| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Chi Health St. Mary | 1301 Grundman Blvd, Nebraska City | 89321 | $74 [source] | 4 years ago |
| Chi Health Schuyler | 1721 Colfax St, Schuyler | 89321 | $92 [source] | 4 years ago |
| Chi Health Plainview | 704 N 3Rd St, Plainview | 89321 | $92 [source] | 4 years ago |
| Avera St. Anthony's Hospital | 300 N 2Nd St, Oneill | 89321 | $100 [source] | 4 years ago |
| Chi Health Lakeside | 17201 Wright St, Omaha | 89321 | $105 [source] | 4 years ago |
| Chi Health Midlands | 11111 S 84Th St, Papillion | 89321 | $105 [source] | 4 years ago |
| Chi Health Creighton University Medical Center - Bergan Mercy | 7500 Mercy Rd, Omaha | 89321 | $105 [source] | 4 years ago |
| Chi Health Immanuel | 7101 Newport Ave, Omaha | 89321 | $105 [source] | 4 years ago |
| Chi Health Good Samaritan | 10 E 31St St, Kearney | 89321 | $196 [source] | 4 years ago |