| Ascension Seton Bastrop | Bastrop | $24.05 | $240 | $400 |
| Ascension Seton Shoal Creek | Austin | $24.05 | $240 | $400 |
| Driscoll Childrens Hospital | Corpus Christi | $38.76 | $170.92 | $854.56 |
| Burleson St. Joseph Health Center | Caldwell | $50.35 | $150.15 | $429 |
| Trinity Regional Hospital Sachse | Sachse | $52.31 | $79.2 | $99 |
| Grimes St. Joseph Health Center | Navasota | $53 | $150.15 | $429 |
| Madison St. Joseph Health Center | Madisonville | $53 | $150.15 | $429 |
| Wilson N Jones Regional Medical Ctr | Sherman | $56.67 | $79.2 | $99 |
| Clay County Memorial Hospital | Henrietta | $71 | $207.5 | $297 |
| Lifecare Spec Hosp Of North Texas | Dallas | $90 | $36 | $360 |
| North Texas Medical Center | Gainsville | $105 | $67.5 | $271 |
| Falls Community Hospital And Clinic | Marlin | $106.88 | $425.6 | $532 |
| Methodist Hospital For Surgery | Addison | $109.4 | $447.6 | $746 |
| College Station Medical Center | College Station | $111.62 | $150.15 | $429 |
| St. Joseph Regional Health Center | Bryan | $111.62 | $150.15 | $429 |
| Crane County Hospital District | Crane | $120.5 | $139.5 | $199.5 |
| Pam Squared At Corpus Christi | Corpus Chrsti | $128.99 | $497.55 | $497.55 |
| Limestone Medical Center | Groesbeck | $134.67 | $232.47 | $387.45 |
| Brazosport Regional Health System | Lake Jackson | $137.97 | $211.75 | $605 |
| Crosbyton Clinic Hospital | Crosbyton | $146.5 | $212 | $212 |
| St. Lukes Patients Medical Center | Pasadena | $146.82 | $365.05 | $1,043 |
| Chi St Lukes Health Baylor Med Ctr | Houston | $147.2 | $365.05 | $1,043 |
| St. Lukes Lakeside Hospital | The Woodlands | $147.3 | $365.05 | $1,043 |
| St. Lukes Sugar Land Hospital | Sugar Land | $153.38 | $365.05 | $1,043 |
| St. Lukes The Woodlands Hospital | The Woodlands | $153.38 | $365.05 | $1,043 |
| St Lukes Hospital At The Vintage | Houston | $153.38 | $365.05 | $1,043 |
| Crescent Medical Center Lancaster | Lancaster | $171.5 | $372 | $572 |
| Chi St Lukes Health Mem Livingston | Livingston | $211.75 | $348.78 | $996.5 |
| Muleshoe Area Medical Center | Muleshoe | $223 | $167 | $279 |
| Golden Plains Community Hospital | Borger | $223.56 | $680.4 | $972 |
| Glen Rose Medical Center | Glen Rose | $270 | $385 | $385 |
| Baylor Scott And White Mc At Sunnyva | Sunnyvale | $273.78 | $265.2 | $442 |
| Heritage Park Surgical Hospital | Sherman | $273.78 | $358.2 | $597 |
| Eastland Memorial Hospital | Eastland | $277.5 | $194 | $388 |
| Hansford County Hospital District | Spearman | $301 | $251 | $334 |
| Seton Medical Center Harker Heights | Harker Heights | $324.68 | $83.25 | $832.5 |
| Chi St Lukes Health Memorial Lufkin | Lufkin | $325.07 | $348.78 | $996.5 |
| Mccamey County Hospital District | Mccamey | $348.5 | $396 | $396 |
| River Crest Hospital | San Angelo | $359.78 | $481.5 | $963 |
| San Angelo Community Medical Center | San Angelo | $359.78 | $481.5 | $963 |
| Shannon Medical Center | San Angelo | $359.78 | $481.5 | $963 |
| Big Spring State Hospital | Big Springs | $359.78 | $481.5 | $963 |
| Rice Medical Center | Eagle Lake | $373.03 | $362.67 | $518.1 |
| Corpus Christi Specialty Hospital | Corpus Christi | $373.16 | $497.55 | $497.55 |
| Warm Springs Rehab Hosp Kyle | Kyle | $385.6 | $497.55 | $497.55 |
| Texas Rehabilitation Hospital Of Kel | Keller | $405.98 | $98.3 | $983 |
| Baylor Orthopedic And Spine Hospital | Arlington | $467.84 | $296.4 | $494 |
| Dimmit Regional Hospital District | Carrizo Springs | $479.5 | $314 | $524 |
| Childrens Medical Center Of Plano | Plano | $513.8 | $550.5 | $734 |
| Ut Health East Texas Specialty Hospi | Tyler | $545.17 | $97.7 | $977 |
| St Lukes Health Memorial San August | San Augustine | $644.74 | $348.78 | $996.5 |
| Acuity Hospital Of South Texas | San Antonio | $835.92 | $1,114.56 | $1,114.56 |
| Baptist Saint Anthonys Hospital | Amarillo | $935.9 | $133.7 | $1,337 |
| Longview Regional Medical Center | Longview | — | $270.89 | $1,203.93 |
| Haskell Memorial Hospital | Haskell | — | $149.79 | $149.79 |
| Yoakum County Hospital | Denver City | — | $156.05 | $156.05 |
| Laredo Specialty Hospital | Laredo | — | — | $179.92 |
| Nocona General Hospital | Nocona | — | $27.85 | $353 |
| The Medical Ctr Of Southeast Texas | Port Arthur | — | $1,878.22 | $1,878.22 |
| Navarro Regional Hospital | Corsicana | — | $137.78 | $498 |
| St Joseph Medical Center | Houston | — | $988.32 | $988.32 |
| Kingwood Emergency Hospital | Kingwood | — | $565.2 | $1,130.4 |
| Laredo Medical Center | Laredo | — | $329 | $1,127.49 |
| Trustpoint Rehabilitation Hospital O | Lubbock | — | — | $179.92 |
