| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Upland Hills Health | 800 Compassion Way, Dodgeville | 99404 | $162 [source] | 3 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | 99404 | $175 [source] | 3 years ago |
| Howard Young Medical Center Inc Of Woodruff Wisconsin | 240 Maple Street, Woodruff | 99404 | $270 [source] | 3 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | 99404 | $348 [source] | 3 years ago |
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | 99404 | $493 [source] | 3 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | 99404 | $493 [source] | 3 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | 99404 | $493 [source] | 3 years ago |