evidence-based hospital referral - blue cross and blue ...3719 dauphin street mobile al 36608 ....

Hospital Safety Incentive Coronary Artery Bypass

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A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.

Evidence-Based Hospital Referral - Coronary Artery Bypass Coronary artery bypass surgery improves blood flow into the heart by adding a new artery for blood to "bypass" clogged arteries. Find a hospital in your area Only states with eligible hospitals are listed. Note: Services must be rendered at the address listed in order for the benefit level to be at 100%.

Alabama Mobile Springhill Memorial Hospital 3719 Dauphin Street Mobile AL 36608 Effective Date: January 1, 2010 Arizona Chandler Chandler Regional Hospital 475 South Dobson Road Chandler AZ 85224 Effective Date: January 1, 2010 Glendale Banner Thunderbird Medical Center 5555 West Thunderbird Road Glendale AZ 85306 Effective Date: January 5, 2009 Mesa Banner Desert Medical Center 1400 South Dobson Road Mesa AZ 85202 Effective Date: January 5, 2009 Banner Heart Hospital 6750 East Baywood Avenue Mesa AZ 85206 Effective Date: January 5, 2009 Phoenix Banner Estrella Medical Center 9201 West Thomas Road Phoenix AZ 85037 Effective Date: January 5, 2009

Banner Good Samaritan Regional Medical Center 1111 East McDowell Road Phoenix AZ 85006 Effective Date: January 5, 2009 Mayo Clinic Hospital 5777 East Mayo Boulevard Phoenix AZ 85054 Effective Date: January 5, 2009 Scottsdale Scottsdale Healthcare - Osborn 7400 East Osborn Road Scottsdale AZ 85251 Effective Date: January 5, 2009 Scottsdale Healthcare - Shea 9003 East Shea Boulevard Scottsdale AZ 85261 Effective Date: January 5, 2009 California Anaheim Western Medical Center - Anaheim 1025 S. Anaheim Blvd. Anaheim CA 92805 Effective Date: January 1, 2010 Arcadia Methodist Hospital of Southern California 300 W Huntington Drive Arcadia CA 91066-6016 Effective Date: January 5, 2009 Burbank Providence Saint Joseph Medical Center 501 S. Buena Vista St. Burbank CA 91505 Effective Date: January 1, 2010

Hospital Safety Incentive: Coronary Artery Bypass

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For the hospital safety incentive to apply, the hospital you select must be eligible on the date you are admitted to the hospital.

Benefits are subject to all terms of the Plan, including eligibility for the dates of service, satisfaction of the annual deductible, and the accuracy and completeness of the information supplied. In addition, claims processing and payments are subject to the administrative guidelines of the local Blue

Cross Blue Shield plan. Blue Cross and Blue Shield of Illinois recommends that the Summary Plan Description be carefully reviewed to determine any Plan limitations.

Burlingame Mills-Peninsula Health Services 1501 Trousdale Drive Burlingame CA 94010 Effective Date: January 5, 2009 Chula Vista Sharp Chula Vista Medical Center 751 Medical Center Ct. Chula Vista CA 91911 Effective Date: January 1, 2010 Concord John Muir Medical Center - Concord Campus 2540 East Street Concord CA 94520 Effective Date: January 1, 2010 Covina Citrus Valley Medical Center - Inter Community Campus 210 W. San Bernardino Road Covina CA 91722 Effective Date: January 1, 2010 Downey Downey Regional Medical Center 11500 Brookshire Avenue Downey CA 90241 Effective Date: January 5, 2009 Fresno Community Regional Medical Center 2823 Fresno Street Fresno CA 93721 Effective Date: January 1, 2010 Fresno Heart and Surgical Hospital 15 East Audubon Drive Fresno CA 93720 Effective Date: January 5, 2009 Glendale Glendale Memorial Hospital and Health Center 1420 S Central Avenue Glendale CA 91204 Effective Date: January 5, 2009 Greenbrae Marin General Hospital 250 Bon Air Road Greenbrae CA 94904 Effective Date: January 1, 2010

La Jolla Scripps Green Hospital 10666 N Torrey Pines Road La Jolla CA 92037 Effective Date: January 5, 2009 Scripps Memorial Hospital La Jolla 9888 Genesee Avenue La Jolla CA 92037 Effective Date: July 1, 2007 University of California San Diego Medical Center 9300 Campus Point Drive La Jolla CA 92037 Effective Date: January 5, 2009 La Mesa Sharp Grossmont Hospital 5555 Grossmont Center Drive La Mesa CA 91942 Effective Date: January 1, 2010 Laguna Hills Saddleback Memorial Medical Center - Laguna Hills 24451 Health Center Drive Laguna Hills CA 92653 Effective Date: January 5, 2009 Long Beach Long Beach Memorial Medical Center 2801 Atlantic Avenue Long Beach CA 90806 Effective Date: January 5, 2009 St. Mary Medical Center 1050 Linden Avenue Long Beach CA 90813 Effective Date: January 1, 2010 Los Angeles Cedars-Sinai Medical Center 8700 Beverly Boulevard Los Angeles CA 90048 Effective Date: July 1, 2007 Good Samaritan Hospital - Los Angeles 1225 Wilshire Boulevard Los Angeles CA 90017-2395 Effective Date: January 5, 2009


