Out-of-State Inpatient DRG and Exempt Rates Effective 01/01/13-12/31/13

(1) (2) (3) (4) (5) (6) (7) (8) (9)
Hospital Name City State Rate Code 2953 (OOS Hospital DRG) Rate Code 2952 (OOS Hospital Exempt) Rate Code 2589 (DME Add-on) Rate Codes 2950 and 2954 (ALC RHCF) Rate Codes 2951 and 2955 (ALC Home Care) Rate Code 2990 (Capital per Disch) Rate Code 2991 (Capital per Diem) WEF/ISAF
(for High Cost Claims)		 High Cost
Charge Convertor
ACUTE CARE SPECIALTY OH CANTON OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ADVENTIST MED CTR OR PORTLAND OR $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
AKRON GENERAL MEDICAL CENTER AKRON OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ALAMANCE REG MED CTR NC BURLINGTON NC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ALBERT EINSTEIN MED CTR PA PHILADELPHIA PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ALFRED I DUPONT HOSP FOR CHID WILMINGTON DE $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ALL CHILDRENS HOSPITAL FL ST PETERSBURG FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ALLEGHENY GENERAL HOSPITAL PA PITTSBURGH PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ALLEGIANCE HEALTH MI JACKSON MI $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ANDROSOGGIN VALLEY HOPS NH BERLIN NH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ASPEN VALLEY HOSPITAL CO ASPEN CO $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ATHENS REG MED TN ATHENS TN $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ATLANTIC GEN HSP MD BERLIN MD $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ATLANTICARE REG MED CTR CITY ATLANTIC CITY NJ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
AVENTURA HOSP & MED CTR FL AVENTURA FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BALTIMORE WASHINGTON MEDICAL GLEN BURNIE MD $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BANNER BAYWOOD MED CTR AZ MESA AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BANNER BEHAVIORAL HLTH AZ SCOTTSDALE AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BANNER DEL E WEBB MEM HSP AZ SUN CITY AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BANNER ESTRELLA MED CTR AZ PHOENIX AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BANNER GATEWAY MC AZ GILBERT AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BANNER IRONWOOD MED CTR AZ SAN TAN VALLEY AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BANNER THUNDERBIRD MED CTR AZ GLENDALE AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BAPTIST HOSPITAL OF MIAMI FL MIAMI FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BAPTIST MEM HOSP OF MEMPHIS MEMPHIS TN $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BAPTIST ST ANTHONYS MEM HOSP AMARILLO TX $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BARBERTON CITIZENS HOSP OH BARBERTON OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BARNES JEWISH HSP MO SAINT LOUIS MO $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BARNES-KASSON COUNTY HSP SUSQUEHANNA PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BARTON MEMORIAL HOSPITAL CA SOUTH LAKE TAHOE CA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BAY MEDICAL CTR FL PANAMA CITY FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BAYHEALTH KENT GEN HSP DE DOVER DE $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BAYLOR ALL SAINTS MED CTR TX FORT WORTH TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BAYLOR MED CTR GARLAND TX GARLAND TX $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BAYLOR UNIVERSITY MED CTR TX DALLAS TX $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BAYONNE MEDICAL CENTER NJ BAYONNE NJ $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
BAYSHORE COMMUNITY HOSPITAL HOLMDEL NJ $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
BAYSTATE MEDICAL CENTER MA SPRINGFIELD MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BEAUMONT HOSPITAL GROSSE PT GROSSE POINT MI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BEEBE MEDICAL CENTER DE LEWES DE $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BELLEVUE MEDICAL CENTER NE BELLEVUE NE $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BERGEN PINES COUNTY HSP NJ PARAMUS NJ $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
BERKSHIRE HEALTH SYSTEM MA PITTSFIELD MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BERKSHIRE MEDICAL CTR MA INC PITTSFIELD MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BETH ISRAEL DEACONESS BOSTON BOSTON MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BOSTON MEDICAL CENTER MA BOSTON MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BOTSFORD HOSPITAL MI FARMINGTON HILLS MI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BOZEMAN DEACONESS HOSP MT BOZEMAN MT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BRADFORD REGIONAL MED CTR PA BRADFORD PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BRANDON HOSPITAL FL BRANDON FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BRATTLEBORO RETREAT HSP VT BRATTLEBORO VT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BRIDGEPORT HOSPITAL BRIDGEPORT CT $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
BRIGHAM AND WOMENS HOSP BOSTON MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BRISTOL HOSPITAL BRISTOL CT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BROCKTON HOSP MA BROCKTON MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BROOKEGLEN BEHAVIORAL HOSPITA FORT WASHINGTON PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BROWARD GENERAL MEDICAL CTR FT LAUDERDALE FL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BRUNSWICK COMM HOSP NC BOLIVIA NC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BRYN MAWR HOSPITAL PA BRYN MAWR PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
BRYN MAWR REHAB HOSP. PA MALVERN PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CANDLER HOSP GA SAVANNAH GA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CAPE CANAVERAL HOSP FL COCOA BEACH FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CAPE CORAL HSP FL CAPE CORAL FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CAPE FEAR VALLEY NC FAYETTEVILLE NC $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CAPE REGIONAL MEDICAL CENTER CAPE MAY COURT HOUSE NJ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CAPITAL HEALTH SYS AT FULD TRENTON NJ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CAPITAL HEALTH SYSTEM MERCER TRENTON NJ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CARILION FRANKLIN MEMORIAL VA ROCKY MOUNT VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CARILION ROANOKE COMM HSP VA ROANOKE VA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CARILION ROANOKE MEMORIAL ROANOKE VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CARILION STONEWALL JACKSN VA LEXINGTON VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CARLE FOUNDATION HOSP IL URBANA IL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CAROLINAEAST HEALTH SYSTEM NEW BERN NC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CAROLINAS HSP SYS SC FLORENCE SC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CARONDELET ST MARYS HOSP AZ TUCSON AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CARROLL HOSPITAL CENTER MD WESTMINSTER MD $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CASA GRANDE REG MED CTR AZ CASA GRANDE AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CASS COUNTY MEMORIAL HSP IA ATLANTIC IA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CATAWBA VALLEY MED CTR NC HICKORY NC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CATHOLIC MED CTR NH MANCHESTER NH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CENTENNIAL MEDICAL CENTER TX FRISCO TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CENTRA VIRGINIA BAPTST HSP VA LYNCHBURG VA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CENTRAL VERMONT HOSPITAL BARRE VT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CENTRASTATE MED CTR NJ FREEHOLD NJ $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
