| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | 90739 | $136 [source] | 3 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | 90739 | $162 [source] | 3 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | 90739 | $289 [source] | 3 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | 90739 | $393 [source] | 3 years ago |