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St. Vincent Medical Center 2131 W 3rd Street Los Angeles CA 90057-0992 Effective Date: August 10, 2007 UCLA Medical Center 10833 Le Conte Avenue Los Angeles CA 90095 Effective Date: July 1, 2007 USC University Hospital 1500 San Pablo Street Los Angeles CA 90033 Effective Date: January 5, 2009 Lynwood St. Francis Medical Center 3630 E Imperial Highway Lynwood CA 90262-2636 Effective Date: January 5, 2009 Mission Hills Providence Holy Cross Medical Center 15031 Rinaldi Street Mission Hills CA 91346-9600 Effective Date: January 1, 2010 Mission Viejo Mission Hospital 27700 Medical Center Road Mission Viejo CA 92691 Effective Date: January 5, 2009 Modesto Doctors Medical Center of Modesto 1441 Florida Avenue Modesto CA 95350 Effective Date: January 5, 2009 Memorial Medical Center 1700 Coffee Road Modesto CA 95355 Effective Date: January 5, 2009 Monterey Park Garfield Medical Center 525 N. Garfield Ave. Monterey Park CA 91754 Effective Date: January 1, 2010

Mountain View El Camino Hospital 2500 Grant Road Mountain View CA 94040 Effective Date: January 5, 2009 Newport Beach Hoag Memorial Hospital Presbyterian One Hoag Drive Newport Beach CA 92663 Effective Date: July 1, 2007 Northridge Northridge Hospital Medical Center - Roscoe Boulevard Campus 18300 Roscoe Boulevard Northridge CA 91328 Effective Date: January 5, 2009 Oakland Alta Bates Summit Medical Center Summit Campus 350 Hawthorne Avenue Oakland CA 94609 Effective Date: July 1, 2007 Orange St. Joseph Hospital - Orange 1100 W Stewart Drive Orange CA 92868-5600 Effective Date: January 5, 2009 University of California - UCI Medical Center 101 The City Drive S Orange CA 92868 Effective Date: January 5, 2009 Oxnard St. John's Regional Medical Center 1600 N Rose Avenue Oxnard CA 93030 Effective Date: January 5, 2009 Palm Springs Desert Regional Medical Center 1150 N Indian Canyon Drive Palm Springs CA 92262 Effective Date: January 5, 2009


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Pomona Pomona Valley Hospital Medical Center 1798 N Garey Avenue Pomona CA 91767 Effective Date: January 5, 2009 Redding Mercy Medical Center Redding 2175 Rosaline Avenue Redding CA 96001 Effective Date: January 5, 2009 Redwood City Sequoia Hospital 170 Alameda de las Pulgas Redwood City CA 94062-2799 Effective Date: July 1, 2007 Riverside Riverside Community Hospital 4445 Magnolia Avenue Riverside CA 92501 Effective Date: January 1, 2010 Sacramento Sutter Memorial Hospital 5151 F Street Sacramento CA 95819 Effective Date: July 1, 2007 Mercy General Hospital 4001 J Street Sacramento CA 95819 Effective Date: July 1, 2007 University of California Davis Medical Center 2315 Stockton Boulevard Sacramento CA 95817 Effective Date: August 10, 2007 Salinas Salinas Valley Memorial Healthcare System 450 E Romie Lane Salinas CA 93901 Effective Date: January 5, 2009 San Bernardino St. Bernardine Medical Center 2101 N Waterman Avenue San Bernardino CA 92404 Effective Date: July 1, 2007

San Diego Scripps Mercy Hospital San Diego 4077 5th Avenue San Diego CA 92103 Effective Date: January 5, 2009 Sharp Memorial Hospital 7901 Frost Street San Diego CA 92123 Effective Date: July 1, 2007 University of California San Diego Medical Center 200 West Arbor Drive San Diego CA 92103 Effective Date: January 5, 2009 San Francisco California Pacific Medical Center - Pacific Campus 2333 Buchanan Street San Francisco CA 94115 Effective Date: August 10, 2007 St. Mary's Medical Center 450 Stanyan Street San Francisco CA 94117 Effective Date: August 10, 2007 UCSF Medical Center - Moffitt-Long Hospitals 505 Parnassus Avenue San Francisco CA 94143 Effective Date: January 5, 2009 San Jose Good Samaritan Hospital 2425 Samaritan Drive San Jose CA 95124 Effective Date: January 5, 2009 O'Connor Hospital 2105 Forest Avenue San Jose CA 95128 Effective Date: January 1, 2010 San Luis Obispo French Hospital Medical Center 1911 Johnson Avenue San Luis Obispo CA 93401 Effective Date: January 1, 2010


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Sierra Vista Regional Medical Center 1010 Murray Avenue San Luis Obispo CA 93405 Effective Date: January 5, 2009 San Ramon San Ramon Regional Medical Center 6001 Norris Canyon Road San Ramon CA 94583 Effective Date: January 5, 2009 Santa Cruz Dominican Hospital 1555 Soquel Drive Santa Cruz CA 95065 Effective Date: January 5, 2009 Stanford Stanford Hospital and Clinics 300 Pasteur Drive Stanford CA 94304 Effective Date: January 5, 2009 Thousand Oaks Los Robles Hospital and Medical Center 215 W. Janss Road Thousand Oaks CA 91360 Effective Date: January 1, 2010 Torrance Torrance Memorial Medical Center 3330 Lomita Boulevard Torrance CA 90505 Effective Date: July 1, 2007 Ventura Community Memorial Hospital of San Buenaventura 147 N. Brent Street Ventura CA 93003-2854 Effective Date: January 1, 2010 West Hills West Hills Hospital and Medical Center 7300 Medical Center Drive West Hills CA 91307-9937 Effective Date: January 1, 2010 Whittier Presbyterian Intercommunity Hospital 12401 Washington Blvd. Whittier CA 90602 Effective Date: January 1, 2010

