| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| River Falls Area Hospital | , River Falls | G0260 | $18 [source] | 3 years ago |
| Essentia Health St. Mary's Hospital-Superior | 3500 Tower Ave, Superior | G0260 | $1,063 [source] | 3 years ago |
| Ascension Sacred Heart Rehabilitation Hospital | 2323 N Lake Dr, Milwaukee | G0260 | $1,093 [source] | 3 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | G0260 | $1,124 [source] | 3 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | G0260 | $1,511 [source] | 3 years ago |
| Aspirus Stevens Point Hospital | 5409 Vern Holmes Dr, | G0260 | $1,511 [source] | 3 years ago |
| Aspirus Langlade Hospital | 110 E 5Th Ave, Antigo | G0260 | $1,511 [source] | 3 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | G0260 | $1,511 [source] | 3 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | G0260 | $1,898 [source] | 3 years ago |
| Ascension St Francis Hospital | 3237 S 16Th St, Milwaukee | G0260 | $2,530 [source] | 3 years ago |
| Ascension Se Wisconsin Hospital-St Joseph Campus | 5000 W Chambers St, Milwaukee | G0260 | $2,530 [source] | 3 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | G0260 | $2,530 [source] | 3 years ago |
| Ascension All Saints Hospital | 1320 Wisconsin Ave, Racine | G0260 | $2,530 [source] | 3 years ago |
| Upland Hills Health | 800 Compassion Way, Dodgeville | G0260 | $3,003 [source] | 3 years ago |