| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Howard Young Medical Center Inc Of Woodruff Wisconsin | 240 Maple Street, Woodruff | G0239 | $15 [source] | 4 years ago |
| River Falls Area Hospital | , River Falls | G0239 | $16 [source] | 4 years ago |
| Ascension Ne Wisconsin-St Elizabeth Campus | 1506 S Oneida St, Appleton | G0239 | $23 [source] | 4 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | G0239 | $35 [source] | 4 years ago |
| Essentia Health St. Mary's Hospital-Superior | 3500 Tower Ave, Superior | G0239 | $88 [source] | 4 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | G0239 | $110 [source] | 4 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | G0239 | $144 [source] | 4 years ago |
| Aspirus Langlade Hospital | 110 E 5Th Ave, Antigo | G0239 | $144 [source] | 4 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | G0239 | $144 [source] | 4 years ago |
| Aspirus Stevens Point Hospital | 5409 Vern Holmes Dr, | G0239 | $144 [source] | 4 years ago |
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | G0239 | $144 [source] | 4 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | G0239 | $180 [source] | 4 years ago |
| Tomah Memorial Hospital | 501 Gopher Dr, Tomah | G0239 | $209 [source] | 4 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | G0239 | $242 [source] | 4 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | G0239 | $280 [source] | 4 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | G0239 | $280 [source] | 4 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | G0239 | $280 [source] | 4 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | G0239 | $280 [source] | 4 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | G0239 | $280 [source] | 4 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | G0239 | $280 [source] | 4 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | G0239 | $280 [source] | 4 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | G0239 | $280 [source] | 4 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | G0239 | $280 [source] | 4 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | G0239 | $280 [source] | 4 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | G0239 | $280 [source] | 4 years ago |