| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Mclaren Port Huron | 1221 Pine Grove Ave, Port Huron | G0403 | $15 [source] | 4 years ago |
| Ascension Providence Rochester Hospital | 1101 W University Dr, Rochester | G0403 | $22 [source] | 4 years ago |
| Mclaren Lapeer Region | 1375 N Main St, Lapeer | G0403 | $30 [source] | 4 years ago |
| Mclaren Bay Region | 1900 Columbus Ave, Bay City | G0403 | $30 [source] | 4 years ago |
| Mclaren Bay Special Care Hospital | 3250 E Midland Rd Suite 1, Bay City | G0403 | $30 [source] | 4 years ago |
| Mclaren Macomb | 1000 Harrington St, Mount Clemens | G0403 | $34 [source] | 4 years ago |
| St. John Providence | 28000 Dequindre Rd, Warren | G0403 | $40 [source] | 4 years ago |
| St. John Macomb Oakland Hospital-Warren Campus | 11800 E 12 Mile Rd, Warren | G0403 | $40 [source] | 4 years ago |
| Providence Hospital And Medical Centers | 16001 W 9 Mile Rd, Southfield | G0403 | $46 [source] | 4 years ago |
| Mclaren Flint | 401 S Ballenger Hwy, Flint | G0403 | $60 [source] | 4 years ago |
| Aspirus Ironwood Hospital | N10565 Grandview Ln, Ironwood | G0403 | $161 [source] | 4 years ago |
| Aspirus Keweenaw Hospital | 205 Osceola Street, Calumet | G0403 | $161 [source] | 4 years ago |
| William Beaumont Hospital | 44201 Dequindre, Troy | G0403 | $200 [source] | 4 years ago |
| William Beaumont Hospital | 1026 Eleven Mile Road, Royal Oak | G0403 | $200 [source] | 4 years ago |
| Beaumont Ashn, Llc | 1919 Technology Dr Ste B, Troy | G0403 | $200 [source] | 4 years ago |
| Beaumont Orthopaedic Center | 3535 W 13 Mile Road, Royal Oak | G0403 | $200 [source] | 4 years ago |
| Beaumont Health System | 3601 W. 13 Mile Rd, Royal Oak | G0403 | $200 [source] | 4 years ago |
| Oakwood Healthcare Inc | Beaumont Service Center, | G0403 | $200 [source] | 4 years ago |
| William Beaumont Hospital | 5150 Coolidge Hwy, Royal Oak | G0403 | $200 [source] | 4 years ago |
| William Beaumont Hospital | 3555 W 13 Mile Rd, Royal Oak | G0403 | $200 [source] | 4 years ago |
| William Beaumont Hospital | 18181 Oakwood Blvd, Dearborn | G0403 | $200 [source] | 4 years ago |
| Botsford Continuing Care Corporation | 21450 Archwood Cir, Farmington | G0403 | $200 [source] | 4 years ago |
| Oakwood Healthcare, Inc. | 18101 Oakwood Blvd, Dearborn | G0403 | $200 [source] | 4 years ago |
| Oakwood Health Promotions, Inc. | 16391 Rotunda Dr, Dearborn | G0403 | $200 [source] | 4 years ago |
| Oakwood Healthcare, Inc. | 33155 Annapolis St, Wayne | G0403 | $200 [source] | 4 years ago |
| Botsford General Hospital | 28050 Grand River Ave, Farmington | G0403 | $200 [source] | 4 years ago |
| Oakwood Healthcare, Inc. | 5450 Fort St, Trenton | G0403 | $200 [source] | 4 years ago |
| Oakwood Healthcare, Inc. | 10000 Telegraph Rd, Taylor | G0403 | $200 [source] | 4 years ago |
| William Beaumont Hospital | 4949 Coolidge Hwy, Royal Oak | G0403 | $200 [source] | 4 years ago |
| William Beaumont Hospital | 468 Cadieux Rd, Grosse Pointe | G0403 | $200 [source] | 4 years ago |
| William Beaumont Hospital | 3535 W 13 Mile Rd, Royal Oak | G0403 | $200 [source] | 4 years ago |
| William Beaumont Hospital | 44201 Dequindre Rd, Troy | G0403 | $200 [source] | 4 years ago |
| Beaumont Special Radiological Procedures | 3601 W Thirteen Mile Rd, Royal Oak | G0403 | $200 [source] | 4 years ago |
| William Beaumont Hospital | 3601 W 13 Mile Rd, Royal Oak | G0403 | $200 [source] | 4 years ago |