| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension St. Vincent Warrick | 1116 Millis Ave, Boonville | J0875 | $15 [source] | 4 years ago |
| Ascension St. Vincent Hospital | 2001 W 86Th St, Indianapolis | J0875 | $15 [source] | 4 years ago |
| Ascension Medical Group St. Vincent | 301 Henry St, North Vernon | J0875 | $15 [source] | 4 years ago |
| Ascension St. Vincent Evansville | 3700 Washington Ave, Evansville | J0875 | $15 [source] | 4 years ago |
| Ascension St. Vincent Williamsport | 412 N Monroe St, Williamsport | J0875 | $15 [source] | 4 years ago |
| St Vincent Salem Hospital Inc | 911 N Shelby St, Salem | J0875 | $15 [source] | 4 years ago |
| St. Vincent Mercy Hospital | 1331 S A St, Elwood | J0875 | $15 [source] | 4 years ago |
| Ascension St. Vincent Dunn | 1600 23Rd St, Bedford | J0875 | $15 [source] | 4 years ago |
| Ascension St. Vincent Randolph | 473 E Greenville Ave, Winchester | J0875 | $15 [source] | 4 years ago |
| Ascension St. Vincent Carmel | 13500 N Meridian St, Carmel | J0875 | $15 [source] | 4 years ago |
| Ascension St. Vincent Anderson | 2015 Jackson St, Anderson | J0875 | $15 [source] | 4 years ago |
| Ascension St. Vincent Heart Center | 10580 N Meridian St, Indianapolis | J0875 | $15 [source] | 4 years ago |
| Iu Health Arnett Hospital | 5165 Mccarty Ln, Lafayette | J0875 | $15 [source] | 4 years ago |
| St. Vincent Clay Hospital, Inc | 1206 E National Ave, Brazil | J0875 | $6,012 [source] | 4 years ago |
| Ascension St Vincent Fishers | 13861 Olio Road, | J0875 | $6,012 [source] | 4 years ago |
| Franciscan Health Hammond | , Hammond | J0875 | $10,187 [source] | 4 years ago |