| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Logan Regional Medical Center | 20 Hospital Drive, Logan | J0515 | $34 [source] | 4 years ago |
| Charleston Area Medical Center | 3110 Maccorkle Avenue Se, Charleston | J0515 | $53 [source] | 4 years ago |
| Montgomery General Hospital | 401 6Th Ave, Montgomery | J0515 | $114 [source] | 4 years ago |
| Raleigh General Hospital | 1710 Harper Road, Beckley | J0515 | $312 [source] | 4 years ago |