| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Northern Light Blue Hill Hospital | 57 Water Street, Blue Hill | 99213 | $45 [source] | 3 years ago |
| Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville | 99213 | $57 [source] | 3 years ago |
| Mercy Hospital | 144 State St, Portland | 99213 | $125 [source] | 3 years ago |
| Northern Light A.r. Gould Hospital | 140 Academy St, Presque Isle | 99213 | $131 [source] | 3 years ago |
| Charles A Dean Memorial Hospital | 364 Pritham Ave, Greenville | 99213 | $151 [source] | 3 years ago |
| Sebasticook Valley Health | 447 N Main St, Pittsfield | 99213 | $156 [source] | 3 years ago |
| Northern Light Maine Coast Hospital | 50 Union St, Ellsworth | 99213 | $169 [source] | 3 years ago |
| Acadia Hospital | 268 Stillwater Ave, Bangor | 99213 | $227 [source] | 3 years ago |
| Eastern Maine Medical Center | 489 State St, Bangor | 99213 | $247 [source] | 3 years ago |