CENTURA PENROSE ST FRANCIS HL COLORADO SPRINGS CO $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHAMBERSBURG HOSPITAL PA CHAMBERSBURG PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHARLES COLE MEMORIAL HSP COUDERSPORT PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON CT $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
CHESTER COUNTY HOSP PA WEST CHESTER PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHILDRENS HOSP & RESEARCH CA OAKLAND CA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHILDRENS HOSP M C OH CINCINNATI OH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHILDRENS HOSP OF PHILA PA PHILADELPHIA PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHILDRENS HOSPITAL ALABAMA BIRMINGHAM AL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHILDRENS HOSPITAL CO AURORA CO $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHILDRENS HOSPITAL MA BOSTON MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHILDRENS HOSPITAL OF PITTS PITTSBURGH PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHILDRENS HOSPITAL OF PITTS PITTSBURGH PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHILDRENS HOSPITAL OH COLUMBUS OH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHILDRENS HOSPITAL SAN DIEGO SAN DIEGO CA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHILDRENS HSP KINGS DAUGHTER NORFOLK VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHILDRENS INSTITUTE OF PITTS PITTSBURGH PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHILDRENS MEDICAL CENTER OH DAYTON OH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHILDRENS NATIONAL MED CTR WASHINGTON DC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHILDRENS SPECIALIZED HOSP NJ MOUNTAINSIDE NJ $ - $ 1,634.66 $ - $ 261.20 $ 261.20 $ - $ - 1.0684 0.357482
CHILTON MEM HOSP NJ POMPTON PLAINS NJ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CHRISTIANA CARE HLTH SERV DE WILMINGTON DE $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CITRUS MEMORIAL HOSPITAL FL INVERNESS FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CLARA MAASS MEM HOSP TOMS RIVER NJ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CLARION HOSPITAL PA CLARION PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CLARION PSYCHIATRIC CTR PA CLARION PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CLEVELAND CLINIC FOUNDATION CLEVELAND OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CLEVELAND CLINIC HOSPITAL FL WESTON FL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
COLUMBIA WESLEY MEDICAL CENTE WICHITA KS $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
COMMUNITY HLTH CTR BRANCH CTY COLDWATER MI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
COMMUNITY HOSPITAL ASSOCIATIO BOULDER CO $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
COMMUNITY MED CTR NJ TOMS RIVER NJ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
COMMUNITY MEDICAL CENTER PA SCRANTON PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
COMMUNITY MEMORIAL HOSP VA SOUTH HILL VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CONCORD HOSPITAL NH CONCORD NH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CONEMAUGH VALLEY MEM HSP PA JOHNSTOWN PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CONNECTICUT CHILDRENS MED CTR HARTFORD CT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CONWAY HOSPITAL SC CONWAY SC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
COOLEY DICKINSON HOSP MA NORTHAMPTON MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
COOPER MED CTR CAMDEN NJ CAMDEN NJ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
COPLEY HOSPITAL VT INC MORRISVILLE VT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CORAL GABLES HOSPITAL FL CORAL GABLES FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CORAL SPRINGS MEDICAL CTR FL CORAL SPRINGS FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CORRY MEMORIAL HOSPITAL PA CORRY PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
COTTAGE HOSPITAL NH WOODSVILLE NH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
COVENANT HEALTHCARE MI SAGINAW MI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CROZER-CHESTER MEDICAL CTR PA UPLAND PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CULPEPER MEM HOSP VA CULPEPER VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
CUMBERLAND HOSP VA NEW KENT VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
DANA FARBER CANCER INSTITUTE BOSTON MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
DANBURY HOSP CT DANBURY CT $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
DAVIS HOSPITAL AND MED CTR UT LAYTON UT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
DAY KIMBALL HOSPITAL CT PUTNAM CT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
DEACONESS HOSPITAL IN EVANSVILLE IN $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
DEACONESS HOSPITAL OK OKLAHOMA CITY OK $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
DEACONESS HOSPITAL WA SPOKANE WA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
DECATUR GEN HOSPITAL AL DECATUR AL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
DELAWARE CTY MEMORIAL HSP PA DREXEL HILL PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
DELRAY MEDICAL CTR FL DELRAY BEACH FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
DOCTORS COMMUNITY HOSPITAL MD LANHAM MD $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
DOCTORS HOSPITAL TX DALLAS TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
DUBOIS REG MED CTR MERCY DIV DUBOIS PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
DUKE RALEIGH HOSPITAL NC RALEIGH NC $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
DUKE UNIVERSITY HOSPITAL NC DURHAM NC $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
DURHAM REGIONAL HOSPITAL NC DURHAM NC $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
EAST JEFFERSON GEN HOSP LA METAIRE LA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
EAST ORANGE GENERAL HOSPITAL EAST ORANGE NJ $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
EAST TENNESSE CHILD HOSP KNOXVILLE TN $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
EASTERN IDAHO REG MED CTR ID IDAHO FALLS ID $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
