| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Eastern Maine Medical Center | 489 State St, Bangor | J1040 | $27 [source] | 4 years ago |
| Sebasticook Valley Health | 447 N Main St, Pittsfield | J1040 | $28 [source] | 4 years ago |
| Northern Light Blue Hill Hospital | 57 Water Street, Blue Hill | J1040 | $28 [source] | 4 years ago |
| Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville | J1040 | $33 [source] | 4 years ago |
| Mercy Hospital | 144 State St, Portland | J1040 | $57 [source] | 4 years ago |
| Northern Light Maine Coast Hospital | 50 Union St, Ellsworth | J1040 | $72 [source] | 4 years ago |
| Northern Light A.r. Gould Hospital | 140 Academy St, Presque Isle | J1040 | $193 [source] | 4 years ago |