| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | 99191 | $811 [source] | 3 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | 99191 | $850 [source] | 3 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | 99191 | $850 [source] | 3 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | 99191 | $850 [source] | 3 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | 99191 | $850 [source] | 3 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | 99191 | $850 [source] | 3 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | 99191 | $850 [source] | 3 years ago |
| Howard Young Medical Center Inc Of Woodruff Wisconsin | 240 Maple Street, Woodruff | 99191 | $1,395 [source] | 3 years ago |