AKRON GENERAL MEDICAL CENTER |
AKRON |
OH |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ALAMANCE REG MED CTR NC |
BURLINGTON |
NC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ALEGENT HEALTH MEMORIAL NE |
SCHUYLER |
NE |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ALEGENT HLTH BERGAN MERCY NE |
OMAHA |
NE |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ALFRED I DUPONT HOSP FOR CHID |
WILMINGTON |
DE |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ALL CHILDRENS HOSPITAL FL |
ST PETERSBURG |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ALLEGHENY GENERAL HOSPITAL PA |
PITTSBURGH |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ALLEGIANCE HEALTH MI |
JACKSON |
MI |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ALLINA HLTH SYS/MERCY HSP MN |
COON RAPIDS |
MN |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ASPEN VALLEY HOSPITAL CO |
ASPEN |
CO |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ATHENS REG MED TN |
ATHENS |
TN |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ATLANTIC GEN HSP MD |
BERLIN |
MD |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ATLANTICARE REG MED CTR CITY |
ATLANTIC CITY |
NJ |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
AULTMAN HOSPITAL OH |
CANTON |
OH |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
AVENTURA HOSP & MED CTR FL |
AVENTURA |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BALTIMORE WASHINGTON MEDICAL |
GLEN BURNIE |
MD |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BANNER BAYWOOD MED CTR AZ |
MESA |
AZ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BANNER BEHAVIORAL HLTH AZ |
SCOTTSDALE |
AZ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BANNER DEL E WEBB MEM HSP AZ |
SUN CITY |
AZ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BANNER GATEWAY MC AZ |
GILBERT |
AZ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BANNER IRONWOOD MED CTR AZ |
SAN TAN VALLEY |
AZ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BANNER THUNDERBIRD MED CTR AZ |
GLENDALE |
AZ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BAPTIST HOSPITAL OF MIAMI FL |
MIAMI |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BAPTIST MEM HOSP OF MEMPHIS |
MEMPHIS |
TN |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
BAPTIST ST ANTHONYS MEM HOSP |
AMARILLO |
TX |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BARNES JEWISH HSP MO |
SAINT LOUIS |
MO |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BARNES-KASSON COUNTY HSP |
SUSQUEHANNA |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BARTON MEMORIAL HOSPITAL CA |
SOUTH LAKE TAHOE |
CA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BAY COUNTY HEALTH SYSTEM FL |
PANAMA CITY |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BAYHEALTH KENT GEN HSP DE |
DOVER |
DE |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BAYLOR ALL SAINTS MED CTR TX |
FORT WORTH |
TX |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
BAYLOR MED CTR GARLAND TX |
GARLAND |
TX |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BAYLOR MED CTR MCKINNEY TX |
MCKINNEY |
TX |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BAYLOR UNIVERSITY MED CTR TX |
DALLAS |
TX |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
BAYONNE MEDICAL CENTER NJ |
BAYONNE |
NJ |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
BAYSHORE COMMUNITY HOSPITAL |
HOLMDEL |
NJ |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
BAYSTATE MEDICAL CENTER MA |
SPRINGFIELD |
MA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BEAUMONT HOSPITAL GROSSE PT |
GROSSE POINT |
MI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BELLEVUE MEDICAL CENTER NE |
BELLEVUE |
NE |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BERGEN PINES COUNTY HSP NJ |
PARAMUS |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
BERKSHIRE HEALTH SYSTEM MA |
PITTSFIELD |
MA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BERKSHIRE MEDICAL CTR MA INC |
PITTSFIELD |
MA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BETH ISRAEL DEACONESS BOSTON |
BOSTON |
MA |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
BORGESS MEDICAL CENTER MI |
KALAMAZOO |
MI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BOSTON MEDICAL CENTER MA |
BOSTON |
MA |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
BOTSFORD HOSPITAL MI |
FARMINGTON HILLS |
MI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BOZEMAN DEACONESS HOSP MT |
BOZEMAN |
MT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BRADFORD REGIONAL MED CTR PA |
BRADFORD |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BRATTLEBORO MEM HOSPITAL VT |
BRATTLEBORO |
VT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BRATTLEBORO RETREAT HSP VT |
BRATTLEBORO |
VT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BRIDGEPORT HOSPITAL |
BRIDGEPORT |
CT |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
BRIGHAM AND WOMENS HOSP |
BOSTON |
MA |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
BRISTOL HOSPITAL |
BRISTOL |
CT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BROCKTON HOSP MA |
BROCKTON |
MA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BROOKEGLEN BEHAVIORAL HOSPITA |
FORT WASHINGTON |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BROWARD GENERAL MEDICAL CTR |
FT LAUDERDALE |
FL |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BRYN MAWR HOSPITAL PA |
BRYN MAWR |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
BRYN MAWR REHAB HOSP PA |
MALVERN |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CANDLER HOSP GA |
SAVANNAH |
GA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CAPE CANAVERAL HOSP FL |
COCOA BEACH |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CAPE CORAL HSP FL |
CAPE CORAL |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CAPE FEAR VALLEY NC |
FAYETTEVILLE |
NC |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CAPE REGIONAL MEDICAL CENTER |
CAPE MAY COURT HOUSE |
NJ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CAPITAL HEALTH SYSTEM MERCER |
TRENTON |
NJ |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CARILION FRANKLIN MEMORIAL VA |
ROCKY MOUNT |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CARILION ROANOKE COMM HSP VA |
ROANOKE |
VA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CARILION ROANOKE MEMORIAL |
ROANOKE |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CARILION STONEWALL JACKSN VA |
LEXINGTON |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CARLE FOUNDATION HOSP IL |
URBANA |
IL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CAROLINAEAST HEALTH SYSTEM |
NEW BERN |
NC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CAROLINAS HSP SYS SC |
FLORENCE |
SC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CARONDELET ST MARYS HOSP AZ |
TUCSON |
AZ |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
CARROLL HOSPITAL CENTER MD |
WESTMINSTER |
MD |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CASA GRANDE REG MED CTR AZ |
CASA GRANDE |
