| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $7,500 | $2,625 | $1,650 | $5,625 | 0 insurers |
| ST LUKE'S PATIENTS MEDICAL CENTER | TX | $7,500 | $2,625 | $1,575 | $5,625 | 0 insurers |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL | MN | $6,563 | $2,632 | — | — | 0 insurers |
| FLOYD COUNTY MEDICAL CENTER | IA | $5,264 | $2,632 | — | — | 0 insurers |
| AURORA MEDICAL CENTER SHEBOYGAN COUNTY | WI | $5,264 | $2,632 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | OH | $4,050 | $2,633 | — | — | 0 insurers |
| OHIOHEALTH SHELBY HOSPITAL | OH | $4,050 | $2,633 | — | — | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $7,100 | $2,606 | $1,775 | $7,100 | 0 insurers |
| BAKERSFIELD MEMORIAL HOSPITAL | CA | $7,100 | $2,606 | $1,775 | $6,603 | 0 insurers |
| ADVOCATE TRINITY HOSPITAL | IL | $5,207 | $2,603 | — | — | 0 insurers |
| BALDWIN HEALTH | AL | $5,115 | $2,660 | — | — | 0 insurers |
| PIH HEALTH DOWNEY HOSPITAL | CA | $5,115 | $2,660 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | CA | $5,115 | $2,660 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | CA | $5,115 | $2,660 | — | — | 0 insurers |
| LOS ANGELES COMMUNITY HOSPITAL | CA | $5,115 | $2,660 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS | CA | $5,115 | $2,660 | — | — | 0 insurers |
| FINLEY HOSPITAL | IA | $3,233 | $2,587 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | MS | $4,448 | $2,669 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | OR | $4,807 | $2,563 | $3,605 | $4,567 | 0 insurers |
| MERCY MEDICAL CENTER | OR | $4,807 | $2,563 | $3,125 | $4,615 | 0 insurers |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | MN | $4,113 | $2,714 | — | — | 0 insurers |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | CA | — | $2,535 | — | — | 0 insurers |
| ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | $3,616 | $2,531 | $487 | $3,616 | 0 insurers |
| UNITYPOINT HEALTH - MERITER | WI | $3,400 | $2,720 | — | — | 0 insurers |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL | PA | $3,405 | $2,724 | — | — | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $4,968 | $2,519 | $1,093 | $4,968 | 0 insurers |
| MERCY MEDICAL CENTER REDDING | CA | $4,968 | $2,519 | $1,093 | $4,869 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $6,390 | $2,735 | $3,195 | $6,262 | 0 insurers |
| MARIAN REGIONAL MEDICAL CENTER | CA | $6,390 | $2,735 | $1,470 | $6,262 | 0 insurers |
| SEQUOIA HOSPITAL | CA | $7,524 | $2,739 | $1,655 | $6,847 | 0 insurers |
| SEQUOIA HOSPITAL | CA | $7,524 | $2,739 | $27.5 | $7,524 | 0 insurers |
| MOUNT PLEASANT HOSPITAL | SC | $5,481 | $2,741 | — | — | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $6,390 | $2,505 | $1,214 | $6,262 | 0 insurers |
| FRENCH HOSPITAL MEDICAL CENTER | CA | $6,390 | $2,505 | $1,214 | $6,262 | 0 insurers |
| UCSF HEALTH SAINT FRANCIS HOSPITAL | CA | $3,959 | $2,771 | $990 | $3,959 | 0 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | $2,781 | $2,781 | — | — | 0 insurers |
| CARLE BROMENN MEDICAL CENTER | IL | $2,781 | $2,781 | — | — | 0 insurers |
| CARLE EUREKA HOSPITAL | IL | $2,781 | $2,781 | — | — | 0 insurers |
| GREAT FALLS CLINIC HOSPITAL | MT | $2,467 | $2,467 | — | — | 0 insurers |
| WALKER BAPTIST MEDICAL CENTER | AL | $4,672 | $2,803 | $1,869 | $4,064 | 0 insurers |
| CITIZENS BAPTIST MEDICAL CENTER | AL | $4,672 | $2,803 | $1,869 | $4,064 | 0 insurers |
| BARNES JEWISH HOSPITAL | MO | $4,672 | $2,803 | $1,869 | $4,064 | 0 insurers |
| MISSOURI BAPTIST MEDICAL CENTER | MO | $4,672 | $2,803 | $1,869 | $4,064 | 0 insurers |
| CHRISTIAN HOSPITAL NORTHEAST | MO | $4,672 | $2,803 | $1,869 | $4,064 | 0 insurers |
| BROWARD HEALTH MEDICAL CENTER | FL | $5,643 | $2,822 | — | — | 0 insurers |
| UNIVERSITY OF MISSOURI HEALTH CARE | MO | $5,643 | $2,822 | — | — | 0 insurers |
| HAYWOOD REGIONAL MEDICAL CENTER | NC | $6,062 | $2,425 | — | — | 0 insurers |
| BARNES-JEWISH ST PETERS HOSPITAL | MO | $4,025 | $2,415 | $1,610 | $4,025 | 0 insurers |
| ST NICHOLAS HOSPITAL | WI | $3,640 | $2,402 | — | — | 0 insurers |
| REGIONAL MEDICAL CENTER | IA | $2,994 | $2,395 | — | — | 0 insurers |
| FAYETTE MEDICAL CENTER | AL | $2,385 | $2,385 | $2,385 | $2,385 | 0 insurers |
| DEACONESS HOSPITAL INC | IN | $3,591 | $2,873 | — | — | 0 insurers |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER | CO | $3,214 | $2,892 | — | — | 0 insurers |
| CARSON TAHOE REGIONAL MEDICAL CENTER | NV | $3,364 | $2,355 | $269 | $2,826 | 0 insurers |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER | MN | $2,937 | $2,350 | — | — | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $4,968 | $2,901 | $1,043 | $4,869 | 0 insurers |
| ST ELIZABETH COMMUNITY HOSPITAL | CA | $4,968 | $2,901 | $1,043 | $4,869 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $4,968 | $2,901 | $1,043 | $4,869 | 0 insurers |
| ST ELIZABETH HOSPITAL | CO | $4,968 | $2,901 | $1,043 | $4,869 | 0 insurers |
