| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Via Christi Hospital Manhattan, Inc. | 1823 College Ave, Manhattan | J0875 | $16 [source] | 4 years ago |
| Ascension Via Christi Hospitals Wichita Inc. | 929 N Saint Francis St, Wichita | J0875 | $18 [source] | 4 years ago |
| Mt. Carmel Regional Medical Center, Inc. | 1 Mt Carmel Way, Pittsburg | J0875 | $18 [source] | 4 years ago |
| Menorah Medical Center | 5721 W. 119Th Street, Shawnee Mission | J0875 | $5,117 [source] | 4 years ago |
| Ascension Via Christi Rehabilitation Hospital, Inc. | 1151 N Rock Rd, Wichita | J0875 | $8,133 [source] | 4 years ago |
| Adventhealth Ransom Memorial, Inc. | 1301 S Main St , Ottawa | J0875 | $12,147 [source] | 4 years ago |