| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Atrium Health Stanly | 301 Yadkin St. , Albemarle | J0875 | $31 [source] | 4 years ago |
| Atrium Health Behavioral Health | 501 Billingsley Road , Charlotte | J0875 | $31 [source] | 4 years ago |
| Atrium Health Anson | 2301 Us Hwy 74 W. , Wadesboro | J0875 | $31 [source] | 4 years ago |
| Carolinas Medical Center | 1000 Blythe Blvd. , Charlotte | J0875 | $31 [source] | 4 years ago |
| Atrium Health Cleveland | 201 E. Grover St. , Shelby | J0875 | $31 [source] | 4 years ago |
| Atrium Health University | 8800 N. Tryon St. , Charlotte | J0875 | $31 [source] | 4 years ago |
| Atrium Health Mercy | 2001 Vail Ave. , Charlotte | J0875 | $31 [source] | 4 years ago |
| Atrium Health Union | 600 Hospital Drive , Monroe | J0875 | $31 [source] | 4 years ago |
| Atrium Health Cabarrus | 920 Church Street North , Concord | J0875 | $31 [source] | 4 years ago |
| Carolinas Rehabilitation | 1100 Blythe Blvd. , Charlotte | J0875 | $31 [source] | 4 years ago |
| Atrium Health Pineville | 10628 Park Road , Charlotte | J0875 | $31 [source] | 4 years ago |
| Adventhealth Hendersonville | 100 Hospital Dr, Hendersonville | J0875 | $2,817 [source] | 4 years ago |
| Mcdowell Hospital | , Marion | J0875 | $11,072 [source] | 4 years ago |
| Blue Ridge Regional Hospital | 125 Hospital Dr, Spruce Pine | J0875 | $11,072 [source] | 4 years ago |
| Angel Medical Center | 120 Riverview St, Franklin | J0875 | $11,072 [source] | 4 years ago |