| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Chi Health Schuyler | 1721 Colfax St, Schuyler | Q9963 | $33 [source] | 3 years ago |
| Chi Health Plainview | 704 N 3Rd St, Plainview | Q9963 | $33 [source] | 3 years ago |
| Chi Health Lakeside | 17201 Wright St, Omaha | Q9963 | $39 [source] | 3 years ago |
| Chi Health Midlands | 11111 S 84Th St, Papillion | Q9963 | $39 [source] | 3 years ago |
| Chi Health Creighton University Medical Center - Bergan Mercy | 7500 Mercy Rd, Omaha | Q9963 | $39 [source] | 3 years ago |
| Chi Health Immanuel | 7101 Newport Ave, Omaha | Q9963 | $39 [source] | 3 years ago |