| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg | $235.51 | $636.50 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville | $235.51 | $636.50 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns | $235.51 | $636.50 |
| Tampa General Hospital | Tampa | $249.55 | $713 |
| UF Health Durbin Park Hospital | St. Johns | $262.35 | $477 |
| UF Health Flagler Hospital / St. Johns | St Augustine | $262.35 | $477 |
| UF Health Leesburg Hospital | Leesburg | $262.35 | $477 |
| UF Health Shands Teaching Hospital and Clinics | Gainesville | $262.35 | $477 |
| UF Health The Villages Hospital | The Villages | $262.35 | $477 |
| HCA Florida Boynton Beach ER | Boynton Beach | $264.15 | $264.15 |
| HCA Florida Jfk Hospital | Boynton Beach | $264.15 | $264.15 |
| HCA Florida Palm Beach Gardens ER | Boynton Beach | $264.15 | $264.15 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Port St. Joe | $273.60 | $684 |
| Cape Coral Hospital | Cape Coral | $277.20 | $1,386 |
| Gulf Coast Medical Center | Fort Myers | $277.20 | $1,386 |
| Healthpark Medical Center | Fort Myers | $277.20 | $1,386 |
| Lee Memorial Hospital | Fort Myers | $277.20 | $1,386 |
| Lee Rehab Hospital | Fort Myers | $277.20 | $1,386 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $294.43 | $795.75 |
| Sarasota Memorial Hospital | Sarasota | $365.60 | $914 |
| Sarasota Memorial Hospital - Venice | North Venice | $365.60 | $914 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $407.60 | $1,019 |
| Studer Family Children's Hospital Ascension Sacred Heart (Sacred Heart Health System, Inc.) | Pensacola | $407.60 | $1,019 |
| Tampa General Hospital DeSoto | Arcadia | $414 | $828 |
| Shands Jacksonville Medical Center | Jacksonville | $473.46 | $860.83 |
| UF Health North | Jacksonville | $473.46 | $860.83 |
| Joe DiMaggio Children's Hospital | Hollywood | $476 | $680 |
| Memorial Hospital Miramar | Miramar | $476 | $680 |
| Memorial Hospital Pembroke | Pembroke Pines | $476 | $680 |
| Memorial Hospital West | Pembroke Pines | $476 | $680 |
| Memorial Regional Hospital | Hollywood | $476 | $680 |
| Memorial Regional Hospital South | Hollywood | $476 | $680 |
| Boca Raton Regional Hospital | Boca Raton | $505.05 | $777 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | $516 | $1,290 |
| Baptist Health Hospital Doral | Doral | $521.95 | $803 |
| South Miami Hospital | South Miami | $521.95 | $803 |
| Baptist Hospital | Miami | $562.90 | $866 |
| Bethesda Hospital East | Boynton Beach | $562.90 | $866 |
| Bethesda Hospital West | Boynton Beach | $562.90 | $866 |
| Doctors Hospital | Coral Gables | $562.90 | $866 |
| Fishermens Community Hospital | Marathon | $562.90 | $866 |
| Homestead Hospital | Homestead | $562.90 | $866 |
| Mariners Hospital | Tavernier | $562.90 | $866 |
| West Kendall Baptist Hospital | Miami | $562.90 | $866 |
| Ascension Sacred Heart Emerald Coast (Sacred Heart Health System, Inc.) | Miramar Beach | $638.40 | $1,596 |
| Baptist & Wolfson Oakleaf Emergency Room | Jacksonville | $684.48 | $1,104 |
| Baptist & Wolfson St Augustine Emergency Room | St. Augustine | $684.48 | $1,104 |
| Baptist & Wolfson Town Center Emergency Room | Jacksonville | $684.48 | $1,104 |
| Baptist Medical Center Beaches | Jacksonville Beach | $684.48 | $1,104 |
| Baptist Medical Center Clay | Fleming Island | $684.48 | $1,104 |
| Baptist Medical Center Jacksonville | Jacksonville | $684.48 | $1,104 |
