| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville | J0696 | $2 [source] | 3 years ago |
| Northern Light Maine Coast Hospital | 50 Union St, Ellsworth | J0696 | $7 [source] | 3 years ago |
| Sebasticook Valley Health | 447 N Main St, Pittsfield | J0696 | $14 [source] | 3 years ago |
| Mercy Hospital | 144 State St, Portland | J0696 | $17 [source] | 3 years ago |
| Northern Light A.r. Gould Hospital | 140 Academy St, Presque Isle | J0696 | $28 [source] | 3 years ago |
| Northern Light Blue Hill Hospital | 57 Water Street, Blue Hill | J0696 | $35 [source] | 3 years ago |
| Eastern Maine Medical Center | 489 State St, Bangor | J0696 | $37 [source] | 3 years ago |
| Acadia Hospital | 268 Stillwater Ave, Bangor | J0696 | $43 [source] | 3 years ago |
| Charles A Dean Memorial Hospital | 364 Pritham Ave, Greenville | J0696 | $68 [source] | 3 years ago |