| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Massachusetts Eye And Ear | 243 Charles St, Boston | G0268 | $88 [source] | 3 years ago |
| North Shore Medical Center Hospital | 81 Highland Ave, Salem | G0268 | $131 [source] | 3 years ago |
| Brigham & Women Faulkner Hospital | 1153 Centre St, Jamaica Plain | G0268 | $131 [source] | 3 years ago |
| Spaulding Rehab Hospital Boston | 300 1St Ave, Charlestown | G0268 | $131 [source] | 3 years ago |
| Newton Wellesley Hospital | 2014 Washington St, Newton Lower Falls | G0268 | $131 [source] | 3 years ago |