| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension St. Vincent Dunn | 1600 23Rd St, Bedford | G0279 | $39 [source] | 4 years ago |
| Ascension St. Vincent Heart Center | 10580 N Meridian St, Indianapolis | G0279 | $39 [source] | 4 years ago |
| Ascension St. Vincent Anderson | 2015 Jackson St, Anderson | G0279 | $39 [source] | 4 years ago |
| Ascension St. Vincent Carmel | 13500 N Meridian St, Carmel | G0279 | $39 [source] | 4 years ago |
| Ascension St. Vincent Randolph | 473 E Greenville Ave, Winchester | G0279 | $39 [source] | 4 years ago |
| St. Vincent Mercy Hospital | 1331 S A St, Elwood | G0279 | $39 [source] | 4 years ago |
| St Vincent Salem Hospital Inc | 911 N Shelby St, Salem | G0279 | $39 [source] | 4 years ago |
| Ascension St. Vincent Williamsport | 412 N Monroe St, Williamsport | G0279 | $39 [source] | 4 years ago |
| Ascension St. Vincent Evansville | 3700 Washington Ave, Evansville | G0279 | $39 [source] | 4 years ago |
| Ascension Medical Group St. Vincent | 301 Henry St, North Vernon | G0279 | $39 [source] | 4 years ago |
| Ascension St. Vincent Hospital | 2001 W 86Th St, Indianapolis | G0279 | $39 [source] | 4 years ago |
| Ascension St. Vincent Warrick | 1116 Millis Ave, Boonville | G0279 | $39 [source] | 4 years ago |
| Iu Health Bedford Hospital | 2900 W 16Th St, Bedford | G0279 | $40 [source] | 4 years ago |
| Terre Haute Regional Hospital | 3901 S 7Th St, Terre Haute | G0279 | $44 [source] | 4 years ago |
| Iu Health White Memorial Hospital | 720 S 6Th St, Monticello | G0279 | $56 [source] | 4 years ago |
| Iu Health Tipton Hospital | 1000 S Main St, Tipton | G0279 | $60 [source] | 4 years ago |
| Iu Health Blackford Hospital | 410 Pilgrim Blvd, Hartford City | G0279 | $67 [source] | 4 years ago |
| Iu Health Jay Hospital | 500 West Votaw St, Portland | G0279 | $70 [source] | 4 years ago |
| Iu Health Paoli Hospital | 642 W Hospital Rd, Paoli | G0279 | $70 [source] | 4 years ago |
| Iu Health Frankfort Hospital | 1300 S Jackson St, Frankfort | G0279 | $74 [source] | 4 years ago |
| St. Vincent Clay Hospital, Inc | 1206 E National Ave, Brazil | G0279 | $6,012 [source] | 4 years ago |
| Ascension St Vincent Fishers | 13861 Olio Road, | G0279 | $6,012 [source] | 4 years ago |