| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Riverview Regional Medical Center | 158 Hospital Drive, Carthage | G0121 | $650 [source] | 3 years ago |
| Southern Tennessee Regional Health System - Winchester | 185 Hospital Road, Winchester | G0121 | $690 [source] | 3 years ago |
| Starr Regional Medical Center - Athens | 1114 West Madison Ave, Athens | G0121 | $690 [source] | 3 years ago |
| Starr Regional Medical Center - Etowah | 886 Highway 411 North, Etowah | G0121 | $690 [source] | 3 years ago |
| Southern Tennessee Regional Health System - Pulaski | 1265 East College Street, Pulaski | G0121 | $699 [source] | 3 years ago |
| Sumner Regional Medical Center | 555 Hartsville Pike, Gallatin | G0121 | $708 [source] | 3 years ago |
| Southern Tennessee Regional Health System - Lawrenceburg | 1607 South Locust Avenue, Lawrenceburg | G0121 | $720 [source] | 3 years ago |
| Ascension Saint Thomas Rutherford | 1700 Medical Center Pkwy, Murfreesboro | G0121 | $1,408 [source] | 3 years ago |
| Saint Thomas Hickman Hospital | 1518 Highway 100, Centerville | G0121 | $1,525 [source] | 3 years ago |
| Saint Francis Hospital - Bartlett | 2986 Kate Bond Rd., Memphis | G0121 | $1,934 [source] | 3 years ago |
| Saint Thomas River Park Hospital, Llc | 120 Walnut Commons Ln Ste D, Cookeville | G0121 | $2,195 [source] | 3 years ago |
| Ascension Saint Thomas Stones River | 324 Doolittle Rd, Woodbury | G0121 | $2,195 [source] | 3 years ago |
| Ascension Saint Thomas Dekalb | 520 W Main St, Smithville | G0121 | $2,195 [source] | 3 years ago |
| Ascension Saint Thomas Highlands | 401 Sewell Dr, Sparta | G0121 | $2,195 [source] | 3 years ago |
| Saint Francis Hospital - Memphis | 5959 Park Ave., Memphis | G0121 | $5,601 [source] | 3 years ago |