| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Via Christi Hospital Manhattan, Inc. | 1823 College Ave, Manhattan | J0565 | $41 [source] | 4 years ago |
| Ascension Via Christi Hospitals Wichita Inc. | 929 N Saint Francis St, Wichita | J0565 | $51 [source] | 4 years ago |
| Mt. Carmel Regional Medical Center, Inc. | 1 Mt Carmel Way, Pittsburg | J0565 | $51 [source] | 4 years ago |
| Adventhealth Ransom Memorial, Inc. | 1301 S Main St , Ottawa | J0565 | $31,254 [source] | 4 years ago |