| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Eastern Maine Medical Center | 489 State St, Bangor | G0109 | $16 [source] | 3 years ago |
| Sebasticook Valley Health | 447 N Main St, Pittsfield | G0109 | $37 [source] | 3 years ago |
| Northern Light Maine Coast Hospital | 50 Union St, Ellsworth | G0109 | $46 [source] | 3 years ago |
| Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville | G0109 | $48 [source] | 3 years ago |
| Mercy Hospital | 144 State St, Portland | G0109 | $72 [source] | 3 years ago |
| Northern Light Blue Hill Hospital | 57 Water Street, Blue Hill | G0109 | $82 [source] | 3 years ago |
| Northern Light A.r. Gould Hospital | 140 Academy St, Presque Isle | G0109 | $82 [source] | 3 years ago |