| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | V5275 | $35 [source] | 4 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | V5275 | $35 [source] | 4 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | V5275 | $35 [source] | 4 years ago |
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | V5275 | $57 [source] | 4 years ago |
| Adventhealth Durand | 1220 3Rd Ave W, Durand | V5275 | $75 [source] | 4 years ago |
| Upland Hills Health | 800 Compassion Way, Dodgeville | V5275 | $81 [source] | 4 years ago |