| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | 45390 | $1,020 [source] | 3 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | 45390 | $1,049 [source] | 3 years ago |
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | 45390 | $1,958 [source] | 3 years ago |
| Essentia Health St. Mary's Hospital-Superior | 3500 Tower Ave, Superior | 45390 | $1,958 [source] | 3 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | 45390 | $2,183 [source] | 3 years ago |
| River Falls Area Hospital | , River Falls | 45390 | $2,211 [source] | 3 years ago |
| Ascension Sacred Heart Rehabilitation Hospital | 2323 N Lake Dr, Milwaukee | 45390 | $2,279 [source] | 3 years ago |
| Ascension St Francis Hospital | 3237 S 16Th St, Milwaukee | 45390 | $2,910 [source] | 3 years ago |
| Ascension Se Wisconsin Hospital-St Joseph Campus | 5000 W Chambers St, Milwaukee | 45390 | $2,910 [source] | 3 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | 45390 | $2,910 [source] | 3 years ago |
| Ascension All Saints Hospital | 1320 Wisconsin Ave, Racine | 45390 | $2,910 [source] | 3 years ago |
| Aspirus Medford Hospital | 135 S Gibson St, Medford | 45390 | $3,727 [source] | 3 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | 45390 | $3,727 [source] | 3 years ago |
| Aspirus Stevens Point Hospital | 5409 Vern Holmes Dr, | 45390 | $3,727 [source] | 3 years ago |
| Aspirus Langlade Hospital | 110 E 5Th Ave, Antigo | 45390 | $3,727 [source] | 3 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | 45390 | $3,727 [source] | 3 years ago |