| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Howard Young Medical Center Inc Of Woodruff Wisconsin | 240 Maple Street, Woodruff | J9175 | $4 [source] | 4 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | J9175 | $13 [source] | 4 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | J9175 | $13 [source] | 4 years ago |