| BAXTER HEALTH | AR | $4,838 | $2,903 | — | — | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | CA | $6,650 | $2,328 | $1,197 | $3,325 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | CA | $6,650 | $2,328 | $1,197 | $3,325 | 0 insurers |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | CA | $6,650 | $2,328 | $1,197 | $3,325 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | CA | $6,650 | $2,328 | $1,197 | $3,325 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | CA | $6,650 | $2,328 | $1,197 | $3,325 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | CA | $6,650 | $2,328 | $1,197 | $3,325 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | CA | $6,650 | $2,328 | $1,197 | $3,325 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FREMONT | CA | $6,650 | $2,328 | $1,197 | $3,325 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | CA | $6,650 | $2,328 | $1,197 | $3,325 | 0 insurers |
| KAISER FOUNDATION HOSP SO SACRAMENTO | CA | $6,650 | $2,328 | $1,197 | $3,325 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | CA | $6,650 | $2,328 | $1,197 | $3,325 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - FRESNO | CA | $6,650 | $2,328 | $1,197 | $3,325 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | CA | $6,650 | $2,328 | $1,197 | $3,325 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | CA | $6,650 | $2,328 | $1,197 | $3,325 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | CA | $6,650 | $2,328 | $1,197 | $3,325 | 0 insurers |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | WI | $4,500 | $2,925 | $3,375 | $4,365 | 0 insurers |
| GROSSMONT HOSPITAL | CA | $3,941 | $2,956 | — | — | 0 insurers |
| SHARP MEMORIAL HOSPITAL | CA | $3,941 | $2,956 | — | — | 0 insurers |
| SHARP CHULA VISTA MEDICAL CENTER | CA | $3,941 | $2,956 | — | — | 0 insurers |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR | CA | $3,941 | $2,956 | — | — | 0 insurers |
| CARILION GILES COMMUNITY HOSPITAL | VA | $8,450 | $2,958 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $3,744 | $2,246 | — | — | 0 insurers |
| TRI-CITY MEDICAL CENTER | CA | $3,744 | $2,246 | — | — | 0 insurers |
| AURORA ST LUKES MEDICAL CENTER | WI | $4,481 | $2,240 | — | — | 0 insurers |
| AURORA BAYCARE MEDICAL CTR | WI | $4,481 | $2,240 | — | — | 0 insurers |
| ST LUKES HOSPITAL | MN | $5,391 | $3,019 | — | — | 0 insurers |
| FORT DUNCAN MEDICAL CENTER | TX | $5,551 | $2,220 | — | — | 0 insurers |
| SYCAMORE SHOALS HOSPITAL | TN | $20,223 | $3,034 | — | — | 0 insurers |
| FRANKLIN WOODS COMMUNITY HOSPITAL | TN | $20,223 | $3,034 | — | — | 0 insurers |
| MEMORIAL HOSPITAL | IL | $4,909 | $2,209 | — | — | 0 insurers |
| BARNES-JEWISH WEST COUNTY HOSPITAL | MO | $5,075 | $3,045 | $2,030 | $4,415 | 0 insurers |
| MCALESTER REGIONAL HEALTH CENTER | OK | $7,647 | $3,059 | $6,118 | $7,188 | 0 insurers |
| MOUNTAIN VIEW HOSPITAL | ID | $4,375 | $3,063 | $0 | $3,938 | 0 insurers |
| Baylor St Lukes Medical Center | TX | $6,237 | $2,183 | $1,572 | $5,301 | 0 insurers |
| CHI ST LUKES LAKESIDE HOSPITAL | TX | $6,237 | $2,183 | $1,572 | $5,301 | 0 insurers |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL | NY | $3,077 | $3,077 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $4,322 | $2,161 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $4,322 | $2,161 | — | — | 0 insurers |
| LAKE CUMBERLAND REGIONAL HOSPITAL | KY | $7,747 | $3,099 | — | — | 0 insurers |
| ADVOCATE SHERMAN HOSPITAL | IL | $4,301 | $2,151 | — | — | 0 insurers |
| NATIONAL PARK MEDICAL CENTER | AR | $7,127 | $2,138 | — | — | 0 insurers |
| University of Arkansas Medical Sciences | AR | $5,200 | $3,120 | — | — | 0 insurers |
| SANFORD CANBY MEDICAL CENTER | MN | $3,900 | $3,120 | — | — | 0 insurers |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS | NY | $2,125 | $2,125 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $8,600 | $2,124 | $4,558 | $7,026 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS | NV | $8,600 | $2,124 | $1,204 | $7,026 | 0 insurers |
| MOSAIC LIFE CARE AT ST JOSEPH | MO | $3,688 | $3,134 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER ALBANY | MO | $3,688 | $3,134 | — | — | 0 insurers |
| SAINT ANTHONY HOSPITAL | IL | $7,860 | $3,144 | — | — | 0 insurers |
| SPRINGHILL MEDICAL CENTER | AL | $2,475 | $2,104 | — | — | 0 insurers |
| OPELOUSAS GENERAL HEALTH SYSTEM | LA | $4,200 | $2,100 | — | — | 0 insurers |
| UNITYPOINT HEALTH - MARSHALLTOWN | IA | $3,959 | $3,167 | — | — | 0 insurers |
| ALLEN HOSPITAL | IA | $3,959 | $3,167 | — | — | 0 insurers |
| GRUNDY COUNTY MEMORIAL HOSPITAL | IA | $3,959 | $3,167 | — | — | 0 insurers |
| DOMINICAN HOSPITAL | CA | $7,072 | $3,182 | $3,960 | $7,072 | 0 insurers |
| DOMINICAN HOSPITAL | CA | $7,072 | $3,182 | $1,556 | $6,506 | 0 insurers |
| COMMUNITY MEMORIAL HOSPITAL | WI | $5,815 | $3,198 | — | — | 0 insurers |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | WI | $5,815 | $3,198 | — | — | 0 insurers |
| PALMDALE REGIONAL MEDICAL CENTER | CA | $8,000 | $3,200 | — | — | 0 insurers |
| SANFORD USD MEDICAL CENTER | SD | $4,000 | $3,200 | — | — | 0 insurers |
| CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | $5,847 | $2,046 | — | — | 0 insurers |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND | WI | $3,665 | $2,016 | — | — | 0 insurers |
