| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Sebasticook Valley Health | 447 N Main St, Pittsfield | G0104 | $138 [source] | 3 years ago |
| Northern Light A.r. Gould Hospital | 140 Academy St, Presque Isle | G0104 | $197 [source] | 3 years ago |
| Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville | G0104 | $199 [source] | 3 years ago |
| Eastern Maine Medical Center | 489 State St, Bangor | G0104 | $216 [source] | 3 years ago |
| Charles A Dean Memorial Hospital | 364 Pritham Ave, Greenville | G0104 | $546 [source] | 3 years ago |
| Northern Light Maine Coast Hospital | 50 Union St, Ellsworth | G0104 | $567 [source] | 3 years ago |
| Mercy Hospital | 144 State St, Portland | G0104 | $917 [source] | 3 years ago |