| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | J2358 | $4 [source] | 4 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | J2358 | $9 [source] | 4 years ago |
| Prairie Ridge Health | 1515 Park Ave, Columbus | J2358 | $121 [source] | 4 years ago |
| Adventhealth Durand | 1220 3Rd Ave W, Durand | J2358 | $1,295 [source] | 4 years ago |