EASTERN MAINE MED CTR ME BANGOR ME $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
EHS TRINITY HOSP IL CHICAGO IL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ELLIOT HOSPITAL NH MANCHESTER NH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
EMMA PENDLETON BRADLEY HSP RI RIVERSIDE RI $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ENGLEWOOD HOSP MED CTR NJ ENGLEWOOD NJ $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
ERLANGER MED CTR TN CHATTANOOGA TN $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
EXEMPLA ST JOSEPH HOSPITAL DENVER CO $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FAIRFAX HOSPITAL VA FALLS CHURCH VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FAIRVIEW GENERAL HOSPITAL OH CLEVELAND OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FAIRVIEW HOSPITAL GT BARRINGTON MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FAIRVIEW SOUTHDALE HSP MN EDINA MN $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FAIRVIEW UNIV MED CTR MN MINNEAPOLIS MN $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FALMOUTH HOSP ASSOC MA FALMOUTH MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FIRELANDS REG MED CTR OH SANDUSKY OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FIRST HEALTH OF CAROLINAS NC PINEHURST NC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FLAGLER HOSPITAL FL ST AUGUSTINE FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FLETCHER ALLEN HLTH - MCHV BURLINGTON VT $ 7,235.25 $ - $ 726.69 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FLORIDA HOSP HEARTLAND FL SEBRING FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FLORIDA HOSP MED CTR FL ORLANDO FL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FLORIDA HOSP WATERMAN FL TAVARES FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FLORIDA HOSPITAL DELAND FL DELAND FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FLORIDA HOSPITAL ZEPHYR HILLS ZEPHYRHILLS FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FOUNDATIONS BEHAVIORAL HEALTH DOYLESTOWN PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FRANKLIN SQUARE HOSP MD BALTIMORE MD $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
FROEDTERT MEM LUTHER WI MILWAUKEE WI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GARDEN CITY OSTEO HOSP MI GARDEN CITY MI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GARDEN GROVE HOSP MC CA GARDEN GROVE CA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GATEWAY MED CTR TN CLARKSVILLE TN $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GEISINGER MEDICAL CENTER PA DANVILLE PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GEISINGER SOUTH WILKES-BARRE WILKES BARRE PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GEORGETOWN UNIVERSITY HOSP DC WASHINGTON DC $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GETTYSBURG HOSPITAL GETTYSBURG PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GNADEN HUETTEN MEM HOSP PA LEHIGHTON PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GOOD SAMARITAN HOSPITAL OH DAYTON OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GOOD SAMARITAN HSP FL WEST PALM BEACH FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GRADY MEMORIAL HOSPITAL ATLANTA GA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GRAND STRAND REG MED CTR SC MYRTLE BEACH SC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GRANITE CITY ILLINOIS HOSP GRANITE CITY IL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GRANT MEDICAL CENTER OH COLUMBUS OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GREATER BALTIMORE MED CTR MD BALTIMORE MD $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GREENWICH HOSP ASSOCIATION CT GREENWICH CT $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
GRIFFIN HOSPITAL CT DERBY CT $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GROSSMONT HOSPITAL CA LA MESA CA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
GUNDERSEN LUTHERAN MED CTR WI LA CROSSE WI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HACKENSACK UNIV MED CTR NJ HACKENSACK NJ $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
HACKETTSTOWN REG MED CTR HACKETTSTOWN NJ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HACKLEY HOSPITAL MI MUSKEGON MI $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HALIFAX MED CTR FL DAYTONA BEACH FL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HAMOT MEDICAL CENTER PA ERIE PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HANOVER HOSPITAL PA HANOVER PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HARDIN MEMORIAL HOSPITAL KY ELIZABETHTOWN KY $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HARFORD MEMORIAL HOSP MD HAVRE DE GRACE MD $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HARRINGTON MEMORIAL HOSPITAL SOUTHBRIDGE MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HARRIS METHODIST HEB HOSP TX BEDFORD TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HARTFORD HOSP CT HARTFORD CT $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HAZLETON GEN HSP PA HAZLETON PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HCA HEALTH SERVICES OF TENN SMYRNA TN $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HCA OAK HILL HOSP FL BROOKSVILLE FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HEALTH ALLIANCE HOSP LEOMINSTER MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HEALTH PARK MEDICAL CENTER FL FORT MYERS FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HEALTHSOUTH REHAB HOSP ERIE ERIE PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HEART HOSPITAL BAYLOR PLANO T PLANO TX $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HELEN ELLIS MEM HSP FL TARPON SPRINGS FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HENRY HEYWOOD MEM HOSP MA GARDNER MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HIALEAH HOSPITAL FL HIALEAH FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HIGH POINT REG HEALTH SYS NC HIGH POINT NC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HIGHLANDS HSP&HLTH CENTER CONNELLSVILLE PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HIGHLINE MEDICAL CENTER WA BURIEN WA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HOBOKEN UNIV MED CTR NJ HOBOKEN NJ $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
HOLMES REG MED CTR FL MELBOURNE FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HOLY CROSS HSP FL FT LAUDERDALE FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HOLY NAME HOSPITAL NJ TEANECK NJ $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
HOLY SPIRIT HOSPITAL CAMP HILL PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HOLYOKE HOSP MA HOLYOKE MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HOMESTEAD HOSPITAL FL HOMESTEAD FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HOSPITAL CORP/LAKEVIEW HSP UT BOUNTIFUL UT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HOSPITAL OF ST RAPHAEL CT NEW HAVEN CT $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HOSPITAL OF THE UNIV OF PENN PHILADELPHIA PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HOWARD CTY GENERAL HSP MD COLUMBIA MD $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
