | IL | — | — | $400 | $1,359 | 0 insurers |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | — | — | $400 | $580 | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF SACRED HEART MEDICAL CENTER | IL | — | — | $400 | $1,359 | 0 insurers |
| OSF SAINT ELIZABETH MDL CTR | IL | — | — | $400 | $1,359 | 0 insurers |
| CARLE HEALTH PEKIN HOSPITAL | IL | — | — | — | — | 0 insurers |
| SAINT JAMES HOSPITAL | IL | — | — | $400 | $1,359 | 0 insurers |
| ST JOSEPH MEDICAL CENTER | IL | — | — | $400 | $1,359 | 0 insurers |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER | IL | — | — | $400 | $1,359 | 0 insurers |
| INGALLS MEMORIAL HOSPITAL | IL | — | — | $400 | $440 | 0 insurers |
| ELMHURST MEMORIAL HOSPITAL | IL | — | — | $400 | $2,064 | 0 insurers |
| CARLE HEALTH METHODIST HOSPITAL | IL | — | — | — | — | 0 insurers |
| EDWARD HOSPITAL | IL | — | — | $400 | $2,064 | 0 insurers |
| SAINT ANTHONY MEDICAL CENTER | IL | — | — | $400 | $1,359 | 0 insurers |
| JAVON BEA HOSPITAL | IL | — | — | $400 | $416 | 0 insurers |
| NORTHWEST COMMUNITY HOSPITAL 1 | IL | — | — | $400 | $3,555 | 0 insurers |
| TRINITY ROCK ISLAND | IL | — | — | — | — | 0 insurers |
| DEACONESS ILLINOIS CROSSROADS | IL | — | — | — | — | 0 insurers |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK | IL | — | — | $400 | $440 | 0 insurers |
| ILLINI COMMUNITY HOSPITAL | IL | — | — | — | — | 0 insurers |
| OSF HOLY FAMILY MEDICAL CENTER | IL | — | — | $400 | $1,359 | 0 insurers |
| OSF SAINT LUKE MEDICAL CENTER | IL | — | — | $400 | $1,359 | 0 insurers |
| OSF SAINT CLARE MEDICAL CENTER | IL | — | — | $400 | $1,359 | 0 insurers |
| MARION GENERAL HOSPITAL | IN | — | — | $356 | $371 | 0 insurers |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | IN | — | — | $415 | $483 | 0 insurers |
| ELKHART GENERAL HOSPITAL | IN | — | — | — | — | 0 insurers |
| UNION HOSPITAL INC | IN | — | — | $359 | $1,600 | 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 | — | — | $547 | $547 | 0 insurers |
| ST ELIZABETH DEARBORN HOSPITAL | IN | — | — | $370 | $5,241 | 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 | — | — | $400 | $440 | 0 insurers |
| WOODLAWN HOSPITAL | IN | — | — | $316 | $328 | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | — | — | — | — | 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 |
| JONES REGIONAL MEDICAL CENTER | IA | — | — | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | — | — | — | — | 0 insurers |
| JEFFERSON COUNTY HEALTH CENTER | IA | — | — | $3,558 | $5,586 | 0 insurers |
| ADVENTHEALTH OTTAWA | KS | — | — | $351 | $597 | 0 insurers |
| HUTCHINSON REGIONAL MEDICAL CENTER INC | KS | — | — | — | — | 0 insurers |