Colorado Aurora University of Colorado Hospital 12401 E 17th Avenue Aurora CO 80045 Effective Date: January 5, 2009 Boulder Boulder Community Hospital 1100 Balsam Avenue Boulder CO 80301-1901 Effective Date: January 1, 2010 Colorado Springs Centura Health/Penrose St. Francis Health Services 2222 N. Nevada Avenue Colorado Springs CO 80907 Effective Date: January 1, 2010 Memorial Health System 1400 E Boulder Street Colorado Springs CO 80909 Effective Date: January 9, 2009 Denver Centura Health - Porter Adventist Hospital 2525 S Downing Street Denver CO 80210 Effective Date: January 5, 2009 Centura Health - St. Anthony Central Hospital 4231 W. 16th Avenue Denver CO 80204 Effective Date: January 1, 2010 Exempla Inc. Saint Joseph Hospital 1835 Franklin Street Denver CO 80218 Effective Date: January 5, 2009 Presbyterian - St Luke's Medical Center 1719 E 19th Avenue Denver CO 80218 Effective Date: January 5, 2009 Rose Medical Center 4567 E. 9th Avenue Denver CO 80220 Effective Date: January 1, 2010


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Grand Junction St. Mary's Hospital and Medical Center 2635 North 7th Street P O Box 1628 Grand Junction CO 81502 Greeley North Colorado Medical Center 1801 16th Street Greeley CO 80631 Effective Date: January 5, 2009 Lone Tree Sky Ridge Medical Center 10101 Ridge Gate Pkwy Lone Tree CO 80124 Effective Date: January 5, 2009 Pueblo Parkview Medical Center Inc. 400 W. 16th Street Pueblo CO 81003 Effective Date: January 1, 2010 Wheat Ridge Exempla Lutheran Medical Center 8300 W 38th Avenue Wheat Ridge CO 80033 Effective Date: January 5, 2009 Connecticut Bridgeport St. Vincent's Medical Center 2800 Main Street Bridgeport CT 06606 Effective Date: January 1, 2010 Hartford St. Francis Hospital and Medical Center 114 Woodland Street Hartford CT 06105 Effective Date: January 5, 2009

Florida Atlantis JFK Medical Center 5301 South Congress Avenue Atlantis FL 33462 Effective Date: January 1, 2010 Aventura Aventura Hospital and Medical Center 20900 Biscayne Blvd. Aventura FL 33180 Effective Date: January 1, 2010 Bradenton Blake Medical Center 2020 59th St. W. Bradenton FL 34209 Effective Date: January 1, 2010 Brandon Brandon Regional Hospital 119 Oakfield Drive Brandon FL 33511 Effective Date: January 5, 2009 Brooksville Oak Hill Hospital 11375 Cortez Blvd. State Road 50 Brooksville FL 34613 Effective Date: January 5, 2009 Delray Beach Delray Medical Center 5352 Linton Boulevard Delray Beach FL 33484 Effective Date: January 5, 2009 Fort Lauderdale Florida Medical Center 5000 W Oakland Park Boulevard Fort Lauderdale FL 33313 Effective Date: January 5, 2009 Fort Walton Beach Fort Walton Beach Medical Center 1000 Mar Walt Drive Fort Walton Beach FL 32547 Effective Date: January 1, 2010


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Gainesville North Florida Regional Medical Center 6500 Newberry Road Gainesville FL 32605 Effective Date: January 1, 2010 Kissimmee Osceola Regional Medical Center 700 West Oak Street Kissimmee FL 34741 Effective Date: January 1, 2010 Largo Largo Medical Center 201 14th Street SW Largo FL 33770 Effective Date: January 5, 2009 Melbourne Holmes Regional Medical Center 1350 S Hickory Street Melbourne FL 32901 Effective Date: July 1, 2007 Miami Baptist Hospital of Miami Inc. 8900 N. Kendall Drive Miami FL 33176 Effective Date: January 1, 2010 Palm Beach Gardens Palm Beach Gardens Medical Center 3360 Burns Road Palm Beach Gardens FL 33410 Effective Date: January 5, 2009 Saint Petersburg Northside Hospital 6000 49th Street N Saint Petersburg FL 33709 Effective Date: January 5, 2009 Sanford Central Florida Regional Hospital 1401 W. Seminole Blvd. Sanford FL 32771 Effective Date: January 1, 2010 Weston Cleveland Clinic Florida 3100 Weston Road Weston FL 33331 Effective Date: January 5, 2009

Georgia Atlanta Atlanta Medical Center 303 Parkway Drive NE Atlanta GA 30312 Effective Date: January 5, 2009 Emory University Hospital 1364 Clifton Road NE Atlanta GA 30322 Effective Date: January 5, 2009 Savannah Memorial Health University Medical Center 4700 Waters Avenue P O Box 23089 Savannah GA 31404 Effective Date: January 5, 2009 Idaho Idaho Falls Eastern Idaho Regional Medical Center 3100 Channing Way Idaho Falls ID 83404 Effective Date: January 5, 2009 Illinois Arlington Heights Northwest Community Hospital 800 W Central Road Arlington Heights IL 60005 Effective Date: January 5, 2009 Aurora Rush-Copley Medical Center 2000 Ogden Avenue Aurora IL 60504 Effective Date: January 1, 2010 Belleville St. Elizabeth Hospital 211 South 3rd Street Belleville IL 62222 Effective Date: June 15, 2009