HUGULEY MEMORIAL HOSPITAL TX FT WORTH TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ILLINOIS MASONIC MED CTR IL CHICAGO IL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
IMPERIAL POINT HSP FL FT LAUDERDALE FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
INDIANA REGIONAL MEDICAL CENT INDIANA PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
INGHAM REGIONAL MEDICAL CENTE LANSING MI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
JACKSON HOSPITAL AND CLINIC MONTGOMERY AL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
JACKSON MEM HSP FL MIAMI FL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
JAY HSP FL JAY FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
JEANES HOSPITAL PA PHILADELPHIA PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
JEFFERSON MEMORIAL HOSP MO FESTUS MO $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
JENNIE EDMUNDSON MEM HOSP IA COUNCIL BLUFFS IA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
JERSEY CITY MEDICAL CTR NJ JERSEY CITY NJ $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
JERSEY SHORE MEDICAL CTR NJ NEPTUNE NJ $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
JOHN C LINCOLN DEERVALLEY AZ PHOENIX AZ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
JOHN C LINCOLN HOSP HLTH AZ PHOENIX AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
JOHN DEMPSEY HOSPITAL UNIV CT FARMINGTON CT $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
JOHN F KENNEDY MED CTR EDISON NJ $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
JOHNS HOPKINS BAYVIEW MED MD BALTIMORE MD $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
JOHNS HOPKINS HOSPITAL MD BALTIMORE MD $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
JOHNSON MEM HSP STAFFORD SPRINGS CT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
JORDAN HOSPITAL MA PLYMOUTH MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
JUPITER MEDICAL CENTER FL JUPITER FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
KAPIOLANI MED PALI MOMI HI AIEA HI $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
KENNEDY KRIEGER INSTITUTE MD BALTIMORE MD $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
KENNEDY MEM HOSP/CHERRY HILL CHERRY HILL NJ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
KENNEDY MEM HOSP/UMC STRATFOR STRATFORD NJ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
KENNEDY MEM HOSP/WASHINGTON TURNERSVILLE NJ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
KENT COUNTY MEMORIAL HOSPITAL WARWICK RI $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
KESSLER INSTITUTE FOR REHAB WEST ORANGE NJ $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
LAKE POINTE MEDICAL CENTER TX ROWLETT TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LAKELAND REG MED CTR FL LAKELAND FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LAKES REGION GEN HOSP-FRNKLIN FRANKLIN NH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LAKES REGION GEN HOSP-LACONIA LACONIA NH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LAKEWOOD HSP OH LAKEWOOD OH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LANCASTER GENERAL HOSP PA LANCASTER PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LANDMARK MEDICAL CENTER RI WOONSOCKET RI $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LAREDO TEXAS HOSP TX LAREDO TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LARGO MEDICAL CENTER FL LARGO FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LAWRENCE & MEMORIAL HOSPS CT NEW LONDON CT $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LAWRENCE GEN HOSP MA LAWRENCE MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LEE MEM HOSP FL FORT MYERS FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LEESBURG REG MED CTR FL LEESBURG FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LEHIGH VALLEY HOSP CTR PA ALLENTOWN PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LEHIGH VALLEY MUHLENBERG PA BETHLEHEM PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LENOIR MEMORIAL HOSP NC KINSTON NC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LIBERTY HOSPITAL MO LIBERTY MO $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LITTLETON REGIONAL HOSP NH LITTLETON NH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LOGAN REG HOSP UT LOGAN UT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LONG BEACH MEM MED CTR CA LONG BEACH CA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LOS COLINAS MEDICAL CENTER TX IRVING TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LOURDES MED CTR BURLINGTON CT WILLINGBORO NJ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LOWELL GENERAL HOSPITAL MA LOWELL MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LUTHER HSP WI EAU CLAIRE WI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LUTHERAN MEDICAL CENTER OH CLEVELAND OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
LYNCHBURG GENERAL HOSP VA LYNCHBURG VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MAGEE WOMENS HOSPITAL PA PITTSBURGH PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MAIN LINE HSP LANKENAU PA WYNNEWOOD PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MAINE GEN MED CTR ME WATERVILLE ME $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MANATEE MEMORIAL HSP FL BRADENTON FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MARICOPA MEDICAL CENTER AZ PHOENIX AZ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MARINERS HOSPITAL FL TAVERNIER FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MARLBOROUGH HOSP MA MARLBOROUGH MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MARTHAS VINEYARD HOSPITAL MA OAK BLUFFS MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MARTIN MEMORIAL MED CTR FL STUART FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MARY BLACK HEALTH SYSTEM SC SPARTANBURG SC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MARY HITCHCOCK MEM HOSP NH LEBANON NH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MARY WASHINGTON HOSPITAL VA FREDERICKSBURG VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MARYMOUNT HOSPITAL OH CLEVELAND OH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MASSACHUSETTS GEN HOSP BOSTON MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MAURY REGIONAL HSP TN COLUMBIA TN $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MCKEE MED CTR CO LOVELAND CO $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MCLEOD LORIS SEACOAST HSP SC LORIS SC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MCLEOD MEDICAL CTR DILLON DILLON SC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MCLEOD REG MED CTR SC FLORENCE SC $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEADOWLANDS HOSP MED CTR NJ SECAUCUS NJ $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