| POUDRE VALLEY HOSPITAL | CO | $2,866 | $2,006 | — | — | 0 insurers |
| MERCY MEDICAL CENTER | CA | $2,840 | $1,988 | $710 | $3,215 | 0 insurers |
| ADVENTHEALTH WATERMAN | FL | $5,936 | $3,265 | $0 | $5,342 | 0 insurers |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | $9,353 | $3,273 | — | — | 0 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $8,600 | $1,969 | $4,558 | $7,026 | 0 insurers |
| DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL | AZ | $8,600 | $1,969 | $1,204 | $7,026 | 0 insurers |
| ST MARY MEDICAL CENTER | CA | $8,600 | $1,969 | $4,558 | $7,026 | 0 insurers |
| ST MARY MEDICAL CENTER | CA | $8,600 | $1,969 | $1,204 | $7,026 | 0 insurers |
| HIGHLAND HILLS MEDICAL CENTER | MS | $3,929 | $1,965 | — | — | 0 insurers |
| CARLE EUREKA HOSPITAL | IL | $1,950 | $1,950 | — | — | 0 insurers |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER | IL | $3,870 | $1,935 | — | — | 0 insurers |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN | MS | $6,440 | $1,932 | — | — | 0 insurers |
| RUSSELL COUNTY HOSPITAL | KY | $12,808 | $1,921 | — | — | 0 insurers |
| JOHNSTON HEALTH | NC | $12,808 | $1,921 | — | — | 0 insurers |
| SOUTH CENTRAL REG MED CTR | MS | $4,563 | $1,916 | — | — | 0 insurers |
| SOUTH CENTRAL HEALTH | ND | $4,563 | $1,916 | — | — | 0 insurers |
| MEMORIAL HOSPITAL | IL | $7,416 | $3,337 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $6,615 | $1,892 | $1,985 | $4,763 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA | NV | $6,615 | $1,892 | $1,985 | $4,763 | 0 insurers |
| COX MEDICAL CENTERS | MO | $7,500 | $1,890 | — | — | 0 insurers |
| COX MEDICAL CENTER BRANSON | MO | $7,500 | $1,890 | — | — | 0 insurers |
| STARR REGIONAL MEDICAL CENTER ATHENS | TN | $9,568 | $1,875 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS | CO | $4,676 | $1,870 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER | OH | $2,490 | $1,868 | — | — | 0 insurers |
| UH REGIONAL HOSPITALS | OH | $2,490 | $1,868 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER | OH | $2,490 | $1,868 | — | — | 0 insurers |
| LAKE HEALTH | OH | $2,490 | $1,868 | — | — | 0 insurers |
| UH ST JOHN MEDICAL CENTER | OH | $2,490 | $1,868 | — | — | 0 insurers |
| UH CLEVELAND MEDICAL CENTER | OH | $2,490 | $1,868 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER | OH | $2,490 | $1,868 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER | OH | $2,490 | $1,868 | — | — | 0 insurers |
| RAINBOW BABIES AND CHILDRENS HOSPITAL | OH | $2,490 | $1,868 | — | — | 0 insurers |
| NORTHSIDE HOSPITAL FORSYTH | GA | — | $1,857 | — | — | 0 insurers |
| ADVOCATE GOOD SAMARITAN HOSPITAL | IL | $6,800 | $3,400 | — | — | 0 insurers |
| USC ARCADIA HOSPITAL | CA | $5,272 | $1,845 | — | — | 0 insurers |
| HARRISON MEMORIAL HOSPITAL | KY | $2,625 | $1,838 | — | — | 0 insurers |
| WESTCHESTER MEDICAL CENTER | NY | $5,697 | $3,418 | — | — | 0 insurers |
| JAMAICA HOSPITAL MEDICAL CENTER | NY | $3,435 | $3,435 | — | — | 0 insurers |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. | TX | $6,938 | $3,469 | — | — | 0 insurers |
| FAIRVIEW LAKES HEALTH SERVICES | MN | $4,399 | $1,764 | — | — | 0 insurers |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL | MN | $4,399 | $1,764 | — | — | 0 insurers |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER | MN | $4,399 | $1,764 | — | — | 0 insurers |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL | MN | $4,399 | $1,764 | — | — | 0 insurers |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL | MN | $4,399 | $1,764 | — | — | 0 insurers |
| UNITED MEDICAL CENTER | DC | $3,511 | $1,756 | — | — | 0 insurers |
| CAMDEN CLARK MEDICAL CENTER | WV | $3,511 | $1,756 | — | — | 0 insurers |
| UCSF HEALTH ST. MARY'S HOSPITAL | CA | $5,035 | $3,525 | $1,108 | $5,035 | 0 insurers |
| ADENA REGIONAL MEDICAL CENTER | OH | $3,400 | $1,700 | — | — | 0 insurers |
| ADENA PIKE MEDICAL CENTER | OH | $3,400 | $1,700 | — | — | 0 insurers |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER | NY | $2,602 | $1,691 | — | — | 0 insurers |
| IDAHO FALLS COMMUNITY HOSPITAL, LLC | ID | $2,415 | $1,691 | $0 | $2,174 | 0 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $2,407 | $1,685 | — | — | 0 insurers |
| UNM HOSPITAL | NM | $6,487 | $3,568 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER FARGO | ND | $2,100 | $1,680 | — | — | 0 insurers |
| CAPE FEAR VALLEY MEDICAL CENTER | NC | $5,950 | $3,570 | — | — | 0 insurers |
| LONGS PEAK HOSPITAL | CO | $4,793 | $1,677 | — | — | 0 insurers |
| LONGS PEAK HOSPITAL | CO | $4,728 | $1,655 | — | — | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $6,400 | $1,642 | $1,600 | $2,624 | 0 insurers |
| CHI-ST VINCENT INFIRMARY | AR | $6,400 | $1,642 | $1,600 | $3,200 | 0 insurers |
| SGMC HEALTH | GA | $2,177 | $1,633 | — | — | 0 insurers |
| ELLIS HOSPITAL | NY | $3,250 | $1,625 | — | — | 0 insurers |
| ADVOCATE CONDELL MEDICAL CENTER | IL | $3,245 | $1,623 | — | — | 0 insurers |
