| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Upmc Western Maryland | 10701 New Georges Creek Rd Sw, Frostburg | J0713 | $5 [source] | 4 years ago |
| The Good Samaritan Hospital | 5601 Loch Raven Blvd, Baltimore | J0713 | $9 [source] | 4 years ago |
| The Union Memorial Hospital | 201 E University Pkwy, Baltimore | J0713 | $12 [source] | 4 years ago |
| Levindale Hebrew Geriatric Center And Hospital | 2434 W Belvedere Ave, Baltimore | J0713 | $13 [source] | 4 years ago |
| Harbor Hospital | 3001 S Hanover St, Brooklyn | J0713 | $16 [source] | 4 years ago |
| The Johns Hopkins Hospital | , Baltimore | J0713 | $32 [source] | 4 years ago |