| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | 0339T | $2,845 [source] | 3 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | 0339T | $4,710 [source] | 3 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | 0339T | $5,978 [source] | 3 years ago |
| Ascension St Francis Hospital | 3237 S 16Th St, Milwaukee | 0339T | $7,971 [source] | 3 years ago |
| Ascension Se Wisconsin Hospital-St Joseph Campus | 5000 W Chambers St, Milwaukee | 0339T | $7,971 [source] | 3 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | 0339T | $7,971 [source] | 3 years ago |
| Ascension All Saints Hospital | 1320 Wisconsin Ave, Racine | 0339T | $7,971 [source] | 3 years ago |
| Ascension Sacred Heart Rehabilitation Hospital | 2323 N Lake Dr, Milwaukee | 0339T | $11,788 [source] | 3 years ago |