| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | 24105 | $960 [source] | 4 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | 24105 | $1,041 [source] | 4 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | 24105 | $1,101 [source] | 4 years ago |
| Howard Young Medical Center Inc Of Woodruff Wisconsin | 240 Maple Street, Woodruff | 24105 | $1,248 [source] | 4 years ago |
| Aspirus Langlade Hospital | 110 E 5Th Ave, Antigo | 24105 | $2,162 [source] | 4 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | 24105 | $4,744 [source] | 4 years ago |
| River Falls Area Hospital | , River Falls | 24105 | $5,433 [source] | 4 years ago |
| Ascension St Francis Hospital | 3237 S 16Th St, Milwaukee | 24105 | $6,326 [source] | 4 years ago |
| Ascension Se Wisconsin Hospital-St Joseph Campus | 5000 W Chambers St, Milwaukee | 24105 | $6,326 [source] | 4 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | 24105 | $6,326 [source] | 4 years ago |
| Ascension All Saints Hospital | 1320 Wisconsin Ave, Racine | 24105 | $6,326 [source] | 4 years ago |
| Ascension Sacred Heart Rehabilitation Hospital | 2323 N Lake Dr, Milwaukee | 24105 | $6,995 [source] | 4 years ago |