AZ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CASS COUNTY MEMORIAL HSP IA |
ATLANTIC |
IA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CATHOLIC MED CTR NH |
MANCHESTER |
NH |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CENTENNIAL HILLS HOSP MED CTR |
LAS VEGAS |
NV |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
CENTENNIAL MED CTR TN |
NASHVILLE |
TN |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
CENTRA VIRGINIA BAPTST HSP VA |
LYNCHBURG |
VA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CENTRAL VERMONT HOSPITAL |
BARRE |
VT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CENTRASTATE MED CTR NJ |
FREEHOLD |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
CENTURA PENROSE ST FRANCIS HL |
COLORADO SPRINGS |
CO |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CHARLES COLE MEMORIAL HSP |
COUDERSPORT |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CHARLESTON AREA MED CTR WV |
CHARLESTON |
WV |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CHARLOTTE HUNGERFORD HOSPITAL |
TORRINGTON |
CT |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
CHESTER COUNTY HOSP PA |
WEST CHESTER |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CHILDRENS HOSP & RESEARCH CA |
OAKLAND |
CA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CHILDRENS HOSP M C OH |
CINCINNATI |
OH |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CHILDRENS HOSP OF PHILA PA |
PHILADELPHIA |
PA |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
CHILDRENS HOSPITAL ALABAMA |
BIRMINGHAM |
AL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CHILDRENS HOSPITAL CO |
AURORA |
CO |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CHILDRENS HOSPITAL MA |
BOSTON |
MA |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
CHILDRENS HOSPITAL OF PITTS |
PITTSBURGH |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CHILDRENS HOSPITAL OF PITTS |
PITTSBURGH |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CHILDRENS HOSPITAL SAN DIEGO |
SAN DIEGO |
CA |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
CHILDRENS HSP KINGS DAUGHTER |
NORFOLK |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CHILDRENS INSTITUTE OF PITTS |
PITTSBURGH |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CHILDRENS SPECIALIZED HOSP NJ |
MOUNTAINSIDE |
NJ |
$ - |
$ 1,655.67 |
$ - |
$ 254.96 |
$ 254.96 |
$ - |
$ - |
1.0744 |
0.357482 |
CHRIST HOSPITAL NJ |
JERSEY CITY |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
CHRISTIANA CARE HLTH SERV DE |
WILMINGTON |
DE |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CITRUS MEMORIAL HOSPITAL FL |
INVERNESS |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CITY HOSPITAL WV |
MARTINSBURG |
WV |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CLARA MAASS MEM HOSP |
TOMS RIVER |
NJ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CLARION HOSPITAL PA |
CLARION |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CLARION PSYCHIATRIC CTR PA |
CLARION |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CLEVELAND CLINIC FOUNDATION |
CLEVELAND |
OH |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CLEVELAND CLINIC HOSPITAL FL |
WESTON |
FL |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
COLUMBIA WESLEY MEDICAL CENTE |
WICHITA |
KS |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
COMMUNITY HLTH CTR BRANCH CTY |
COLDWATER |
MI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
COMMUNITY HOSPITAL ASSOCIATIO |
BOULDER |
CO |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
COMMUNITY MED CTR NJ |
TOMS RIVER |
NJ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
COMMUNITY MEDICAL CENTER PA |
SCRANTON |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
COMMUNITY MEMORIAL HOSP VA |
SOUTH HILL |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CONCORD HOSPITAL NH |
CONCORD |
NH |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CONEMAUGH VALLEY MEM HSP PA |
JOHNSTOWN |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CONWAY HOSPITAL SC |
CONWAY |
SC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
COOLEY DICKINSON HOSP MA |
NORTHAMPTON |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
COOPER MED CTR CAMDEN NJ |
CAMDEN |
NJ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
COPLEY HOSPITAL VT INC |
MORRISVILLE |
VT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CORAL GABLES HOSPITAL FL |
CORAL GABLES |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CORAL SPRINGS MEDICAL CTR FL |
CORAL SPRINGS |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CORRY MEMORIAL HOSPITAL PA |
CORRY |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
COVENANT HEALTHCARE MI |
SAGINAW |
MI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CROZER-CHESTER MEDICAL CTR PA |
UPLAND |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CULPEPER MEM HOSP VA |
CULPEPER |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
CUMBERLAND HOSP VA |
NEW KENT |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DAMERON HOSPITAL ASSOC |
STOCKTON |
CA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DANA FARBER CANCER INSTITUTE |
BOSTON |
MA |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
DANBURY HOSP CT |
DANBURY |
CT |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
DAVIS HOSPITAL AND MED CTR UT |
LAYTON |
UT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DAY KIMBALL HOSPITAL CT |
PUTNAM |
CT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DCH REGIONAL MED CTR AL |
TUSCALOOSA |
AL |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DEACONESS HOSPITAL IN |
EVANSVILLE |
IN |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DEACONESS HOSPITAL WA |
SPOKANE |
WA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DECATUR GEN HOSPITAL AL |
DECATUR |
AL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DELAWARE CTY MEMORIAL HSP PA |
DREXEL HILL |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DELRAY MEDICAL CTR FL |
DELRAY BEACH |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DESERT REGIONAL MED CTR CA |
PALM SPRINGS |
CA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DIVINE PROVIDENCE HOSP PA |
WILLIAMSPORT |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DIXIE MEDICAL CENTER UT |
ST GEORGE |
UT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DOCTORS COMMUNITY HOSPITAL MD |
LANHAM |
MD |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DUBOIS REG MED CTR MERCY DIV |
DUBOIS |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DUKE UNIVERSITY HOSPITAL NC |
DURHAM |
NC |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
DURHAM REGIONAL HOSPITAL NC |
DURHAM |
NC |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
EAST JEFFERSON GEN HOSP LA |
METAIRE |
LA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
EAST ORANGE GENERAL HOSPITAL |
EAST ORANGE |
NJ |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
EAST TENNESSE CHILD HOSP |
KNOXVILLE |
TN |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
EASTERN IDAHO REG MED CTR ID |
IDAHO FALLS |
