| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | J1030 | $9 [source] | 4 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | J1030 | $19 [source] | 4 years ago |
| Aspirus Medford Hospital | 135 S Gibson St, Medford | J1030 | $22 [source] | 4 years ago |
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | J1030 | $22 [source] | 4 years ago |
| Aspirus Langlade Hospital | 110 E 5Th Ave, Antigo | J1030 | $22 [source] | 4 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | J1030 | $38 [source] | 4 years ago |
| Essentia Health St. Mary's Hospital-Superior | 3500 Tower Ave, Superior | J1030 | $42 [source] | 4 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | J1030 | $48 [source] | 4 years ago |
| Aspirus Stevens Point Hospital | 5409 Vern Holmes Dr, | J1030 | $48 [source] | 4 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | J1030 | $48 [source] | 4 years ago |
| Prairie Ridge Health | 1515 Park Ave, Columbus | J1030 | $77 [source] | 4 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | J1030 | $132 [source] | 4 years ago |