| Baptist Medical Center Nassau | Yulee | $684.48 | $1,104 |
| Baptist Medical Center South | Jacksonville | $684.48 | $1,104 |
| Baptist Nassau Crossing Emergency Room | Yulee | $684.48 | $1,104 |
| Baptist North Medical Campus | Jacksonville | $684.48 | $1,104 |
| Wolfson Children's Hospital | Jacksonville | $684.48 | $1,104 |
| Bartow Regional Medical Center | Bartow | $695.40 | $1,159 |
| BayCare Alliant Hospital | Dunedin | $695.40 | $1,159 |
| BayCare Hospital Wesley Chapel | Wesley Chapel | $695.40 | $1,159 |
| MP North Bay Hospital Recovery CTR | New Port Richey | $695.40 | $1,159 |
| Mease Countryside Hospital | Safety Harbor | $695.40 | $1,159 |
| Mease Dunedin Hospital | Dunedin | $695.40 | $1,159 |
| Morton Plant Hospital | Clearwater | $695.40 | $1,159 |
| Morton Plant North Bay Hospital | New Port Richey | $695.40 | $1,159 |
| South Florida Baptist Hospital | Plant City | $695.40 | $1,159 |
| St Joseph's Children's Hospital | Tampa | $695.40 | $1,159 |
| St Joseph's Hospital Behavioral | Tampa | $695.40 | $1,159 |
| St Joseph's Hospital Main | Tampa | $695.40 | $1,159 |
| St Joseph's Hospital-North | Tampa | $695.40 | $1,159 |
| St Joseph's Hospital-South | Tampa | $695.40 | $1,159 |
| St Joseph's Women's Hospital | Tampa | $695.40 | $1,159 |
| Winter Haven Hospital | Winter Haven | $695.40 | $1,159 |
| Winter Haven Women's Hospital | Winter Haven | $695.40 | $1,159 |
| HCA Florida Lawnwood Hospital | Fort Pierce | $1,332 | $1,332 |
| HCA Florida Vero Beach ER | Fort Pierce | $1,332 | $1,332 |
| HCA Florida Sq Darwin ER | Port Saint Lucie | $1,337 | $1,337 |
| HCA Florida St. Lucie Hospital | Port Saint Lucie | $1,337 | $1,337 |
| HCA Florida City Center ER | Pembroke Pines | $1,471 | $1,471 |
| HCA Florida University Hospital | Pembroke Pines | $1,471 | $1,471 |
| HCA Florida Capital Hospital | Tallahassee | $1,619.05 | $1,619.05 |
| HCA Florida Gadsden Emergency | Tallahassee | $1,619.05 | $1,619.05 |
| HCA Florida Lake Jackson ER | Tallahassee | $1,619.05 | $1,619.05 |
| HCA Florida Southwood ER | Tallahassee | $1,619.05 | $1,619.05 |
| HCA Florida South Shore Hospital | Apollo Beach | $1,620.19 | $1,620.19 |
| HCA FL Atlantic ER | Jacksonville | $1,693 | $1,693 |
| HCA FL Julington Creek ER | Jacksonville | $1,693 | $1,693 |
| HCA FL Mandarin ER | Jacksonville | $1,693 | $1,693 |
| HCA Florida Memorial Hospital | Jacksonville | $1,693 | $1,693 |
| HCA Florida Merrill Road ER | Jacksonville | $1,693 | $1,693 |
| HCA Florida St. Augustine ER | Jacksonville | $1,693 | $1,693 |
| HCA Florida Yulee ER | Jacksonville | $1,693 | $1,693 |
| HCA Florida Mercy Hospital | Miami | $1,700 | $1,700 |
| HCA Florida Clearwater ER | Clearwater | $2,001.71 | $2,001.71 |
| HCA Florida Countryside ER | Clearwater | $2,001.71 | $2,001.71 |
| HCA Florida Largo Hospital | Clearwater | $2,001.71 | $2,001.71 |
| HCA Florida Largo West Hospital | Largo | $2,001.71 | $2,001.71 |
| HCA Florida Lake City Hospital | Lake City | $2,087 | $2,087 |
| HCA Florida Suwannee Emergency | Lake City | $2,087 | $2,087 |
| HCA Florida Woodmont Hospital | Tamarac | $2,210.50 | $2,210.50 |
| HCA Florida Putnam Hospital | Palatka | $2,216.50 | $2,216.50 |
| HCA Florida Auburndale ER | Winter Haven | $2,313.60 | $2,313.60 |
| HCA Florida Championsgate ER | Winter Haven | $2,313.60 | $2,313.60 |
| HCA Florida Haines City ER | Winter Haven | $2,313.60 | $2,313.60 |