| HIGHPOINT HEALTH-TROUSDALE WITH ASCENSION SAINT | TN | $6,901 | $1,608 | — | — | 0 insurers |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH | TN | $6,901 | $1,608 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER ABERDEEN | SD | $2,000 | $1,600 | — | — | 0 insurers |
| ST JOHN'S RIVERSIDE HOSPITAL | NY | $1,882 | $1,600 | — | — | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $3,760 | $1,590 | $2,256 | $3,196 | 0 insurers |
| MEMORIAL HEALTHCARE SYSTEM, INC | TN | $3,760 | $1,590 | $790 | $3,760 | 0 insurers |
| DOCTORS HOSPITAL | OH | $5,644 | $3,669 | — | — | 0 insurers |
| WELLSPAN EVANGELICAL COMMUNITY HOSPITAL | PA | $4,591 | $3,673 | — | — | 0 insurers |
| DARDANELLE REGIONAL MEDICAL CENTER | AR | $9,432 | $3,679 | — | — | 0 insurers |
| SAN MATEO MEDICAL CENTER | CA | $7,358 | $3,679 | — | — | 0 insurers |
| SAN MATEO MEDICAL CENTER | CA | $7,358 | $3,679 | — | — | 0 insurers |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES | NY | $3,900 | $1,560 | — | — | 0 insurers |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES | NY | $3,900 | $1,560 | — | — | 0 insurers |
| AURORA MEDICAL CENTER | WI | $3,114 | $1,557 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL & MEDICAL CENTER | CT | $3,108 | $1,554 | — | — | 0 insurers |
| HOLY FAMILY HOSPITAL | MA | $2,816 | $1,549 | — | — | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | PA | $1,915 | $1,532 | $0 | $1,532 | 0 insurers |
| OSWEGO HOSPITAL | NY | $4,959 | $3,719 | — | — | 0 insurers |
| HENDERSON COMMUNITY HOSPITAL | NE | $9,324 | $3,730 | — | — | 0 insurers |
| SUMMERLIN HOSPITAL MEDICAL CENTER | NV | $9,324 | $3,730 | — | — | 0 insurers |
| SPRING VALLEY HOSPITAL MEDICAL CENTER | NV | $9,324 | $3,730 | — | — | 0 insurers |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER | NV | $9,324 | $3,730 | — | — | 0 insurers |
| HENDERSON HOSPITAL | NV | $9,324 | $3,730 | — | — | 0 insurers |
| WEST HENDERSON HOSPITAL | NV | $9,324 | $3,730 | — | — | 0 insurers |
| AURORA MEDICAL CENTER BAY AREA | WI | $3,010 | $1,505 | — | — | 0 insurers |
| AURORA MEDICAL CENTER KENOSHA | WI | $3,004 | $1,502 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $6,615 | $1,502 | $1,985 | $4,763 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | NV | $6,615 | $1,502 | $1,985 | $4,763 | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $4,281 | $1,498 | $599 | $6,678 | 0 insurers |
| CHI ST LUKE'S HEALTH BRAZOSPORT | TX | $4,281 | $1,498 | $514 | $2,568 | 0 insurers |
| GEORGE WASHINGTON UNIV HOSPITAL | DC | $9,450 | $3,780 | — | — | 0 insurers |
| MERCY HOSPITAL | CA | $3,673 | $1,469 | — | — | 0 insurers |
| CENTURA HEALTH-ST ANTHONY HOSPITAL | CO | $3,673 | $1,469 | — | — | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $4,970 | $1,461 | $1,292 | $4,970 | 0 insurers |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON | CA | $4,970 | $1,461 | $1,292 | $4,920 | 0 insurers |
| COX BARTON COUNTY HOSPITAL | MO | $4,548 | $1,451 | — | — | 0 insurers |
| CLARKE COUNTY HOSPITAL | IA | $3,803 | $3,803 | — | — | 0 insurers |
| ST. CATHERINE HOSPITAL - GARDEN CITY | KS | $3,600 | $1,440 | — | — | 0 insurers |
| MAGNOLIA REGIONAL HEALTH CENTER | MS | $11,227 | $3,817 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO | CO | $2,200 | $1,430 | — | — | 0 insurers |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS | CO | $2,200 | $1,430 | — | — | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $5,600 | $1,424 | $1,400 | $2,296 | 0 insurers |
| ST VINCENT MEDICAL CENTER/NORTH | AR | $5,600 | $1,424 | $1,400 | $2,800 | 0 insurers |
| PRINCETON BAPTIST MEDICAL CENTER | AL | $2,836 | $1,418 | — | — | 0 insurers |
| CORONA REGIONAL MEDICAL CENTER | CA | $3,499 | $1,400 | — | — | 0 insurers |
| SANFORD MEDICAL CENTER BISMARCK | ND | $1,750 | $1,400 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE SERVICES | ND | $3,499 | $1,400 | — | — | 0 insurers |
| WYOMING COUNTY | NY | $3,499 | $1,400 | — | — | 0 insurers |
| WYTHE COUNTY COMMUNITY HOSPITAL | VA | $3,499 | $1,400 | — | — | 0 insurers |
| CARILION TAZEWELL COMMUNITY HOSPITAL | VA | $3,997 | $1,399 | — | — | 0 insurers |
| COX MONETT HOSPITAL | MO | $4,548 | $1,387 | — | — | 0 insurers |
| PROGRESS WEST HOSPITAL | MO | $2,309 | $1,385 | $924 | $2,309 | 0 insurers |
| SANFORD BEMIDJI MEDICAL CENTER | MN | $1,725 | $1,380 | — | — | 0 insurers |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM | AL | $5,490 | $1,373 | — | — | 0 insurers |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER | OH | $5,175 | $3,881 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER VINELAND | NJ | $3,892 | $3,892 | — | — | 0 insurers |
| INSPIRA MEDICAL CENTER MULLICA HILL | NJ | $3,892 | $3,892 | — | — | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $8,025 | $3,892 | $1,685 | $6,340 | 0 insurers |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA | CA | $8,025 | $3,892 | $1,685 | $7,865 | 0 insurers |
| WAYNE MEMORIAL HOSPITAL | GA | $5,561 | $3,893 | — | — | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $6,615 | $1,356 | $1,985 | $4,763 | 0 insurers |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS | NV | $6,615 | $1,356 | $1,985 | $4,763 | 0 insurers |
