| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Wentworth-Douglass Hospital | 789 Central Avenue, Dover | J0690 | $4 [source] | 4 years ago |
| Frisbie Memorial Hospital | 11 Whitehall Road, Rochester | J0690 | $15 [source] | 4 years ago |
| New London Hospital | 273 County Rd, New London | J0690 | $50 [source] | 4 years ago |
| Portsmouth Regional Hospital | 333 Borthwick Ave, Portsmouth | J0690 | $53 [source] | 4 years ago |
| Parkland Medical Center | 1 Parkland Dr, Derry | J0690 | $95 [source] | 4 years ago |