ID |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
EASTERN MAINE MED CTR ME |
BANGOR |
ME |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
EASTON HOSPITAL PA |
EASTON |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
EHS TRINITY HOSP IL |
CHICAGO |
IL |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
EMMA PENDLETON BRADLEY HSP RI |
RIVERSIDE |
RI |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ENGLEWOOD HOSP MED CTR NJ |
ENGLEWOOD |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
ERLANGER MED CTR TN |
CHATTANOOGA |
TN |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FAIRVIEW GENERAL HOSPITAL OH |
CLEVELAND |
OH |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FAIRVIEW HOSPITAL |
GT BARRINGTON |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FAIRVIEW SOUTHDALE HSP MN |
EDINA |
MN |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FAIRVIEW UNIV MED CTR MN |
MINNEAPOLIS |
MN |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FALMOUTH HOSP ASSOC MA |
FALMOUTH |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FIRST HEALTH OF CAROLINAS NC |
PINEHURST |
NC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FLAGLER HOSPITAL FL |
ST AUGUSTINE |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FLETCHER ALLEN HLTH - MCHV |
BURLINGTON |
VT |
$ 7,199.87 |
$ - |
$ 1,113.19 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FLORIDA HLTH SCI/TAMPA GEN |
TAMPA |
FL |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FLORIDA HOSP HEARTLAND FL |
SEBRING |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FLORIDA HOSP MED CTR FL |
ORLANDO |
FL |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FLORIDA HOSP WATERMAN FL |
TAVARES |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FLORIDA HOSPITAL DELAND FL |
DELAND |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FLORIDA HOSPITAL ZEPHYR HILLS |
ZEPHYRHILLS |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FLORIDA HSP FISH MEMORIAL FL |
ORANGE CITY |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FOUNDATIONS BEHAVIORAL HEALTH |
DOYLESTOWN |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
FRANKLIN SQUARE HOSP MD |
BALTIMORE |
MD |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
GARDEN CITY OSTEO HOSP MI |
GARDEN CITY |
MI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GARDEN GROVE HOSP MC CA |
GARDEN GROVE |
CA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GATEWAY MED CTR TN |
CLARKSVILLE |
TN |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GEISINGER MEDICAL CENTER PA |
DANVILLE |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GEISINGER SOUTH WILKES-BARRE |
WILKES BARRE |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GEORGETOWN UNIVERSITY HOSP DC |
WASHINGTON |
DC |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
GETTYSBURG HOSPITAL |
GETTYSBURG |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GNADEN HUETTEN MEM HOSP PA |
LEHIGHTON |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GOOD SAMARITAN HOSPITAL IN |
VINCENNES |
IN |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GOOD SAMARITAN HOSPITAL OH |
DAYTON |
OH |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GOOD SAMARITAN HSP FL |
WEST PALM BEACH |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GRADY MEMORIAL HOSPITAL |
ATLANTA |
GA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GRANDVIEW HOSPITAL OH |
DAYTON |
OH |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GREAT RIVER MEDICAL CENTER |
WEST BURLINGTON |
IA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GREATER BALTIMORE MED CTR MD |
BALTIMORE |
MD |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
GREENWICH HOSP CT |
GREENWICH |
CT |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
GRIFFIN HOSPITAL CT |
DERBY |
CT |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GROSSMONT HOSPITAL CA |
LA MESA |
CA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GWINNETT HOSPITAL SYSTEM GA |
DULUTH |
GA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
GWINNETT MED CTR GA |
LAWRENCEVILLE |
GA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HACKENSACK UNIV MED CTR NJ |
HACKENSACK |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
HACKETTSTOWN REG MED CTR |
HACKETTSTOWN |
NJ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HACKLEY HOSPITAL MI |
MUSKEGON |
MI |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HALIFAX MED CTR FL |
DAYTONA BEACH |
FL |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HALIFAX REGIONAL HOSP VA |
SOUTH BOSTON |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HAMILTON MEDICAL CENTER GA |
DALTON |
GA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HAMOT MEDICAL CENTER PA |
ERIE |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HANOVER HOSPITAL PA |
HANOVER |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HARBORVIEW MED CTR WA |
SEATTLE |
WA |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
HARDIN MEMORIAL HOSPITAL KY |
ELIZABETHTOWN |
KY |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HARFORD MEMORIAL HOSP MD |
HAVRE DE GRACE |
MD |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HARRINGTON MEMORIAL HOSPITAL |
SOUTHBRIDGE |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HARRIS METHODIST HEB HOSP TX |
BEDFORD |
TX |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HAZLETON GEN HSP PA |
HAZLETON |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HCA OAK HILL HOSP FL |
BROOKSVILLE |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HEALTH ALLIANCE HOSP |
LEOMINSTER |
MA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HEALTHSOUTH REHAB HOSP ERIE |
ERIE |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HELEN ELLIS MEM HSP FL |
TARPON SPRINGS |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HENRY HEYWOOD MEM HOSP MA |
GARDNER |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HIALEAH HOSPITAL FL |
HIALEAH |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HIGH POINT REG HEALTH SYS NC |
HIGH POINT |
NC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HOBOKEN UNIV MED CTR NJ |
HOBOKEN |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
HOLMES REG MED CTR FL |
MELBOURNE |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HOLY CROSS HSP FL |
FT LAUDERDALE |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HOLY NAME HOSPITAL NJ |
TEANECK |
NJ |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
HOLY SPIRIT HOSPITAL |
CAMP HILL |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HOLYOKE HOSP MA |
HOLYOKE |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HOMESTEAD HOSPITAL FL |
HOMESTEAD |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HOSPITAL CORP/LAKEVIEW HSP UT |
BOUNTIFUL |
UT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HOSPITAL OF THE UNIV OF PENN |
PHILADELPHIA |
PA |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
HOUSTON HOSPITALS INC GA |
WARNER ROBINS |
GA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HOWARD CTY GENERAL HSP MD |
COLUMBIA |
