| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Iu Health Bedford Hospital | 2900 W 16Th St, Bedford | J0696 | $1 [source] | 4 years ago |
| Iu Health White Memorial Hospital | 720 S 6Th St, Monticello | J0696 | $2 [source] | 4 years ago |
| Iu Health Tipton Hospital | 1000 S Main St, Tipton | J0696 | $2 [source] | 4 years ago |
| Iu Health Blackford Hospital | 410 Pilgrim Blvd, Hartford City | J0696 | $2 [source] | 4 years ago |
| Iu Health Frankfort Hospital | 1300 S Jackson St, Frankfort | J0696 | $2 [source] | 4 years ago |
| Iu Health Jay Hospital | 500 West Votaw St, Portland | J0696 | $3 [source] | 4 years ago |
| Clark Memorial Health | 1220 Missouri Avenue, Jeffersonville | J0696 | $4 [source] | 4 years ago |
| Scott Memorial Health | 1451 N. Gardner P.o. Box 430, Scottsburg | J0696 | $21 [source] | 4 years ago |
| Franciscan Health Hammond | , Hammond | J0696 | $73 [source] | 4 years ago |
| Terre Haute Regional Hospital | 3901 S 7Th St, Terre Haute | J0696 | $372 [source] | 4 years ago |
| St. Vincent Clay Hospital, Inc | 1206 E National Ave, Brazil | J0696 | $6,012 [source] | 4 years ago |
| Ascension St Vincent Fishers | 13861 Olio Road, | J0696 | $6,012 [source] | 4 years ago |