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Bloomington OSF St. Joseph Medical Center 2200 E. Washington Bloomington IL 61701 Effective Date: January 1, 2010 Chicago Advocate Illinois Masonic Medical Center 836 W Wellington Avenue Chicago IL 60657 Effective Date: January 5, 2009 Mercy Hospital and Medical Center 2525 S Michigan Avenue Chicago IL 60616 Effective Date: January 5, 2009 Northwestern Memorial Hospital 251 East Huron Chicago IL 60611 Effective Date: January 5, 2009 Resurrection Medical Center 7435 W Talcott Chicago IL 60631 Effective Date: January 5, 2009 Rush University Medical Center 1653 West Congress Parkway Chicago IL 60612 Effective Date: January 5, 2009 Saint Joseph Hospital Resurrection Health Center 2900 North Lake Shore Drive Chicago IL 60657 Effective Date: January 5, 2009 Saint Mary of Nazareth Hospital 2233 West Division Street Chicago IL 60622 Effective Date: January 5, 2009 Swedish Covenant Hospital 5145 N California Avenue Chicago IL 60625 Effective Date: January 5, 2009 Elgin Provena Saint Joseph Hospital 77 N. Airlite Street Elgin IL 60123 Effective Date: January 1, 2010

Sherman Hospital 1425 North Randall Road Elgin IL 60123 Effective Date: January 1, 2010 Elk Grove Village Alexian Brothers Medical Center 800 W Biesterfield Road Elk Grove Village IL 60007 Effective Date: January 5, 2009 Elmhurst Elmhurst Memorial Hospital 200 Berteau Avenue Elmhurst IL 60126 Effective Date: January 1, 2010 Highland Park Highland Park Hospital 777 Park Avenue West Highland Park IL 60035 Effective Date: January 1, 2010 Libertyville Advocate Condell Medical Center 801 S. Milwaukee Avenue Libertyville IL 60048 Effective Date: January 1, 2010 Condell Medical Center 801 S Milwaukee Avenue Libertyville IL 60048 Effective Date: January 5, 2009 Melrose Park Gottlieb Memorial Hospital 701 West North Avenue Melrose Park IL 60160 Effective Date: January 5, 2009 Oak Lawn Advocate Christ Medical Center and Hope Children's Hospital 4440 W. 95th Street Oak Lawn IL 60453 Effective Date: January 1, 2010 Oak Park West Suburban Medical Center 3 Erie Court Oak Park IL 60302 Effective Date: January 5, 2009


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Palos Heights Palos Community Hospital 12251 South 80th Avenue Palos Heights IL 60463 Effective Date: January 5, 2009 Park Ridge Advocate Lutheran General Hospital 1775 Dempster Street Park Ridge IL 60068 Effective Date: January 5, 2009 Rockford Swedish American Hospital 1401 East State Street Rockford IL 61104 Effective Date: June 15, 2009 Skokie Skokie Hospital 9600 Gross Point Road Skokie IL 60076 Effective Date: June 8, 2010 Springfield St. Johns Hospital 800 E Carpenter Street Springfield IL 62769 Effective Date: June 8, 2010 Winfield Central Dupage Hospital 25 North Winfield Road Winfield IL 60190 Effective Date: January 5, 2009 Indiana Evansville Deaconess Hospital Inc. 600 Mary Street Evansville IN 47747 Effective Date: January 1, 2010 Fort Wayne Parkview Hospital 2200 Randalia Drive Fort Wayne IN 46805 Effective Date: January 1, 2010

Indianapolis Clarian Health - Methodist Hospital 1701 North Senate Avenue Indianapolis IN 46202 Effective Date: July 1, 2007 St. Francis Hospital - Indianapolis 8111 S. Emerson Avenue Indianapolis IN 46237 Effective Date: January 1, 2010 St. Vincent Hospital and Health Services 2001 West 86th Street Indianapolis IN 46260 Effective Date: January 1, 2010 St. Vincent Heart Center of Indiana LLC 10580 N. Meridian Street Indianapolis IN 46290 Effective Date: January 1, 2010 La Porte La Port Hospital and Health System 1007 Lincoln Way La Porte IN 46350 Effective Date: January 1, 2010 Newburgh Deaconess Gateway Hospital 4011 Gateway Blvd. Newburgh IN 47630 Effective Date: January 1, 2010 Terre Haute Terre Haute Regional Hospital 3901 S. 7th Street Terre Haute IN 47802 Effective Date: January 1, 2010 Union Hospital Inc. 1606 North 7th Street Terre Haute IN 47804 Effective Date: January 1, 2010 Iowa Davenport Genesis Medical Center Davenport 1227 East Rusholme Street Davenport IA 52803 Effective Date: January 1, 2010


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Kansas Overland Park Overland Park Regional Medical Center 10500 Quivira Road Overland Park KS 66215 Effective Date: January 1, 2010 Wichita Wesley Medical Center 550 N. Hillside Street Wichita KS 67214 Effective Date: January 1, 2010 Kentucky Louisville Norton Hospital 200 E Chestnut Street Louisville KY 40202 Effective Date: January 5, 2009 Louisiana Alexandria Rapides Regional Medical Center 211 4th Street Alexandria LA 71301 Effective Date: January 1, 2010 Baton Rouge Baton Rouge General Medical Center 3600 Florida Boulevard Baton Rouge LA 70806 Effective Date: January 5, 2009 Lafayette Hamilton Medical Center, Inc. dba Southwest Medical Center 2810 Ambassador Caffery Parkway Lafayette LA 70506 Effective Date: January 1, 2010

Maine Lewiston Central Maine Medical Center 300 Main Street Lewiston ME 04240 Effective Date: January 1, 2010 Portland Maine Medical Center 22 Bramhall Street Portland ME 04102 Effective Date: January 5, 2009 Maryland Baltimore University of Maryland Medical Center 22 S Greene Street Baltimore MD 21201 Effective Date: January 5, 2009 Massachusetts Boston Beth Israel Deaconess Medical Center 330 Brookline Avenue Boston MA 02215 Effective Date: January 5, 2009 Brigham and Women's Hospital 75 Francis Street Boston MA 02115 Effective Date: July 1, 2007 Massachusetts General Hospital 55 Fruit Street Boston MA 02114 Effective Date: January 1, 2010 Tufts - New England Medical Center 750 Washington Street NEMC #412 Boston MA 02111 Effective Date: January 5, 2009


