| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Eastern Maine Medical Center | 489 State St, Bangor | J0456 | $31 [source] | 4 years ago |
| Sebasticook Valley Health | 447 N Main St, Pittsfield | J0456 | $69 [source] | 4 years ago |
| Charles A Dean Memorial Hospital | 364 Pritham Ave, Greenville | J0456 | $72 [source] | 4 years ago |
| Northern Light Blue Hill Hospital | 57 Water Street, Blue Hill | J0456 | $114 [source] | 4 years ago |
| Mercy Hospital | 144 State St, Portland | J0456 | $118 [source] | 4 years ago |
| Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville | J0456 | $127 [source] | 4 years ago |
| Northern Light A.r. Gould Hospital | 140 Academy St, Presque Isle | J0456 | $127 [source] | 4 years ago |
| Northern Light Maine Coast Hospital | 50 Union St, Ellsworth | J0456 | $136 [source] | 4 years ago |