| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Sebasticook Valley Health | 447 N Main St, Pittsfield | J0153 | $3 [source] | 4 years ago |
| Eastern Maine Medical Center | 489 State St, Bangor | J0153 | $4 [source] | 4 years ago |
| Northern Light A.r. Gould Hospital | 140 Academy St, Presque Isle | J0153 | $7 [source] | 4 years ago |
| Northern Light Blue Hill Hospital | 57 Water Street, Blue Hill | J0153 | $16 [source] | 4 years ago |
| Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville | J0153 | $20 [source] | 4 years ago |
| Mercy Hospital | 144 State St, Portland | J0153 | $33 [source] | 4 years ago |
| Charles A Dean Memorial Hospital | 364 Pritham Ave, Greenville | J0153 | $46 [source] | 4 years ago |
| Northern Light Maine Coast Hospital | 50 Union St, Ellsworth | J0153 | $50 [source] | 4 years ago |