| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| River Falls Area Hospital | , River Falls | G0270 | $15 [source] | 4 years ago |
| Howard Young Medical Center Inc Of Woodruff Wisconsin | 240 Maple Street, Woodruff | G0270 | $20 [source] | 4 years ago |
| Ascension Ne Wisconsin-St Elizabeth Campus | 1506 S Oneida St, Appleton | G0270 | $50 [source] | 4 years ago |
| Upland Hills Health | 800 Compassion Way, Dodgeville | G0270 | $63 [source] | 4 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | G0270 | $75 [source] | 4 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | G0270 | $98 [source] | 4 years ago |
| Aspirus Medford Hospital | 135 S Gibson St, Medford | G0270 | $109 [source] | 4 years ago |
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | G0270 | $109 [source] | 4 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | G0270 | $109 [source] | 4 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | G0270 | $109 [source] | 4 years ago |