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Burlington Lahey Clinic 41 Mall Road Burlington MA 01805 Effective Date: July 1, 2007 Cambridge Mt. Auburn Hospital 330 Mt. Auburn Street Cambridge MA 02138 Effective Date: January 5, 2009 Fall River Charlton Memorial Hospital Site of Southcoast Hospitals Group Inc. 363 Highland Avenue Fall River MA 02720 Effective Date: January 1, 2010 Salem NSMC - Salem Hospital 81 Highland Avenue Salem MA 01970 Effective Date: January 5, 2009 Springfield Baystate Medical Center 759 Chestnut Street Springfield MA 01199 Effective Date: July 1, 2007 Michigan Ann Arbor Saint Joseph Mercy Hospital 5301 E Huron River Drive Ann Arbor MI 48106-0995 Effective Date: January 5, 2009 University of Michigan Hospitals and Health Centers 1500 East Medical Center Drive Ann Arbor MI 48109-5825 Effective Date: January 5, 2009 Dearborn Oakwood Hospital and Medical Center 18101 Oakwood Blvd. Dearborn MI 48123/ Effective Date: January 1, 2010

Detroit Henry Ford Hospital 2799 W Grand Boulevard Detroit MI 48202 Effective Date: January 5, 2009 Sinai-Grace Hospital 6071 W Outer Drive Detroit MI 48235 Effective Date: January 5, 2009 St. John Hospital and Medical Center 22101 Moross Road Detroit MI 48236 Effective Date: January 5, 2009 Grand Blanc Genesys Health System One Genesys Parkway Grand Blanc MI 48439 Effective Date: January 1, 2010 Grand Rapids Spectrum Health - Butterworth Campus 100 Michigan Street NE Grand Rapids MI 49503 Effective Date: July 1, 2007 Midland Mid Michigan Medical Center - Midland 4005 Orchard Drive Midland MI 48670 Effective Date: January 1, 2010 Muskegon Mercy General Health Partners - Sherman Boulevard Campus 1500 East Sherman Boulevard Muskegon MI 49443 Effective Date: January 5, 2009 Petoskey Northern Michigan Regional Hospital 416 Connable Avenue Petoskey MI 49770 Effective Date: January 5, 2009 Port Huron Port Huron Hospital 1221 Pine Grove Avenue Port Huron MI 48060 Effective Date: January 5, 2009


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Rochester Crittenton Hospital Medical Center 1101 University Drive Rochester MI 48307 Effective Date: January 1, 2010 Royal Oak William Beaumont Hospital 3601 West 13 Mile Road Royal Oak MI 48073-6769 Effective Date: January 5, 2009 Saginaw Saint Mary's of Michigan Medical Center 800 S. Washington Avenue Saginaw MI 48601 Effective Date: January 1, 2010 Traverse City Munson Medical Center 1105 6th Street Traverse City MI 49684-2386 Effective Date: July 1, 2007 Troy William Beaumont Hospital - Troy 44201 Dequindre Troy MI 48085 Effective Date: January 5, 2009 Warren St. John Macomb Hospital 11800 E. 12 Mile Road Warren MI 48093 Effective Date: January 1, 2010 Minnesota Edina Fairview Southdale Hospital 6401 France Avenue South Edina MN 55435 Effective Date: January 5, 2009 Minneapolis Abbott - Northwestern Hospital Inc. 800 East 28th Street Minneapolis MN 55407 Effective Date: January 9, 2009

Hennepin County Medical Center 701 Park Avenue Minneapolis MN 55415-1829 Effective Date: January 5, 2009 Rochester Mayo Clinic Rochester - St. Mary's 1216 2nd Street SW Rochester MN 55905 Effective Date: July 1, 2007 Saint Cloud St. Cloud Hospital 1406 6th Avenue North Saint Cloud MN 56303 Effective Date: January 5, 2009 Saint Louis Park Park Nicollet Methodist Hospital 6500 Excelsior Boulevard Saint Louis Park MN 55426 Effective Date: January 5, 2009 Saint Paul Regions Hospital 640 Jackson Street Saint Paul MN 55101-2595 Effective Date: January 5, 2009 St. Joseph's Hospital 69 W Exchange Street Saint Paul MN 55102 Effective Date: January 5, 2009 United Hospital 333 North Smith Saint Paul MN 55102 Effective Date: January 1, 2010 Mississippi Oxford Baptist Memorial Hospital North Mississippi 2301 South Lamar Oxford MS 38655 Effective Date: January 1, 2010


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Southaven Baptist Memorial Hospital - Desoto 7601 Southcrest Drive Southhaven MS 38671 Effective Date: January 1, 2010 Missouri Crystal City Jefferson Regional Medical Center 1400 US Highway 61 South PO Box 350 Crystal City MO 63019 Effective Date: January 1, 2010 Saint Louis Des Peres Hospital 2345 Dougherty Ferry Road Saint Louis MO 63122 Effective Date: January 5, 2009 Nebraska Omaha Creighton University Medical Center 601 N 30th Street Omaha NE 68131 Effective Date: January 5, 2009 Immanuel Medical Center 6901 N 72nd Street Omaha NE 68122 Effective Date: January 5, 2009 New Hampshire Lebanon Mary Hitchcock Memorial Hospital 1 Medical Center Drive Lebanon NH 03756 Effective Date: January 5, 2009 Portsmouth Portsmouth Regional Hospital 333 Borthwick Avenue Portsmouth NH 03801 Effective Date: January 5, 2009

