| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Logan Regional Medical Center | 20 Hospital Drive, Logan | J0875 | $15 [source] | 4 years ago |
| Montgomery General Hospital | 401 6Th Ave, Montgomery | J0875 | $51 [source] | 4 years ago |
| Charleston Area Medical Center | 3110 Maccorkle Avenue Se, Charleston | J0875 | $2,830 [source] | 4 years ago |