| WESTSIDE REGIONAL MEDICAL CENTER | FL | $1,595 | $1,356 | — | — | 0 insurers |
| KAISER SUNNYSIDE MEDICAL CENTER | OR | $1,595 | $1,356 | — | — | 0 insurers |
| CARILION FRANKLIN MEMORIAL HOSPITAL | VA | $11,157 | $3,905 | — | — | 0 insurers |
| TEXAS HEALTH HOSPITAL FRISCO | TX | $6,520 | $3,912 | — | — | 0 insurers |
| Adventhealth Zephyrhills | FL | $6,525 | $3,915 | $0 | $5,872 | 0 insurers |
| HOLY CROSS HOSPITAL-DAVIS | UT | $3,326 | $1,330 | — | — | 0 insurers |
| COPPER QUEEN COMMUNITY HOSPITAL | AZ | $1,898 | $1,328 | — | — | 0 insurers |
| THE QUEENS MEDICAL CENTER | HI | $1,898 | $1,328 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER | MO | $2,188 | $1,313 | $875 | $1,903 | 0 insurers |
| CHEYENNE REGIONAL MEDICAL CENTER | WY | $5,626 | $3,938 | — | — | 0 insurers |
| KELL WEST REGIONAL HOSPITAL | TX | $233 | $1,296 | — | — | 0 insurers |
| CENTRAL CAROLINA HOSPITAL | NC | $3,214 | $1,286 | — | — | 0 insurers |
| THOMAS HOSPITAL | AL | $2,551 | $1,276 | — | — | 0 insurers |
| BELLEVUE HOSPITAL CENTER | NY | $3,188 | $1,275 | — | — | 0 insurers |
| AURORA MEMORIAL HOSPITAL BURLINGTON | WI | $2,550 | $1,275 | — | — | 0 insurers |
| PARKLAND HEALTH CENTER - BONNE TERRE | MO | $2,100 | $1,260 | $840 | $1,840 | 0 insurers |
| ST LOUIS CHILDRENS HOSPITAL | MO | $2,100 | $1,260 | $840 | $1,785 | 0 insurers |
| TOPS SURGICAL SPECIALTY HOSPITAL | TX | $3,534 | $1,237 | — | — | 0 insurers |
| RUTHERFORD REGIONAL MEDICAL CENTER | NC | $10,043 | $4,017 | — | — | 0 insurers |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL | CA | $3,000 | $1,200 | — | — | 0 insurers |
| AURORA MEDICAL CENTER - SUMMIT | WI | $2,376 | $1,188 | — | — | 0 insurers |
| WELLSPAN CHAMBERSBURG HOSPITAL | PA | $1,473 | $1,178 | — | — | 0 insurers |
| RIVERSIDE MEDICAL CENTER | IL | $4,394 | $1,170 | — | — | 0 insurers |
| UNITED HOSPITAL CENTER, INC | WV | $2,304 | $1,152 | — | — | 0 insurers |
| SISTERSVILLE GENERAL HOSPITAL | WV | $2,304 | $1,152 | — | — | 0 insurers |
| SUMMERSVILLE REGIONAL MEDICAL CENTER | WV | $2,304 | $1,152 | — | — | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $7,526 | $4,102 | $1,882 | $7,375 | 0 insurers |
| SIERRA NEVADA MEMORIAL HOSPITAL | CA | $7,526 | $4,102 | $1,882 | $7,375 | 0 insurers |
| KONA COMMUNITY HOSPITAL | HI | $6,316 | $4,105 | — | — | 0 insurers |
| REYNOLDS MEMORIAL HOSPITAL | WV | $2,285 | $1,143 | — | — | 0 insurers |
| BOCA RATON REGIONAL HOSPITAL | FL | $6,321 | $4,109 | — | — | 0 insurers |
| WHEELING HOSPITAL, INC | WV | $2,259 | $1,130 | — | — | 0 insurers |
| WEIRTON MEDICAL CENTER, INC | WV | $2,242 | $1,121 | — | — | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $3,760 | $1,113 | $2,256 | $3,046 | 0 insurers |
| CHI MEMORIAL HOSPITAL- GEORGIA | GA | $3,760 | $1,113 | $564 | $3,046 | 0 insurers |
| LUBBOCK HEART HOSPITAL LP | TX | $4,140 | $4,140 | — | — | 0 insurers |
| METRO NASHVILLE GENERAL HOSPITAL | TN | $1,823 | $1,094 | — | — | 0 insurers |
| NORTHWEST TEXAS HOSPITAL | TX | $10,395 | $4,158 | — | — | 0 insurers |
| MOSAIC MEDICAL CENTER - MARYVILLE | MO | $1,275 | $1,084 | — | — | 0 insurers |
| PEACEHEALTH ST JOHN MEDICAL CENTER | WA | $1,656 | $1,076 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD MEDICAL CENTER | GA | $2,150 | $1,075 | — | — | 0 insurers |
| WILKES REGIONAL MEDICAL CENTER | NC | $2,150 | $1,075 | — | — | 0 insurers |
| ALLEGHANY MEMORIAL HOSPITAL | NC | $2,150 | $1,075 | — | — | 0 insurers |
| SAINT PETER'S UNIVERSITY HOSPITAL | NJ | $8,370 | $4,185 | — | — | 0 insurers |
| ASHLEY REGIONAL MEDICAL CENTER | UT | $7,610 | $4,186 | — | — | 0 insurers |
| WESTERLY HOSPITAL | RI | $11,628 | $4,186 | — | — | 0 insurers |
| MEMORIAL HOSPITAL | TX | $8,395 | $4,197 | $0 | $7,950 | 0 insurers |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | TX | $8,395 | $4,197 | $0 | $7,950 | 0 insurers |
| MEMORIAL HOSPITAL | TX | $8,395 | $4,197 | $0 | $7,950 | 0 insurers |
| MEMORIAL HOSPITAL | TX | $8,395 | $4,197 | $0 | $7,950 | 0 insurers |
| STILLWATER MEDICAL CENTER | OK | $5,252 | $4,202 | $2,626 | $4,727 | 0 insurers |
| STILLWATER MEDICAL - PERRY | OK | $5,252 | $4,202 | $2,626 | $4,727 | 0 insurers |
| STILLWATER MEDICAL-BLACKWELL | OK | $5,252 | $4,202 | $2,626 | $4,727 | 0 insurers |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | WA | $1,596 | $1,037 | — | — | 0 insurers |
| JOHN F KENNEDY MEMORIAL HOSPITAL | CA | $7,032 | $4,219 | $2,813 | $7,032 | 0 insurers |
| SIBLEY MEMORIAL HOSPITAL | DC | $7,032 | $4,219 | $2,813 | $7,032 | 0 insurers |
| ARCHBOLD MEMORIAL HOSPITAL | GA | $7,032 | $4,219 | $2,813 | $7,032 | 0 insurers |
| ADAMS MEMORIAL HOSPITAL | IN | $7,032 | $4,219 | $2,813 | $7,032 | 0 insurers |
| UNIONTOWN HOSPITAL | PA | $2,049 | $1,025 | — | — | 0 insurers |
| M HEALTH FAIRVIEW RIDGES HOSPITAL | MN | $2,375 | $1,009 | — | — | 0 insurers |
| BEEBE MEDICAL CENTER | DE | $1,183 | $1,006 | — | — | 0 insurers |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL | TX | $2,835 | $992 | $709 | $2,410 | 0 insurers |
| SACRED HEART MEDICAL CENTER - RIVERBEND | OR | $1,511 | $982 | — | — | 0 insurers |