MEDCENTRAL HLTH SYS OH MANSFIELD OH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEDICAL CENTER AT PRINCETON PRINCETON NJ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEDICAL CENTER OF MANCHESTER MANCHESTER TN $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEDICAL CENTER OF MC KINNEY T MCKINNEY TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEDICAL CENTER OF PLANO TX PLANO TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEDICAL CITY DALLAS HOSP TX DALLAS TX $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEDICAL CTR CENTRAL GEORGIA G MACON GA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEDICAL CTR OF ARLINGTON TX ARLINGTON TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEDICAL CTR OF OCEAN CO. BRICK NJ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEDINA GEN HSP OH MEDINA OH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL HERMANN HOSP TX HOUSTON TX $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL HERMANN KATY HOSPITA KATY TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL HERMANN SE & SW HOSP HOUSTON TX $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL HLTH UNIV MED CTR GA SAVANNAH GA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL HOSP PEMBROKE FL PEMBROKE PINES FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL HOSPITAL BURLINGTON MOUNT HOLLY NJ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL HOSPITAL IL BELLEVILLE IL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL HOSPITAL MIRAMAR FL MIRAMAR FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL HOSPITAL PA YORK PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL HOSPITAL PA INC TOWANDA PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL HOSPITAL RI PAWTUCKET RI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL HOSPITAL SOUTH BEND SOUTH BEND IN $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL HOSPITAL WEST FL PEMBROKE PINES FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL HSP CO COLORADO SPRINGS CO $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL HSP OF EASTON MD INC EASTON MD $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MEMORIAL REG HSP FL HOLLYWOOD FL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MERCY HOSP OF PHILADELPHIA PHILADELPHIA PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MERCY MED CTR N IOWA MASON CITY IA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MERCY MED CTR WI OSHKOSH WI $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MERCY MEDICAL CENTER MD BALTIMORE MD $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MERCY MEMORIAL HOSPITAL MI MONROE MI $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MERCY ST VINCENT MED CTR OH TOLEDO OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MERIDIA EUCLID HSP OH EUCLID OH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MERIDIA HILLCREST HSP OH MAYFIELD HTS OH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MERITER HOSP INC WI MADISON WI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MERRIMACK VALLEY HSP A STEWRD HAVERHILL MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
METHODIST CHARLTON MED CTR DALLAS TX $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
METHODIST HOSP OF MEMPHIS TN MEMPHIS TN $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
METHODIST IU RILEY HOSPITAL INDIANAPOLIS IN $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
METRO HEALTH SYSTEM OH CLEVELAND OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
METRO WEST MEDICAL CENTER MA FRAMINGHAM MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
METROPLEX HOSPITAL TX KILLEEN TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MIAMI CHILDRENS HOSPITAL FL MIAMI FL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MID MICHIGAN REG MED CTR MI MIDLAND MI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MIDDLESEX HOSPITAL CT MIDDLETOWN CT $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MIDSTATE MEDICAL CENTER CT MERIDEN CT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MILES MEMORIAL HOSPITAL ME DAMARISCOTTA ME $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MILFORD HOSPITAL CT MILFORD CT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MILTON S HERSHEY MED CTR PA HERSHEY PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MIRIAM HOSPITAL RI PROVIDENCE RI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MONTGOMERY GENERAL HOSP MD OLNEY MD $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MONTGOMERY HOSPITAL PA NORRISTOWN PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MOREHEAD MEM HSP NC EDEN NC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MOSES H CONE HOSPITAL NC GREENSBORO NC $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MOUNT SINAI MEDICAL CTR OF FL MIAMI BEACH FL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
MUNROE REGIONAL MED CTR FL OCALA FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NASHOBA VALLEY MED CTR MA AYER MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NASHVILLE MEM HSP TN MADISON TN $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NATIONAL HSP KIDS IN CRISIS P OREFIELD PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NAZARETH HOSPITAL PA PHILADELPHIA PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NEBRASKA MEDICAL CENTER NE OMAHA NE $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NEW MILFORD HSP NEW MILFORD CT $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
NEW PT RICHEY/MED CTR OF TRIN TRINITY FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NEWPORT HSP RI NEWPORT RI $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NEWTON MEMORIAL HOSPITAL NJ NEWTON NJ $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
NEWTON WELLESLEY HOSP MA NEWTON MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTH ADAMS REG HOSP MA NORTH ADAMS MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTH BROWARD MEDICAL CTR FL POMPANO BEACH FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTH COLORADO MED CTR CO GREELEY CO $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTH COUNTRY HOSPITAL VT NEWPORT VT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTH HILLS HOSPITAL TX NORTH RICHLAND HILLS TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTH OKLALOOSA MED CTR FL CRESTVIEW FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTH PHILADELPHIA HLTH SYS PHILADELPHIA PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTH SHORE MED CTR FL MIAMI FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTH SHORE MED CTR FMC FL FT LAUDERDALE FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTH SUBURBAN MED CTR CO THORNTON CO $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTHEAST ALABAMA REG MED ANNISTON AL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTHERN COCHISE COMM HSP AZ WILLCOX AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTHSHORE UNIVERSITY HEALTH EVANSTON IL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTHSIDE HOSP FL ST PETERSBURG FL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTHWEST HOSPITAL CENTER MD RANDALLSTOWN MD $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTHWEST TEXAS HOSPITAL AMARILLO TX $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTHWESTERN MEDICAL CTR VT SAINT ALBANS VT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORTON HOSPITAL KY LOUISVILLE KY $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
NORWALK HOSPITAL NORWALK CT $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
