| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Charles A Dean Memorial Hospital | 364 Pritham Ave, Greenville | J0171 | $2 [source] | 4 years ago |
| Northern Light Blue Hill Hospital | 57 Water Street, Blue Hill | J0171 | $6 [source] | 4 years ago |
| Northern Light Maine Coast Hospital | 50 Union St, Ellsworth | J0171 | $6 [source] | 4 years ago |
| Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville | J0171 | $9 [source] | 4 years ago |
| Northern Light A.r. Gould Hospital | 140 Academy St, Presque Isle | J0171 | $20 [source] | 4 years ago |
| Eastern Maine Medical Center | 489 State St, Bangor | J0171 | $262 [source] | 4 years ago |