| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension St. Vincent Warrick | 1116 Millis Ave, Boonville | J9130 | $27 [source] | 4 years ago |
| Ascension St. Vincent Hospital | 2001 W 86Th St, Indianapolis | J9130 | $27 [source] | 4 years ago |
| Ascension Medical Group St. Vincent | 301 Henry St, North Vernon | J9130 | $27 [source] | 4 years ago |
| Ascension St. Vincent Evansville | 3700 Washington Ave, Evansville | J9130 | $27 [source] | 4 years ago |
| Ascension St. Vincent Williamsport | 412 N Monroe St, Williamsport | J9130 | $27 [source] | 4 years ago |
| St Vincent Salem Hospital Inc | 911 N Shelby St, Salem | J9130 | $27 [source] | 4 years ago |
| St. Vincent Mercy Hospital | 1331 S A St, Elwood | J9130 | $27 [source] | 4 years ago |
| Ascension St. Vincent Dunn | 1600 23Rd St, Bedford | J9130 | $27 [source] | 4 years ago |
| Ascension St. Vincent Randolph | 473 E Greenville Ave, Winchester | J9130 | $27 [source] | 4 years ago |
| Ascension St. Vincent Carmel | 13500 N Meridian St, Carmel | J9130 | $27 [source] | 4 years ago |
| Ascension St. Vincent Anderson | 2015 Jackson St, Anderson | J9130 | $27 [source] | 4 years ago |
| Ascension St. Vincent Heart Center | 10580 N Meridian St, Indianapolis | J9130 | $27 [source] | 4 years ago |
| Franciscan Health Indianapolis | , Indianapolis | J9130 | $102 [source] | 4 years ago |
| Terre Haute Regional Hospital | 3901 S 7Th St, Terre Haute | J9130 | $337 [source] | 4 years ago |
| St. Vincent Clay Hospital, Inc | 1206 E National Ave, Brazil | J9130 | $6,012 [source] | 4 years ago |
| Ascension St Vincent Fishers | 13861 Olio Road, | J9130 | $6,012 [source] | 4 years ago |