NORWOOD HOSP INC MA NORWOOD MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
OCEAN BEACH HOSPITAL WA ILWACO WA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
OHIO STATE UNIVERSITY HSP OH COLUMBUS OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ORLANDO REG HLTH SYS FL ORLANDO FL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
OSCEOLA REG HOSP FL KISSIMMEE FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
OU MEDICAL CENTER OK OKLAHOMA CITY OK $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
OUR LADY OF LOURDES MED CTR N CAMDEN NJ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PALISADES MEDICAL CENTER NJ NORTH BERGEN NJ $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
PALM BAY HOSPITAL FL PALM BAY FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PALM BEACH GARDENS AND MED CT PALM BEACH GARDENS FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PALMERTON HOSPITAL PA PALMERTON PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PALMETTO GENERAL HOSPITAL FL HIALEAH FL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PALMYRA PARK HSP GA ALBANY GA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PAOLI MEMORIAL HOSPITAL PAOLI PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PARKER ADVENTIST HEALTH CO PARKER CO $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PARKLAND MEDICAL CTR NH DERRY NH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PARRISH MED CTR FL TITUSVILLE FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PENNSYLVANIA HOSP PA PHILADELPHIA PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PENOBSCOT BAY MED CTR ME ROCKPORT ME $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PHOENIX BAPTIST HOSP AZ PHOENIX AZ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PHOENIX CHILDRENS HSP AZ PHOENIX AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PINNACLE HEALTH HOSPITALS PA HARRISBURG PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PITT COUNTY MEMORIAL HOSP NC GREENVILLE NC $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
POCONO MED CTR PA E STROUDSBURG PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
POMONA VALLEY HOSPITAL MED CT POMONA CA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PORTER MEDICAL CENTER INC MIDDLEBURY VT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PORTERCARE ADVENTIST HLTH CO LITTLETON CO $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
POTOMAC HSP OF PRINCE WILL VA WOODBRIDGE VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
POTOMAC VALLEY HSP OF WEST VA KEYSER WV $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
POTTSTOWN MEM MED CTR PA POTTSTOWN PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PRESBYTERIAN HOSP NM ALBUQUERQUE NM $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PRESBYTERIAN HSP OF DALLAS DALLAS TX $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PRESBYTERIAN INTERCOMM HSP CA WHITTIER CA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PRESBYTERIAN UNIV HSP PA PITTSBURGH PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PRESBYTERIAN UNIV HSP PA PITTSBURGH PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PRESBYTERIAN UNIV HSP PA PITTSBURGH PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PRESBYTERIAN UNIV HSP PA PITTSBURGH PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PRESBYTERIAN UNIV HSP PA PITTSBURGH PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PRINCE GEORGES HOSP CTR MD CHEVERLY MD $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PROVIDENCE HEALTH CTR TX WACO TX $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
PROVIDENCE ST PETERS HOSP WA OLYMPIA WA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
QUEENS MEDICAL CENTER HI THE HONOLULU HI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
QUINCY MED CTR A STEWARD FAM QUINCY MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
RALEIGH GENERAL HOSPITAL WV BECKLEY WV $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
RAMAPO RIDGE PSYCH HOSP WYCKOFF NJ $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
RARITAN BAY HEALTH SERVICES PERTH AMBOY NJ $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
REFUGIO COUNTY MEM HSP TX REFUGIO TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
REG CTR ORANGEBURG CALHOUN SC ORANGEBURG SC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
REGIONAL HSP SCRANTON PA SCRANTON PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
REGIONAL MED CTR AT MEMPHIS MEMPHIS TN $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
RESEARCH MED CTR MO KANSAS CITY MO $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
REX HOSPITAL NC RALEIGH NC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
RHODE ISLAND HOSPITAL RI PROVIDENCE RI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
RIDDLE MEMORIAL HOSP PA MEDIA PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
RIVERSIDE METH HOSP/OHIO HLTH COLUMBUS OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
RIVERSIDE TAPPAHANNOCK HSP VA TAPPAHANNOCK VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
RIVERSIDE WALTER REED HSP VA GLOUCESTER VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
RIVERTON HOSPITAL UT RIVERTON UT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
RIVERVIEW HOSPITAL NJ RED BANK NJ $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
ROBERT PACKER HOSP PA SAYRE PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ROBERT W JOHNSON UNIV HSP RAH RAHWAY NJ $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
ROBERT WOOD JOHNSON UNIV HSP NEW BRUNSWICK NJ $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
ROGER WILLIAMS GENERAL HOSP PROVIDENCE RI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ROGUE VALLEY MEMORIAL HSP OR MEDFORD OR $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SACRED HEART HOSPITAL PA ALLENTOWN PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SACRED HEART MED CTR UNIV DIS EUGENE OR $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SAINT BARNABAS MEDICAL CENTER OCEAN PORT NJ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SAINT FRANCIS HOSPITAL TN MEMPHIS TN $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SAINT VINCENTS HLTH CTR ERIE PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SAINTS MEM MED CTR MA LOWELL MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SALINA REG HLTH CTR KS SALINA KS $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SAN ANTONIO COMM HSP CA UPLAND CA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SAN RAMON MEDICAL CTR CA SAN RAMON CA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SARASOTA MEMORIAL HOSPITAL FL SARASOTA FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SCHUYLKILL MED CTR SOUTH PA POTTSVILLE PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SCOTTSDALE HLTHCARE SHEA AZ SCOTTSDALE AZ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SCOTTSDALE MEM HSP AZ SCOTTSDALE AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SELF REG HEALTHCARE SC GREENWOOD SC $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SENTARA BAYSIDE HOSP VA VIRGINIA BEACH VA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SENTARA CAREPLEX HOSPITAL VA HAMPTON VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SENTARA HOSPITAL VA SUFFOLK VA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SENTARA LEIGH HSP VA NORFOLK VA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SENTARA NORFOLK HSP VA NORFOLK VA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SENTARA VIRGINIA BEACH GEN HS VIRGINIA BEACH VA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SENTARA WILLIAMSBURG COMM HOS WILLIAMSBURG VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SHANDS JACKSONVILLE MED FL JACKSONVILLE FL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SHANDS TEACHING HOSPITAL FL GAINESVILLE FL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SHARON HOSPITAL CT SHARON CT $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
