| 
                Glens Falls Hospital
                100 Park St Glens Falls, NY 12801
                        $216 –         $265
               | 
            
            
            
              | 
                Finger Lakes Health
                196 North St Geneva, NY 14456
                        $216 –         $265
               | 
            
            
            
              | 
                Montefiore St. Lukes Cornwall Hospital
                70 Dubois St Newburgh, NY 12550
                        $216 –         $265
               | 
            
            
            
              | 
                HHC Elmhurst Hospital Center
                7901 Broadway Elmhurst, NY 11373
                        $265 –         $314
               | 
            
            
            
              | 
                Mount Sinai Beth Israel
                First Avenue and 16th Street New York, NY 10003
                        $265 –         $314
               | 
            
            
            
              | 
                NYC Health + Hospitals Coney Island
                2601 Ocean Pkwy Brooklyn, NY 11235
                        $265 –         $314
               | 
            
            
            
              | 
                HHC Harlem Hospital Center
                506 Malcolm X Blvd New York, NY 10037
                        $265 –         $314
               | 
            
            
            
              | 
                Montefiore Nyack Hospital
                160 N Midland Ave Nyack, NY 10960
                        $265 –         $314
               | 
            
            
            
              | 
                NYC Health + Hospitals Metropolitan
                1901 1st Ave New York, NY 10029
                        $265 –         $314
               | 
            
            
            
              | 
                HHC Lincoln Medical Center
                234 E 149th St Rm 2a1 Bronx, NY 10451
                        $265 –         $314
               | 
            
            
            
              | 
                Mount Sinai Morningside
                1000 10th Ave New York, NY 10019
                        $265 –         $314
               | 
            
            
            
              | 
                The Mount Sinai Hospital
                1 Gustave L Levy Pl New York, NY 10029
                        $265 –         $314
               | 
            
            
            
              | 
                Sisters Of Charity Hospital
                2157 Main St Buffalo, NY 14214
                        $314 –         $363
               | 
            
            
            
              | 
                Westfield Memorial Hospital
                189 E Main St Westfield, NY 14787
                        $314 –         $363
               | 
            
            
            
              | 
                Sisters Of Charity Hospital Saint Joseph Campus
                2605 Harlem Rd Cheektowaga, NY 14225
                        $314 –         $363
               | 
            
            
            
              | 
                Kenmore Mercy Hospital
                2950 Elmwood Ave Kenmore, NY 14217
                        $314 –         $363
               | 
            
            
            
              | 
                Mount St. Marys Hospital
                5300 Military Rd Lewiston, NY 14092
                        $314 –         $363
               | 
            
            
            
              | 
                Mercy Hospital Of Buffalo
                565 Abbott Rd Buffalo, NY 14220
                        $314 –         $363
               | 
            
            
            
              | 
                HealthAlliance Hospital Broadway
                396 Broadway Kingston, NY 12401
                        $363 –         $412
               | 
            
            
            
              | 
                HealthAlliance Hospital Mary's Ave
                105 Marys Ave Kingston, NY 12401
                        $363 –         $412
               | 
            
            
            
              | 
                Bon Secours Community Hospital
                160 E Main St Port Jervis, NY 12771
                        $412 –         $461
               | 
            
            
            
              | 
                St. Anthony Community Hospital
                15 Maple Ave Warwick, NY 10990
                        $412 –         $461
               | 
            
            
            
              | 
                Midhudson Regional Hospital Of Westchester Medical Center
                241 North Rd Poughkeepsie, NY 12601
                        $412 –         $461
               | 
            
            
            
              | 
                Good Samaritan Hospital
                255 Lafayette Ave Suffern, NY 10901
                        $412 –         $461
               | 
            
            
            
              | 
                Clifton Springs Hospital And Clinic
                2 Coulter Rd Clifton Springs, NY 14432
                        $461 –         $510
               | 
            
            
            
              | 
                Newark Wayne Community Hospital
                1200 Driving Park Ave Newark, NY 14513
                        $461 –         $510
               | 
            
            
            
              | 
                United Memorial Medical Center
                127 North St Batavia, NY 14020
                        $461 –         $510
               | 
            
            
            
              | 
                Garnet Health Medical Center
                707 East Main Street Middletown, NY 10940
                        $461 –         $510
               | 
            
            
            
              | 
                Garnet Health Medical Center – Catskills
                8881 Route 97 Callicoon, NY 12723
                        $461 –         $510
               | 
            
            
            
              | 
                HHC Queens Hospital Center
                8268 164th St Jamaica, NY 11432
                        $510 –         $559
               | 
            
            
            
              | 
                Woodhull Medical and Mental Health Center
                760 Broadway Brooklyn, NY 11206
                        $510 –         $559
               | 
            
            
            
              | 
                NYC Health + Hospitals Kings County
                451 Clarkson Ave Brooklyn, NY 11203
                        $510 –         $559
               | 
            
            
            
              | 
                HHC Bellevue Hospital Center
                462 1st Ave New York, NY 10016
                        $510 –         $559
               | 
            
            
            
              | 
                NYC Health + Hospitals North Central Bronx
                3424 Kossuth Ave Bronx, NY 10467
                        $510 –         $559
               | 
            
            
            
              | 
                NYC Health + Hospitals Jacobi Medical Center
                1400 Pelham Pkwy S Bronx, NY 10461
                        $510 –         $559
               | 
            
            
            
              | 
                Saratoga Hospital
                211 Church St Saratoga Springs, NY 12866
                        $559 –         $608
               | 
            
            
            
              | 
                Eastern Niagara Hospital
                521 East Ave Lockport, NY 14094
                        $559 –         $608
               | 
            
            
            
              | 
                The Unity Hospital Of Rochester
                1555 Long Pond Rd Rochester, NY 14626
                        $608 –         $656
               |