MD |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
HUGULEY MEMORIAL HOSPITAL TX |
FT WORTH |
TX |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ILLINOIS MASONIC MED CTR IL |
CHICAGO |
IL |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
IMPERIAL POINT HSP FL |
FT LAUDERDALE |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
INGHAM REGIONAL MEDICAL CENTE |
LANSING |
MI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
INTERMOUNTAIN MEDICAL CENTER |
MURRAY |
UT |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
JACKSON HOSPITAL AND CLINIC |
MONTGOMERY |
AL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
JACKSON MEM HSP FL |
MIAMI |
FL |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
JEANES HOSPITAL PA |
PHILADELPHIA |
PA |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
JEFFERSON MEMORIAL HOSP MO |
FESTUS |
MO |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
JENNIE EDMUNDSON MEM HOSP IA |
COUNCIL BLUFFS |
IA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
JERSEY CITY MEDICAL CTR NJ |
JERSEY CITY |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
JERSEY SHORE MEDICAL CTR NJ |
NEPTUNE |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
JOHN C LINCOLN DEERVALLEY AZ |
PHOENIX |
AZ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
JOHN C LINCOLN HOSP HLTH AZ |
PHOENIX |
AZ |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
JOHN DEMPSEY HOSPITAL UNIV CT |
FARMINGTON |
CT |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
JOHN F KENNEDY MED CTR |
EDISON |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
JOHNS HOPKINS HOSPITAL MD |
BALTIMORE |
MD |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
JOHNSON MEM HSP |
STAFFORD SPRINGS |
CT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
JORDAN HOSPITAL INC MA |
PLYMOUTH |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
KAPIOLANI MED PALI MOMI HI |
AIEA |
HI |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
KENNEDY KRIEGER INSTITUTE MD |
BALTIMORE |
MD |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
KENNEDY MEM HOSP/CHERRY HILL |
CHERRY HILL |
NJ |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
KENNEDY MEM HOSP/UMC STRATFOR |
STRATFORD |
NJ |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
KENNEDY MEM HOSP/WASHINGTON |
TURNERSVILLE |
NJ |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
KENT COUNTY MEMORIAL HOSPITAL |
WARWICK |
RI |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
KESSLER INSTITUTE FOR REHAB |
WEST ORANGE |
NJ |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
KINDRED HOSPITALS EAST LLC IL |
WILKES BARRE |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
KOSAIR CHILDRENS HSP KY |
LOUISVILLE |
KY |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
LAKE POINTE MEDICAL CENTER TX |
ROWLETT |
TX |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LAKELAND REG MED CTR FL |
LAKELAND |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LAKES REGION GEN HOSP-FRNKLIN |
FRANKLIN |
NH |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LAKES REGION GEN HOSP-LACONIA |
LACONIA |
NH |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LAKEWOOD HOSP OH |
LAKEWOOD |
OH |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LANCASTER GENERAL HOSP PA |
LANCASTER |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LAREDO TEXAS HOSP TX |
LAREDO |
TX |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LARGO MEDICAL CENTER FL |
LARGO |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LAWRENCE & MEMORIAL HOSPS CT |
NEW LONDON |
CT |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LAWRENCE GEN HOSP MA |
LAWRENCE |
MA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LDS HOSPITAL UT |
SALT LAKE CITY |
UT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LEESBURG REG MED CTR FL |
LEESBURG |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LEHIGH VALLEY HOSP CTR PA |
ALLENTOWN |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LEHIGH VALLEY MUHLENBERG PA |
BETHLEHEM |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LENOIR MEMORIAL HOSP NC |
KINSTON |
NC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LITTLETON REGIONAL HOSP NH |
LITTLETON |
NH |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LOGAN REG HOSP UT |
LOGAN |
UT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LOURDES MED CTR BURLINGTON CT |
WILLINGBORO |
NJ |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LOWELL GENERAL HOSPITAL MA |
LOWELL |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LUTHER HSP WI |
EAU CLAIRE |
WI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LUTHERAN HOSPITAL IN |
FORT WAYNE |
IN |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LUTHERAN MEDICAL CENTER OH |
CLEVELAND |
OH |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
LYNCHBURG GENERAL HOSP VA |
LYNCHBURG |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MAGEE WOMENS HOSPITAL PA |
PITTSBURGH |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MAIN LINE HOSP LANKENAU PA |
WYNNEWOOD |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MARTHAS VINEYARD HOSPITAL MA |
OAK BLUFFS |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MARTIN MEMORIAL MED CTR FL |
STUART |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MARY BLACK HEALTH SYSTEM SC |
SPARTANBURG |
SC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MARY HITCHCOCK MEM HOSP NH |
LEBANON |
NH |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MARY WASHINGTON HOSPITAL VA |
FREDERICKSBURG |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MARYMOUNT HOSPITAL OH |
CLEVELAND |
OH |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MASSACHUSETTS GEN HOSP |
BOSTON |
MA |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
MAURY REGIONAL HSP TN |
COLUMBIA |
TN |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MCKEE MED CTR CO |
LOVELAND |
CO |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MCLEOD LORIS SEACOAST HSP SC |
LORIS |
SC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MCLEOD MEDICAL CTR DILLON |
DILLON |
SC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MCLEOD REG MED CTR SC |
FLORENCE |
SC |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEDICAL CENTER AT PRINCETON |
PRINCETON |
NJ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEDICAL CENTER OF MC KINNEY T |
MCKINNEY |
TX |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEDICAL CENTER OF PLANO TX |
PLANO |
TX |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEDICAL CITY DALLAS HOSP TX |
DALLAS |
TX |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
MEDICAL CTR CENTRAL GEORGIA |
MACON |
GA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEDICAL CTR OF ARLINGTON TX |
ARLINGTON |
TX |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEDICAL CTR OF OCEAN CO. |
BRICK |
NJ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEMORIAL HERMANN HOSP TX |
HOUSTON |
TX |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
MEMORIAL HERMANN KATY HOSPITA |
KATY |
