| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Ne Wisconsin-St Elizabeth Campus | 1506 S Oneida St, Appleton | 96373 | $36 [source] | 3 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | 96373 | $52 [source] | 3 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | 96373 | $55 [source] | 3 years ago |
| Howard Young Medical Center Inc Of Woodruff Wisconsin | 240 Maple Street, Woodruff | 96373 | $64 [source] | 3 years ago |
| Tomah Memorial Hospital | 501 Gopher Dr, Tomah | 96373 | $87 [source] | 3 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | 96373 | $140 [source] | 3 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | 96373 | $140 [source] | 3 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | 96373 | $140 [source] | 3 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | 96373 | $140 [source] | 3 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | 96373 | $140 [source] | 3 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | 96373 | $140 [source] | 3 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | 96373 | $140 [source] | 3 years ago |