| CRISP REGIONAL HOSPITAL | GA | $1,025 | $974 | — | — | 0 insurers |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | MN | $1,470 | $970 | — | — | 0 insurers |
| LONGMONT UNITED HOSPITAL | CO | $10,733 | $4,293 | — | — | 0 insurers |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS | CO | $10,733 | $4,293 | — | — | 0 insurers |
| ST FRANCIS HOSPITAL - INTERQUEST | CO | $10,733 | $4,293 | — | — | 0 insurers |
| WEST BOCA MEDICAL CENTER | FL | $8,614 | $4,307 | — | — | 0 insurers |
| WEST ALLIS MEMORIAL HOSPITAL | WI | $8,614 | $4,307 | — | — | 0 insurers |
| ADVOCATE GOOD SHEPHERD HOSPITAL | IL | $1,864 | $932 | — | — | 0 insurers |
| BATON ROUGE GENERAL MEDICAL CENTER | LA | $6,170 | $4,319 | — | — | 0 insurers |
| THE GENERAL | LA | $6,170 | $4,319 | — | — | 0 insurers |
| CARILION STONEWALL JACKSON HOSPITAL | VA | $7,213 | $4,328 | $423 | $10,104 | 0 insurers |
| MOSAIC MEDICAL CENTER - MARYVILLE | MO | $5,098 | $4,334 | — | — | 0 insurers |
| ALTON MEMORIAL HOSPITAL | IL | $7,245 | $4,347 | $2,898 | $6,303 | 0 insurers |
| MEMORIAL HOSPITAL | IL | $7,245 | $4,347 | $2,898 | $6,303 | 0 insurers |
| GENEVA GENERAL HOSPITAL | NY | $2,234 | $894 | — | — | 0 insurers |
| JOHN H STROGER JR HOSPITAL | IL | $6,250 | $4,375 | — | — | 0 insurers |
| PROVIDENT HOSPITAL OF CHICAGO | IL | $6,250 | $4,375 | — | — | 0 insurers |
| KANSAS MEDICAL CENTER LLC | KS | $1,425 | $855 | — | — | 0 insurers |
| MAINEHEALTH MID COAST HOSPITAL | ME | $850 | $850 | — | — | 0 insurers |
| COOKEVILLE REGIONAL MEDICAL CENTER | TN | $1,357 | $832 | — | — | 0 insurers |
| AURORA MEDICAL CTR OSHKOSH | WI | $1,628 | $814 | — | — | 0 insurers |
| SOUTHEAST HEALTH MEDICAL CENTER | AL | $1,925 | $770 | — | — | 0 insurers |
| ANTELOPE VALLEY HOSPITAL | CA | $4,500 | $4,500 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER | GA | $1,450 | $725 | — | — | 0 insurers |
| CHI ST VINCENT MORRILTON | AR | $2,700 | $688 | $675 | $675 | 0 insurers |
| CHI ST VINCENT MORRILTON | AR | $2,700 | $688 | $675 | $2,322 | 0 insurers |
| IBERIA MEDICAL CENTER | LA | $1,125 | $675 | — | — | 0 insurers |
| TUCSON MEDICAL CENTER | AZ | $2,363 | $662 | — | — | 0 insurers |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA | TN | $14,076 | $4,589 | — | — | 0 insurers |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL | MA | $900 | $630 | — | — | 0 insurers |
| MULTICARE GOOD SAMARITAN HOSPITAL | WA | $11,661 | $4,664 | — | — | 0 insurers |
| HAZARD ARH REGIONAL MEDICAL CENTER | KY | $928 | $557 | — | — | 0 insurers |
| WELLINGTON REGIONAL MEDICAL CENTER | FL | $736 | $552 | — | — | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $6,047 | $4,705 | $1,512 | $5,926 | 0 insurers |
| MERCY MEDICAL CENTER OF MT SHASTA | CA | $6,047 | $4,705 | $1,330 | $5,926 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $6,047 | $4,705 | $1,512 | $5,926 | 0 insurers |
| MERCY MEDICAL CENTER | OH | $6,047 | $4,705 | $1,330 | $5,926 | 0 insurers |
| MERCY GENERAL HOSPITAL | CA | $750 | $525 | $173 | $750 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | CA | $1,482 | $519 | $274 | $741 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | CA | $1,482 | $519 | $274 | $741 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - DOWNEY | CA | $1,482 | $519 | $274 | $741 | 0 insurers |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | CA | $1,482 | $519 | $274 | $741 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | CA | $1,482 | $519 | $274 | $741 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WEST LA | CA | $1,482 | $519 | $274 | $741 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | CA | $1,482 | $519 | $274 | $741 | 0 insurers |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE | CA | $1,482 | $519 | $274 | $741 | 0 insurers |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | CA | $1,482 | $519 | $274 | $741 | 0 insurers |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | CA | $1,482 | $519 | $274 | $741 | 0 insurers |
| CHI ST ALEXIUS HEALTH TURTLE LAKE | ND | $659 | $468 | $468 | $626 | 0 insurers |
| CHI ST ALEXIUS HEALTH TURTLE LAKE | ND | $659 | $468 | $468 | $652 | 0 insurers |
| GLENDALE MEM HOSPITAL & HLTH CENTER | CA | $665 | $466 | $532 | $532 | 0 insurers |
| GETTYSBURG HOSPITAL | PA | $580 | $464 | — | — | 0 insurers |
| ST MARY'S REGIONAL MEDICAL CENTER | OK | $12,048 | $4,819 | — | — | 0 insurers |
| MULTICARE VALLEY HOSPITAL | WA | $12,060 | $4,824 | — | — | 0 insurers |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | MO | $760 | $418 | — | — | 0 insurers |
| MADISON MEMORIAL HOSPITAL | ID | $477 | $405 | — | — | 0 insurers |
| MADISON HOSPITAL | MN | $477 | $405 | — | — | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $659 | $402 | $323 | $613 | 0 insurers |
| CHI HEALTH GOOD SAMARITAN | NE | $659 | $402 | $138 | $613 | 0 insurers |
| TRINITY ROCK ISLAND | IL | $6,063 | $4,850 | — | — | 0 insurers |
