| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Massachusetts Eye And Ear | 243 Charles St, Boston | J0697 | $6 [source] | 3 years ago |
| Cooley Dickinson Health Care | 30 Locust St, Northampton | J0697 | $11 [source] | 3 years ago |
| Martha's Vineyard Hospital | One Hospital Road, Oak Bluffs | J0697 | $11 [source] | 3 years ago |
| Spaulding Hospital Cambridge | 1575 Cambridge St, Cambridge | J0697 | $14 [source] | 3 years ago |
| Brigham & Women Hospital | 75 Francis St, Boston | J0697 | $16 [source] | 3 years ago |
| Massachusetts General Hospital | 55 Fruit St, Boston | J0697 | $17 [source] | 3 years ago |