| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | 0492T | $25 [source] | 3 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | 0492T | $949 [source] | 3 years ago |
| Ascension St Francis Hospital | 3237 S 16Th St, Milwaukee | 0492T | $1,265 [source] | 3 years ago |
| Ascension Se Wisconsin Hospital-St Joseph Campus | 5000 W Chambers St, Milwaukee | 0492T | $1,265 [source] | 3 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | 0492T | $1,265 [source] | 3 years ago |
| Ascension All Saints Hospital | 1320 Wisconsin Ave, Racine | 0492T | $1,265 [source] | 3 years ago |