| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Wentworth-Douglass Hospital | 789 Central Avenue, Dover | J0694 | $66 [source] | 3 years ago |
| Portsmouth Regional Hospital | 333 Borthwick Ave, Portsmouth | J0694 | $136 [source] | 3 years ago |
| Frisbie Memorial Hospital | 11 Whitehall Road, Rochester | J0694 | $165 [source] | 3 years ago |
| Parkland Medical Center | 1 Parkland Dr, Derry | J0694 | $365 [source] | 3 years ago |