| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Howard Young Medical Center Inc Of Woodruff Wisconsin | 240 Maple Street, Woodruff | J0517 | $190 [source] | 4 years ago |
| Ascension Calumet Hospital | 614 Memorial Dr, Chilton | J0517 | $234 [source] | 4 years ago |
| Midwest Orthopedic Specialty Hospital, Llc | 10101 S 27Th St, Franklin | J0517 | $362 [source] | 4 years ago |
| Orthopaedic Hospital Of Wisconsin | 475 W River Woods Pkwy, Milwaukee | J0517 | $520 [source] | 4 years ago |
| Aurora Baycare | 1160 Kepler Dr, Green Bay | J0517 | $687 [source] | 4 years ago |
| Aurora Medical Center Of Manitowoc County | 5000 Memorial Dr, Two Rivers | J0517 | $702 [source] | 4 years ago |
| Aurora Sheboygan Memorial Medical Center | 2629 N 7Th St, Sheboygan | J0517 | $761 [source] | 4 years ago |
| Aurora Medical Center Of Oshkosh | 855 N Westhaven Dr, Oshkosh | J0517 | $831 [source] | 4 years ago |
| Aurora Medical Center Bay Area | 3003 University Dr, Marinette | J0517 | $850 [source] | 4 years ago |
| Aurora Lakeland Medical Center | W3930 County Road Nn, Elkhorn | J0517 | $998 [source] | 4 years ago |
| Aurora Medical Center Burlington | 252 Mchenry St, Burlington | J0517 | $1,001 [source] | 4 years ago |
| Aurora Medical Center Summit | 36500 Aurora Dr, Oconomowoc | J0517 | $1,059 [source] | 4 years ago |
| Aurora Medical Center Kenosha | 10400 75Th St, Kenosha | J0517 | $1,073 [source] | 4 years ago |
| Aurora West Allis Medical Center | 8901 W Lincoln Ave, Milwaukee | J0517 | $1,111 [source] | 4 years ago |
| Aurora St Luke's South Shore | 5900 S Lake Dr, Cudahy | J0517 | $1,115 [source] | 4 years ago |
| Aurora Sinai Medical Center | 945 N 12Th St, Milwaukee | J0517 | $1,273 [source] | 4 years ago |
| Aurora St. Luke's Medical Center | 2900 W Oklahoma Ave, Milwaukee | J0517 | $1,282 [source] | 4 years ago |
| Aurora Medical Center Of Washington County | 1032 E Sumner St, Hartford | J0517 | $1,325 [source] | 4 years ago |
| Watertown Regional Medical Center | 125 Hospital Drive, Watertown | J0517 | $6,172 [source] | 4 years ago |
| Adventhealth Durand | 1220 3Rd Ave W, Durand | J0517 | $7,538 [source] | 4 years ago |