| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | G0439 | $93 [source] | 4 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | G0439 | $100 [source] | 4 years ago |
| Howard Young Medical Center Inc Of Woodruff Wisconsin | 240 Maple Street, Woodruff | G0439 | $143 [source] | 4 years ago |
| Aspirus Medford Hospital | 135 S Gibson St, Medford | G0439 | $147 [source] | 4 years ago |
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | G0439 | $147 [source] | 4 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | G0439 | $147 [source] | 4 years ago |
| Aspirus Langlade Hospital | 110 E 5Th Ave, Antigo | G0439 | $147 [source] | 4 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | G0439 | $147 [source] | 4 years ago |
| Ascension Ne Wisconsin-St Elizabeth Campus | 1506 S Oneida St, Appleton | G0439 | $202 [source] | 4 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | G0439 | $205 [source] | 4 years ago |
| Prairie Ridge Health | 1515 Park Ave, Columbus | G0439 | $265 [source] | 4 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | G0439 | $347 [source] | 4 years ago |