| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Chi Health Schuyler | 1721 Colfax St, Schuyler | P9019 | $150 [source] | 3 years ago |
| Chi Health Plainview | 704 N 3Rd St, Plainview | P9019 | $150 [source] | 3 years ago |
| Chi Health Lakeside | 17201 Wright St, Omaha | P9019 | $189 [source] | 3 years ago |
| Chi Health Midlands | 11111 S 84Th St, Papillion | P9019 | $189 [source] | 3 years ago |
| Chi Health Creighton University Medical Center - Bergan Mercy | 7500 Mercy Rd, Omaha | P9019 | $189 [source] | 3 years ago |
| Chi Health Immanuel | 7101 Newport Ave, Omaha | P9019 | $189 [source] | 3 years ago |
| Chi Health St. Elizabeth | 555 S. 70Th St., Lincoln | P9019 | $291 [source] | 3 years ago |