New Jersey Browns Mills Deborah Heart and Lung Center 200 Trenton Road Browns Mills NJ 08015 Effective Date: January 1, 2010 Englewood Englewood Hospital and Medical Center 350 Engle Street Englewood NJ 07631 Effective Date: January 1, 2010 Hackensack Hackensack University Medical 30 Prospect Avenue Hackensack NJ 07601 Effective Date: July 1, 2007 Morristown Morristown Memorial Hospital 100 Madison Avenue Morristown NJ 07962 Effective Date: December 21, 2007 Ridgewood Valley Hospital 223 N. Van Dien Avenue Ridgewood NJ 07450 Effective Date: July 1, 2007 Trenton St. Francis Medical Center 601 Hamilton Avenue Trenton NJ 08629 Effective Date: January 5, 2009 New Mexico Albuquerque Presbyterian Hospital 1100 Central Avenue SE Albuquerque NM 87106 Effective Date: June 15, 2009


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New York Poughkeepsie Vassar Brothers Medical Center 45 Reade Place Poughkeepsie NY 12601 Effective Date: July 1, 2007 Rochester Rochester General Hospital 1425 Portland Avenue Rochester NY 14621 Effective Date: January 1, 2010 Roslyn St. Francis Hospital Port Washington Blvd. Roslyn NY 11576 Effective Date: January 1, 2010 North Carolina Chapel Hill University of North Carolina Hospitals at Chapel Hill 101 Manning Drive Chapel Hill NC 27514 Effective Date: January 5, 2009 Durham Duke University Hospital DUMC Erwin Road PO Box 3708 Durham NC 27710 Effective Date: January 5, 2009 Gastonia Gaston Memorial Hospital 2525 Court Drive Gastonia NC 28054 Effective Date: January 1, 2010 Hickory Frye Regional Medical Center 420 N Center Street Hickory NC 28601 Effective Date: January 5, 2009

Raleigh Rex Healthcare Inc. 4420 Lake Boone Trail Raleigh NC 27607 Effective Date: January 1, 2010 Wake Med Raleigh Campus 3000 New Bern Avenue Raleigh NC 27610 Effective Date: July 1, 2007 Ohio Akron Summa Health Systems Hospitals - Akron City Hospital 525 East Market Street Akron OH 44309 Effective Date: January 5, 2009 Canton Aultman Hospital 2600 Sixth Street SW Canton OH 44710 Effective Date: January 5, 2009 Cleveland Cleveland Clinic 9500 Euclid Avenue Cleveland OH 44195 Effective Date: January 1, 2010 Fairview Hospital 18101 Lorain Avenue Cleveland OH 44111 Effective Date: January 1, 2010 MetroHealth Medical Center 2500 MetroHealth Drive Cleveland OH 44109 Effective Date: January 5, 2009 University Hospitals Case Medical Center 11100 Euclid Avenue Cleveland OH 44106 Effective Date: January 5, 2009


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Columbus Doctors Hospital Ohio Health 5100 West Broad Street Columbus OH 43228 Effective Date: January 5, 2009 Grant Medical Center 111 S Grant Avenue Columbus OH 43215 Effective Date: January 5, 2009 Mt. Carmel East 6001 East Broad Street Columbus OH 43213 Effective Date: January 5, 2009 Mt. Carmel West 793 West State Street Columbus OH 43222 Effective Date: January 1, 2010 Riverside Methodist Hospital 3535 Olentangy River Road Columbus OH 43214 Effective Date: January 1, 2010 Dayton Miami Valley Hospital One Wyoming Street Dayton OH 45409 Effective Date: January 1, 2010 Findlay Blanchard Valley Regional Health Center 1900 S. Main Street Findlay OH 45840 Effective Date: January 1, 2010 Mayfield Heights Hillcrest Hospital 6780 Mayfield Road Mayfield Heights OH 44124 Effective Date: January 1, 2010 Lancaster Fairfield Medical Center 401 N Ewing Street Lancaster OH 43130 Effective Date: April 30, 2008

Maumee St. Lukes Hospital 5901 Monclova Road Maumee OH 43537 Effective Date: January 5, 2009 Parma Parma Community General Hospital 7007 Powers Boulevard Parma OH 44129 Effective Date: January 1, 2010 Portsmouth Southeron Ohio Medical Center 1805 27th Street Portsmouth OH 45662 Effective Date: January 1, 2010 Toledo St. Vincent Mercy Medical Center 2213 Cherry Street Toledo OH 43608 Effective Date: January 1, 2010 University of Toledo Medical Center 3000 Arlington Avenue Toledo OH 43699 Effective Date: January 1, 2010 Warren Trumbull Memorial Hospital 1350 East Market Street Warren OH 44482 Effective Date: January 5, 2009 Oklahoma Oklahoma City OU Medical Center 1200 Everett Drive Oklahoma City OK 73104 Effective Date: January 1, 2010


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Oregon Corvallis Good Samaritan Regional Medical Center 3600 NW Samaritan Drive Corvallis OR 97330 Effective Date: January 5, 2009 Portland Providence Portland Medical Center 4805 NE Glisan Portland OR 97213 Effective Date: January 1, 2010 Providence St. Vincent Medical Center 9205 SW Barnes Road Portland OR 97225 Effective Date: January 5, 2009 Pennsylvania Allentown Lehigh Valley Hospital 1200 South Cedar Crest Boulevard PO Box 689 Allentown PA 18105-1556 Effective Date: July 1, 2007 Bethlehem Lehigh Valley Hospital - Muhlenberg 2545 Schoenersville Road Bethlehem PA 18017 Effective Date: January 1, 2010 Erie Hamot Medical Center 201 State Street Erie PA 16550 Effective Date: July 1, 2007 Lancaster Lancaster General Hospital 555 North Duke Street Lancaster PA 17604 Effective Date: January 5, 2009 Philadelphia Hahnemann University Hospital Broad and Vine Streets Philadelphia PA 19102 Effective Date: January 5, 2009

