| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Northern Light A.r. Gould Hospital | 140 Academy St, Presque Isle | J9171 | $12 [source] | 4 years ago |
| Mercy Hospital | 144 State St, Portland | J9171 | $26 [source] | 4 years ago |
| Eastern Maine Medical Center | 489 State St, Bangor | J9171 | $77 [source] | 4 years ago |
| Northern Light Blue Hill Hospital | 57 Water Street, Blue Hill | J9171 | $133 [source] | 4 years ago |
| Northern Light Maine Coast Hospital | 50 Union St, Ellsworth | J9171 | $2,566 [source] | 4 years ago |