| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Euclid Hospital | 18901 Lakeshore Blvd., Cleveland | J0456 | $41 [source] | 4 years ago |
| Cleveland Clinic Main Campus | 9500 Euclid Ave, Cleveland | J0456 | $41 [source] | 4 years ago |
| Medina Hospital | 1000 E. Washington St., Medina | J0456 | $41 [source] | 4 years ago |
| Akron General Lodi Hospital | 225 Elyria St., Lodi | J0456 | $41 [source] | 4 years ago |
| Lutheran Hospital | 1730 West 25Th Street, Cleveland | J0456 | $41 [source] | 4 years ago |
| Fairview Hospital | 18101 Lorain Ave., Cleveland | J0456 | $41 [source] | 4 years ago |
| South Pointe Hospital | 20000 Harvard Rd., Cleveland | J0456 | $41 [source] | 4 years ago |
| Hillcrest Hospital | 6780 Mayfield Rd., Cleveland | J0456 | $41 [source] | 4 years ago |
| Akron General | 1 Akron General Ave., Akron | J0456 | $41 [source] | 4 years ago |
| Marymount Hospital | 12300 Mccracken Road, Cleveland | J0456 | $41 [source] | 4 years ago |