Pittsburgh Allegheny General Hospital 320 East North Avenue Pittsburgh PA 15212 Effective Date: August 10, 2007 UPMC Mercy 1400 Locust Street Pittsburgh PA 15219 Effective Date: January 1, 2010 UPMC Passavant 9100 Babcock Boulevard Pittsburgh PA 15237 Effective Date: January 5, 2009 UPMC Presbyterian Part of UPMC Presbyterian Shadyside 200 Lothrop Street Pittsburgh PA 15213 Effective Date: January 1, 2010 UPMC Shadyside Part of UPMC Presbyterian Shadyside 5230 Centre Avenue Pittsburgh PA 15232 Effective Date: January 1, 2010 South Carolina Anderson AnMed Health Medical Center 800 N Fant Street Anderson SC 29621 Effective Date: January 5, 2009 Charleston Medical University of South Carolina 169 Ashley Avenue Charleston SC 29425 Effective Date: January 5, 2009 Roper Hospital 316 Calhoun Street Charleston SC 29401 Effective Date: January 1, 2010


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Trident Medical Center 9330 Medical Plaza Drive Charleston SC 29406 Effective Date: January 1, 2010 Columbia Palmetto Health Richland 5 Richland Medical park Colulmbia SC 29203 Effective Date: January 5, 2009 Providence Hospital 2435 Forest Drive Columbia SC 29204 Effective Date: January 5, 2009 Florence McLeod Regional Medical Center 555 E. Cheves Street Box 8700 Florence SC 29506 Effective Date: January 1, 2010 Greenville Greenville Memorial Hospital 701 Grove Road Greenville SC 29605-5601 Effective Date: August 10, 2007 St. Francis Hospital Downtown 1 St. Francis Drive Greenville SC 29601 Effective Date: January 1, 2010 Greenwood Self Regional Healthcare 1325 Spring Street Greenwood SC 29646 Effective Date: June 15, 2009 Hilton Head Island Hilton Head Hospital 25 Hospital Center Blvd. Hilton Head Island SC 29926 Effective Date: January 1, 2010 Myrtle Beach Grand Strand Regional Medical Center 809 82nd Parkway Myrtle Beach SC 29572 Effective Date: January 1, 2010

Rock Hill Piedmont Medical Center 222 S Herlong Avenue Rock Hill SC 29732 Effective Date: January 5, 2009 Spartanburg Spartanburg Regional Medical Center 101 E Wood Street Spartanburg SC 29303 Effective Date: January 5, 2009 Tennessee Chattanooga Memorial Hospital 2525 Desales Avenue Chattanooga TN 37404 Effective Date: January 1, 2010 Columbia Maury Regional Medical Center 1224 Trotwood Avenue Columbia TN 38401 Effective Date: January 1, 2010 Knoxville Fort Sanders Regional Medical Center 1901 Clinch Avenue Knoxville TN 37916 Effective Date: January 1, 2010 Parkwest Medical Center 9352 Park West Blvd. Knoxville TN 37923 Effective Date: January 1, 2010 University of Tennessee Memorial Hospital 1924 Alcoa Highway Knoxville TN 37920 Effective Date: January 1, 2010 Memphis Baptist Memorial Hospital - Memphis 6019 Walnut Grove Road Memphis TN 38120 Effective Date: January 1, 2010


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St. Francis Hospital 5959 Park Avenue Memphis TN 38119-5198 Effective Date: January 5, 2009 Nashville Baptist Hospital 2000 Church Street Nashville TN 37236 Effective Date: January 5, 2009 Centennial Medical Center 2300 Patterson Street Nashville TN 37203 Effective Date: July 1, 2007 St. Thomas Hospital 4220 Harding Road Nashville TN 37205 Effective Date: July 1, 2007 Vanderbilt University Hospital 1211 22nd Avenue South Nashville TN 37232 Effective Date: January 5, 2009 Oak Ridge Methodist Medical Center of Oak Ridge 990 Oak Ridge Turnpike Box 529 Oak Ridge TN 37831 Effective Date: January 1, 2010 Texas Arlington Medical Center of Arlington 3301 Matlock Road Arlington TX 76015 Effective Date: January 1, 2010 Austin Heart Hospital of Austin 3801 N Lamar Boulevard Austin TX 78756 Effective Date: January 5, 2009 Dallas Doctors Hospital at White Rock Lake 9440 Poppy Drive Dallas TX 75218 Effective Date: January 5, 2009

Methodist Dallas Medical Center 1441 N. Beckley Avenue Dallas TX 75203 Effective Date: January 1, 2010 El Paso Las Palmas Medical Center 1801 North Oregon Street El Paso TX 79902 Effective Date: January 1, 2010 Fort Worth Plaza Medical Center 900 Eighth Avenue Fort Worth TX 76104 Effective Date: January 1, 2010 Frisco Centennial Medical Center 12505 Lebanon Road Frisco TX 75035 Effective Date: January 1, 2010 Garland Baylor Medical Center at Garland 2300 Marie Curie Garland TX 75042 Effective Date: January 5, 2009 Grapevine Baylor Regional Medical Center at Grapevine 1650 W College Street Grapevine TX 76051 Effective Date: January 5, 2009 Houston Cypress Fairbanks Medical Center Hospital 10655 Steepletop Drive Houston TX 77065 Effective Date: January 5, 2009 St. Lukes Episcopal Hospital 6720 Bertner Houston TX 77030 Effective Date: January 5, 2009 Irving Baylor Medical Center at Irving 1901 N MacArthur Boulevard Irving TX 75061 Effective Date: January 5, 2009


