| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Montgomery General Hospital | 401 6Th Ave, Montgomery | J0637 | $43 [source] | 4 years ago |
| Raleigh General Hospital | 1710 Harper Road, Beckley | J0637 | $171 [source] | 4 years ago |
| Logan Regional Medical Center | 20 Hospital Drive, Logan | J0637 | $186 [source] | 4 years ago |
| Charleston Area Medical Center | 3110 Maccorkle Avenue Se, Charleston | J0637 | $627 [source] | 4 years ago |