| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Clark Memorial Health | 1220 Missouri Avenue, Jeffersonville | G0103 | $19 [source] | 3 years ago |
| St Vincent Salem Hospital Inc | 911 N Shelby St, Salem | G0103 | $25 [source] | 3 years ago |
| Ascension St. Vincent Heart Center | 10580 N Meridian St, Indianapolis | G0103 | $25 [source] | 3 years ago |
| Ascension St. Vincent Anderson | 2015 Jackson St, Anderson | G0103 | $25 [source] | 3 years ago |
| Ascension St. Vincent Carmel | 13500 N Meridian St, Carmel | G0103 | $25 [source] | 3 years ago |
| Ascension St. Vincent Randolph | 473 E Greenville Ave, Winchester | G0103 | $25 [source] | 3 years ago |
| Ascension St. Vincent Dunn | 1600 23Rd St, Bedford | G0103 | $25 [source] | 3 years ago |
| St. Vincent Mercy Hospital | 1331 S A St, Elwood | G0103 | $25 [source] | 3 years ago |
| Ascension St. Vincent Williamsport | 412 N Monroe St, Williamsport | G0103 | $25 [source] | 3 years ago |
| Ascension St. Vincent Evansville | 3700 Washington Ave, Evansville | G0103 | $25 [source] | 3 years ago |
| Ascension Medical Group St. Vincent | 301 Henry St, North Vernon | G0103 | $25 [source] | 3 years ago |
| Ascension St. Vincent Hospital | 2001 W 86Th St, Indianapolis | G0103 | $25 [source] | 3 years ago |
| Ascension St. Vincent Warrick | 1116 Millis Ave, Boonville | G0103 | $25 [source] | 3 years ago |
| Scott Memorial Health | 1451 N. Gardner P.o. Box 430, Scottsburg | G0103 | $43 [source] | 3 years ago |
| Southern Indiana Rehabilitation Hospital | 3104 Blackiston Blvd., New Albany | G0103 | $117 [source] | 3 years ago |
| Franciscan Health Indianapolis | , Indianapolis | G0103 | $246 [source] | 3 years ago |
| Terre Haute Regional Hospital | 3901 S 7Th St, Terre Haute | G0103 | $293 [source] | 3 years ago |
| St. Vincent Clay Hospital, Inc | 1206 E National Ave, Brazil | G0103 | $6,012 [source] | 3 years ago |
| Ascension St Vincent Fishers | 13861 Olio Road, | G0103 | $6,012 [source] | 3 years ago |