SHARP CHULA VISTA CHULA VISTA CA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SHARP MEM HSP CA SAN DIEGO CA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SHELBY CTY/WILSON MEMORIAL OH SIDNEY OH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SHERMAN OAKS HSP CA SHERMAN OAKS CA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SINAI GRACE HOSPITAL MI DETROIT MI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SKAGGS COMM HEALTH MO BRANSON MO $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOLDIERS AND SAILORS MEM HOSP WELLSBORO PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOMERSET MED CENTER NJ SOMERVILLE NJ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOUTH COUNTY HOSPTAL RI WAKEFIELD RI $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOUTH FLORIDA BAPTIST HSPFL PLANT CITY FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOUTH LAKE HSP FL CLERMONT FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOUTH MIAMI HOSPITAL FL SOUTH MIAMI FL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOUTH POINTE HOSPITAL OH WARRENSVILLE HTS OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOUTH SHORE HOSP MA SOUTH WEYMOUTH MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOUTHEASTERN OHIO REG MED CTR CAMBRIDGE OH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOUTHERN HILLS M C TN NASHVILLE TN $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOUTHERN MARYLAND HOSP INC CLINTON MD $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOUTHERN OCEAN MED CTR NJ MANAHAWKIN NJ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOUTHERN OHIO MED CTR OH PORTSMOUTH OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOUTHSIDE COMM HOSP VA FARMVILLE VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOUTHWEST GENERAL HOSPITAL CLEVELAND OH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SOUTHWESTERN VT MED CTR INC BENNINGTON VT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SPEARE MEMORIAL HOSP NH PLYMOUTH NH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST ANTHONY SUMMIT HOSPITAL CO FRISCO CO $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST CHRISTOPHERS HSP CHILD PA PHILADELPHIA PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST CLARES HOSPITAL DENVILLE NJ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST ELIZABETH HEALTH CENTER OH YOUNGSTOWN OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST ELIZABETH HSP WI APPLETON WI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST ELIZABETH MED CTR KY EDGEWOOD KY $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST FRANCIS HOSP & MED CTR CT HARTFORD CT $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST FRANCIS HOSPITAL OK TULSA OK $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST FRANCIS HSP DE WILMINGTON DE $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST FRANCIS MEDICAL CENTER TRENTON NJ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST FRANCIS MEDICAL CENTER NE GRAND ISLAND NE $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST JAMES HLTH CAREHSP MT BUTTE MT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST JOSEPH HOSPITAL PA READING PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST JOSEPH MERCY HSP OAKLAND PONTIAC MI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST JOSEPHS HOSP MED CTR NJ PATERSON NJ $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
ST JOSEPHS HOSPITAL GA SAVANNAH GA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST JUDE CHILDRENS RES HSP TN MEMPHIS TN $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST LOUIS CHILDRENS HOSP MO SAINT LOUIS MO $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST LUKES COMM MC WOODLANDS TX THE WOODLANDS TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST LUKES EAST LEES HSP MO LEES SUMMIT MO $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST LUKES EPISCOPAL HSP TX HOUSTON TX $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST LUKES HOSPITAL BETHLEHEM PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST LUKES HOSPITAL MILWAUKEE WI $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST LUKES HOSPITAL MA FALL RIVER MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST LUKES HOSPITAL OH MAUMEE OH $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST LUKES MED CTR AZ PHOENIX AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST MARY HOSPITAL PA LANGHORNE PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST MARY MERCY HSP MI LIVONIA MI $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST MARYS HEALTH SYS TN KNOXVILLE TN $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST MARYS HOSP NJ PASSAIC NJ $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
ST MARYS HOSPITAL OF CONN WATERBURY CT $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST MARYS REG MED CENTER ME LEWISTON ME $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST MICHAEL MED CENTER NJ NEWARK NJ $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
ST PETERS UNIV HSP NJ NEW BRUNSWICK NJ $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
ST PETERSBURG GEN HSP FL ST PETERSBURG FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST VINCENT HOSPITAL MA WORCESTER MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
ST VINCENTS MEDICAL CENTER CT BRIDGEPORT CT $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
STAFFORD HOSPITAL VA STAFFORD VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
STAMFORD HOSPITAL CT STAMFORD CT $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
STEVENS HOSPITAL WA EDMONDS WA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
STEWARD CARNEY HOSP INC DORCHESTER MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
STEWARD CARNEY HOSP MA DORCHESTER MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
STEWARD GOOD SAM MED CTR MA BROCKTON MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
STEWARD GOOD SAM MED CTR MA BROCKTON MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
STEWARD HOLY FAMILY MA METHUEN MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
STEWARD NORWOOD HOSP MA NORWOOD MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
STEWARD ST ANNES HSP MA FALL RIVER MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
STEWARD ST ELIZABETH MED CTR BOSTON MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
