| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Swain Community Hospital | 45 Plateau Street, Bryson City | J0696 | $10 [source] | 3 years ago |
| Carepartners Rehabilitation Hospital | 68 Sweeten Creek Rd, Asheville | J0696 | $12 [source] | 3 years ago |
| Carepartners Outpatient Rehab | 1 Doctors Dr, Asheville | J0696 | $12 [source] | 3 years ago |
| Frye Regional Medical Center | 420 N. Center Street, Hickory | J0696 | $20 [source] | 3 years ago |
| Atrium Health Pineville | 10628 Park Road , Charlotte | J0696 | $24 [source] | 3 years ago |
| Carolinas Rehabilitation | 1100 Blythe Blvd. , Charlotte | J0696 | $24 [source] | 3 years ago |
| Atrium Health Cabarrus | 920 Church Street North , Concord | J0696 | $24 [source] | 3 years ago |
| Atrium Health Union | 600 Hospital Drive , Monroe | J0696 | $24 [source] | 3 years ago |
| Atrium Health Mercy | 2001 Vail Ave. , Charlotte | J0696 | $24 [source] | 3 years ago |
| Atrium Health Cleveland | 201 E. Grover St. , Shelby | J0696 | $24 [source] | 3 years ago |
| Carolinas Medical Center | 1000 Blythe Blvd. , Charlotte | J0696 | $24 [source] | 3 years ago |
| Atrium Health Anson | 2301 Us Hwy 74 W. , Wadesboro | J0696 | $24 [source] | 3 years ago |
| Atrium Health Behavioral Health | 501 Billingsley Road , Charlotte | J0696 | $24 [source] | 3 years ago |
| Atrium Health Stanly | 301 Yadkin St. , Albemarle | J0696 | $24 [source] | 3 years ago |
| Atrium Health University | 8800 N. Tryon St. , Charlotte | J0696 | $24 [source] | 3 years ago |
| Harris Regional Hospital | 68 Hospital Road, Sylva | J0696 | $24 [source] | 3 years ago |
| Cone Health Moses Cone Hospital | 1121 North Church St Entrance A, Greensboro | J0696 | $26 [source] | 3 years ago |
| Wilson Medical Center | 1705 Tarboro Street Sw, Wilson | J0696 | $39 [source] | 3 years ago |
| Adventhealth Hendersonville | 100 Hospital Dr, Hendersonville | J0696 | $41 [source] | 3 years ago |
| Cone Health Alamance Regional Medical Center | 1240 Huffman Mill Rd, Burlington | J0696 | $75 [source] | 3 years ago |
| Cone Health Penn Nursing Center | 618 S Main St, Reidsville | J0696 | $75 [source] | 3 years ago |
| Cone Health Wesley Long Hospital | 2400 W Friendly Ave, Greensboro | J0696 | $75 [source] | 3 years ago |
| Cone Health Behavioral Health Hospital | 700 Walter Reed Dr, Greensboro | J0696 | $75 [source] | 3 years ago |
| Moses Cone Hospital | 1131D N Church St, Greensboro | J0696 | $75 [source] | 3 years ago |
| Mcdowell Hospital | , Marion | J0696 | $120 [source] | 3 years ago |
| Blue Ridge Regional Hospital | 125 Hospital Dr, Spruce Pine | J0696 | $120 [source] | 3 years ago |
| Angel Medical Center | 120 Riverview St, Franklin | J0696 | $120 [source] | 3 years ago |
| Rutherford Regional Health System | 288 S. Ridgecrest Avenue, Rutherfordton | J0696 | $623 [source] | 3 years ago |