TX |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEMORIAL HERMANN SE & SW HOSP |
HOUSTON |
TX |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
MEMORIAL HLTH UNIV MED CTR GA |
SAVANNAH |
GA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEMORIAL HOSP PEMBROKE FL |
PEMBROKE PINES |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEMORIAL HOSPITAL BURLINGTON |
MOUNT HOLLY |
NJ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEMORIAL HOSPITAL FLAGER FL |
PALM COAST |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEMORIAL HOSPITAL IL |
BELLEVILLE |
IL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEMORIAL HOSPITAL PA |
YORK |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEMORIAL HOSPITAL PA INC |
TOWANDA |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEMORIAL HOSPITAL RI |
PAWTUCKET |
RI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEMORIAL HOSPITAL SOUTH BEND |
SOUTH BEND |
IN |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEMORIAL HOSPITAL WEST FL |
PEMBROKE PINES |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MEMORIAL REG HSP FL |
HOLLYWOOD |
FL |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MERCY MEDICAL CENTER MA |
SPRINGFIELD |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MERCY MEDICAL CENTER MD |
BALTIMORE |
MD |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
MERCY ST VINCENT MED CTR OH |
TOLEDO |
OH |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MERIDIA EUCLID HSP OH |
EUCLID |
OH |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MERIDIA HILLCREST HSP OH |
MAYFIELD HTS |
OH |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MERITER HOSP INC WI |
MADISON |
WI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MERRIMACK VALLEY HSP A STEWRD |
HAVERHILL |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
METHODIST CHARLTON MED CTR |
DALLAS |
TX |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
METHODIST HLTHCRE OLIVE BR MS |
OLIVE BRANCH |
MS |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
METHODIST HOSP OF MEMPHIS TN |
MEMPHIS |
TN |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
METHODIST HOSPITALS INC IN |
GARY |
IN |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
METHODIST IU RILEY HOSPITAL |
INDIANAPOLIS |
IN |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
METRO HEALTH SYSTEM OH |
CLEVELAND |
OH |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
METRO WEST MEDICAL CENTER MA |
FRAMINGHAM |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
METROPLEX HOSPITAL TX |
KILLEEN |
TX |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MIAMI CHILDRENS HOSPITAL FL |
MIAMI |
FL |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MIAMI VALLEY HOSPITAL OH |
DAYTON |
OH |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MID MICHIGAN REG MED CTR MI |
MIDLAND |
MI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MIDDLESEX HOSPITAL CT |
MIDDLETOWN |
CT |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MILFORD HOSPITAL CT |
MILFORD |
CT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MILLCREEK COMMUNITY HOSPITAL |
ERIE |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MILTON S HERSHEY MED CTR PA |
HERSHEY |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MIRIAM HOSPITAL RI |
PROVIDENCE |
RI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MONTCLAIR HOSP/MOUNTAINSIDE |
MONTCLAIR |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
MONTCLAIR HOSP/MOUNTAINSIDE |
MONTCLAIR |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
MONTGOMERY GENERAL HOSP MD |
OLNEY |
MD |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MORRISTOWN MEMORIAL HOSP NJ |
MORRISTOWN |
NJ |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MOSES H CONE HOSPITAL NC |
GREENSBORO |
NC |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MOUNT SINAI MEDICAL CTR OF FL |
MIAMI BEACH |
FL |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MOUNTAIN VISTA MEDICAL CTR AZ |
MESA |
AZ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MT ASCUTNEY HOSPITAL VT |
WINDSOR |
VT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
MUNROE REGIONAL MED CTR FL |
OCALA |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NASH GENERAL HOSPITAL NC |
ROCKY MOUNT |
NC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NATIONAL HSP KIDS IN CRISIS P |
OREFIELD |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NEBRASKA MEDICAL CENTER NE |
OMAHA |
NE |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NEW MILFORD HSP |
NEW MILFORD |
CT |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
NEW PT RICHEY/MED CTR OF TRIN |
TRINITY |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NEWARK BETH ISRAEL MED NJ |
NEWARK |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
NEWPORT HSP RI |
NEWPORT |
RI |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NEWTON MEMORIAL HOSPITAL NJ |
NEWTON |
NJ |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
NEWTON WELLESLEY HOSP MA |
NEWTON |
MA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NORTH ADAMS REG HOSP MA |
NORTH ADAMS |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NORTH BROWARD MEDICAL CTR FL |
POMPANO BEACH |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NORTH COUNTRY HOSPITAL VT |
NEWPORT |
VT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NORTH HILLS HOSPITAL TX |
NORTH RICHLAND HILLS |
TX |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NORTH PHILADELPHIA HLTH SYS |
PHILADELPHIA |
PA |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
NORTH SHORE MED CTR FL |
MIAMI |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NORTHEAST ALABAMA REG MED |
ANNISTON |
AL |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NORTHERN COCHISE COMM HSP AZ |
WILLCOX |
AZ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NORTHERN UTAH HEALTHCARE UT |
SALT LAKE CITY |
UT |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NORTHSHORE UNIVERSITY HEALTH |
EVANSTON |
IL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NORTHWEST TEXAS HOSPITAL |
AMARILLO |
TX |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NORTHWESTERN MEDICAL CTR VT |
SAINT ALBANS |
VT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
NORWALK HOSPITAL |
NORWALK |
CT |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
NORWOOD HOSP INC MA |
NORWOOD |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
OCEAN BEACH HOSPITAL WA |
ILWACO |
WA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ORLANDO REG HLTH SYS FL |
ORLANDO |
FL |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
OU MEDICAL CENTER OK |
OKLAHOMA CITY |
OK |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
OUR LADY OF LOURDES MED CTR N |
CAMDEN |
NJ |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
OVERLOOK HOSPITAL NJ |
SUMMIT |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
PALISADES MEDICAL CENTER NJ |
NORTH BERGEN |
NJ |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
PALM BAY HOSPITAL FL |
PALM BAY |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PALM BEACH GARDENS AND MED CT |
