| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| St. John Providence | 28000 Dequindre Rd, Warren | J0490 | $70 [source] | 4 years ago |
| Ascension Providence Rochester Hospital | 1101 W University Dr, Rochester | J0490 | $79 [source] | 4 years ago |
| Mclaren Northern Michigan | 416 Connable Ave, Petoskey | J0490 | $95 [source] | 4 years ago |
| Providence Hospital And Medical Centers | 16001 W 9 Mile Rd, Southfield | J0490 | $122 [source] | 4 years ago |
| Dmc Sinai-Grace Hospital | 6071 West Outer Drive, Detroit | J0490 | $127 [source] | 4 years ago |
| Botsford Continuing Care Corporation | 21450 Archwood Cir, Farmington | J0490 | $129 [source] | 4 years ago |
| St. John Macomb Oakland Hospital-Warren Campus | 11800 E 12 Mile Rd, Warren | J0490 | $137 [source] | 4 years ago |
| Up Health System – Marquette | 580 West College Avenue, Marquette | J0490 | $170 [source] | 4 years ago |
| William Beaumont Hospital | 10000 Telegraph Rd, Taylor | J0490 | $1,847 [source] | 4 years ago |
| William Beaumont Hospital | 3555 W 13 Mile Rd, Royal Oak | J0490 | $1,847 [source] | 4 years ago |
| Botsford General Hospital | 28050 Grand River Ave, Farmington | J0490 | $2,814 [source] | 4 years ago |
| William Beaumont Hospital | 468 Cadieux Rd, Grosse Pointe | J0490 | $2,814 [source] | 4 years ago |
| Midmichigan Medical Center Gratiot | 300 E Warwick Dr, Alma | J0490 | $3,595 [source] | 4 years ago |
| Beaumont Wayne | 33155 Annapolis St, Wayne | J0490 | $8,369 [source] | 4 years ago |
| Oakwood Healthcare Inc | Beaumont Service Center, | J0490 | $8,369 [source] | 4 years ago |
| Midmichigan Medical Center Gladwin | , Gladwin | J0490 | $9,515 [source] | 4 years ago |
| William Beaumont Hospital | 44201 Dequindre Rd, Troy | J0490 | $10,366 [source] | 4 years ago |
| William Beaumont Hospital | 18181 Oakwood Blvd, Dearborn | J0490 | $10,366 [source] | 4 years ago |
| Oakwood Health Promotions, Inc. | 16391 Rotunda Dr, Dearborn | J0490 | $10,366 [source] | 4 years ago |
| Oakwood Healthcare, Inc. | 18101 Oakwood Blvd, Dearborn | J0490 | $10,366 [source] | 4 years ago |
| Beaumont Ashn, Llc | 1919 Technology Dr Ste B, Troy | J0490 | $10,366 [source] | 4 years ago |
| William Beaumont Hospital | 44201 Dequindre, Troy | J0490 | $10,366 [source] | 4 years ago |