| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | V5264 | $91 [source] | 4 years ago |
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | V5264 | $119 [source] | 4 years ago |
| Adventhealth Durand | 1220 3Rd Ave W, Durand | V5264 | $225 [source] | 4 years ago |
| Upland Hills Health | 800 Compassion Way, Dodgeville | V5264 | $291 [source] | 4 years ago |