| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Tomah Memorial Hospital | 501 Gopher Dr, Tomah | 99213 | $83 [source] | 3 years ago |
| Ascension Ne Wisconsin-St Elizabeth Campus | 1506 S Oneida St, Appleton | 99213 | $89 [source] | 3 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | 99213 | $90 [source] | 3 years ago |
| Howard Young Medical Center Inc Of Woodruff Wisconsin | 240 Maple Street, Woodruff | 99213 | $144 [source] | 3 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | 99213 | $154 [source] | 3 years ago |
| Essentia Health St. Mary's Hospital-Superior | 3500 Tower Ave, Superior | 99213 | $165 [source] | 3 years ago |
| Prairie Ridge Health | 1515 Park Ave, Columbus | 99213 | $172 [source] | 3 years ago |
| River Falls Area Hospital | , River Falls | 99213 | $208 [source] | 3 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | 99213 | $210 [source] | 3 years ago |
| Aspirus Medford Hospital | 135 S Gibson St, Medford | 99213 | $220 [source] | 3 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | 99213 | $220 [source] | 3 years ago |
| Aspirus Langlade Hospital | 110 E 5Th Ave, Antigo | 99213 | $220 [source] | 3 years ago |
| Aspirus Stevens Point Hospital | 5409 Vern Holmes Dr, | 99213 | $220 [source] | 3 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | 99213 | $220 [source] | 3 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | 99213 | $226 [source] | 3 years ago |
| Aurora Lakeland Medical Center | W3930 County Road Nn, Elkhorn | 99213 | $235 [source] | 3 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | 99213 | $235 [source] | 3 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | 99213 | $255 [source] | 3 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | 99213 | $265 [source] | 3 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | 99213 | $270 [source] | 3 years ago |
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | 99213 | $271 [source] | 3 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | 99213 | $280 [source] | 3 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | 99213 | $280 [source] | 3 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | 99213 | $305 [source] | 3 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | 99213 | $305 [source] | 3 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | 99213 | $305 [source] | 3 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | 99213 | $325 [source] | 3 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | 99213 | $340 [source] | 3 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | 99213 | $375 [source] | 3 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | 99213 | $385 [source] | 3 years ago |
| Upland Hills Health | 800 Compassion Way, Dodgeville | 99213 | $386 [source] | 3 years ago |
| Beloit Memorial Hospital | 1969 W Hart Rd, Beloit | 99213 | $1,016 [source] | 3 years ago |