| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Northern Light A.r. Gould Hospital | 140 Academy St, Presque Isle | G0268 | $81 [source] | 3 years ago |
| Mercy Hospital | 144 State St, Portland | G0268 | $83 [source] | 3 years ago |
| Eastern Maine Healthcare Systems Inland Hospital | 200 Kennedy Memorial Dr, Waterville | G0268 | $86 [source] | 3 years ago |
| Charles A Dean Memorial Hospital | 364 Pritham Ave, Greenville | G0268 | $103 [source] | 3 years ago |
| Eastern Maine Medical Center | 489 State St, Bangor | G0268 | $187 [source] | 3 years ago |