| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Canyon Vista Medical Center | 5700 E. Highway 90, Sierra Vista | J3490 | $8 [source] | 4 years ago |
| Abrazo Central Hospital | 2000 West Bethany Home Rd., Phoenix | J3490 | $55 [source] | 4 years ago |
| Carondelet Holy Cross Hospital | 1171 W. Target Range Road, Nogales | J3490 | $114 [source] | 4 years ago |
| Carondelet St. Joseph's Hospital | 350 N. Wilmot Road, Tucson | J3490 | $165 [source] | 4 years ago |
| Valley View Medical Center | 5330 South Highway 95, Fort Mohave | J3490 | $1,085 [source] | 4 years ago |