| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Frye Regional Medical Center | 420 N. Center Street, Hickory | J9312 | $73 [source] | 3 years ago |
| Atrium Health Behavioral Health | 501 Billingsley Road , Charlotte | J9312 | $165 [source] | 3 years ago |
| Atrium Health Anson | 2301 Us Hwy 74 W. , Wadesboro | J9312 | $165 [source] | 3 years ago |
| Carolinas Medical Center | 1000 Blythe Blvd. , Charlotte | J9312 | $165 [source] | 3 years ago |
| Atrium Health Cleveland | 201 E. Grover St. , Shelby | J9312 | $165 [source] | 3 years ago |
| Atrium Health University | 8800 N. Tryon St. , Charlotte | J9312 | $165 [source] | 3 years ago |
| Atrium Health Mercy | 2001 Vail Ave. , Charlotte | J9312 | $165 [source] | 3 years ago |
| Atrium Health Union | 600 Hospital Drive , Monroe | J9312 | $165 [source] | 3 years ago |
| Atrium Health Pineville | 10628 Park Road , Charlotte | J9312 | $165 [source] | 3 years ago |
| Atrium Health Stanly | 301 Yadkin St. , Albemarle | J9312 | $165 [source] | 3 years ago |
| Atrium Health Cabarrus | 920 Church Street North , Concord | J9312 | $165 [source] | 3 years ago |
| Carolinas Rehabilitation | 1100 Blythe Blvd. , Charlotte | J9312 | $165 [source] | 3 years ago |
| Cone Health Moses Cone Hospital | 1121 North Church St Entrance A, Greensboro | J9312 | $4,331 [source] | 3 years ago |
| Adventhealth Hendersonville | 100 Hospital Dr, Hendersonville | J9312 | $5,707 [source] | 3 years ago |
| Cone Health Wesley Long Hospital | 2400 W Friendly Ave, Greensboro | J9312 | $12,374 [source] | 3 years ago |
| Moses Cone Hospital | 1131D N Church St, Greensboro | J9312 | $12,374 [source] | 3 years ago |
| Cone Health Behavioral Health Hospital | 700 Walter Reed Dr, Greensboro | J9312 | $12,374 [source] | 3 years ago |
| Cone Health Penn Nursing Center | 618 S Main St, Reidsville | J9312 | $12,374 [source] | 3 years ago |
| Cone Health Alamance Regional Medical Center | 1240 Huffman Mill Rd, Burlington | J9312 | $12,374 [source] | 3 years ago |
| Blue Ridge Regional Hospital | 125 Hospital Dr, Spruce Pine | J9312 | $29,578 [source] | 3 years ago |
| Angel Medical Center | 120 Riverview St, Franklin | J9312 | $29,578 [source] | 3 years ago |
| Mcdowell Hospital | , Marion | J9312 | $29,578 [source] | 3 years ago |