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Las Colinas Medical Center 6800 N. Maccarthur Blvd. Irving TX 75039 Effective Date: January 1, 2010 Longview Good Shepherd Medical Center 700 East Marshall Avenue Longview TX 75601 Effective Date: January 1, 2010 Nacogdoches Nacogdoches Medical Center 4920 NE Stallings Drive Nacogdoches TX 75965 Effective Date: January 5, 2009 Plano The Heart Hospital Baylor Plano 1100 Allied Drive Plano TX 75093 Effective Date: January 5, 2009 Medical Center of Plano 3901 W 15th Street Plano TX 75075 Effective Date: January 5, 2009 Presbyterian Hospital of Plano 6200 W. Parker Blvd. Plano TX 75093 Effective Date: January 1, 2010 San Antonio Methodist Hospital 7700 Floyd Curl Drive San Antonio TX 78229 Effective Date: January 1, 2010 Tyler Mother Frances Hospital Regional Health Care Center 800 East Dawson Tyler TX 75701 Effective Date: January 5, 2009 Webster Clear Lake Regional Medical Center 500 Medical Center Blvd. Webster TX 77598 Effective Date: January 1, 2010

Utah Orem Timpanogos Regional Hospital 750 West 800 North Orem UT 84057 Effective Date: January 1, 2010 Virginia Fredericksburg Mary Washington Hospital 1001 Sam Perry Boulevard Fredericksburg VA 22401 Effective Date: January 1, 2010 Lynchburg Virginia Baptist Hospital and Lynchburg General 3300 Rivermont Avenue Lynchburg VA 24503 Effective Date: January 1, 2010 Newport News Riverside Regional Medical Center 500 J Clyde Morris Boulevard Newport News VA 23601 Effective Date: January 5, 2009 Norfolk Sentara Norfolk General Hospital 600 Gresham Drive Norfolk VA 23507 Effective Date: July 1, 2007 Richmond CJW Medical Center - Chippenham Campus 7101 Jahnke Road Richmond VA 23225 Effective Date: July 1, 2007 Henrico Doctors' Hospital 1602 Skipwith Road Richmond VA 23229 Effective Date: January 1, 2010 VCU Health System 1250 East Marshall Street Richmond VA 23298 Effective Date: January 5, 2009


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Salem Lewis-Gale Medical Center 1900 Electric Road Salem VA 24153 Effective Date: January 1, 2010 Virginia Beach Sentara Virginia Beach General Hospital 1060 First Colonial Road Virginia Beach VA 23454 Effective Date: January 5, 2009 Washington Bellevue Overlake Hospital Medical Center 1035 116th Avenue NE Bellevue WA 98004 Effective Date: January 1, 2010 Olympia Providence St. Peter Hospital 413 Lilly Road NE Olympia WA 98506 Effective Date: January 1, 2010 Seattle Northwest Hospital and Medical Center 1550 N 115th Street Suite D-180 Seattle WA 98133 Effective Date: January 5, 2009 Swedish Medical Center - Cherry Hill 500 17th Avenue PO Box C-34008 Seattle WA 98124 Effective Date: January 1, 2010 University of Washington Medical Center 1959 NE Pacific Street P O Box 356151 Seattle WA 98195 Effective Date: January 5, 2009 Virginia Mason Medical Center 925 Seneca Street Seattle WA 98111 Effective Date: January 5, 2009

Tacoma Tacoma General Hospital 315 S MLK Jr. Way PO Box 5299 Tacoma WA 98415 Effective Date: January 1, 2010 Vancouver Southwest Washington Medical Center 400 NE Mother Joseph Place Vancouver WA 98668 Effective Date: January 1, 2010 Wisconsin Green Bay Aurora Baycare Medical Center 2845 Greenbrier Road PO Box 8900 Green Bay WI 54311 Effective Date: January 1, 2010 Bellin Hospital 744 S Webster Avenue P O Box 23400 Green Bay WI 54305-3400 Effective Date: January 5, 2009 La Crosse Gundersen Lutheran Medical Center 1910 South Avenue La Crosse WI 54601 Effective Date: January 5, 2009 Madison Meriter Hospital Inc. 202 S Park Street Madison WI 53715 Effective Date: January 1, 2010 University of Wisconsin Hospitals and Clinics Authority 600 Highland Avenue Madison WI 53792 Effective Date: January 5, 2009 Milwaukee Aurora St. Luke’s Medical Center Inc. 2900 W Oklahoma Avenue Milwaukee WI 53215 Effective Date: January 1, 2010


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Columbia St. Mary's Hospital Milwaukee 2323 North Lake Drive Milwaukee WI 53211 Effective Date: January 5, 2009 Froedtert Hospital 9200 W Wisconsin Avenue Milwaukee WI 53226 Effective Date: January 5, 2009 Wheaton Franciscan Healthcare - St. Francis 3237 South 16th Street Milwaukee WI 53215 Effective Date: January 5, 2009 Waukesha Waukesha Memorial Hospital Inc. 725 American Avenue Waukesha WI 53188 Effective Date: January 1, 2010

Wausau Aspirus Wausau Hospital 333 Pine Ridge Boulevard Wausau WI 54401 Effective Date: July 1, 2007 Wauwatosa The Wisconsin Heart Hospital LLC 10000 West Bluemound Road Wauwatosa WI 53226 Effective Date: January 5, 2009 Weston St. Clare's Hospital of Weston Inc. 3400 Ministry Parkway Weston WI 54476 Effective Date: January 5, 2009

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