| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| The Good Samaritan Hospital | 5601 Loch Raven Blvd, Baltimore | J0696 | $5 [source] | 3 years ago |
| Northwest Hospital Center | 5401 Old Court Rd, Randallstown | J0696 | $6 [source] | 3 years ago |
| Upmc Western Maryland | 10701 New Georges Creek Rd Sw, Frostburg | J0696 | $6 [source] | 3 years ago |
| The Union Memorial Hospital | 201 E University Pkwy, Baltimore | J0696 | $7 [source] | 3 years ago |
| Levindale Hebrew Geriatric Center And Hospital | 2434 W Belvedere Ave, Baltimore | J0696 | $7 [source] | 3 years ago |
| Harbor Hospital | 3001 S Hanover St, Brooklyn | J0696 | $9 [source] | 3 years ago |
| Atlantic General Hospital Corp | 9733 Healthway Dr, Berlin | J0696 | $25 [source] | 3 years ago |
| The Johns Hopkins Hospital | , Baltimore | J0696 | $82 [source] | 3 years ago |
| Carroll Hospital Center | 200 Memorial Ave, Westminster | J0696 | $98 [source] | 3 years ago |
| Sinai Hospital Of Baltimore | 2401 W Belvedere Ave, Baltimore | J0696 | $216 [source] | 3 years ago |