| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | A9557 | $594 [source] | 3 years ago |
| River Falls Area Hospital | , River Falls | A9557 | $765 [source] | 3 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | A9557 | $1,158 [source] | 3 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | A9557 | $1,990 [source] | 3 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | A9557 | $1,990 [source] | 3 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | A9557 | $1,990 [source] | 3 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | A9557 | $1,990 [source] | 3 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | A9557 | $1,990 [source] | 3 years ago |