| TRINITY - BETTENDORF | IA | $6,063 | $4,850 | — | — | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $659 | $389 | $362 | $619 | 0 insurers |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES | CO | $659 | $389 | $152 | $619 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $659 | $389 | $362 | $619 | 0 insurers |
| CHI HEALTH ST. FRANCIS | NE | $659 | $389 | $152 | $619 | 0 insurers |
| FLOYD CHEROKEE MEDICAL CENTER | AL | $775 | $388 | — | — | 0 insurers |
| HIGH POINT REGIONAL HEALTH SYSTEM | NC | $775 | $388 | — | — | 0 insurers |
| NORTH CAROLINA BAPTIST HOSPITAL | NC | $775 | $388 | — | — | 0 insurers |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | IL | $9,737 | $4,869 | — | — | 0 insurers |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER | GA | $740 | $370 | — | — | 0 insurers |
| MANATEE MEMORIAL HOSPITAL | FL | $12,200 | $4,880 | — | — | 0 insurers |
| LAKEWOOD RANCH MEDICAL CENTER | FL | $12,200 | $4,880 | — | — | 0 insurers |
| AdventHealth Palm Coast | FL | $624 | $343 | $0 | $561 | 0 insurers |
| NORTON SCOTT HOSPITAL | IN | $1,653 | $331 | — | — | 0 insurers |
| NORTON HOSPITALS, INC | KY | $1,653 | $331 | — | — | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $659 | $329 | $408 | $527 | 0 insurers |
| CHI HEALTH ST. ELIZABETH | NE | $659 | $329 | $152 | $560 | 0 insurers |
| SOUTH COUNTY HOSPITAL INC | RI | $8,203 | $4,922 | — | — | 0 insurers |
| CARLE FOUNDATION HOSPITAL | IL | $325 | $325 | — | — | 0 insurers |
| ST JOHNS HOSPITAL | IL | $450 | $324 | — | — | 0 insurers |
| HSHS HOLY FAMILY HOSPITAL INC | IL | $450 | $324 | — | — | 0 insurers |
| ST JOSEPH'S HOSPITAL | IL | $450 | $324 | — | — | 0 insurers |
| ST VINCENT HOSPITAL | WI | $450 | $324 | — | — | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $750 | $323 | $150 | $750 | 0 insurers |
| MARY GREELEY MEDICAL CENTER | IA | $750 | $323 | $150 | $600 | 0 insurers |
| CITIZENS MEDICAL CENTER | TX | $633 | $316 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER | GA | $625 | $313 | — | — | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $1,147 | $307 | $447 | $963 | 0 insurers |
| CHANDLER REGIONAL MEDICAL CENTER | AZ | $1,147 | $307 | $161 | $1,147 | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $659 | $303 | $468 | $494 | 0 insurers |
| CHI HEALTH NEBRASKA HEART | NE | $659 | $303 | $158 | $540 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $659 | $303 | $468 | $494 | 0 insurers |
| GRAND ISLAND REGIONAL MEDICAL CENTER | NE | $659 | $303 | $158 | $540 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $750 | $293 | $158 | $750 | 0 insurers |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | CA | $750 | $293 | $158 | $750 | 0 insurers |
| SOVAH HEALTH DANVILLE | VA | $12,394 | $4,958 | — | — | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $750 | $292 | $82.5 | $720 | 0 insurers |
| MERCY HOSPITAL OF FOLSOM | CA | $750 | $292 | $82.5 | $743 | 0 insurers |
| AUBURN COMMUNITY HOSPITAL | NY | $180 | $291 | — | — | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $1,147 | $282 | $447 | $883 | 0 insurers |
| MERCY GILBERT MEDICAL CENTER | AZ | $1,147 | $282 | $161 | $1,147 | 0 insurers |
| NAVICENT HEALTH BALDWIN | GA | $525 | $263 | — | — | 0 insurers |
| ATRIUM HEALTH NAVICENT PEACH | GA | $525 | $263 | — | — | 0 insurers |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | $731 | $256 | — | — | 0 insurers |
| GRADY GENERAL HOSPITAL | GA | — | $4,995 | — | — | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $750 | $250 | $150 | $615 | 0 insurers |
| ST BERNARDINE MEDICAL CENTER | CA | $750 | $250 | $150 | $638 | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $750 | $245 | $150 | $743 | 0 insurers |
| GLENDALE ADVENTIST MEDICAL CENTER | CA | $750 | $245 | $40 | $600 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $750 | $245 | $150 | $743 | 0 insurers |
| HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER | KS | $750 | $245 | $40 | $600 | 0 insurers |
| SOUTH TEXAS HEALTH SYSTEM | TX | $12,572 | $5,029 | — | — | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $750 | $216 | $173 | $683 | 0 insurers |
| METHODIST HOSPITAL OF SACRAMENTO | CA | $750 | $216 | $180 | $713 | 0 insurers |
| CLOVIS COMMUNITY MEDICAL CENTER | CA | $6,300 | $5,040 | — | — | 0 insurers |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | KY | $346 | $208 | — | — | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $750 | $206 | $82.5 | $705 | 0 insurers |
| WOODLAND MEMORIAL HOSPITAL | CA | $750 | $206 | $82.5 | $750 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $750 | $206 | $82.5 | $690 | 0 insurers |
| MERCY SAN JUAN MEDICAL CENTER | CA | $750 | $206 | $82.5 | $728 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $537 | $205 | $301 | $424 | 0 insurers |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS | IL | $537 | $205 | $75.18 | $537 | 0 insurers |
| GETTYSBURG HOSPITAL | PA | $249 | $200 | — | — | 0 insurers |
| ADVENTHEALTH SHAWNEE MISSION | KS | $353 | $177 | $0 | $318 | 0 insurers |
| KAISER FOUNDATION HOSPITAL | HI | $414 | $161 | $116 | $414 | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $180 | $153 | $162 | $176 | 0 insurers |