| HCA Florida Poinciana Hospital | Winter Haven | $2,313.60 | $2,313.60 |
| HCA Florida Gainesville Hospital | Gainesville | $2,344.57 | $2,344.57 |
| HCA Florida Millhopper ER | Gainesville | $2,344.57 | $2,344.57 |
| HCA Florida North Florida Hospital | Gainesville | $2,344.57 | $2,344.57 |
| HCA Florida Starke ER | Gainesville | $2,344.57 | $2,344.57 |
| HCA Florida West End ER | Gainesville | $2,344.57 | $2,344.57 |
| HCA Florida Palms West Hospital | Loxahatchee | $2,461 | $2,461 |
| HCA Florida Plantation ER | Plantation | $2,592 | $2,592 |
| HCA Florida Westside Hospital | Plantation | $2,592 | $2,592 |
| UCF Lake Nona Hospital | Orlando | $2,603.58 | $2,603.58 |
| HCA Florida Raulerson Hospital | Okeechobee | $2,755 | $2,755 |
| HCA Florida Lehigh Hospital | Lehigh Acres | $2,773.33 | $2,773.33 |
| HCA Florida West Fort Myers ER | Lehigh Acres | $2,773.33 | $2,773.33 |
| HCA Florida Foxwood ER | Ocala | $2,781.70 | $2,781.70 |
| HCA Florida Maricamp ER | Ocala | $2,781.70 | $2,781.70 |
| HCA Florida Ocala Hospital | Ocala | $2,781.70 | $2,781.70 |
| HCA Florida Silver Springs ER | Ocala | $2,781.70 | $2,781.70 |
| HCA Florida Summerfield ER | Ocala | $2,781.70 | $2,781.70 |
| HCA Florida Trailwinds Village ER | Ocala | $2,781.70 | $2,781.70 |
| HCA Florida Airport North ER | Orlando | $2,807 | $2,807 |
| HCA Florida Downtown ER | Orlando | $2,807 | $2,807 |
| HCA Florida Hunters Creek ER | Orlando | $2,807 | $2,807 |
| HCA Florida Millenia ER | Orlando | $2,807 | $2,807 |
| HCA Florida Osceola East ER | Orlando | $2,807 | $2,807 |
| HCA Florida Osceola Hospital | Orlando | $2,807 | $2,807 |
| HCA Florida West Orange ER | Orlando | $2,807 | $2,807 |
| HCA Florida Braden River Emergency | Bradenton | $2,872.30 | $2,872.30 |
| HCA Florida Sarasota Doctors Hospital | Bradenton | $2,872.30 | $2,872.30 |
| HCA Florida Sarasota Doctors North ER | Bradenton | $2,872.30 | $2,872.30 |
| HCA Florida Oak Hill Hospital | Brooksville | $2,951.19 | $2,951.19 |
| HCA Florida Oak Hill South ER | Brooksville | $2,951.19 | $2,951.19 |
| HCA Florida Pea Ridge ER | Pace | $3,040.65 | $3,040.65 |
| HCA Florida Perdido Bay ER | Pace | $3,040.65 | $3,040.65 |
| HCA Florida Pine Forest ER | Pace | $3,040.65 | $3,040.65 |
| HCA Florida West Hospital | Pace | $3,040.65 | $3,040.65 |
| HCA Florida Aventura Hospital | Aventura | $3,137 | $3,137 |
| HCA Florida Palm Lakes ER | Aventura | $3,137 | $3,137 |
| HCA Florida Cutler Bay ER | Cutler Bay | $3,269 | $3,269 |
| HCA Florida Doral ER | Cutler Bay | $3,269 | $3,269 |
| HCA Florida Kendall Hospital | Cutler Bay | $3,269 | $3,269 |
| HCA Florida South Dade ER | Cutler Bay | $3,269 | $3,269 |
| HCA Florida Town and Country ER | Cutler Bay | $3,269 | $3,269 |
| HCA Florida Central Tampa ER | Tampa | $3,316.19 | $3,316.19 |
| HCA Florida North Dale Mabry ER | Tampa | $3,316.19 | $3,316.19 |
| HCA Florida South Tampa Hospital | Tampa | $3,316.19 | $3,316.19 |
| HCA Florida Defuniak Springs ER | Defuniak Springs | $3,722 | $3,722 |
| HCA Florida Twin Cities Hospital | Defuniak Springs | $3,722 | $3,722 |
| HCA Florida Pasadena Hospital | South Pasadena | $3,796.53 | $3,796.53 |
| HCA Florida Pea Ridge ER | South Pasadena | $3,796.53 | $3,796.53 |
| HCA Florida Perdido Bay ER | South Pasadena | $3,796.53 | $3,796.53 |
| HCA Florida Pine Forest ER | South Pasadena | $3,796.53 | $3,796.53 |
| HCA Florida Destin ER | Destin | $4,040 | $4,040 |
