| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | J7297 | $959 [source] | 4 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | J7297 | $959 [source] | 4 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | J7297 | $959 [source] | 4 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | J7297 | $1,081 [source] | 4 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | J7297 | $1,509 [source] | 4 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | J7297 | $1,650 [source] | 4 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | J7297 | $2,331 [source] | 4 years ago |