STORMONT VAIL REG MED CTR KS TOPEKA KS $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
STURDY MEMORIAL HOSP MA ATTLEBORO MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SUBURBAN HOSPITAL BETHESDA MD $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SUMMERLIN MED CTR NV LAS VEGAS NV $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SUNRISE HOSP & MED CTR NV LAS VEGAS NV $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
SWEETWATER HOSP TN SWEETWATER TN $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
TAMPA GEN HSP DAVIS ISLANDS TAMPA FL $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
TEMPLE UNIVERSITY HOSPITAL PHILADELPHIA PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
TEXAS HLTH ARLINGTON TX ARLINGTON TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
TEXAS HLTH HARRIS METH HSP FORTH WORTH TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
TEXAS HLTH PRESBY HOSP PLANO PLANO TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
TEXAS HLTH PRESBYTERIAN HOSP ALLEN TX $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
THOMAS JEFFERSON UNIV HOSP PA PHILADELPHIA PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
THREE RIVERS COMMUNITY HSP OR GRANTS PASS OR $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
TRINITAS HSP NJ ELIZABETH NJ $ 8,832.97 $ - $ 1,295.15 $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
TROY COMMUNITY HOSPITAL TROY PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
TRUMBULL MEM HOSP OH WARREN OH $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
TUFTS MEDICAL CENTER MA WORCESTER MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UCSD MEDICAL CENTER SAN DIEGO CA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UMASS MEMORIAL MED CNTR PSYCH WORCESTER MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UMASS MEMORIAL MEDICAL CENTER WORCESTER MA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNION HOSP OF CECIL CTY MD ELKTON MD $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNITED HSP CTR WV CLARKSBURG WV $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNITED MEDICAL HLTHWEST LA GRETNA LA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNIV CA DAVIS MED CTR CA SACRAMENTO CA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNIV KENTUCKY HOSPITAL LEXINGTON KY $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNIV OF ALABAMA BIRMINGHAM AL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNIV OF IOWA HSP & CLINICS IA IOWA CITY IA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNIV OF WASHINGTON WA SEATTLE WA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNIVERSITY COMM HOSP FL TAMPA FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNIVERSITY HOSPITAL GA AUGUSTA GA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNIVERSITY HOSPITAL NC CHARLOTTE NC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNIVERSITY HSP TX SAN ANTONIO TX $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNIVERSITY MED CTR TX LUBBOCK TX $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNIVERSITY OF KANSAS HOSPITAL KANSAS CITY KS $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNIVERSITY OF MARYLAND MED SY BALTIMORE MD $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNIVERSITY OF MICHIGAN ANN ARBOR MI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNIVERSITY OF TENNESSEE MEM KNOXVILLE TN $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UNIVERSITY SPECIALTY HOSP MD BALTIMORE MD $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UPHS PRESBYTERIAN MEDICAL CEN PHILADELPHIA PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
UPPER CHESAPEAK MEDICAL CENTE BEL AIR MD $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
VALLEY HOSPITAL RIDGEWOOD NJ $ 7,336.96 $ - $ - $ 261.20 $ 261.20 $ 704.77 $ 144.34 1.0684 0.357482
VALLEY VIEW HOSP ASSOC CO GLENWOOD SPRINGS CO $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
VANDERBILT UNIVERSITY HSP TN NASHVILLE TN $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
VERDE VALLEY MED CTR AZ COTTONWOOD AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
VHS CHILDRENS HSP MI DETROIT MI $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
VIERA HOSPITAL FL MELBOURNE FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
VILLAGES REGIONAL HOSP FL THE VILLAGES FL $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
VIRGINIA BEACH PSYCHIATRIC VIRGINIA BEACH VA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WAKEMED HEALTH AND HOSP NC RALEIGH NC $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WALTON REG MED CTR GA MONROE GA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WARREN GENERAL HOSPITAL PA WARREN PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WARREN HOSPITAL NJ PHILLIPSBURG NJ $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WATERBURY HOSPITAL CT WATERBURY CT $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WAUKESHA MEMORIAL HOSPITAL WI WAUKESHA WI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WAYNE MEMORIAL HOSP PA HONESDALE PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WAYNE MEM HSP NC GOLDSBORO NC $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WAYNESBORO HSP PA WAYNESBORO PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WELLSTAR COBB HOSP GA AUSTELL GA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WELLSTAR DOUGLAS HOSP GA DOUGLASVILLE GA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WELLSTAR KENNESTONE HOSP GA MARIETTA GA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WELLSTAR PAULDING HOSP GA DALLAS GA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WEST GROVE/JENNERSVILLE PA WEST GROVE PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WEST JEFFERSON MED CTR LA MARRERO LA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WEST JERSEY HEALTH SYS VOORHEES TOWNSHIP NJ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WEST VALLEY HOSPITAL AZ GOODYEAR AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WESTERLY HOSP RI WESTERLY RI $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WESTERN PENNSYLVANIA HOSP PITTSBURGH PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WICKENBURG COMM HOSP AZ WICKENBURG AZ $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WILKES BARRE BEHAV HOSP PA KINGSTON PA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WILLIAM BACKUS HOSPITAL CT NORWICH CT $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WILLIAM BEAUMONT HOSP ROYAL OAK MI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WING MEMORIAL HOSPITAL MA PALMER MA $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WMHS BRADDOCK HOSPITAL MD CUMBERLAND MD $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
WOMEN & INFANTS HSP RI PROVIDENCE RI $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
YALE NEW HAVEN HOSPITAL CT NEW HAVEN CT $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
YORK HOSPITAL YORK PA $ 6,445.03 $ - $ 298.23 $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464
YORK HOSPITAL ME YORK ME $ 5,784.96 $ - $ - $ 171.74 $ 171.74 $ 528.83 $ 112.32 0.8424 0.442464