| HCA Florida Fort Walton-Destin Hospital | Destin | $4,040 | $4,040 |
| HCA Florida Navarre ER | Destin | $4,040 | $4,040 |
| HCA Florida Highlands Hospital | Sebring | $4,147 | $4,147 |
| HCA FL Middleburg ER | Middleburg | $4,263.19 | $4,263.19 |
| HCA FL Normandy Park ER | Middleburg | $4,263.19 | $4,263.19 |
| HCA FL Park West ER | Middleburg | $4,263.19 | $4,263.19 |
| HCA Florida Orange Park Hospital | Middleburg | $4,263.19 | $4,263.19 |
| HCA Florida Royal Pines ER | Middleburg | $4,263.19 | $4,263.19 |
| HCA Florida Citrus Park ER | Tampa | $4,268.74 | $4,268.74 |
| HCA Florida Lake Tarpon ER | Tampa | $4,268.74 | $4,268.74 |
| HCA Florida Lutz ER | Tampa | $4,268.74 | $4,268.74 |
| HCA Florida Sunlake ER | Tampa | $4,268.74 | $4,268.74 |
| HCA Florida Trinity Hospital | Tampa | $4,268.74 | $4,268.74 |
| HCA Florida Black Diamond ER | Lecanto | $4,473.71 | $4,473.71 |
| HCA Florida Citrus Hospital | Lecanto | $4,473.71 | $4,473.71 |
| HCA Florida Northside Hospital | St. Petersburg | $4,516.93 | $4,516.93 |
| HCA Florida Englewood Hospital | Englewood | $4,586.38 | $4,586.38 |
| HCA Florida Alafaya ER | Orlando | $4,847.04 | $4,847.04 |
| HCA Florida Baldwin Park ER | Orlando | $4,847.04 | $4,847.04 |
| HCA Florida Maitland ER | Orlando | $4,847.04 | $4,847.04 |
| Oviedo Medical Center | Orlando | $4,847.04 | $4,847.04 |
| HCA Florida West Marion Hospital | Ocala | $4,870.21 | $4,870.21 |
| HCA Florida Casselberry Fsed | Casselberry | $4,877.25 | $4,877.25 |
| HCA Florida Heathrow ER | Casselberry | $4,877.25 | $4,877.25 |
| HCA Florida Lake Monroe Hospital | Casselberry | $4,877.25 | $4,877.25 |
| HCA Florida Mount Dora Fsed | Casselberry | $4,877.25 | $4,877.25 |
| HCA Florida Wekiva ER | Casselberry | $4,877.25 | $4,877.25 |
| HCA Florida West Volusia ER | Casselberry | $4,877.25 | $4,877.25 |
| HCA Florida Northwest Hospital | Margate | $5,422 | $5,422 |
| HCA Florida Jfk North Hospital | West Palm Beach | $5,547 | $5,547 |
| HCA Florida Cape Coral ER | Cape Coral | $6,696.18 | $6,696.18 |
| HCA Florida Fawcett Hospital | Cape Coral | $6,696.18 | $6,696.18 |
| HCA Florida Tamiami Trail ER | Cape Coral | $6,696.18 | $6,696.18 |
| HCA Florida Brandon Hospital | Brandon | $7,188.31 | $7,188.31 |
| HCA Florida Lakeland ER | Brandon | $7,188.31 | $7,188.31 |
| HCA Florida New Tampa ER | Brandon | $7,188.31 | $7,188.31 |
| HCA Florida Plant City ER | Brandon | $7,188.31 | $7,188.31 |
| HCA Florida Riverview ER | Brandon | $7,188.31 | $7,188.31 |
| HCA Florida University ER | Brandon | $7,188.31 | $7,188.31 |
| HCA Florida West Tampa Hospital | Tampa | $7,298.54 | $7,298.54 |
| HCA Florida St. Petersburg Hospital | St. Petersburg | $7,946.29 | $7,946.29 |
| HCA Florida Bayonet Point Hospital | Hudson | Not published | Not published |
| HCA Florida Blake Hospital | Bradenton | Not published | Not published |
| HCA Florida Breakfast Point ER | Panama City Beach | Not published | Not published |
| HCA Florida Gulf Coast Hospital | Panama City Beach | Not published | Not published |
| HCA Florida Panama City ER | Panama City Beach | Not published | Not published |
| Tampa General Hospital Brooksville | Brooksville | Not published | Not published |
| Tampa General Hospital Crystal River | Crystal River | Not published | Not published |
| Tampa General Hospital Spring Hill | Spring Hill | Not published | Not published |