| CHI HEALTH SCHUYLER | NE | $180 | $153 | $38.56 | $204 | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $180 | $151 | $162 | $176 | 0 insurers |
| CHI HEALTH PLAINVIEW HOSPITAL | NE | $180 | $151 | $110 | $244 | 0 insurers |
| VIRTUA OUR LADY OF LOURDES HOSPITAL | NJ | $1,417 | $142 | — | — | 0 insurers |
| VIRTUA MOUNT HOLLY HOSPITAL | NJ | $1,417 | $142 | — | — | 0 insurers |
| ALAMEDA HOSPITAL | CA | $283 | $141 | $102 | $212 | 0 insurers |
| HIGHLAND HOSPITAL | CA | $283 | $141 | $102 | $212 | 0 insurers |
| BECKLEY ARH HOSPITAL | WV | $8,526 | $5,116 | — | — | 0 insurers |
| FRYE REGIONAL MEDICAL CENTER | NC | $12,947 | $5,179 | — | — | 0 insurers |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL | NJ | $5,314 | $5,314 | — | — | 0 insurers |
| RALEIGH GENERAL HOSPITAL | WV | $13,429 | $5,372 | — | — | 0 insurers |
| BAPTIST HOSPITAL | FL | $8,310 | $5,402 | — | — | 0 insurers |
| SOUTH MIAMI HOSPITAL | FL | $8,310 | $5,402 | — | — | 0 insurers |
| MARION GENERAL HOSPITAL | OH | $8,490 | $5,519 | — | — | 0 insurers |
| DOCTORS HOSPITAL | OH | $8,490 | $5,519 | — | — | 0 insurers |
| GRADY MEMORIAL HOSPITAL | OH | $8,490 | $5,519 | — | — | 0 insurers |
| OHIOHEALTH SHELBY HOSPITAL | OH | $8,490 | $5,519 | — | — | 0 insurers |
| CLINCH VALLEY MEDICAL CENTER | VA | $14,090 | $5,636 | — | — | 0 insurers |
| CAREWELL HEALTH MEDICAL CENTER | NJ | $6,650 | $5,653 | — | — | 0 insurers |
| SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT | OK | $7,650 | $5,738 | — | — | 0 insurers |
| FAUQUIER HOSPITAL | VA | $14,377 | $5,751 | — | — | 0 insurers |
| NORTH HAWAII COMMUNITY HOSPITAL, INC | HI | $8,223 | $5,756 | — | — | 0 insurers |
| HAVASU REGIONAL MEDICAL CENTER | AZ | $9,650 | $5,790 | — | — | 0 insurers |
| MEMORIAL MEDICAL CENTER | NM | $9,707 | $5,824 | — | — | 0 insurers |
| UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER | MD | $5,880 | $5,880 | — | — | 0 insurers |
| VALLEY VIEW MEDICAL CENTER | AZ | $9,881 | $5,929 | — | — | 0 insurers |
| BRIDGEPORT HOSPITAL | CT | $11,628 | $5,930 | — | — | 0 insurers |
| AIKEN REGIONAL MEDICAL CENTER | SC | $14,856 | $5,942 | — | — | 0 insurers |
| SWEETWATER HOSPITAL ASSOCIATION | TN | $14,856 | $5,942 | — | — | 0 insurers |
| PETERSON REGIONAL MEDICAL CENTER | TX | $8,625 | $6,038 | — | — | 0 insurers |
| GREENWICH HOSPITAL ASSOCIATION - | CT | $11,628 | $6,047 | — | — | 0 insurers |
| COFFEE REGIONAL MEDICAL CENTER, INC | GA | $9,111 | $6,195 | — | — | 0 insurers |
| EAST LOS ANGELES DOCTORS HOSPITAL | CA | $6,274 | $6,274 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MED CENTER | MS | $15,913 | $6,365 | — | — | 0 insurers |
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA | MS | $15,913 | $6,365 | — | — | 0 insurers |
| UNITED REGIONAL HEALTH CARE SYSTEM | TX | $6,727 | $6,391 | — | — | 0 insurers |
| HUNT REGIONAL MEDICAL CENTER | TX | $10,147 | $6,595 | — | — | 0 insurers |
| VALLEY HOSPITAL MEDICAL CENTER | NV | $16,507 | $6,603 | — | — | 0 insurers |
| DETROIT RECEIVING HOSPITAL | MI | $9,020 | $6,765 | — | — | 0 insurers |
| TRINITY MUSCATINE | IA | $8,519 | $6,815 | — | — | 0 insurers |
| TRINITY REGIONAL MEDICAL CENTER | IA | $8,519 | $6,815 | — | — | 0 insurers |
| ST LUKES HOSPITAL | IA | $8,519 | $6,815 | — | — | 0 insurers |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI | IA | $8,519 | $6,815 | — | — | 0 insurers |
| ST LUKES REGIONAL MEDICAL CENTER | IA | $8,519 | $6,815 | — | — | 0 insurers |
| YALE-NEW HAVEN HOSPITAL | CT | $11,628 | $6,861 | — | — | 0 insurers |
| HOMESTEAD HOSPITAL | FL | $10,700 | $6,955 | — | — | 0 insurers |
| ST CLARE HOSPITAL | WA | $24,135 | $6,957 | $13,274 | $18,101 | 0 insurers |
| ST CLARE HOSPITAL | WA | $24,135 | $6,957 | $12,067 | $18,101 | 0 insurers |
| ST ANTHONY HOSPITAL | OR | $10,221 | $6,963 | $5,519 | $9,710 | 0 insurers |
| ST ANTHONY HOSPITAL | OR | $10,221 | $6,963 | $3,327 | $9,710 | 0 insurers |
| ST ANTHONY HOSPITAL | WA | $10,221 | $6,963 | $5,519 | $9,710 | 0 insurers |
| ST ANTHONY HOSPITAL | WA | $10,221 | $6,963 | $3,327 | $9,710 | 0 insurers |
| WEST KENDALL BAPTIST HOSPITAL | FL | $11,034 | $7,172 | — | — | 0 insurers |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | OK | $72,704 | $7,270 | — | — | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $24,135 | $7,341 | $13,274 | $18,101 | 0 insurers |
| ST ELIZABETH HOSPITAL | WA | $24,135 | $7,341 | $12,067 | $18,101 | 0 insurers |
| MARIA PARHAM MEDICAL CENTER | NC | $18,639 | $7,455 | — | — | 0 insurers |
| MEMORIAL HOSPITAL OF GARDENA | CA | $7,525 | $7,525 | — | — | 0 insurers |
| GOSHEN HOSPITAL | IN | $10,769 | $7,538 | — | — | 0 insurers |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC | WV | $15,184 | $7,592 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTERS | AL | $7,738 | $7,738 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTER | CA | $7,738 | $7,738 | — | — | 0 insurers |
| MARSHALL MEDICAL CENTER | TN | $7,738 | $7,738 | — | — | 0 insurers |
| ST JOHNS REGIONAL MEDICAL CENTER | CA | $11,678 | $8,175 | $2,803 | $11,503 | 0 insurers |
| MEDICAL CENTER OF THE ROCKIES | CO | $11,866 | $8,306 | — | — | 0 insurers |