| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Via Christi Hospital Manhattan, Inc. | 1823 College Ave, Manhattan | G0177 | $10 [source] | 4 years ago |
| Ascension Via Christi Hospitals Wichita Inc. | 929 N Saint Francis St, Wichita | G0177 | $13 [source] | 4 years ago |
| Mt. Carmel Regional Medical Center, Inc. | 1 Mt Carmel Way, Pittsburg | G0177 | $13 [source] | 4 years ago |