| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Hale Ho'ola Hamakua | 100 Keokea Pl, Kula | G0260 | $129 [source] | 3 years ago |
| Kau Hospital | 1 Kamani Street, Pahala | G0260 | $129 [source] | 3 years ago |
| Kohala Hospital | 54 383 Hospital Road, Kapaau | G0260 | $129 [source] | 3 years ago |
| Hilo Medical Center | 1190 Waianuenue Ave, Hilo | G0260 | $732 [source] | 3 years ago |
| Kona Community Hospital | 79-1019 Haukapila St, Kealakekua | G0260 | $732 [source] | 3 years ago |
| Kaiser Permanente | 3288 Moanalua Rd, Honolulu | G0260 | $1,106 [source] | 3 years ago |
| Maui Memorial Medical Center | 221 Mahalani St, Wailuku | G0260 | $1,359 [source] | 3 years ago |
| North Hawaii Community Hospital | 67-1125 Mamalahoa Hwy, Kamuela | G0260 | $1,489 [source] | 3 years ago |
| The Queen's Medical Center - West O'ahu | 1301 Punchbowl St, Honolulu | G0260 | $1,489 [source] | 3 years ago |
| The Queen's Medical Center | 4800 Kawaihau Rd, Kapaa | G0260 | $1,489 [source] | 3 years ago |