| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Chi Health Missouri Valley | 809 Elm St, Missouri Valley | G0379 | $110 [source] | 4 years ago |
| Chi Health Mercy Corning | 601 Rosary Dr, Corning | G0379 | $110 [source] | 4 years ago |
| Chi Health Mercy | 1409 Clark St, Des Moines | G0379 | $573 [source] | 4 years ago |