| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| River Falls Area Hospital | , River Falls | G0390 | $125 [source] | 3 years ago |
| Aspirus Medford Hospital | 135 S Gibson St, Medford | G0390 | $184 [source] | 3 years ago |
| Upland Hills Health | 800 Compassion Way, Dodgeville | G0390 | $1,221 [source] | 3 years ago |
| Tomah Memorial Hospital | 501 Gopher Dr, Tomah | G0390 | $1,382 [source] | 3 years ago |
| Aspirus Stevens Point Hospital | 5409 Vern Holmes Dr, | G0390 | $1,797 [source] | 3 years ago |
| Aspirus Wausau Hospital | 333 Pine Ridge Blvd, Wausau | G0390 | $1,797 [source] | 3 years ago |
| Aspirus Riverview Hospital | 410 Dewey St, Wisconsin Rapids | G0390 | $1,797 [source] | 3 years ago |
| Essentia Health St. Mary's Hospital-Superior | 3500 Tower Ave, Superior | G0390 | $2,087 [source] | 3 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | G0390 | $2,172 [source] | 3 years ago |
| Aspirus Divine Savior Hospital | 2817 New Pinery Rd, Portage | G0390 | $3,245 [source] | 3 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | G0390 | $3,540 [source] | 3 years ago |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | 1220 3Rd Ave W, Durand | G0390 | $4,691 [source] | 3 years ago |
| Prairie Ridge Health | 1515 Park Ave, Columbus | G0390 | $4,925 [source] | 3 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | G0390 | $5,280 [source] | 3 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | G0390 | $5,280 [source] | 3 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | G0390 | $5,280 [source] | 3 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | G0390 | $5,280 [source] | 3 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | G0390 | $5,280 [source] | 3 years ago |
| Aurora Medical Center Grafton | 975 Port Washington Road, Grafton | G0390 | $5,280 [source] | 3 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | G0390 | $5,280 [source] | 3 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | G0390 | $5,280 [source] | 3 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | G0390 | $5,280 [source] | 3 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | G0390 | $5,280 [source] | 3 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | G0390 | $5,280 [source] | 3 years ago |
| Aurora Lakeland Medical Center | W3930 County Road Nn, Elkhorn | G0390 | $5,280 [source] | 3 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | G0390 | $5,280 [source] | 3 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | G0390 | $5,280 [source] | 3 years ago |