| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Mclean Hospital | 115 Mill St, Belmont | J0461 | $8 [source] | 4 years ago |
| Massachusetts Eye And Ear | 243 Charles St, Boston | J0461 | $16 [source] | 4 years ago |
| Spaulding Rehab Hospital Cape Cod | 311 Service Rd, East Sandwich | J0461 | $19 [source] | 4 years ago |
| North Shore Medical Center Hospital | 81 Highland Ave, Salem | J0461 | $20 [source] | 4 years ago |
| Martha's Vineyard Hospital | One Hospital Road, Oak Bluffs | J0461 | $24 [source] | 4 years ago |
| Newton Wellesley Hospital | 2014 Washington St, Newton Lower Falls | J0461 | $34 [source] | 4 years ago |
| Massachusetts General Hospital | 55 Fruit St, Boston | J0461 | $34 [source] | 4 years ago |
| Brigham & Women Hospital | 75 Francis St, Boston | J0461 | $52 [source] | 4 years ago |