PALM BEACH GARDENS |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PALMERTON HOSPITAL PA |
PALMERTON |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PALMYRA PARK HSP GA |
ALBANY |
GA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PAOLI MEMORIAL HOSPITAL |
PAOLI |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PARKER ADVENTIST HEALTH CO |
PARKER |
CO |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PARKLAND MEDICAL CTR NH |
DERRY |
NH |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PARKVIEW HOSPITAL INC IN |
FORT WAYNE |
IN |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PARRISH MED CTR FL |
TITUSVILLE |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PASCACK VALLEY HOSP LLC NJ |
WESTWOOD |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
PENNSYLVANIA HOSP PA |
PHILADELPHIA |
PA |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
PENOBSCOT BAY MED CTR ME |
ROCKPORT |
ME |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PHOENIX CHILDRENS HSP AZ |
PHOENIX |
AZ |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
PINNACLE HEALTH HOSPITALS PA |
HARRISBURG |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PITT COUNTY MEMORIAL HOSP NC |
GREENVILLE |
NC |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
POCONO MED CTR PA |
E STROUDSBURG |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
POMONA VALLEY HOSPITAL MED CT |
POMONA |
CA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PORTER MEDICAL CENTER INC VT |
MIDDLEBURY |
VT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PORTER MEDICAL CENTER INC VT |
MIDDLEBURY |
VT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PORTERCARE ADVENTIST HLTH CO |
LITTLETON |
CO |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
POTOMAC HSP OF PRINCE WILL VA |
WOODBRIDGE |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
POTOMAC VALLEY HSP OF WEST VA |
KEYSER |
WV |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
POTTSTOWN MEM MED CTR PA |
POTTSTOWN |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PRESBYTERIAN HOSP NM |
ALBUQUERQUE |
NM |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
PRESBYTERIAN HSP OF DALLAS |
DALLAS |
TX |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
PRESBYTERIAN INTERCOMM HSP CA |
WHITTIER |
CA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PRESBYTERIAN UNIV HSP PA |
PITTSBURGH |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PRESBYTERIAN UNIV HSP PA |
PITTSBURGH |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PRESBYTERIAN UNIV HSP PA |
PITTSBURGH |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PRESBYTERIAN UNIV HSP PA |
PITTSBURGH |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PRESBYTERIAN UNIV HSP PA |
PITTSBURGH |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PRIMARY CHILDRENS MED CTR UT |
SALT LAKE CITY |
UT |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
PROVIDENCE ST PETERS HOSP WA |
OLYMPIA |
WA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
QUINCY MED CTR A STEWARD FAM |
QUINCY |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
QUINCY MED CTR A STEWARD FAM |
QUINCY |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
RALEIGH GENERAL HOSPITAL WV |
BECKLEY |
WV |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
RAMAPO RIDGE PSYCH HOSP |
WYCKOFF |
NJ |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
RARITAN BAY HEALTH SERVICES |
PERTH AMBOY |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
REFUGIO COUNTY MEM HSP TX |
REFUGIO |
TX |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
REG CTR ORANGEBURG CALHOUN SC |
ORANGEBURG |
SC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
REGIONAL HSP SCRANTON PA |
SCRANTON |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
REGIONAL MED CTR AT MEMPHIS |
MEMPHIS |
TN |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
RESEARCH MED CTR MO |
KANSAS CITY |
MO |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
REX HOSPITAL NC |
RALEIGH |
NC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
RHODE ISLAND HOSPITAL RI |
PROVIDENCE |
RI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
RIDDLE MEMORIAL HOSP PA |
MEDIA |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
RIVERTON HOSPITAL UT |
RIVERTON |
UT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
RIVERVIEW HOSPITAL NJ |
RED BANK |
NJ |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
ROBERT PACKER HOSP PA |
SAYRE |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ROBERT WOOD JOHNSON UNIV HSP |
NEW BRUNSWICK |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
ROGER WILLIAMS GENERAL HOSP |
PROVIDENCE |
RI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ROGUE VALLEY MEMORIAL HSP OR |
MEDFORD |
OR |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ROSWELL HOSPITAL CORP NM |
ROSWELL |
NM |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
RUSH UNIVERSITY MED CTR IL |
CHICAGO |
IL |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
RUSH UNIVERSITY MED CTR IL |
CHICAGO |
IL |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
RUSH UNIVERSITY MED CTR IL |
CHICAGO |
IL |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
RUTLAND REG MED CTR |
RUTLAND |
VT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SACRED HEART HOSPITAL PA |
ALLENTOWN |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SACRED HEART MED CTR UNIV DIS |
EUGENE |
OR |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SAINT BARNABAS MEDICAL CENTER |
OCEAN PORT |
NJ |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SAINT FRANCIS HOSPITAL TN |
MEMPHIS |
TN |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
SAINT VINCENTS HLTH CTR |
ERIE |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SAINTS MEM MED CTR MA |
LOWELL |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SALINA REG HLTH CTR KS |
SALINA |
KS |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SAN ANTONIO COMM HSP CA |
UPLAND |
CA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SAN RAMON MEDICAL CTR CA |
SAN RAMON |
CA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SARASOTA MEMORIAL HOSPITAL FL |
SARASOTA |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SCHUYLKILL MED CTR SOUTH PA |
POTTSVILLE |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SCOTTSDALE HLTHCARE SHEA AZ |
SCOTTSDALE |
AZ |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SCOTTSDALE MEM HSP AZ |
SCOTTSDALE |
AZ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SELECT SPEC HOSP DANVILLE |
DANVILLE |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SELECT SPEC HOSP ERIE |
ERIE |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SELECT SPEC HOSP NORTHEAST NJ |
ROCHELLE PARK |
NJ |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
SENTARA BAYSIDE HOSP VA |
VIRGINIA BEACH |
VA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SENTARA CAREPLEX HOSPITAL VA |
HAMPTON |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SENTARA HOSPITAL VA |
SUFFOLK |
