| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Ascension Ne Wisconsin-St Elizabeth Campus | 1506 S Oneida St, Appleton | G0127 | $14 [source] | 3 years ago |
| Howard Young Medical Center Inc Of Woodruff Wisconsin | 240 Maple Street, Woodruff | G0127 | $19 [source] | 3 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | G0127 | $24 [source] | 3 years ago |
| River Falls Area Hospital | , River Falls | G0127 | $35 [source] | 3 years ago |
| Prairie Ridge Health | 1515 Park Ave, Columbus | G0127 | $52 [source] | 3 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | G0127 | $71 [source] | 3 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | G0127 | $100 [source] | 3 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | G0127 | $100 [source] | 3 years ago |
| Aurora Lakeland Medical Center | W3930 County Road Nn, Elkhorn | G0127 | $100 [source] | 3 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | G0127 | $100 [source] | 3 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | G0127 | $100 [source] | 3 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | G0127 | $100 [source] | 3 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | G0127 | $100 [source] | 3 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | G0127 | $100 [source] | 3 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | G0127 | $100 [source] | 3 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | G0127 | $100 [source] | 3 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | G0127 | $100 [source] | 3 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | G0127 | $100 [source] | 3 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | G0127 | $100 [source] | 3 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | G0127 | $100 [source] | 3 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | G0127 | $100 [source] | 3 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | G0127 | $949 [source] | 3 years ago |
| Ascension Se Wisconsin Hospital-St Joseph Campus | 5000 W Chambers St, Milwaukee | G0127 | $1,265 [source] | 3 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | G0127 | $1,265 [source] | 3 years ago |
| Ascension All Saints Hospital | 1320 Wisconsin Ave, Racine | G0127 | $1,265 [source] | 3 years ago |
| Ascension St Francis Hospital | 3237 S 16Th St, Milwaukee | G0127 | $1,265 [source] | 3 years ago |