| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| River Falls Area Hospital | , River Falls | L0172 | $7 [source] | 4 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | L0172 | $123 [source] | 4 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | L0172 | $137 [source] | 4 years ago |
| Upland Hills Health | 800 Compassion Way, Dodgeville | L0172 | $141 [source] | 4 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | L0172 | $143 [source] | 4 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | L0172 | $147 [source] | 4 years ago |
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | L0172 | $158 [source] | 4 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | L0172 | $160 [source] | 4 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | L0172 | $161 [source] | 4 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | L0172 | $161 [source] | 4 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | L0172 | $183 [source] | 4 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | L0172 | $190 [source] | 4 years ago |
| Aurora Lakeland Medical Center | W3930 County Road Nn, Elkhorn | L0172 | $190 [source] | 4 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | L0172 | $190 [source] | 4 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | L0172 | $190 [source] | 4 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | L0172 | $190 [source] | 4 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | L0172 | $190 [source] | 4 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | L0172 | $190 [source] | 4 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | L0172 | $190 [source] | 4 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | L0172 | $190 [source] | 4 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | L0172 | $263 [source] | 4 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | L0172 | $306 [source] | 4 years ago |
| Aspirus Stevens Point Hospital | 5409 Vern Holmes Dr, | L0172 | $306 [source] | 4 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | L0172 | $306 [source] | 4 years ago |