| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Cooley Dickinson Health Care | 30 Locust St, Northampton | G0103 | $148 [source] | 3 years ago |
| Nantucket Cottage Hospital | 57 Prospect St, Nantucket | G0103 | $185 [source] | 3 years ago |
| Martha's Vineyard Hospital | One Hospital Road, Oak Bluffs | G0103 | $193 [source] | 3 years ago |
| North Shore Medical Center Hospital | 81 Highland Ave, Salem | G0103 | $194 [source] | 3 years ago |
| Brigham & Women Faulkner Hospital | 1153 Centre St, Jamaica Plain | G0103 | $194 [source] | 3 years ago |
| Spaulding Rehab Hospital Boston | 300 1St Ave, Charlestown | G0103 | $194 [source] | 3 years ago |
| Newton Wellesley Hospital | 2014 Washington St, Newton Lower Falls | G0103 | $194 [source] | 3 years ago |
| Metrowest Medical Center - Framingham Union Hospital | 115 Lincoln Street, Framingham | G0103 | $201 [source] | 3 years ago |
| Metrowest Medical Center - Leonard Morse Hospital | 67 Union Street, Natick | G0103 | $201 [source] | 3 years ago |
| Spaulding Hospital Cambridge | 1575 Cambridge St, Cambridge | G0103 | $270 [source] | 3 years ago |
| Massachusetts General Hospital | 55 Fruit St, Boston | G0103 | $270 [source] | 3 years ago |
| Spaulding Rehab Hospital Cape Cod | 311 Service Rd, East Sandwich | G0103 | $270 [source] | 3 years ago |
| Mclean Hospital | 115 Mill St, Belmont | G0103 | $270 [source] | 3 years ago |
| Massachusetts Eye And Ear | 243 Charles St, Boston | G0103 | $270 [source] | 3 years ago |
| Brigham & Womens Hospital, Inc. | 75 Francis St, Boston | G0103 | $270 [source] | 3 years ago |