VA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SENTARA LEIGH HSP VA |
NORFOLK |
VA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SENTARA NORFOLK HSP VA |
NORFOLK |
VA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SENTARA VIRGINIA BEACH GEN HS |
VIRGINIA BEACH |
VA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SENTARA WILLIAMSBURG COMM HOS |
WILLIAMSBURG |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SEVIER VALLEY MEDICAL CTR UT |
RICHFIELD |
UT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SHANDS TEACHING HOSPITAL FL |
GAINESVILLE |
FL |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SHARON HOSPITAL CT |
SHARON |
CT |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
SHARP CHULA VISTA |
CHULA VISTA |
CA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SHRINERS HSP FOR CHILDREN PA |
PHILADELPHIA |
PA |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
SINAI GRACE HOSPITAL MI |
DETROIT |
MI |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
SOMERSET MED CENTER NJ |
SOMERVILLE |
NJ |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SOUTH BAY HOSP FL |
SUN CITY CENTER |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SOUTH COUNTY HOSPTAL RI |
WAKEFIELD |
RI |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SOUTH LAKE HSP FL |
CLERMONT |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SOUTH MIAMI HOSPITAL FL |
SOUTH MIAMI |
FL |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SOUTH POINTE HOSPITAL OH |
WARRENSVILLE HTS |
OH |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SOUTH SHORE HOSP MA |
SOUTH WEYMOUTH |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SOUTHEASTERN OHIO REG MED CTR |
CAMBRIDGE |
OH |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SOUTHEASTERN REG MED CTR NC |
LUMBERTON |
NC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SOUTHERN HILLS M C TN |
NASHVILLE |
TN |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
SOUTHERN MARYLAND HOSP INC |
CLINTON |
MD |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SOUTHERN OCEAN MED CTR NJ |
MANAHAWKIN |
NJ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SOUTHERN OHIO MED CTR OH |
PORTSMOUTH |
OH |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SOUTHSIDE COMM HOSP VA |
FARMVILLE |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SOUTHWEST GENERAL HOSPITAL |
CLEVELAND |
OH |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SOUTHWESTERN VT MED CTR INC |
BENNINGTON |
VT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SPEARE MEMORIAL HOSP NH |
PLYMOUTH |
NH |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SPECIALTY HOSP OF CLEVELAND |
CLEVELAND |
OH |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SPRING VALLEY HOSP MED NV |
LAS VEGAS |
NV |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
SPRING VALLEY HOSP MED NV |
LAS VEGAS |
NV |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
ST ANTHONY SUMMIT HOSPITAL CO |
FRISCO |
CO |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST CHRISTOPHERS HSP CHILD PA |
PHILADELPHIA |
PA |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
ST CLARE HOSPITAL WI |
BARABOO |
WI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST CLARES HOSPITAL |
DENVILLE |
NJ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST ELIZABETH MED CTR KY |
EDGEWOOD |
KY |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST FRANCIS HOSP & MED CTR CT |
HARTFORD |
CT |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST FRANCIS HOSPITAL OK |
TULSA |
OK |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST FRANCIS HSP DE |
WILMINGTON |
DE |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST FRANCIS MEDICAL CENTER |
TRENTON |
NJ |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST JAMES HLTH CAREHSP MT |
BUTTE |
MT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST JOSEPH HOSPITAL PA |
READING |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST JOSEPH MERCY HSP OAKLAND |
PONTIAC |
MI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST JOSEPHS HLTH SVCS RI |
NORTH PROVIDENCE |
RI |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST JOSEPHS HOSP MED CTR NJ |
PATERSON |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
ST JOSEPHS HOSPITAL GA |
SAVANNAH |
GA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST JUDE CHILDRENS RES HSP TN |
MEMPHIS |
TN |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
ST LOUIS CHILDRENS HOSP MO |
SAINT LOUIS |
MO |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST LUKES HOSPITAL |
BETHLEHEM |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST LUKES HOSPITAL |
MILWAUKEE |
WI |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
ST LUKES HOSPITAL MA |
FALL RIVER |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST LUKES HSP OF KC MO |
KANSAS CITY |
MO |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST LUKES NORTHLAND HSP MO |
SMITHVILLE |
MO |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST MARY HOSPITAL PA |
LANGHORNE |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST MARY MERCY HSP MI |
LIVONIA |
MI |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST MARYS HOSP AND MED CTR |
GRAND JUNCTION |
CO |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST MARYS HOSPITAL OF CONN |
WATERBURY |
CT |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST MARYS REG MED CENTER ME |
LEWISTON |
ME |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST MICHAEL MED CENTER NJ |
NEWARK |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
ST PETERS UNIV HSP NJ |
NEW BRUNSWICK |
NJ |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
ST VINCENT HOSPITAL MA |
WORCESTER |
MA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
ST VINCENTS MEDICAL CENTER CT |
BRIDGEPORT |
CT |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
STAFFORD HOSPITAL VA |
STAFFORD |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
STAMFORD HOSPITAL CT |
STAMFORD |
CT |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
STEWARD CARNEY HOSP INC |
DORCHESTER |
MA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
STEWARD CARNEY HOSP MA |
DORCHESTER |
MA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
STEWARD GOOD SAM MED CTR MA |
BROCKTON |
MA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
STEWARD GOOD SAM MED CTR MA |
BROCKTON |
MA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
STEWARD HOLY FAMILY MA |
METHUEN |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
STEWARD NORWOOD HOSP MA |
NORWOOD |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
STEWARD ST ANNES HSP MA |
FALL RIVER |
MA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
STEWARD ST ELIZABETH MED CTR |
BOSTON |
MA |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
STORMONT VAIL REG MED CTR KS |
TOPEKA |
KS |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
STURDY MEMORIAL HOSP MA |
ATTLEBORO |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SUBURBAN HOSPITAL |
BETHESDA |
MD |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
SUMMERLIN MED CTR NV |
LAS VEGAS |
NV |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
SUNRISE HOSP & MED CTR NV |
LAS VEGAS |
NV |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
SWEETWATER HOSP TN |
SWEETWATER |
TN |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
TEMPLE UNIVERSITY HOSPITAL |
PHILADELPHIA |
PA |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
TEXAS CHILDREN'S HOSP TX |
HOUSTON |
TX |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
TEXAS HLTH ARLINGTON TX |
ARLINGTON |
TX |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
TEXAS HLTH PRESBY HOSP PLANO |
PLANO |
TX |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
TEXAS HLTH PRESBYTERIAN HOSP |
ALLEN |
TX |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
THE MERCY HOSP/PROVIDENCE |
HOLYOKE |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
THE SHRINERS HOSP FOR CHILD MA |
BOSTON |
MA |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
THE SHRINERS HOSP FOR CHILD MA |
SPRINGFIELD |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
THOMAS JEFFERSON UNIV HOSP PA |
PHILADELPHIA |
PA |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
THREE RIVERS COMMUNITY HSP OR |
GRANTS PASS |
OR |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
TOLEDO HSP OH |
TOLEDO |
OH |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
TRINITAS HSP NJ |
ELIZABETH |
NJ |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
TROY COMMUNITY HOSPITAL |
TROY |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
TUFTS MEDICAL CENTER MA |
WORCESTER |
MA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
TUOMEY REG MED CTR SC |
SUMTER |
SC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UCSD MEDICAL CENTER |
SAN DIEGO |
CA |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
UMASS MEMORIAL MED CNTR PSYCH |
WORCESTER |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UMASS MEMORIAL MEDICAL CENTER |
WORCESTER |
MA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UNION HOSP OF CECIL CTY MD |
ELKTON |
MD |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UNITED HOSPITAL MN |
SAINT PAUL |
MN |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UNITED HSP CTR WV |
CLARKSBURG |
WV |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UNIV CA DAVIS MED CTR CA |
SACRAMENTO |
CA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UNIV KENTUCKY HOSPITAL |
LEXINGTON |
KY |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UNIV OF ALABAMA |
BIRMINGHAM |
AL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UNIV OF IOWA HSP & CLINICS IA |
IOWA CITY |
IA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UNIV OF WASHINGTON WA |
SEATTLE |
WA |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
UNIVERSITY COMM HOSP FL |
TAMPA |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UNIVERSITY HOSPITAL GA |
AUGUSTA |
GA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UNIVERSITY MED CTR TX |
LUBBOCK |
TX |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UNIVERSITY OF KANSAS HOSPITAL |
KANSAS CITY |
KS |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UNIVERSITY OF MARYLAND MED SY |
BALTIMORE |
MD |
$ 8,982.32 |
$ - |
$ 1,395.82 |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
UNIVERSITY OF MICHIGAN |
ANN ARBOR |
MI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UNIVERSITY OF TENNESSEE MEM |
KNOXVILLE |
TN |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UPHS PRESBYTERIAN MEDICAL CEN |
PHILADELPHIA |
PA |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
UPPER CHESAPEAK MEDICAL CENTE |
BEL AIR |
MD |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
UT VALLEY REG MED CTR UT |
PROVO |
UT |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
VALLEY HOSPITAL |
RIDGEWOOD |
NJ |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
VALLEY VIEW HOSP ASSOC CO |
GLENWOOD SPRINGS |
CO |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
VERDE VALLEY MED CTR AZ |
COTTONWOOD |
AZ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
VHS CHILDRENS HSP MI |
DETROIT |
MI |
$ 7,446.80 |
$ - |
$ - |
$ 254.96 |
$ 254.96 |
$ 767.27 |
$ 153.65 |
1.0744 |
0.357482 |
VIBRA HOSP OF WESTERN MASS |
SPRINGFIELD |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
VIDANT BEAUFORT HOSPITAL |
GREENVILLE |
NC |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
VILLAGES REGIONAL HOSP FL |
THE VILLAGES |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
VIRGINIA BEACH PSYCHIATRIC |
VIRGINIA BEACH |
VA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WARREN GENERAL HOSPITAL PA |
WARREN |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WARREN HOSPITAL NJ |
PHILLIPSBURG |
NJ |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WARSAW HLTH/KOSCIUSKO COMM |
WARSAW |
IN |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WATERBURY HOSPITAL CT |
WATERBURY |
CT |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WAUKESHA MEMORIAL HOSPITAL WI |
WAUKESHA |
WI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WAYNE MEMORIAL HOSP PA |
HONESDALE |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WAYNESBORO HSP PA |
WAYNESBORO |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WELLSTAR COBB HOSP GA |
AUSTELL |
GA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WELLSTAR DOUGLAS HOSP GA |
DOUGLASVILLE |
GA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WELLSTAR KENNESTONE HOSP GA |
MARIETTA |
GA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WELLSTAR PAULDING HOSP GA |
DALLAS |
GA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WEST GROVE/JENNERSVILLE PA |
WEST GROVE |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WEST JEFFERSON MED CTR LA |
MARRERO |
LA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WEST KENDALL BAPTIST HOSP FL |
MIAMI |
FL |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WEST VIRGINA UNIV HOSP WV |
MORGANTOWN |
WV |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WESTERLY HOSP RI |
WESTERLY |
RI |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WICKENBURG COMM HOSP AZ |
WICKENBURG |
AZ |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WILKES BARRE BEHAV HOSP PA |
KINGSTON |
PA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WILLIAM BACKUS HOSPITAL CT |
NORWICH |
CT |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WILLIAM BEAUMONT HOSP |
ROYAL OAK |
MI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WING MEMORIAL HOSPITAL MA |
PALMER |
MA |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WMHS BRADDOCK HOSPITAL MD |
CUMBERLAND |
MD |
$ 5,812.44 |
$ - |
$ - |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WOMEN & INFANTS HSP RI |
PROVIDENCE |
RI |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
WVHCS HOSP WILKES BARRE PA |
WILKES BARRE |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
YALE NEW HAVEN HOSPITAL CT |
NEW HAVEN |
CT |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |
YORK HOSPITAL |
YORK |
PA |
$ 6,489.00 |
$ - |
$ 463.71 |
$ 187.52 |
$ 187.52 |
$ 592.19 |
$ 124.65 |
0.8386 |
0.442464 |